~
'1040
2006
Individual Income Tax Return
For the year Jan 1-Dec. 3', 2006, or other tax year beginning
Label
IRS Use Only - Do not write or staple In this space MB No. 1545-0074
(991
2006, ending
t
Your first name and Inllial
L
(See instructions on page 16.) Use the IRS label. Otherwise, please print or type. Presidential
u.s.
.20
Last name
~ f---"'"'J~AM=E=S~R~.
Your socIal security number
-----1~P~E=R=R=Y----------__+-------
E
If a jOint return, spouse's first name and initial
L
M. ANITA
Last name
H
Home address (number and street), If you have a P.O. box, see page 16.
PERRY
10 1 a COLORADO
E R E
CIty, town or post office, state, and ZIP code. 11 you have a
AUSTIN
Election Campaign ~
Filing Status Check only one box.
[X]
3
D
C
foreign address, see page 16.
Checking abox below will not change your tax orrerund
787 a1
~D
Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see page 16)
D
1 2
6a b
Exemptions
TX
[X] [X]
Single Married filing jointly (even if only one had income)
4
D D
(1) FIrst name
(2)
Last name
~~~~sa~~e~~ed (3)
security number
AUGHTER
Dependents on 6c not entered above Add numbers
Income
Enclose, but do not attach, any payment. Also, please use Form 1040-V.
~~~~ees~ 7
8a Taxable interest. Mach Schedule B if required
8a
103 709. 198.
9a
13 285.
b Tax-exempt interest. Do not include on line 8a 9a Ordinary dividends. Attach Schedule B if required b Qualified dividends (see page 23) 10 Taxable refunds, credits, or offsets of state and local income taxes Alimony received 11
..,
T8b 9b
I·' 7 835.
1
10 11
12 13
Business income or (loss). Attach Schedule Cor C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here
14 15a
Other gains or (losses). Attach Form 4797
12 13
... ..
~
D
6"10001
LH.iJ,
<3 000. >
14
IRA distributions b Taxable amount 16a Pensions and annuities 16a b Taxable amount I 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attacll Schedule E 18 Farm income or (loss). Attach Schedule F
15b
5 900.
16b 17 18
36 664.
19 Unemployment compensation 20a Social security benefits
19
20b
t:J
b Taxable amount (see page 27)
21
20a Other income. List type and amount (see page 29)
22
Add the amounts in the far riaht column far lines 7 throuqh 21. This is your total income ..
23 24
Archer MSA deduction. Attach Form 8853
25
Health savings account deduction. Attach Form 8889
25
26 27
Moving expenses. Attach Form 3903 One-half of self-employment tax. Attach Schedule SE Self-employed SEP, SIMPLE, and qualified plans
26 27
I
1
I
CertaIn bUSiness expenses of reservists, performing artists: officials. Attach Form 2106 or 2106-EZ
and 'fe'e-bas(s ·go:,.;ernme'nt
28 29 Self-employed health insurance deduction (see page 29) . 30 Penalty on early withdrawal of savings
31a Alimony paid b Recipient's SSN ~
IRA deduction (see page 31)
32
S'r'M'r'. .;1
33 34
Student loan interest deduction (see page 33)
Jury duty pay you ga'Je to your 8mployer
35 36
Domestic production activities deduction. Attach form 8903 Adl1 lines 23 tllrough 31a and 32 tllrough 35
37
Subtract line 36 from line 22. This is your adjusted gross income For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 80.
02-05-07
I;l
d Total number of exemotions claimed 7 Wages, salaries, tips, etc. Attach Form(s) W-2
SEE STATEMENT 1 Adjusted Gross Income
1
• lived with you
• did not live with
you due to divorce or separation (see page 20)
If more than four dependents see page 19_
If you did not
get a W-2,
see page 23_
_2_
on 6c who:
Dependent's
relationship to
you
~~~~~~~~~~~~~~-,'--::-~=
Attach Form(s) W-2 here. Also attach Forms W-2G and 1D99-R if tax was withheld.
Spouse
No. or children
Dependent's social
SYDNEY PERRY
D
name here. ~ - - - - - - - - - - - - Qualifying widow(er) with dependent child (see page 17\
Married filing separately. Enter spouse's SSN above and full name here. ~ 5 Yourself. If someone can claim you as a dependent, do not check box 6a Spouse
Dependents:
You
Head of household (with qualifying person). If the qualifying
person is a child but not your dependent, enter this child's
..
~
21 22
63 667. 220 423.
23 24
28 29
4 586. 11 772.
30 31a 32 33
-.li ...1L
--.
36
~
37
16 358. 204,065. Form 1040 (2006)
':'I.
---------------------------_!_~~~~~~_!_-----------------------------
Application for Automatic Extension of Time To File U.S. Individual Income Tax Return
4868
Form
Depanment of the Treasury Internal Revenue Service
For calendar year 2006, or other tax year beginning
I Part II .Identification 1
" &
Part II
M. ANITA PERRY
1010 COLORADO City, town or post office, state, and ZIP code
2
TX
451 96 5106 LHi\
618711 10-30·06
Individual Income Tax
D
78701
Your social security number
I·
46,430. 4 Estimate of total tax liability for 2006 ... $ 46,430. 5 Tolal2006 payments. ...... O. 6 Balance due. Subtract line 5 from line 4 O. 7 Amount YOU are paying. ~ 8 Check here if you are 'out of the country" and a U.S. citizen orresident ...... . . . . . ... . . ............. ...... ~ 9 Check here if you file Form 1040NR or 1040NR-EZ and did not receive wages as an employee subject to U.S. income tax withholding ~
Address
AUSTIN
2006
, 2006, ending
Your name(s)
JAMES R. PERRY
OMS No. 1545-0074
)3
Spouse's social security number
0
Form 4868 (2006)
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Lj,/cp'u'7 7u, :t(
Y-1Y.( {C/-Ir-!if'dr/)(I/j
1(2.S/Ij-tJ.s1in,lX
--r5:;Oi-{,j{}O~J
71/q SLi :5L/ Q5U';;:/{,Jtl{,lO '5371;;,
tV
Form
JAMES R.
1040 (2006)
Tax and Credits ~
b
• People who checked any
40
box on lIne 39a
or 3gb
or who
41
can be claimed as a dependent
•
42
All others
Single or MarrIed filing separately, $5.150 MaJTled filIng JOintly or Qualltylng wldow(er),
$10,300 Head 01 household, $7.550
Other Taxes
Amount
If line 38
IS
40
14 847. 189 218.
39a I ~ 39b
D 41
over $112,875, or you provided housing to a person displaced by Hurricane Katrina, 42 43
44
Tax. Check if any tax is from: a D
45
Alternative minimum tax. Attach Form 6251
46 47
Add lines 44 and 45 . Foreign tax credit. Attach Form 1116 if required.
48
Credit for child and dependent care expenses. Attach Form 2441 .
49
Credit tor the elderly or the disabled. Attach Schedule R .
48 49
50
Education credits. Attach Form 8863
50
51 52
Retirement savings contributions credit. Attach Form 8880 Residential energy credits. Attach Form 5695
52
53 54
Credits from: a D
Form 8396 b D
Other credits:a D
Form 3800 b D
Form(s) 8814 b D
45 ~
Form 8839 c D
46
38 594.
56
6. 38 588. 9 170.
6.
47
51 53 Form 8859
54
57
Form 8801 c D Form - - Add lines 47 through 55. These are your total credits Subtract line 56 from line 46. If line 56 is more than line 46, enter -0- .
58
Self-employment tax. Attach Schedule SE .
58
59
Social security and Medicare tax on tip Income not reported to employer. Attach Form 4137
59
60 61
Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required Advance earned income credit payments from Form(s) W-2, box 9
62
Household employment taxes. Attach Schedule H Add lines 57 through 62. This is your total tax
55 ~
~
64
2006 estimated tax payments and amount applied from 2005 return
65 66a
'~I
66b
........... .... :NO.
57
590 .
60 61 62
Federal income tax withheld from Forms W-2 and 1099
63
48 348. STATEMENT 8
72
46,430.
13,887. 32 469.
1
7
67
Excess social security and tier 1 RRTA tax withheld (see page 60)s'l'11'l'
68
Additional child tax credit. Attach Form 8812 ..
68 69 70
69
Amount paid with request for ex1ension to file (see page 60) .
70 71
Payments from: a DForm 2439 b DForm 4136 c DForm 8885 Credit for federal telephone excise tax paid. Attach Form 8913 if required
72 73
Add lines 64 65 66a and 67 throuoh 71. These are your total pavments
24.
67
50.
71
~
If line 72 is more than line 63, subtract line 63 from line 72. This is the amount you overpaid ..
74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here. Rouhno D D Account b number ~ C Type Checkino SavJnOs ~ d number 75 Amount of line 73 yOU want apPlied to your 2007 estimated tax ......... ~
75 76 Amount you owe. Subtract line 72 from line 63. For details on how to pay, see page 62 ...
I
9 900. 179 318. 38 594.
44
Form 4972 .
Child tax credit (see page 42). Attach Form 8901 if required
b Nontaxable combat pay election
~
204 065.
Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0
65
Refund
~
Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38
66a Earned income credit (EIC) .
child. attach Schedule EIC.
".
If your spouse Itemizes on a separate return or you were a dual-status allen, see page 34 and check here
38
43
63 Payments 64 If you have a qualifying
Blind.} Total boxes Blind. checked
see page 36. Otherwise, multiply $3,300 by the total number of exemptions claimed on line 6d
55 56
Direct deposil? See page 61 and Min 74b, 74c, and 74d, or Form 8888
Page 2
M. AN.!. TA PERRY
38 Amount from line 37 (adjusted gross income) 39a Check { D You were born before January 2, 1942, D if: Spouse was born before January 2, 1942, D D
Standard Deduction for
&
I
I
73 ~ D
74a
~
1
2 063.
76
............ ............ 77 I 145. Third Party Do you want to allow another person to diSCUSS thiS return With the IRS (see page 63)? [X] Yes. Complete the following. No Designee Deslonee's llo..- PREPARER Phone llo..Personal identIficatIon llo.. You Owe
77 Eslimated tax Denaltv (see Daoe 62) .. ............ ...... name
Sign Here Joint return? See page 17. Keep a copy for your records.
no
,....-
~
,....
