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8010 02/07/2003 12:12 PM <br /> SUBSTANCE ABUSE COUNCIL 65 - 0202835 <br /> Form 4562 (2001 ) (Rev. 3-2002) <br /> Page 2 <br /> �ai'1 Listed Property (Include automobiles, certain other vehicles, cellular telephones , certain Computers , and <br /> property used for entertainment, recreation , or amusement.) <br /> Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only <br /> 24a 24b columns a throw h Ll of Section A all of Sggtion SectionB and Section C if applicable. <br /> Section A-0e reciation and Other Information Caution : See page 8 of the instructions for limits for passenger automobiles. <br /> 24a Do you have evidence to support the businessrnvestment use claimed? Yes No 24b If Yes," is the evidence written? Yes No <br /> (a ) (b) (c) <br /> Type of prop. Date placed in Busn.finvest Cost (or other Basis for depreciation Recovery Method/ De lh) (1) <br /> (list vehicles service use ry Depreciation Elected <br /> first basis (business/investment period Convention deduction . section 179 <br /> percentage use only) <br /> 25 Special r <br /> poperiy acquired after September 10, 2001depreciation allowance for listed cost, <br /> and used more than 50% in aualifiied business use see page 7 of the instructions) 28 <br /> 26 Pro used more than 50% in a ual red business use see 7 of the instructions <br /> 27 Pro used 50% or less in a oualified business use see paqe 7 of the Instructions): <br /> S/L- <br /> S/L- . <br /> 28 Add amounts in column (h), lines 25 through 27. . Enter here and on line 21 , page 1 728 <br /> 29 Add amounts in column i line 26. Enter here and on line 7 1 . . . . . . . . . . . . . . . . . . . <br /> . . <br /> . . . . . . <br /> Section B-Information on Use of Vehicles <br /> Complete this section forYehicles used <br /> by a sole proprietor; partner, or other "more than 5% owner," or related person. <br /> If you provided vehicles to your employees, first answer the questions in Section C to see V meet an exce to can this section for those vehicles. <br /> 30 Total business/investrnent miles driven during , '(a) (b) (c) (� (e). Mthe year (do not include commuting <br />miles- Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 . <br /> see page 2 of the instructions) <br /> 31 Total commuting miles driven during the year <br /> 32 Total other personal (noncommuting) miles driven <br /> 33 Total miles driven during the year. <br /> Add lines 30 through 32 <br /> 34 Was the vehicle available for personal Yes No Yes No Yes No Yes No Yes No Yes No <br /> use during off-duty hours? . . . <br /> 35 Was the vehicle used primarily by a <br /> more than 5% owner or related person? . . . . . . . . . . . <br /> 36 Is another vehicle available for Personal use? <br /> Section C Questions for Employers Who Provide Vehicles for Use by Their Employees <br /> Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who <br /> are not more than 5% owners or related persons see pa 8 of the instructions). <br /> Yes No <br /> 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees? <br /> 38 Do you maintain a written policy statement that prohibits o ' ' e . ? . ' . ' . ' ' . . • ' • • • <br />' <br /> p personal use of vehicles, except commuting, by your employees? <br /> See page 8 of the instructions for vehicles used by corporate officers, directors, or 1 % or more owners <br /> 39 Do you treat all use of vehicles by employees em to as personal use? . . . . . . . . . . • • . . <br /> . <br /> 40 Do you provide more than five vehicles to your employees, obtain information from. your em I . . . . . . . . . <br /> Y P oY� about . . . . . <br /> the use of the vehicles, and retain the information received? <br /> 41 Do you meet the requirements concerning qualified automobile demonstration use? (See page 9 of the instructions.) <br /> Note: If our answer to 37, 38, 39, 40 or 41 is "Yes " do not con fete Section B for the covered vehicles. <br /> ` <br /> n <br /> Amortization MW <br /> (a) (b) (c) (d) Amortization (� <br /> Description of costs Date amortization Amortizable Code period ti Amortization for <br /> begins amount section rcenta a this year <br /> 42 Amortization of costs that ins Burin our 2001 tax ear see a e 9 of the instructions <br /> 43 Amortization of costs that began before your 2001 tax year43 337 <br /> 44 Total. Add amounts in column . See page 9 of the instructions for . . . . <br /> DAA <br /> where to report <br /> 44 337 <br /> Form 4562 (2001 ) (Rev. 3-2002) <br />