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Form 4562 (2001 ) (Rev . 3-2002) Page 2 Part V Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation , or amusement.) Note: Forany vehicle for which you are using the standard mileage rate ordeducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A all of Section 8 and Section C if applicable. Section A - Depreciation and Other Information (Caution: See instructions for limits for passenger automobiles.) 24a Do you have evidence to support the business/investment use claimed? 0 Yes [::] No 24b If "Yes , " is the evidence written? EJ Yes ED No (a) rpla te (c) (d) (e) M (g) (h) (i)Type of property d in Business/ Cost or Basis fordepreciation Recovery Method/ Depreciation Elected ( list vehicles first ) ice investment other basis (businesslnvestment period Convention deduction section 179 use only) cost 25 Special depreciation allowance for listed property acquired after September 10, 2001 , and used more than 50% in a qualified business use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 725 , 26 Property used more than 50% in a qualified business use : % % % 27 Property used 50% or less in a qualified business use : % S/L - % S/L - % S/L - 28 Add amounts in column (h) , lines 25 through 27 . Enter here and on line 21 , page 1 . . . . . . . . . . . . . . . . . . . 28 29 Add amounts in column (i) , line 26. Enter here and on line 7 , page 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other " more than 5% owner, " or related person . If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. (a) (b) (c) (d) (e) (f) 30 Total business/investment miles driven during the Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle year (do not include commuting miles ) . . . . . . . . . . . . . . . . . . 31 Total commuting miles driven during the year . _ . 32 Total other personal (noncommuting) miles driven 33 Total miles driven during the year. Add lines 30 through 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Was the vehicle available for personal use Yes No Yes No Yes No Yes No Yes No Yes No during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Was the vehicle used primarily by a more than 5% owner or related person? . . . . . . . . . . . . . . . . . . 36 Is another vehicle available for personal use? Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons . 37 Do you maintain a written policy statement that prohibits all personal use of vehicles , including commuting , by your Yes No employees? . . . . . . . . . . . . . . . . . . . . . . . 38 Do you maintain a written policy statement that prohibits personal use of vehicles , except commuting, by your employees? See instructions for vehicles used by corporate officers, directors , or 1 % or more owners . . . . . . . . . . . . . . . . . . . . 39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Do you provide more than five vehicles to your employees , obtain information from your employees about the use of the vehicles , and retain the information received ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Do you meet the requirements concerning qualified automobile demonstration use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . Note: If your answer to 37, 38, 39, 40, or 41 is " Yes, " do not complete Section 8 for the covered vehicles. Part VI I Amortization (a) (b) (c) (d) (e) (f) Description of costs Date amoru:ation Amortizable Code Amortiratlon Amortization begins I mount section period or percentage for this year 42 Amortization of costs that begins during your 2001 tax year: 43 Amortization of costs that began before your 2001 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 44 Total. Add amounts in column (f) . See instructions for where to report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Form 4562 (200 1 ) (Rev. 3-2002) 116252 03-20-02 18 12361121 781701 ST " PETER 2001 . 06020 ST PETERS HUMAN SERVICES IN ST PETE1