GOVERNOR Spouse's signature. If aloint return, both must sign
Spouse's occupation
Date
"ONSULTANT
Use Only Firm's name (or 11-07-06
number (PIN)
Under penalties of perjury, I declare that I have examined this return and accompanYing schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of pre parer (other than taxpayer) is based on all Information of which pre parer has any knowledge. Your signature Date Your occupation Dayllme phone number
Paid Preparer's I Date Preparer'ssi9nature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _---L
610002
D
......
yours if self-em ployed), address, and ZIP code
MEADOR & JONES
LLP
~2414 EXPOSITION BLVD AUSTIN, TX 78703
SUITE BC-230
Check if selfIpreparer's SSN or PTIN employed D i p 0 0 16 418
-'---_ _ I
4
---,-'=="~L_____"'_"__=_==_.",:__=_=_="_=
I ErN 7 4 . 2 9 8 4 51 6 I Phone nos 12 - 4 7 2 - 0 7 9 5
_
Underpayment of Estimated Tax by Individuals, Estates, and Trusts ~
Department of the Treasury Internal Revenue Service
~Attach
OMB No.1545-0140
2006
See separate instructions.
Attachment Sequence No.
to Form 1040, 1040A, 1040NR, 1040NR-EZ, or 1041.
06
Identifying number
Name(s) shown on tax return
JAMES R. & M. ANITA PERRY
Do You Have To File Form 2210? Complete lines 1 through 7 below. Is line 7 less than $1 ,OOO?
~r
Yes
......
Yes
...
Do not file Form 2210. You do not owe a penalty .
No
Complete lines 8 and 9 below. Is line 6 equal to or more than line 9?
You do not owe a penalty. Do not file Form 2210 (but if box E below applies, you must file page 1 of Form 2210).
~ No You may owe a penalty. Does any box in Part II below apply?
Yes
...
You must file Form 2210. Does box S, C, or D apply?
r
I~o t
No ~r
Do not file Form 2210. You are not required to figure your penalty because the IRS will figure it and send you a bill for any unpaid amount. If you want to figure it, you may use Part III or Part IV as a worksheet and enter your penalty amount on your tax return, but do not file Form 2210.
Part I I Required Annual Payment
I
Yes
~I
I
You must figure your penalty.
You are not required to figure your penalty because the IRS will figure it and send you a bill for any unpaid amount. If you want to figure it, you may use Part III or Part IV as a worksheet and enter your penalty amount on your tax return, but file only page 1 of Form 2210.
(see page 2 of the instructions)
1
Enter your 2006 tax after credits from Form 1040, line 57 (or comparable line of your return)
1
2
Other taxes, including self-employment tax (see page 3 of the instructions) .
2
38 588. 9 760.
3 4
48 348.
6 7 8 9
13 34 41 41
Refundable credits. Enter the total of your earned income credit, additional child tax credit, credit for federal tax paid
3
on fuels, and health coverage tax credit 4
Current year tax. Combine lines 1,2, and 3. If less than $1,000, see page 3 of the instruct1ions
5 6 7 8 9
Multiply line 4 by 90% (.90) ... .... .... ...... .... ... ..... ........ ...... ..... .. .......... ...... ..... Withholding taxes. Do not include estimated tax payments. See page 3 of the instructions
I
5
)
43 513.
Subtract line 6 from line 4. If less than $1,000, you do not owe a penalty; do notlile Form 2210. Maximum required annual payment based on prior year's tax (see page 3 of the instructions) . Required annual payment. Enter the smaller of line 5 or line 8 .
911. 437. 272. 272.
Next: Is line 9 more than line 6?
D
No. You do not owe a penalty. Do notfile Form 2210 unless box E below applies.
[X]
Yes. You may owe a penalty, but do notlile Form 2210 unless one or more boxes in Part II below applies. • If box S, C, or 0 applies, you must figure your penalty and file Form 2210. • If only box A or E(or both) applies, file only page 1 of Form 2210. You are not required to figure your penalty; the IRS will figure it and send you abill for any unpaid amount. If you want to figure your penalty, you may use Part III or Part IV as a worksheet and enter your penalty on your tax return, but file only page 1 01 Form 2210.
I"P:::-a-rt--'---;I-'-, I Reasons for Filing. Check applicable boxes. If none apply, do not file Form 2210. A
D
You request a waiver (see page 2 of the instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you are not required to figure your penalty.
B
D
C
D
D
D
You request a waiver (see page 2 of the instructions) of part 01 your penalty. You must figure your penalty and waiver amount and file Form 2210. Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income installment method. You must figure the penalty using Schedule AI and file Form 2210. Your penalty is lower when figured by treating the federal income tax withheld from your wages as paid on the dates it was actually withheld, instead of in equal amounts on the payment due dates. You must figure your penalty and file Form 2210.
E
D
LHA
You filed or are filing a jOint return for either 2005 or 2006, bllt not for both years, and line 8 above is smaller Ulan line 5 above. You must file page 1 of Form 2210, but you are not required to figure your penalty (unless box S, C, or D applies). For Paperwork Reduction Act Notice, see page 7 of separate instructions.
Form
2210
(2006)
G12501 01·30-07
_4200411 786859 630
6.1 2006.05020 PERRY, JAMES R.
630
1
Form 2210 (2006)
J AME S R.
&
M. ANI'l'A PERRY
age
, Part IV I Regular Method (See page 3 of the instructions if you are filing Form
3
1040NR or 1040NR-EZ.)
Payment Due Dates Section A - Figure Your Underpayment
(c) 9/15/06
(b) 6/15/06
(a) 4/15/06
(d) 1/15/07
18 Required installments. If box Cin Part II applies, enter the amounts from Schedule AI, line 25. Otherwise, enter 25% (.25) of line 9, Form 2210, in each column 19 Estimated tax paid and tax withheld. For column (a) only, also enter the amount from line 19 on line 23. If line 19 is equal to or more than line 18 for all payment periods, stop here; you do not owe a penalty. Do not file Form 2210 unless you checked a box in Part II
18
10 318.
10.318.
10 318.
10 318.
19
13 947.
3 478.
10 478.
18 477.
10 478. 3 21lo
18 477. 3 05lo
7 107.
7 267.
15 426.
Complete lines 20 through 26 of one column before going to line 20 of the next column.
3 629. 7 107.
20 Enter the amount, if any, from line 26 in previous column 21 Add lines 19 and 20 22 Add the amounts on lines 24 and 25 in previous column
21 22
23 Subtract line 22 from line 21. If zero or less, enter -0-. For column (a) only, enter the amount from line 19
23
24 If line 23 is zero, subtract line 211rom line 22. Otherwise, enter -0
24
O.
o.
25 Underpayment. If line 18 is equal to or more than line 23, subtract line 23 from line 18. Then go to line 20 of the next column. Otherwise, go to line 26 . ~
25
3 21lo
3 05lo
20
13 947.
26 Overpayment. If line 23 is more than line 18, subtract line 18 from line 23. Then 00 to line 20 of the next column. 26 3 629. Section B - Figure the Penalty (Complete lines 27 through 30 of one column before going to the next column.) April 16,2006 - June 30, 2006
4/15/06
,.... 27 Number of days from the date shown above line
"0 0
'i: Q)
a.
27to the date the amount on line 25 was paid or 6/30/06, whichever is earlier
~
III
0:
Days·
28 Underpayment on Ime 25
x
27
Number of days on line 27
x .07 ~ 365
July 1,2006 - April 15, 2007
C'l 29 Number of days from the date shown above line "0 0 29 to the date the amount on line 25 was paid or 'i: Q) 4/15/07, whichever is earlier a. ~
III
0:
30 Underpayment on line 25
x
6/15/06 Days:
28
$
$
Days:
9/15/06
6/30/06
6/30/06 Days:
1/15/07 Days:
Days:
SEE ATTACH ED WORKSHEE T 29
Number of days on line 29
x .08 ~ 365 30 $ $ 31 Penalty. Add all amounts on lines 28 and 30 in all columns. Enter the total here and on Form 1040, line 77;
Form 1040A, line 48; Form 1040NR, line 75; Form 1040NR-EZ, line 27; or Form 1041,line 26; but do not
file Form 2210 unless you checked a box in Part II
$
$
~
31
145.
$ Form
2210 (2006)
612'91/0'-30-07
.4200411 786859 630
6.2 2006.05020 PERRY. JAMES R.
1
UNDEh .....AyMENT OF ESTIMATED TAX WORKS • ...£T
Identifying Number
Name(s)
JAMES R. & M. ANITA PERRY (A)
(B)
-Date
Amount
(D) Number Days Balance Due
(C) Adjusted Balance Due
(E) Daily
Penalty Rate
(F) Penalty
-0
04/15/06
10 318.
04/15/06
<3 478. >
1:::
10.318. 6 840.
<10 469. t>
<3 629. >
06 15/06
10 318.
6 689.
06/15/06
<3 478. b>
3 211.
15
. 000191781
9.
77
.000219178
54.
/06
06/30/06
o.
3 211.
09/15/06
10 318.
13 529.
09/15106
<3 478. t>-
10 051.
09/15/06
<7 000. b>
3 051.
107
.000219178
72.
15
.000219178
10.
12/31/06
o.
3 051.
01/15/07
10 318.
13 369.
01/15 07
<3 477.>
01/15/07
<15 OOO.!>
9,892. <5 108.>
I
I
I
I
I
145.
Penalty Due (Sum of Column F). - Date of estimated tax payment, willlllOlding
credit date or installment due date.
612511
05-01-06
l4200411 786859 630
6.3 2006.05020 PERRY. JAMES R.
630
1
SCHEDULES A&B (Form 1040)
OMB No 1545-0074
Schedule A - Itemized Deductions
2006
(Schedule B is on page 2)
Department of the Treasury Internal Revenue Service (99) Name(s) shown on Form 1040
~ Attach to Form 1040.
~ See Instructions for Schedules A&B (Form 1040). Your socIal security number
JAMES R. & M. ANITA PERRY Medical and Dental Expenses
Caution. Do not Include expenses reimbursed or paid by others.
Taxes You Paid (See pageA3.)
I' '2'" I'"
1 2
Medical and dental expenses (see page A1) Enter amount from Form 1040, line 38 .
3 4
Multiply line 2 by 7.5% (.075) Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- ..
5
State and local income taxes
6
Real estate taxes (see page A3).. .
7
Personal property taxes.
8
Other taxes. List type and amount
1
'-""'-'-----------1
3 4
S.E.E ..S':I'A':I'EI1E.N':I' l2 .. sr..
5
3
002.
. ....
6
8
032.
7
_
~R~yQ~A~~~_~~~~~Qy~yS~:_~~Q RIC.~ _P_E~B:¥_Q'rQ _9_-_1]-= ~ § 9 Add lines 5 throuah 8 .
Interest You Paid
10 11
(See page A3.)
.
12
9
..........
12 13
Investment interest. Attach Form 4952 if required_ (See page A-4.)
14
Add lines 10 throuah 13..
Gifts to Charity
15 16
Gifts by cash or c h e c k . . SEE.S':I'A':I'.E.l'1E.N':I'.lO Other than by cash or check. If any gift of $250 or more, see page A5.
