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Form 4562 Depreciation and Amortization DMB No. 1i45-0172 it 0 Department of the Treasury (including Information on Listed Property) 2000 r Internal Revenue Service 99 ► lop See separate instructions. Attach this form to your return. sequence t 6 7 Name(s) shown on return Identifying number INDIAN RIVER MEMORIAL HOSPITAL INC : 59 - 2496294 Business or activity to which this form relates GENERAL DEPRECIATION EM Election To Expense Certain Tangible Property (Section 179) Note: if you have an "listed roe , "complete Part V before you complete Partt 1 Maximum dollar limitation. If an enterprise zone business, see page 2 of the instructions 2 Total cost of section 179 property placed in service. See page 2 of the instructions , , , 2 3 Threshold cost of section 179 propertybefore reduction in limitation , 3 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- • , 4 5 Dollar limitation for tax year. Subtract rine 4 from line 1 . If zero or less, enter -0-. If married filing separately, see page 2 of the instructions5 (a) Description of property .b . . Cost (business use on (c) Elected cost . 6 :iti}:i:::a,� Liµ%: .• .....: :\::+j..., rt�i:_. .:/ ' 7 Listed property. Enter amount from fine 27 7 - ' s-` '" `- " °s'�� `w•"` . 8 Total elected cost of section 179 properly. Add amounts in column (c), fines 6 and 7 9 Tentative deduction. Enter the smaller of One 5-or line 8 . . . -. 9 - 10 Carryover of disallowed deduction from 1999. See page 3 of the instructions , . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12 13 Carryover of disallowed deduction to 2001 . Add lines 9 and 10, less line 12 I• . 13 Note: Do not use Part ll or Part Ill below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers, or property used for entertainment, recreation, or amusement). Instead, use Part V for listed property. MACRS Depreciation for Assets Placed in Service Only During Your 2000 Tax Year ( Do not include listed property.) Section A - General Asset Account Election - 14 If you are making the election under sectiorr 168 (i)(4) to group any assets placed in service duringxhe tax year into one or more general asset accounts , check this box. See page 3 of the instructions Section B - General Depreciation System (GDS (See page 3 of the-instructions.) - {b) Month and (c) Basis for depreciation O d Recovery - (a) Classirrcation of property- year placed in (businessrinvestment use eriod (e) convention Method (g) Depreciation deduction service only - see Instructions) p 15a 3-year property ---g =: ;:v: NONE b 5-year property - E `r' c 7-year property - :. : •' i. :"J �.',; v d 10-year property s,s . :. ,.:^',_;..; . ; ' : ;; e 15-Year propertyi :e ; 'fr ass_.: ;: •t,�<.. .. < , f 20-year property g 25-year property 25 yrs. S / L h . Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S /L I Nonresidential real 39 yrs. M M S/L property mm S / L Section C - Alternative Depreciation S stem ADS ) (See page 5 of the instructions . 16a Class life <r'<' ' zF< z: b 12-year ::;;:•a::,, :::: ::>; ::: .: :: 12 yrs . S/L c 40-year 40 yrs. I MM S / L Other Depreciation ( Do not include listed property.) (See page 5 of the instructions.) 17 GDS and ADS deductions for assets placed in service in tax years beginning before 2000 , 17 18 Property subject to section 168(0( 1 ) election 18 19 ACRS and other depreciation , 19 9 538 605 . Summary (See page 6 of the instructions .) 20 Listed property. Enter amount from line 26 , , , , . , - 0 20 21 Total. Add deductions from line 12, lines 15 and 16 in column (g) , and lines 17 through 20. Enter here and on the appropriate lines of your return . Partnerships and S corporations - see instructions . 21 9 538 , 605 - 22 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs F22T� Js For Paperwork Reduction Act Notice, see page 9 of the instructions, Form 45112 ( 2000) OF0931 2. 000 B9A003 2830 111986