SuperCalc ver. 1.00 Form 2119 - 1986 Soc Sec No. "Form 2119 - 1986 Soc Sec No. sis o "Name "1a Date Former Residence Sold DATE(10,12,86) 6)-C3 "1b Amount of Mortgage Held "2a Date New Residence was Occupied DATE(12,10,86) 6)-C3 "2b Are any rooms rented or used for " business [0 for "no", 1 for "Yes"] siness "********* "3a Are you 55 or older [0 "no", 1 "yes"] "3b Is spouse 55 or older [0 "no", 1 "yes"] "3c Did person who answered yes to A or B " above, use the property as a residence "********* " for at least 3 years of the last 5 year "********* " period before the sale [0 "no", 1 "yes"] "********* "3d If yes to C above, do you elect once " in a lifetime exclusion of gain [0 or 1] "********* "PART I. - Computation of Gain les Pri "Line 4 Selling Price of Residence less Expenses "Line 5 Basis of Residence Sold "Line 6 Gain on Sale [See instructions] Expen IF(C19>C20,C19-C20,0) "PART II. - Age 55 or Over One-Time Exclusion "Line 7 Enter the smaller of line 6 or $125,000 sis o IF(B14=1,MIN(125000,C21),NA) "Line 8 Gain [See instructions from IRS Form 2119] IF(C21>C25,C21-C25,0) 1),NA) "PART III. - Gain to be Postponed and Adjusted Basis of New Residence "Line 9 Fixing up Expenses "Line 10 Adjusted Sales Price C19-C30 "Line 11 Cost of New Residence "Line 12 Gain Taxable This Year C31-C32-IF(B14=1,C25,0) "Line 13 Gain to be Postponed IF(B14=0,C21,C26)-C33 "Line 14 Adjusted Basis of New Residence usted C32-C34