If you made a gift and got a benefit for it, see page A-4.
You must attach Form 8283 if over $500
16
17
Carryover from prior year
17
18
Add lines 15 throuah 17
18
19
Casualtv or theft loss(es). Attach Form 4684. (See paae A-6.L ..
19
20
Unreimbursed employee expenses - job travel, union dues, job education, etc.
Job Expenses and Certain Miscellaneous Deductions
047.
11
Points not reported to you on Form 1098.
13
Casualty and Theft Losses
11
10
Home mortgage interest and points reported to you on Form 1098 . Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see page A3 and show that person's name, identifying no., and address
~-------------------------------------
Note. Personal interest is not deductible.
13.
8
1_3_.
..
.
14
_.
1-'1=5+-_--=1'--'---=9'-'9=-=1-"-1.
.
2
880. 4
871.
Attach Form 2106 or 21 06-EZ if required. (See page A6.)
~------------------------------------21
------------------------------------Tax preparation fees
22
Other expenses· investment, safe deposit box, etc. List type and amount
~ _~~~ _S_T}l.J~M~:ti'r_9
(See page A-6.)
20
8~3~1"__=_1.
r2=--'1+-
_
23 24
22 1000. ------------------------------------Add lines 20 through 22.. f-'2""3'+-_ _-=1'-.L-8"'--'=3c..:1~. Enter amount from Form 1040, line 38 . i" 2 0 4 0 6 5 •
25 26
Multiply line 24 by 2% (.02) Subtract line 25 from line 23. If line 25 is more than line 23, enter -0
Other Miscellaneous Deductions
27
Other - from list on page A7. List type and amount
Total Itemized Deductions
28
T2d
,-,2==-,5~ _ _~4,-,-0~8,.:1"__=_1'
o.
26
~
27 Is Form 1040, line 38, over $150,500 (over $75,250 if married filing separately)?
D
No.
Your deduction is not limited. Add the amounts in the far right column
for lines 4 through 27. Also, enter this amount on Form 1040, line 40.
}
[X]
29 LHA
SJ'''ITJ,J,~
Yes. Your deduction may be limited. See page A7 for the amount to enter.
If you elect to itemize deductions even though they are less than your standard deduction, check here
For Paperwork Reduction Act Notice, see Form 1040 instructions.
......
28
14,847.
~D
Schedule A (Form 10'10) 2006
619501 11-10-06
.4200411
786859
630
2006.05020
7 PERRY. JAMES R.
630
1
OMS No. 1545-0074
SchedUles A&S (Form 1040) 2006
Page
2
Your social security number
Name(s) shown on Form 1040. Do not enter name and social secunty number if shown on page 1.
JAMES R. & M. ANITA PERRY AHachment Sequence No.
Schedule B - Interest and Ordinary Dividends Part I Interest
Amount
List name of payer. If any interest is from a seller-financed mortgage and the buyer used the
1
08
property as a personal residence, see page B-1 and list this interest first. Also, show that buyer's social security number and address ~
BANK OF AMERICA
PLAINSCAPITAL BANK
6.
192.
Note. If you
received a Form
1099-INT,
Form 1099-0ID,
or substitute
statement from
a brokerage firm,
list the firm's
name as the
payer and enter
the total interest
shown on that
form.
1
2
Add the amounts on line 1
3
Excludable interest on series EE and I U.S. savings bonds issued after 1989.
4
Attach Form 8815 ........... Subtract line 3 from line 2. Enter the result here and on Form 1040, line 8a
... ..........
2
.. ............. .. .... - ......... ..............
.................
3
~
4
Note. If line 4 is over $1 ,500, you must complete Part III.
Part II Ordinary Dividends
Note: If you received a Form
1099·DIVor
substitute
statement from
a brokerage firm,
list the firm's
name as the
payer and enter
the ordinary
dividends shown
on that form.
5
List name of payer
627501
11-10-06
LHA
198. Amount
~
BANK OF NEW YORK
BANK OF NEW YORK
FROM K-1 - REVOCABLE "BLIND" TRUST STATE AGREEMENT FBO RICK PERRY DTD 9-13-9 FROM K-1 - REVOCABLE "BLIND" TRUST AGREEMENT FBO ANITA PERRY
3. 28. 12,935. 319.
5
6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9a N ate. If IIne 6 .IS over $1 500 vou must comole I t e Part III
Part III
Foreign
Accounts
and
Trusts
198.
. ...
............
~
6
You must complete this part if you (a) had over $1 ,500 of taxable interest or ordinary dividends; or (b) had a foreign account· or Ic) received a distribution from or were a arantor of or a transferor to a foreian trust.
13 285. Yes
No
7a At any time during 2006, did you have an interest in or a signature or other authority over a financial account in a foreign country, such as a bank account, securities account, or other financial account?
>-
X
b If 'Yes,' enter ttlC name of the foreign cauntly 8 During 2006, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust?
X
If "Yes," you may have to file Form 3520. See page B·2 .
Schedule B (Form 1040) 2006
For Paperwork Reduction Act Notice, see Form 1040 instructions.
8 4200411 7868SQ
~~o
?oo~.nsn?n
PRRRY.
~AMR~
R.
1
SCHEDULE D (Form 1040)
OMS No. 1545-0074
Gapital Gains and Losses
Department of the Treasury Internal Revenue Service (99)
~ Attach to Form 1040 or Form 1040NR.
Your social security number
Name(s) shown on return
JAMES R. I
Part I
I
&
2006
~~g~:~c:n~o. 12
~ See Instructions for Schedule D (Form 1040).
M. ANITA PERRY
Short-Term Capital Gains and Losses - Assets Held One Year or Less (b) Date acquIred (Mo., day. yr.)
(a) DescrIption of property (Example: 100 sh. XYZ Co.)
(c) Date
sold (Mo., day, yr.)
(d)
(e) Cost or other baSIS
Sales pnce
(f) Gain or (loss) Subtcact (e) from (d)
1
2
Enter your short-term totals, if any, from Schedule D·1, line 2
2
3
Total short-term sales price amounts. Add lines 1 and 2 in column (d)
3
4
Short·term gain from Form 6252 and short·term gain or (loss)
...... - ..
from Forms 4684, 6781, and 8824. 5
4
Net short·term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K·1
6
........
Carryover Worksheet in the instructions 7
5
...................................... .
Short·term capital loss carryover. Enter the amount, if any, from line 10 of your Capital Loss .. ...............
Net short-term caoital cain or Iloss1. Combine lines 1 throuqh 6 in column
.......
6
(
<11 686. >
7
(f)
11 686.)
Part II I Long-Term Capital Gains and Losses - Assets Held More Than One Year
I
(a) DescrIptIOn of property (Example: 100 sh. XYZ Co.)
(b) Date acquired (Mo., day, yr.)
(c) Date
sold (Mo., day, yr.)
(d)
(e)
Sales pnce
Cost or
(f) Gain or (loss) Subtract (e) from (d)
other basis
8
9 10
Enter your long·term totals, if any, from Schedule D·1, line 9 Add lines 8 and 9 in column (d) .
11
9
Total long-term sales price amounts. 10
Gain from Form 4797, Part I; long·term gain from Forms 2439 and 6252; and long·term gain or (loss) from Forms 4684,6781, and 8824
12
11
Net long·term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedulers) K·1 .
12
13
Capital gain distributions
14
Long·term capital loss carryover. Enter the amount, if any, from line 15 of your Capital Loss
........
Carryover Worksheet in the instructions 15 LHA
. .......
13 14
Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f). Then go to Part ilion page 2 For Paperwork Reduction Act Notice, see Form 1040 or Form 1040NR instructions.
15
(
13 193.) <13 193. >
Schedule 0 (Form 1040) 2006
620511/11-10-06
4200411 786859 630
9 2006.05020 PERRY, JAMES R.
630
1
& M. ANITA PERRY
16
Combine lines 7 and 15 and enter the result. If line 16 is a loss, skip lines 17 through 20, and go to line 21. If a gain, enter the gain on Form 1040, line 13, or Form 1040NR, line 14. Then go to line 17 below
17
Are lines 15 and 16 both gains?
D
D
Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22.
Enter the amount, if any, from line 7 of the 28"/0 Rate Gain Worksheet on page 0·8 of the
18
instructions. 19
.
~
1----'1"'8'-+
_
Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet on
~ 1----'1-"'9-+
page 0·9 of the instructions.... .. 20
<24 879.>
16
_
Are lines 18 and 19 both zero or blank?
D
Yes. Complete Form 1040 through line 43, or Form 1040NR through line 40. Then complete the Qualified Dividends and Capital Gain Tax Worksheet on page 38 of the Instructions for Form 1040 (or in the Instructions for Form 1040NR). Do not complete lines 21 and 22 below.
D
No. Complete Form 1040 through line 43, or Form 1040NR through line 40. Then complete the Schedule D Tax Worksheet on page 0·10 of the instructions. Do not complete lines 21 and 22 below.
21
If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of: •
The loss on line 16 or
•
($3,000), or if married filing separately, ($1,500)
}
...S.E.E ..S'l'A'l'.E.ME.NT ..14...
21
-'3~,
l
-=-0-=-0-=.0. =.)
Note. When figuring which amount is smaller, treat both amounts as positive numbers. 22
Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b?
[X]
Yes. Complete Form 1040 through line 43, or Form 1040NR through line 40. Then complete the Qualified Dividends and Capital Gain Tax Worksheet on page 38 of the Instructions for Form 1040 (or in the Instructions for Form 1040NR).
D
No. Complete the rest of Form 1040 or Form 1040NR. Schedule D (F arm 1040) 2006
620512
11-10-06
10 ?nn~.n~n?n
PRRRV.
~~MR~
R.
f130
1
Qualified Dividends and Capital Gain Tax Worksheet - Line 44
Keep for Your Records
Name(s) shown on return
& M. ANITA PERRY
AMES R.
Before you begin:
/
See the instructions for line 44 that begin on page 36 to see if you can use this worksheet to figure your tax.
/
If you do not have to file Schedule D and you received capital gain distributions, be sure you checked the box on line 13 of Form 1040.
1. _ _---=1--'--7~9-,--,=3=1=8--,--.
1. Enter the amount from Form 1040, line 43 2. Enter the amount from Form 1040, line 9b
... 2.
-----'--7-L,. :::.8. :::.3. :::.5-=-.
3. Are you filing Schedule D7
[X]
D
Yes.
Enter the smaller of line 15 or 16 of ;~;::~~t~·_~~lther line 15 or line 16 IS
No.
} ..
3.
_
Enter the amount from Form 1040, line 13
4.
---'7'--.L,-",8--,,3,--,5~.
.... 5.
-"'o--=-.
4. Add lines 2 and 3
5. If you are claiming investment interest expense
on Form 4952, enter the amount from line 4g
of that form. Otherwise enter ·0·
-----'--7-'--,=8=3=5--,--.
6. Subtract line 5 from line 4. If zero or less, enter ·0·
6.
7. Subtract line 6 from line 1. If zero or less, enter ·0-
7. _ _---=1--'--7=1-'--,-=4=8=3--,--.
8. Enter the smaller of: •
The amount on line 1, or
•
$ 30,650 if single or married filing separately,
$ 61 ,300 if married filing jointly or qualifying widow(er),
$ 41 ,050 if head of household.
}
8.
----'6"-'1"--L...:,3"--,,,-0-,,-0--,--.
9. Is the amount on line 7 equal to or more than the amount on line 87
[X]
Yes. Skip lines 9 through 11; go to line 12 and check the" No" box.
D
No. Enter the amount from line 7
10. Subtract line 9 from line 8
9.
_
10.
_ 11.
11. Multiply line 10 by 5% (.05)
_
12. Are the amounts on lines 6 and 10 the same?
D
Yes. Skip lines 12 through 15; go to line 16.
[X]
No. Enter the smaller of line 1 or line 6
13. Enter the amount from line 10 (if line 10 is blank, enter -0-) .. 14. Subtract line 13 from line 12
12. 13.
-----'7'-,'---'8=--3=--=-5-=-.
14.
-----'7-=-,'---'8=--3=--=-5-=-.
O=---=-.
15. Multiply line 14 by 15% (.15)
15.
1,175.
16.
17.
37,419. 38,594.
18.
39,613.
19.
38,594.
16. Figure the tax on the amount on line 7. Use the Tax Table or Tax Computation Worksheet, whichever applies
_
17. Add lines 11, 15, and 16
.
..
..
.
__
..
18. Figure the tax on the amount on line 1. Use the Tax Table or Tax Computation Worksheet, whichever applies .. .. 19. Tax on all taxable income. Enter the smaller of line 17 or line 18. Also include this amount on Form 1040, line 44 .
..
..
610451 11-14-06
4200411 786859 630
10.1 2006.05020 PERRY,
JAMES R.
630
1
~upplemental
SCHEDULE E (Form 1040) Department of the Treasury (99) Internal Revenue Service
Income and
OMS No. 1545-0074
LO~$
2006
(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.) ~ Attach to Form 1040, 1040NR, Of Form 1041. ~ See Instructions for Schedule E(Form 1040).
Your social security number
Name(s) shown on return
R. & M. ANITA PERRY Income or Loss From Rental Real Estate and Royalties Note. If you are in the business of renting personal property, use Schedule Cor C-EZ (see page E-3) Report farm rental income or loss from Form 4835 on page 2 line 40 1 List the type and location of each rental real estate property: 2 For each rental real estate property listed on line 1, did you or your family use it A during the tax year for personal purposes J.R. PERRY CO. - ROYALTY for more than the greater of: B 14 days or 10% of the total days rented at fair rental value? C (See page E-3.)
• •
Properties
Income:
B
A 3 Rents received
4 Rovalties received
3
4
3 505.
C
Yes
No
A B
C Totals (Add columns A, S, and C.)
3 4
3 505.
Expenses:
5 Advertising
6 Auto and travel (see page E-4)
7 Cleaning and maintenance
8 Commissions -9 Insurance
10 Legal and other professional fees _
11 Management tees ___
12 Mortgage interest paid to banks, etc.
(see page H) 13 Other interest 14 Repairs 15 Supplies _
5 6 7
8 9 10 11 12
12 13 14 15 16
16 Taxes 17 Utilities 18 Other (list) ~
17
18
19 Add lines 5 through 18 20 Depreciation expense or depletion (see page E-4) 21 Total expenses. Add lines 19 and 20 _
19 20 21
22 Income or (loss) Irom rental real estate Or royalty properties. Subtract line 21 from line 3 (rents) or line 4 (royalties). If the result is a(loss), see page E-5 to lind out il you must file Form 6198
22
19
551 551
551.
20
2 954.
23 Deductible rental real estate loss. Caution. Your rental real estate loss on line 22 may be limited. See page E-5 to find out if you must file Form 8582. Real estate professionals must complete line 43 on page 2
23 lk 24 Income. Add positive amounts shown on line 22. Do not include any losses _
25 Losses. AcId royalty losses from line 22 and rental real estate [asses from line 23. Enter total losses I,ere
26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter tile result here.
If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount all Form 1040,
line 17, or Form 1040NR, line 18. Otherwise, include tills amount In the total on line 41 on page 2
621491
1'-02-06
LHA
For Paperwork Reduction Act Notice, see instructions.
4200411 786859 630
11 2006.05020 PERRY, JAMES R.
2 954.
24 25
(
)
2,954.
26
Schedule E(Form 1040) 2006
630
1
Attachment Sequence No.
Schedule E (Form 1040) 2006
13
Name{s) shown on return. Do not enter name and socIal security number If shown on page'.
JAMES R. & M. ANITA PERRY Caution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1. I Part II I Income or Loss From Partnerships and S Corporations Note. If you report a loss from an at-risk activity for which any amount is not at risk, you must check column (e) on line 28 and attach Form 6198. See page E·1. 27
Are you reporting any loss not allowed
28
passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? If vou answered 'Yes" see oaoe E-6 before comoletino this section. (b) Enter Pfor (C) Check partnershipS if foreign (a) Name or S corporalion partnership
In
aprior year due to the at-risk or basis limitations, a prior year unallowed loss from a
J.R. PERRY CO.
A
[X]
Yes
No
(e) Check 'f any amount is not at risk
(d) Employer identification number
75-1642655
P P
B
C
D
0
Nonpassive Income and Loss
Passive Income and Loss (f) Passive loss allowed (attach Form 8582 if required)
3 722.
A B
C
(i) Section 179 expense deduction from Form 4562
(h) Nonpassive loss from Schedule K-1
(g) Passive income from Schedule K-1
(j) Nonpassive income from Schedule K-1
o.
0 29a b
Totals Totals
30
Add columns (g) and (j) of line 29a
31 32
Add columns (f), (h), and (i) of line 29b
30 31
Total partnership and S corporation income or (loss). Combine lines 30 and 31. Enter the result here and include in the total on line ~ 1 below
32
I
Part III
............. .........
3 722.
I
I
3 722. (
)
3 722.
Income or Loss From Estates and Trusts
I
(b) Employer identification number
(a) Name
33
SEE STATEMENT 15
A B
Passive Income and Loss (c) Passive deduction or loss allowed (attach Form 8582 if required)
I
Nonpassive Income and Loss (d) Passive income from Schedule K-1
(f) Other income from Schedule K-1
(e) Deduction or loss from Schedule K-1
A B I 34a Totals
I
45 795. 15 807.
35
Totals .. ....... I Add columns (d) and (f) of line
36 37
Add columns (c) and (e) of line 3~b . Total estate and trust income or (loss). Combine lines 35 and 36. Enter tile result here and include in the total on line ~ 1 below
b
I
35 36 37
(
45 795. 15 807. ) 29 988.
Part IV I Income or Loss From Real Estate Mortgage Investment Conduits (REMICs) - Residual Holder (a) Name
38
39 I
3~a
(c) Excess inclusion from Id) Taxable income (net ass) from Schedules Q, Schedules Q, line 2c line 1b
I
39
Summary
Net farm rental income or (loss) from Form 4835. Also, complete line ~2 below.
40
Total income or (loss). Comb'ne I,nes 26, 32,37,39, and 40. Enter the result here and on Form 1040, line Reconciliation of farming and fishing income. Enter your gross farming and fishing income reported on Form 4835, line 7; Schedule K-1 (Form 1065), box 1~, code B; Schedule K-1 (Form 1120S), box 17, code T; and Schedule K-1 (Form 10~1), line 1~, code F(see page E-7)
43
(e) Income from Schedules Q, line 3b
Combine columns (d) and (e) on IV. Enter the result here and include in the total an line 41 below
Part V
40 41 42
(b) Employer identification number
Reconciliation for real estate professionals.
17 or Form 1040NR I,ne 18
~
41
36 664.
42 I
If you were a real estate professional (see Dage E-1),
cnk,· 1118 net income or (loss) you reported anYNhere on Foun 1040 or Form 1040NR from all rental re.:11 estate aclivltlc3
ir)
43
,"hlCh you materially participated unde~ the passive activity loss rules
i
I
Schedule E(Form 1040) 2006 621501 11-02-06
12
_4200411 786859 630
~on5.nsn~o
PRRRY_
~AMR~
R.
1
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
2006
SCHEDULE E Name JAMES R. PERRY
SSN/EIN
10
Passthrough J . R. PERRY CO.
-1. . . . ._
75-1642655
TAXPAYER
PARTNERSHIP
'-'
I
Prior Year Unallowed Basis Loss
K·1 Input
....... .......... SCHEDULE E PAGE 2
.................. "
~~
Disallowed Due to Prior Year Unallowed Basis Limitation At-Risk Loss
Disallowed Due to At·Risk
Prior Year Passive Disallowed Passive Loss Loss
Tax Return
8 269
Ordinary business income (loss) .. Rental real estate income (loss) Other net rental income (loss) Intangible drilling costs/dry hole costs Self-charged passive interest expense Guaranteed payments Section 179 and carryover Disallowed section 179 expense Net income (loss)
........
First passive other
8 269 <4 547
8 269 <4 547 >
3 722
3 722
Second passive other .............. Cost depletion Percentage depletion .. Depletion carryover ..... Disallowed due to 65% limitation Unreimbursed expenses (nonpassive) Nonpassive other .....
. ..........
Total Schedule E (oaae 2) .........
I
FORM 4797
Section 1231 gain (loss) .
.. ...
Section 179 recapture on disposition
I
SCHEDULE 0
Net short-term cap. gain (loss) Net long·term cap. gain (loss)
• • 0.
I
Section 1256 contracts & straddles ... [
FORM 4952
Investment interest expense· Sch. A Other net investment income ...
r
ITEMIZED DEDUCTIONS
Charitable contributions ..
416
416
Deductions related to portfolio income Other
13 821551 12-12-08
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
2006
SCHEDULE E Name JAMES R.
SSN/EIN __• • • •L_
PERRY
Passthrough J • R. PERRY CO
10
75-1642655
TAXPAYER
PARTNERSHIP I
IV' ·;~~E~~v;; ~~D
K·1 Input
Prior Year Unallowed Basis Loss
Disallowed Due to Prior Year Unallowed Basis Limitation At-Risk Loss
Disallowed Due to Prior Year Passive Disallowed Passive At·Risk Loss Loss
I
Tax Return
DIVIDENDS
Interest income ...........
. ..............
Interest from U.S. bonds
.......
Ordinary dividends Qualified dividends Tax·exemot interest income.
I
FORM 6251
Depreciation adjustment after 12/31/86
1---
Adjusted gain or loss
f.-
.....
Beneficiary's AMT adjustment
,-.
......
Depletion (other than oil)
Other.
[
. ...
......... ..........
MISCELLANEOUS
8 269
Self·employment earnings (Ioss)/Wages
~
Gross farming & fishing inc Royalties Royalty expenses/depletion
'-- ..
.........
Undistributed capital gains credit ...... Backup withholding ...
. ..
=1==
,
..
.. ....
Dependent care benefits ...... Retirement plans
1----
........
Medical insurance - 1040
...........
e--
8 269
Qualified production activities income Passthrough adjustment to Form 1040
1---
Penalty on early withdrawal of savings
f.
NOL
8,26.1.-
......
Other taxes/recapture of credits. Credits .................................
Casualty and theft loss ...............
14 521552 12-04-05
3 505 551
c---
.. ........
Credit for estimated tax ........ Cancellation of debt
3 505 551
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
2006
SCHEDULE E Name JAMES R
SSN/EIN
PERRY
Passthrough REVOCABLE "BLIND" TRUST STATE AGREEMENT FBO RICK PERRY DT
10
~_!!!!!!!!!!_._
74-6467584
TAXPAYER
ESTATE OR TRUST
K·1 Input .l.' ....II.~J.
~
I
.... '-' ......
~
.....
F r Year Unallowed Basis Loss
Disallowed Due to Prior Year Unallowed Basis Limitation At-Risk Loss
Disallowed Due to At·Risk
Prior Year Passive Disallowed Passive Loss Loss
Tax Return
SCHEDULE E PAGE 2
Ordinary business income (loss) . Rental real estate income (loss) Other net rental income (loss) Intangible drilling costs/dry hole costs Self·charged passive interest expense Guaranteed payments Section 179 and carryover
...............
Disallowed section 179 expense Net income (loss) First passive other Second passive other. Cost depletion
. ......... ......
.........
15 807
15 807
Nonpassive other.
45 795
45 795
Total Schedule E Inane 2) .................
29 988
29 988
1 000
1 000
Percentage depletion .
.
............
Depletion carryover .. ,.
.
...
Disallowed due to 65% limitation Unreimbursed expenses (non passive)
r
FORM 4797
Section 1231 gain (loss) ......... Section 179 recaoture on disDosition
C
SCHEDULE D
Net short·term cap. gain (loss)
.........
Net long·term cap. gain (loss) Section 1256 contracts & straddles
I
FORM 4952
Investment interest expense· Sch. A Other net investment income
r
..........
ITEMIZED DEDUCTIONS
Charitable contributions ............... Deductions related to portfolio income Other
. ..........
. ..........
15 621551 12-12-06
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
2006
SCHEDULE E Name JAMES R. PERRY
SSN/EIN
Passthrough REVOCABLE "BLIND" TRUST STATE AGREEMENT FBO RICK PERRY DT ESTATE OR TRUST
r
~"
---.J• • • •~_
74-6467584
TAXPAYER
~-
K-1 Input J."vJ.., ....
ID
.......................
Prior Year Unallowed Basis Loss
Disallowed Due to Prior Year Unallowed At-Risk Loss Basis Limitation
Disallowed Due to Prior Year Passive Disallowed Passive At-Risk Loss Loss
Tax Return
INTEREST AND DIVIDENDS
Interest income
.....
........
Interest from U.S. bonds Ordinary dividends
12 935 7 804
12 935
Qualified dividends
~-
7 804
Tax-exemot interest income ...............
C
FORM 6251
Depreciation adjustment after 12/31/86 Adjusted gain or loss
.......
Beneficiary's AMT adjustment Depletion (other than oil) Other.
C
MISCELLANEOUS
Self-employment earnings (Ioss)/Wages e- Gross farming & fishing inc l--- Royalties Royalty expenses/depletion
-
Undistributed capital gains credit Backup withholding .... Credit for estimated tax . Cancellation of debt Medical insurance - 1040 Dependent care benefits Retirement plans
...... .............
Qualified production activities income
~--
t---
Passthrough adjustment to Form 1040 Penalty on early withdrawal of savings
I---
NOL
Other taxes/recapture of credits ....
Credits
Casualty and theft loss
16
621552 12·04~OO
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
2006
SCHEDULE E SSN/EIN
Name JAMES R. PERRY Passthrough REVOCABLE "BLIND" TRUST AGREEMENT FBO ANITA PERRY
ID
---tI• • • • _
03-6092780
TAXPAYER
ESTATE OR TRUST
'-'
...............
~
I
.....
~
K-1 Input
................
Prior Year Unallowed Basis Loss
Disallowed Due to Prior Year Unallowed Basis Limitation At-Risk Loss
SCHEDULE E PAGE 2
Ordinary business income (loss) . Rental real estate income (loss) Other net rental income (loss) ....... Intangible dri!ling costs/dry hole costs Self-charged passive interest expense Guaranteed payments Section 179 and carryover Disallowed section 179 expense Net income (loss) First passive other Second passive other. Cost depletion
......
.....
Percentage depletion Depletion carryover. Disallowed due to 65% limitation Unreimbursed expenses (non passive) Nonpassive other. Total Schedule E (paqe 2) ....
I
FORM 4797
Section 1231 gain (loss) . Section 179 recapture on disposition
C
SCHEDULE D
Net short-term cap. gain (loss)
........
Net long-term cap. gain (loss) ............ Section 1256 contracts & straddles
I
FORM 4952
Investment interest expense - Sch. A Other net investment income
L
ITEMIZED DEDUCTIONS
Charitable contributions. Deductions related to portfolio income Other .
'
....
17 821551 12-12-08
Disallowed Due to Prior Year Passive Disallowed Passive At-Risk Loss Loss
Tax Return
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2 SCHEDULE E Name JAMES R"--a-.-'-P""E"'R"'R"'Y
_
Passthrough REVOCABLE "BLIND" TRUST AGREEMENT FBO ANITA PERRY
2006
SSN/EIN 10
~• • • • •__
03-6092780
TAXPAYER
ESTATE OR TRUST
Prior Year Unallowed Basis Loss
K-1 Input '-' ..l..
.L.lJ.,:..l~
I
\
.L . . . u
........... " .......
Disallowed Due to Prior Year Unallowed Basis Limitation At-Risk Loss
Disallowed Due to Prior Year Passive Disallowed Passive At-Risk Loss Loss
Tax Return
INTEREST AND DIVIDENDS
Interest income ..
.........
Interest from U.S. bonds Ordinary dividends
319
Qualified dividends
319
.........
==
Tax-exempt interest income ............. FORM 6251 Depreciation adjustment after 12/31/86
Adjusted gain or loss
-
Beneficiary's AMT adjustment
-
Depletion (other than oil) Other ............ ...... ........
~
MISCELLANEOUS
Self-employment earnings (loss)/Wages Gross farming & fishing inc Royalties
.................
Royalty expenses/depletion Undistributed capital gains credit
f---
~-~
Backup withholding. Credit tor estimated tax. Cancellation of debt
......
Medical insurance· 1040 Dependent care benefits Retirement plans ........... . . : : : Qualified production activities income .....
I I
Passthrough adjustment to Form 1040 ~ Penalty on early withdrawal of savings NOL Other taxes/recaptu re of cred its .. Credits .. .. - ..... ....... Casualty and theft loss
......
~
I
18 B21552 12-04-06
Schedule E
PASSTHROUGH RECAP - BASIC INFORMATION
2006
JAMES R. & M. ANITA PERRY I
1/1/6
Schedule K-1 Line Reference: (1065/11205/1041 \ T T S P Entity Act. J E1 No. No. Name
YI
",if,
1 2 I
"'W
3
1
p
Ordinary Income (Loss\
1 ~T R
PERRY CO 3 I1EVOCABLE "BLIND" TRUST STATE A 4 !REVOCABLE "BLIND" TRUST AGREEME
2/2/7 I
3/3/8
*
Rental Real Other Rental Estate Income Inc. (Loss) (Loss)
*
Passive !A~T Passive Activity Activity Loss Loss CIO CIO
5/4/1
"
6aJ5aJ2a
7/61"
Interest
US Treasury Bond Interest
Dividends
Royalties
8m3
41"r
TShort-T.,m Net Long~ Guaranteed Capi'al ierm Capital Payments Gam (loss)
8 269
9aJ8 aJ4 a
Gain (Loss), to
pa'tne~1
3 505 12 935
-
319
-
I I
I
8 269
Totals .. Component of:
Schedule E, Page 2, Various
Schedule K-1 Line Reference: (106511 ~?OSi1041)
Entity No.
Act. No.
1
1
2
3
11/101"
*
10/9/*
Ordinary I Section 1231 Gain (Loss) \ Gain (Loss) Farm 4797
Other
Income
13/121"
12/11/"
I
I Charitable Section 179 tontributions Expense I 50%
Schedule E, Page 2, Various
Schedule E, Page 2, Various
Form 8582 Line 3c
13/121"
131121"
13112/*
"I"
20/17/14
I
Deductions Related to PortfoliO Income :2%)
Investment, Investment Other Int. Expense lint. Expense Investment Deductions Schedule A\ t§.chedule E) Income
1 000
131"1"
*
SE Health Insurance Premium
Wages for MOr~ Than 2%
3 505 Schedule E, Schedule D, Schedule D, Lme4
LI'1e5
141"r Net SE Earnings
Shareho'ders
3 505
4 547
416 46 795
13 254 Form Schedule B, Schedule B, Schedule 8, 8582 AMT, Line 1 Line 1 Line 5 Line 3c
Schedule E Page ?,
Line 12
Varlous
17/15/12
*1"/12
"1"/12
AMT Dep,
Minimurl
I\dj on Post
Tax
'86 Pronert
Ad ustrnent
ExclUSion Items
8 269 I
1 000
'
I
L
I
I
I
I ,
I \
I
Totals Component of: Form 4797, Form 4797, Line 10 Line 2
I
46 795 Schedule E,
Page 2,
Vanous
416 Schedule A,
Lines 15 & 10
1 000 Form 4562, Schedule A, line 22 line 6
5 547 Schedule E. Page 2, Various
Schedule A, i Line 13
* - No specific Schedule K-1line reference for these amounts. 628071
11-01-06
18.1
Schedule E,
Page 2, Various
3 505 Form 4952. Form 1040, Form 1040, Line 4a Line 29 line 7
i
8 269 ~ched~.tle SE ' Forrl 6251, Line 2
LIne 17
Form 5251, Line ~ 4
2007 Form 8801
-
~hedUIC J~~~ES
PASSTHROUGH RECAP - ADDITIONAL INFORMATION AND PRIOR YEAR BASIS CARRYOVERS
E
•
-
Schedule K·1 Line Re1erence' (1065/1120S/1041)
Entity No.
2006
R. & M. ANITA PERRY
6b/5b/2b
Act. No.
Qualified Dividends
11/10/*
13/*/*
Sec. 1256 Dependent Contracts & Care Benefits Straddles
,
1
13/12/*
15/13/*
15/13/13
15/13/13
Qualified Production Activities Income
Employer's W-2 Wages
Undistributed Capital Gains
Empowerment Zone Cred:t
CredIt for Increasing Research
ActiVities
15/13/*
15/13/*
20/17/13
New Markets Credit for SS Recapture of Credit & Medicare Investment Taxes Credit
8 269
.L
7 804
3
2
13/12/14
I
F=G I 7 804 Totals Component of: I Form 1040, Form 6781, Lorm 2441 Lme1 Line 12 ! Line 9b
8 269
Form 8~ Form 8903, Form 1040, Form 8844, Form 6765, Form 8874, Form 8846, Form 8611, Line 62 Line 2 Line 5 Line 7 Line 13 Line 70 Line 3 Line 8 -
~-
Schedule K-1
Line Reference: (1065/1120S/1041)
Entity No.
Act. No.
* Schedule E Basis CarrYOver
* AMT
Schedule E Basis Carryover
* ST Basis CarrYOVer
* AMT Basis Carryover
*
LT Basis Carryover
* AMT LT Basis Carryover
*
*
Sec. 1231 Basis Carryover
AMT
Sec.
1231
BasIs
Carryover
*
*
4797-Ord. Basis Carryover
AMT
47Q7-0rd. Basis Carryover
*
*
Other Basis CarryOVerS
AMT
Other Basis Carryovers
1---, ---
f-------
Totals Component of:
628076 02-12-J7
Basis Limitation Worksheet
Basis Limitation Worksheet
BasIs Limitation Worksheet
BasIs Limitation Worksheet
Basis Limitation Worksheet
* - No specific Schedule K-1 line reference for these amounts.
Basis Limitation Worksheet
Basis Limitation Worksheet
Basis Limitation Worksheet
18.2
Basis Limitation Worksheet
Basis limitation Wor'Ksheet
Basis Limitation Worksheet
BasIs Limitation Worksheet
~1
JAME3 R. & M. ANITA PERR
SCHEDULE SE
STATEMENT
NON-FARM INCOME
DESCRIPTION
16
AMOUNT
TEXAS ASSOCIATION AGAINST SEXUAL ASSAULT
63,333.
TOTAL TO SCHEDULE SE, LINE 2
63,333.
SCHEDULE SE
STATEMENT
NON-FARM INCOME
DESCRIPTION
17
AMOUNT
J.R. PERRY CO.
8,269.
rOTAL TO SCHEDULE SE, LINE 2
8,269.
41 l4200411 786859 630
?OO~.OSO?O
PRRRY.
~AMRR
R.
STATEMENT(S) 16, 17 630 1
JAME3 R. & M. ANITA PERR
FORM 1116
1
WORLDWIDE CAPITAL GAINS WORKSHEET FOR LINE 17
STATEMENT
ENTER THE AMOUNT FROM FORM 1040, LINE 41 (MINUS ANY AMOUNT ON FORM 8914, LINE 6). IF YOU ARE A NONRESIDENT ALIEN, ENTER THE AMOUNT FROM FORM 1040NR, LINE 38 (MINUS ANY AMOUNT ON FORM 8914, LINE 6).
189,218.
2
ENTER WORLDWIDE 28% GAINS
3
MULTIPLY LINE 2 BY 0.2000
4
ENTER WORLDWIDE 25% GAINS
5
MULTIPLY LINE 4 BY 0.2857
6
ENTER WORLDWIDE 15% GAINS AND QUALIFIED DIVIDENDS
7,835.
7
MULTIPLY LINE 6 BY 0.5714
4,477.
8
ADD LINES 3, 5 , AND 7
9
SUBTRACT LINE 8 FROM LINE 1. ENTER THE RESULT HERE AND ON FORM 1116, LINE 17
.4200411 786859 630
18
4,477.
42 2006.05020 PERRY, JAMES R.
184,741.
STATEMENT(S) 18 630 1
JAMES R. & M. ANITA PERR
FORM 1116
ALTERNATIVE MINIMUM TAX FOREIGN TAX CREDIT WORLDWIDE CAPITAL GAINS WORKSHEET FOR LINE 17
1
ENTER THE AMOUNT FROM FORM 6251, LINE 28
2
ENTER WORLDWIDE 25% GAINS
3
MULTIPLY LINE 2 BY 0.1071
4
ENTER WORLDWIDE 15% GAINS AND QUALIFIED DIVIDENDS
5
MULTIPLY LINE 4 BY 0.4643
6
ADD LINES 3, AND 5
7
SUBTRACT LINE 6 FROM LINE 1. ENTER THE RESULT HERE AND ON FORM 1116 AMT, LINE 17
7RfiRr;q
fi~O
19
199,194.
3,638. 195,556.
43 14?00411
STATEMENT
?OOfi.or;o?o
PRRRY.
STATEMENT(S) 19 ~AMR~
R.
fi~O
1
JAMEJ R. & M. ANITA PERR
FORM 8582
OTHER PASSIVE ACTIVITIES - WORKSHEET 3 CURRENT YEAR
~AME
OF ACTIVITY
NET INCOME
PRIOR YEAR UNALLOWED LOSS
NET LOSS
STATEMENT
OVERALL GAIN OR LOSS GAIN
LOSS
J.R. PERRY CO.
3,722.
O.
3,722.
rOTALS
3,722.
O.
3,722.
:CORM 8582
iNAME J.R. PERRY CO.
SUMMARY OF PASSIVE ACTIVITIES
FORM OR PRIOR SCHEDULE GAIN/LOSS YEAR C/O SCH E
~OTALS
NET GAIN/LOSS
3,722.
3,722.
3,722.
3,722.
20
STATEMENT
UNALLOWED LOSS
21
ALLOWED LOSS
JRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME 'OTAL TO FORM 8582, LINE 16
4200411 786859 630
44 2006.05020 PERRY, JAMES R.
STATEMENT(S) 20, 21 630 1
JAME3 R. & M. ANITA PERR
FORM 8903
STATEMENT
QPAI FROM PASSTHROUGH ENTITIES
QPAI AMOUNT
NAME OF PASSTHROUGH ACTIVITY
22
WAGES AMOUNT
J.R. PERRY CO.
8,269.
O.
TOTAL TO FORM 8903, LINES 7 AND 13
8,269.
O.
45 ?nnh _ ni:;n?n
PRRRV
STATEMENT(S) 22 ,T1.>.MRC:
R_
h':\n
1
JAMEG R. & M. ANITA PERR
STATEMENT
CASH CONTRIBUTIONS
SCHEDULE A
JESCRIPTION
AMOUNT
AMOUNT
50% LIMIT
30% LIMIT
10
UNITED METHODIST CHURCH K-1 - J.R. PERRY CO.
rF~RYTOWN
~ROM
3UBTOTALS
rOTAL TO SCHEDULE At LINE 15
STATEMENT(S) 10
37 4?00411
7RhRSQ
h~O
?OOh.O~O?O
PRRRV.
~AMRS
R.
630
1
JAMEJ R. & M. ANITA PERR
SCHEDULE A 1. 2•
3.
4. 5. 6. 7.
8. 9. L0 •
L1. L2.
STATEMENT
ITEMIZED DEDUCTIONS WORKSHEET
ENTER THE TOTAL OF THE AMOUNTS FROM SCHEDULE A, LINES 4, 9, 14, 18, 19, 26, AND 27 . ENTER THE TOTAL OF THE AMOUNTS FROM SCHEDULE A, LINES 4, 13, AND 19, PLUS ANY GAMBLING AND CASUALTY OR THEFT . LOSSES INCLUDED ON LINE 27 IS THE AMOUNT ON LINE 2 LESS THAN THE AMOUNT ON LINE 1? IF NO, YOUR DEDUCTION IS NOT LIMITED. ENTER THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A, LINE 28. IF YES, SUBTRACT LINE 2 FROM LINE 1 . 12,734. MULTIPLY LINE 3 BY 80% (.80) . . . . . 204,065. ENTER THE AMOUNT FROM FORM 1040, LINE 38. ENTER: $150,500 ($75,250 IF MARRIED FILING SEPARATELY) . 150,500. IS THE AMOUNT ON LINE 6 LESS THAN THE AMOUNT ON LINE 5? IF NO, YOUR DEDUCTION IS NOT LIMITED. ENTER THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A, LINE 28. IF YES, SUBTRACT LINE 6 FROM LINE 5 53,565. MULTIPLY LINE 7 BY 3% (.03) . . . . 1,607. ENTER THE SMALLER OF LINE 4 OR LINE 8 . . . DIVIDE LINE 9 BY 3 SUBTRACT LINE 10 FROM LINE 9 . TOTAL ITEMIZED DEDUCTIONS. SUBTRACT LINE 11 FROM LINE 1. ENTER THE RESULT HERE AND ON SCHEDULE A, LINE 28 .. . .
JCHEDULE A
STATE AND LOCAL GENERAL SALES TAXES
)ESCRIPTION
11
15,918.
o. 15,918.
1,607. 536. 1,071. 14,847.
STATEMENT
12
AMOUNT
;TATE SALES TAX JOCAL SALES TAX
2,274. 728.
'OTAL TO SCHEDULE A, LINE 5
3,002.
.4200411 786859 630
38 2006.05020 PERRY, JAMES R.
STATEMENT(S) 11, 12 630 1
JAMES R. & M. ANITA PERR
SCHEDULE A
GENERAL SALES TAX DEDUCTION WORKSHEET
STATEMENT
ENTER YOUR STATE GENERAL SALES TAXES FROM THE APPLICABLE TABLE. TEXAS IF, FOR ALL OF 2006, YOU LIVED ONLY IN CONNECTICUT, THE DISTRICT OF COLUMBIA, HAWAII, INDIANA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS, MICHIGAN, MISSISSIPPI, NEW JERSEY, RHODE ISLAND, VIRGINIA, OR WEST VIRGINIA, SKIP LINES 2 THROUGH 5, ENTER -0- ON LINE 6, AND GO TO LINE 7. OTHERWISE, GO TO LINE 2. 2 DID YOU LIVE IN ALASKA, ARIZONA, ARKANSAS (TEXARKANA ONLY), CALIFORNIA (LOS ANGELES COUNTY ONLY), COLORADO, GEORGIA, ILLINOIS, LOUISIANA, NEW YORK STATE, OR NORTH CAROLINA IN 2006? IF NO, ENTER -0-. IF YES, ENTER YOUR LOCAL GENERAL SALES TAXES FROM THE APPLICABLE TABLE. O. 3 DID YOUR LOCALITY IMPOSE A LOCAL GENERAL SALES TAX IN 2006? RESIDENTS OF CALIFORNIA, NEVADA AND TEXARKANA, ARKANSAS, SEE INSTRUCTIONS. IF NO, SKIP LINES 3 THROUGH 5, ENTER -0- ON LINE 6 AND GO TO LINE 7. IF YES, ENTER YOUR LOCAL GENERAL SALES TAX RATE, BUT OMIT PERCENTAGES. 2.0000 AUSTIN 1 DID YOU ENTER -0- ON LINE 2 ABOVE? IF NO, SKIP LINES 4 AND 5 AND GO TO LINE 6. IF YES, ENTER YOUR STATE GENERAL SALES TAX RATE, BUT OMIT PERCENTAGES. 6.2500 DIVIDE LINE 3 BY LINE 4. ENTER THE RESULT AS A DECIMAL (ROUNDED TO AT LEAST THREE PLACES). .3200 DID YOU ENTER -0- ON LINE 2 ABOVE? IF NO, MULTIPLY LINE 2 BY LINE 3. IF YES, MULTIPLY LINE 1 BY LINE 5.
13
1
2,274.
728.
iA ADD LINE 1 AND LINE 6.
3,002.
iB PART-YEAR DAYS RATE. iC MULTIPLY LINE 6A BY LINE 6B.
1. 000000
3,002.
ENTER YOUR GENERAL SALES TAXES PAID ON SPECIFIED ITEMS, IF ANY. DEDUCTION FOR GENERAL SALES TAXES. ADD LINES 6C AND 7. ENTER THE RESULT HERE AND ON SCHEDULE A, LINE 5. BE SURE TO ENTER "ST" ON THE DOTTED LINE TO THE LEFT OF THE ENTRY SPACE.
39 ?nn~.n~n?n
PRRRY.
3,002.
STATEMENT(S) 13 ~AMR~
R.
630
1
JAME2 R. & M. ANITA PERR
STATEMENT
CAPITAL LOSS CARRYOVER
SCHEDULE D
14
ENTER THE AMOUNT FROM FORM 1040, LINE 41 . . . . ENTER THE LOSS FROM SCHEDULE D, LINE 21, AS A POSITIVE AMOUNT. COMBINE LINES 1 AND 2. IF ZERO OR LESS, ENTER -0 ENTER THE SMALLER OF LINE 2 OR LINE 3 .
189,218. 3,000. 192,218. 3,000.
5. ENTER THE LOSS FROM SCHEDULE D, LINE 7, AS A POSITIVE AMOUNT. 6. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
11,686.
1. 2. 3. 4.
LINE 15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3,000.
7. ADD LINES 4 AND 6 . 8. SHORT-TERM CAPITAL LOSS CARRYOVER TO 2007. SUBTRACT LINE 7 FROM LINE 5. IF ZERO OR LESS, ENTER -0-
...
8,686.
9. ENTER THE LOSS FROM SCHEDULE D, LINE 15, AS A POSITIVE AMOUNT. 10. ENTER THE GAIN, IF ANY, FROM SCHEDULE D, LINE 7 • • • . . • • • . • . IF ZERO OR LESS, 1l. SUBTRACT LINE 5 FROM LINE 4. ENTER -0. . . . . . . . . 12. ADD LINES 10 AND 11 . . . . 13. LONG-TERM CAPITAL LOSS CARRYOVER TO 2007. SUBTRACT LINE 12 FROM LINE 9. IF ZERO OR LESS, ENTER -0
13,193.
SCHEDULE E
NAME REVOCABLE "BLIND" TRUST STATE A.GREEMENT FBO NET INCOME FROM DEPLETION STATEMENT :{EVOCABLE "BLIND" rRUST AGREEMENT PBO ANITA PERRY
INCOME OR (LOSS) FROM ESTATES AND TRUSTS EMPLOYER ID NO.
PASSIVE INCOME
STATEMENT
NONPASSIVE LOSS
15
NONPASSIVE INCOME
74-6467584 45,795. 74-6467584 15,807. 03-6092780
rOTALS TO SCHEDULE E, LINE 34
L4200411 786859 630
PASSIVE LOSS
13,193.
o. o.
40 2006.05020 PERRY, JAMES R.
15,807.
45,795.
STATEMENT(S) 14, 15 630 1
OMS No. 1545-1984
8903
Form
Department of the Treasury Internal Revenue Service
Name(s) as shown on return
2006
Domestic Production Activities Deduction
I
~ Attach to your tax return. ~ See separate instructions.
Attachment Sequence No.
143
Identifying number
JAMES R. & M. ANITA PERRY 1 Domestic production gross receipts (DPGR)
.
2
Allocable cost of goods sold. If you are using the small business Simplified
3
If you are using the section 861 method, enter deductions and losses definitely
overall method, skip lines 2 and 3...
..
..
related to DPGR. Estates and trusts, see instructions. All others, skip line 3
I
2 3
4 If you are using the section 861 method, enter your pro rata share of deductions
and losses not definitely related to DPGR. All others, see instructions
.
4
5 Add lines 2 through 4
5
6 Subtract line 5 from line 1
6
7 Qualified production activities income from pass·
through
entities:
If you are a .
Then enter the total qualified production activities income from
a Shareholder
Schedule K-1 (Form 1120S), box 12, code P
b Partner
Schedule K-1 (Form 1065), box 13, code T
STATEMENT 22
h
_ _ _..
}
..
Schedule K-1 (Form 1065-B), box 9, code S2 Schedule K-1 (Form 1041), box 14, code C
c Beneficiary
7
8,269.
......
8
8 269.
}
9
204,065.
8 Qualified production activities income. Add lines 6 and 7. If zero or Jess, enter -0- here, skip lines 9 through 15, and enter -0- on line 16
_. _.. _....
.
.
......
........
9 Income limitation (see instructions): • Individuals, estates, and trusts. Enter your adjusted gross income figured without the
domestic production activities deduction .......
• All others. Enter your taxable income figured without the domestic production activities deduction (tax· exempt organizations, see instructions) 10 Enter the smaller of line 8 or line 9. If zero or less, enter -0- here, skip lines 11 through 15, 10
8,269.
11 Enter 3% of line 10
11
248.
12 Form W-2 wages (see instructions)
12
and enter -0- on line 16
13 Form W2 wages from pass· through
entities:
If you are a ..
Then enter the total Form W2 wages from ..
a Shareholder b Partner
Schedule Schedule Schedule Schedule
c Beneficiary
K-1 K-1 K-1 K·1
(Form (Form (Form (Form
1120S), box 12, code Q 1065), box 13, code U 1065-B), box 9, code S3 1041), box 14, code D
}
13
14
Add lines 12 and 13
14
15
Form W2 wage limitation. Enter 50% of line 14 .
15
16
Enter the smaller of line 11 or line 15
16
17
Domestic production activities deduction from cooperatives. Enter deduction from Form 1099PATR, box 6
.
17
18 Expanded 2ffiliated group allocation (see instructions)
19
18
Domestic production activities deduction. Combine lines 16 through 18 and enter the result here and on Form 1040, line 35; Form 1120, line 25; Form 1120-A, line 21; or the aoplicable line of your return LHA For Paperwork Reduction Act Notice, see separate instructions.
610911 02-02-07
4200411 786859 630
25 2006.05020 PERRY, JAMES R.
19 Form
8903
630
o. (2006)
1
Form
Noncash Charitable Contributions
8283
~
(Rev December 2006) Department of the Treasury Internal Revenue Service
OMB.
Attach to your tax return if you claimed a total deduction of over $500 for all contributed property. ~ See separate instructions.
No.
1545-0908
Attachment
Sequence No.
155
Identifying number
Name(s) shown on your income tax return
JAMES R. & M. ANITA PERRY
Note. Figure the amount of your contribution deduction before completing this form. See your tax return instructions. Section A. Donated Property of $5,000 or Less and Certain Publicly Traded Securities - List in this section only items (or groups of similar Hems) for which you claimed a deduction of $5,000 or less. Also, list certain publicly traded securities even if the deduction is more than $5,000 (see instructions).
I Part I I Information on Donated Property - If you need more space, attach a statement. (b) DeSCrIption of donated property
(a) Name and address of the donee organization
1
(for a donated vehicle, enter the year, make, model, conditIon, and mileage, and attach Form 109B-C if required.)
GOODWILL AUSTIN TX MARCH OF DIMES lAUSTIN, TX
A
B
("'LOTHING, HOUSEHOLD GOODS, ETC PICTURE
C D I
~
Note. If the amount YOU claimed as a deduction for an item is $500 or less (c)Date of the ~d) Dale acquired (e)How acqUired ,y'donor (mo. yr) con(nbutlon by donor A VARIOUS VAR. !PURCHASE 10/15/06 VAR. PURCHASE B
YOU
do not have to com lete columns (dl. (e). and (f). (h) Method used to determine the fair (f) Donor's cost or (g) (~~ ~~ue~t;oa~~) market value ad usted baSIS
8 000. 750.
2 630. rrHRIFT SHOP VALUE 250. rrHRIFT SHOP VALUE
C 0
E
[PartJI]
Partial Interests and Restricted Use Property - Complete lines 2a through 2e If you gave less than an entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a contribution listed in Part I; also attach the required statement (see instructions).
2 a Enter the letter from Part I that identifies the property for which you gave less than an entire interest ~ If Part II applies to more than one property, attach a separate statement. Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year ~ (2) For any prior tax years ~
_ _
Name and address of each organization to which any such contribution was made in a prior year (complete only if different from the donee organization above): Name of charitable organization (donee)
Address (number, street, and room or suite no.)
Cilyor lown, stale, and ZIP code
d For tangible property, enter the place where the property is located or kept ~
_
e Name of any person , other than the donee organization , having actual possession of the property ~ Yes
3 a Is there a restriction, either temporary or permanent, on the donee's right to use or dispose of the donated property? b Did you give to anyone (other than the donee organization or another organization partiCipating with
tile donee organization in cooperative fundraising) the right to the income from the donated property or
to the possession of the property, including the right to vote donated securities, to acquire the
property by purchase or otilerwise, or to designate the person having such income, possession, or right
to acqu ire? ..
c Is tl18re a restriction limiting the donated property for a particular use? LHA For Paper.vork Reduction Act Notice, see separate instructions,
No
-- rorm 8283 (Rev. 12-200G)
019931 01-05-07
.4200411 786859 630
26 2006.05020 PERRY, JAMES R.
630
1
Form 1116
u.s. and Foreign Source Income Summary
NAME
JAMES R. & M. ANITA PERRY INCOME TYPE Compensation
Dividends/Distr ibutlons
Interest
Capital Gains
BusinesslProfession
RenVRoyalty
StatelLocal Refunds
Parlnership/S Corporation
TrusVEstate
Other Income
Gross Income
TOTAL
U.S.
103,709. 13,285. 198.
103,709. 13,285. 198.
3,505.
3,505.
8,269. 29,988. 69,567. 228,521.
8,269. 29,988. 69,537. 228,491.
30. 30.
228,521.
228,491.
30.
Less:
Section 911 Exclusion
Capital Losses
Capital Gains Tax Adjustment
Total Income - Form 1116
Deductions:
BusinesslProfession Expenses
RenVRoyalty Expenses
Parlnership/S Corporation Losses
TrustlEstate Losses
Capital Losses
4,547. 551.
4,547. 551.
3,000.
3,000.
4,586.
4,586.
11,772.
11,772.
24,456.
24,456.
204,065.
204,035.
4,543.
4,543.
10,304. 14,847.
10,303. 14,846.
1. 1.
189,218.
189,189.
29.
Non-capital Losses
Individual Retirement Account
Moving Expenses
Self-employment Tax Deduction
Self-employment Health Insurance
Keogh Contributions
Alimony
Forfeited Interest Foreign Housing Deduction Other Adlustments Capital Gains Tax Adjustment Total Deductions Adjusted Gross Income Less Itemized Deductions: Specifically Allocated Home Mortgage Interest
30.
Other Interest Ratably Allocated Total Adjustments to Adjusted Gross Income Taxable Income Before Exemptions
627\;131
05-01-06
l4200411 786859 630
27 2006.05020 PERRY, JAMES R.
630
1
Form 1116
---_.
Allocation of Itemized Deductions
NAME
JAMES R . & M. ANITA PERRY
Taxes
Total
Itemized Deductions
Itemized
After Sec. 68
Deductions
Reduction
11 047.,
Form 1116
Specifically U.S.
10 304.
I
Ratable
Specifically Foreign
I
10,304.
I
Interest - Not Including Investment
Interest
Contributions
4 87l.
4,543.
15 918.
14 847.
4 543.
Miscellaneous Deductions
SUbject to 2%
other Miscellaneous Deductions Not Including Gambling Losses _ Forelgn Adjustment _
Totalltemized Deductions Subject to Sec. 68 _ Add Itemized Deductions
Not Subject to Sec. 68:
Medical/De ntal nvestment Interest p ost Aug. 27 Contributions _. __
Casualty Losses
Gambling Losses _ Foreign Adjustment _ Totalltemized Deductions
Total Allowed on Schedule A
~8'
14 847.
4 543.
10 304.
627871 05-01-06
.4200411 786859 630
28 2006.05020 PERRY, JAMES R.
630
1
Form 1116
Foreign Tax Credit Carryover Statement (Page 1 of 2)
NAME
,-,-J~AM~E=S",----"R""--,"--------""&,----""M,,--"-.~AN,"-,-",--IT",,-,A,-,,------,,P,--,E,,-,,-R-,-,,-R-,-,,,Y~
••
iii:is IVE
Foreign Income Category Regular L Foreign tax paid/accrued. 2. FTC carryback to 2006
3. 4. 5. 6. 7. 8. 9. 10.
2003
2004
_
INCOME 2006
2005
9.
for amended returns ..
Reduction allocated to excluded income Foreign tax available Maximum credit allowable Unused foreign tax ( + )
9.
or excess of limit ( - )
3.
6•
Foreign tax carryback Foreign tax carryforward Less treaty adjustment Foreign tax or excess limit remaining
3• 3•
Total foreign taxes from all available years to be carried to next year 1999
2000
2001
2002
1. Foreign tax paid/accrued 2. FTC carryback to 2006
3. 4. 5. 6.
for amended returns ..
Reduction allocated to excluded income Foreign tax available Maximum credit allowable Unused foreign tax ( + )
or excess of limit ( - )
7. Foreign tax carryback 8. Foreign tax carryforward 9. Less treaty adjustment 10. Foreign tax or excess limit remaining
627915/08-09-06
29 L4200411 786859 630
2006.05020 PERRY, JAMES R.
630
1
Form 1116
Foreign Tax Credit Carryover Statement (Page 2 of 2)
NAME
;IJhAM~E~S __R~.--,&UMh.~ANlliJI~T-:lAuP~E:BRBRXY
• • • •_,"------_ ~ASSIVE INCOME
Foreign Income Category
2003
Alternative Minimum Tax 1. Foreign tax paid/accrued
2004
2006
2005
9.
2. FTC carryback to 2006
for amended returns.
3. Reduction allocated to excluded income
9•
4. Foreign tax available 5. Maximum credit allowable 6. Unused foreign tax ( + )
6• I
3•
or excess of limit ( - )
7. Foreign tax carryback
B. Foreign tax carryforward 9. Less treaty adjustment
3• 3.
10. Foreign tax or excess limit remaining Total foreign taxes from all available years to be carried to next year 1999
2000
2001
2002
1. Foreign tax paid/accrued. 2. FTC carryback to 2006
lor amended returns .
3. Reduction allocated to excluded income 4. Foreign tax available 5. Maximum credit allowable 6. Unused foreign tax ( + )
or excess of limit ( - )
7. Foreign tax carryback B. Foreign tax carryforward 9. Less treaty adjustment 10. Foreign tax or excess limit remaining
627915/08-09·06
_4200411 786859 630
30 2006.05020 PERRY, JAMES R.
630
1
JAMES R. & M. ANITA PERRY
I
Depletion
65% of Taxable Income Allocation
Taxable income including all available NOL carryover Plus allowable depletion
2006
179,318. 16,358.
Minus cost depletion Taxable income before percentage depletion 65% 65% of taxable income Property Number
l' i
l~.R.
Property Description
PERRY CO. EEVOCABLE "BLIND" TRUST 2lSTATE AGRE
Total 525531/05-01-05
195,676. 0.65 127,189. Percentage Depletion 1st Iteration
Allocation Ratio
551. .033684
Limited Percentage Depletion
Cost
Depletion
Percentage
Depletion Final
Iteration
Reallocation Ratio
Allowable Depl.
after the
§5% LirTiitation
551.
551.
.033684
551.
15,807. . 9 6 631 61 1 5 , 807 .
15,807.
.966316
15,807.
16 . 358 .11 . 0 000 0 01 16. 358 •
16.358.1 1. 000000
16.358.
Excess
Percentage
Depl. Carryover
JAMES R. & M. ANITA PERF
FORM 1040
STATEMENT
MISCELLANEOUS INCOME
DESCRIPTION
1
AMOUNT
TEXAS ASSOCIATION AGAINST SEXUAL ASSAULT EDFINANCIAL SERVICES
63,333. 334.
TOTAL TO FORM 1040, LINE 21
63,667.
["ORM 1040
~AME
OF PAYER
STATEMENT
IRA DISTRIBUTIONS GROSS
DISTRIBUTION
2
TAXABLE AMOUNT
NATIONAL BANK
5,900.
5,900.
rOTAL TO FORM 1040, LINE 15
5,900.
5,900.
~LIN
.4200411 786859 630
32 2006.05020 PERRY, JAMES R.
STATEMENT(S) 1, 2 630 1
•
JAME2 R. & M. ANITA PERR FORM 1040
SEP DEDUCTION
STATEMENT
3
M. ANITA PERRY 1. 2. 3. 4. 5. 6. 7. 8.
9. 10. ll. 12. 13. 14. 15. 16. 17. 18 . 19 .
PLAN CONTRIBUTION RATE OR SELF-EMPLOYED PERSON'S RATE NET EARNINGS FROM SCHEDULE C, SCHEDULE F, OR SCHEDULE K-1 DEDUCTION FOR SELF-EMPLOYMENT TAX FROM 1040, LINE 27 . . . SUBTRACT LINE 3 FROM LINE 2 . MULTIPLY LINE 4 TIMES LINE 1 . MULTIPLY $220,000 BY YOUR PLAN CONTRIBUTION RATE. ENTER THE RESULT BUT NOT MORE THAN $44,000 . ENTER THE SMALLER OF LINE 5 OR LINE 6 . CONTRIBUTION DOLLAR LIMIT . *IF ANY ELECTIVE DEFERRALS WERE MADE, GO TO LINE 9. *OTHERWISE, SKIP LINES 9 THROUGH 18 AND ENTER THE SMALLER OF LINE 7 OR LINE 8 ON LINE 19. ALLOWABLE ELECTIVE DEFERRALS SUBTRACT LINE 9 FROM LINE 8 SUBTRACT LINE 9 FROM LINE 4 ENTER ONE-HALF OF LINE 11 . . . ENTER THE SMALLEST OF LINES 7, 10 OR 12 SUBTRACT LINE 13 FROM LINE 4 . . . . ENTER THE SMALLER OF LINE 9 OR LINE 14 . *IF CATCH-UP CONTRIBUTIONS WERE MADE, GO TO LINE 16. *OTHERWISE, SKIP LINES 16 THROUGH 18. SUBTRACT LINE 15 FROM LINE 14 . . . . . CATCH-UP CONTRIBUTION (AGE 50 OR OLDER) ENTER THE SMALLER OF LINE 16 OR LINE 17 ADD LINES 13, 15 AND 18. ENTER HERE AND ON LINE 28, FORM 1040 . . . . . . . . . .
L4200411 786859 630
33 2006.05020 PERRY, JAMES R.
.200000 63,333. 4,475. 58,858. 11,772. 44,000. 11,772. 44,000.
11,772.
STATEMENT(S) 3
630 1
JAMES R. & M. ANITA PERR
FORM 1040 1.
STATEMENT
STUDENT LOAN INTEREST DEDUCTION
ENTER THE TOTAL INTEREST PAID IN 2006 ON QUALIFIED STUDENT LOANS. DO NOT ENTER MORE THAN $2,500
2.
ENTER THE AMOUNT FROM FORM 1040, LINE 22 . .
3.
ENTER THE TOTAL OF THE AMOUNTS FROM FORM 1040, LINES 23 THROUGH 32, LINE 34, AND ANY WRITE-IN ADJUSTMENTS YOU ENTERED ON THE DOTTED LINE NEXT TO LINE 36
4
2,500. 220,423.
16,358.
4.
SUBTRACT LINE 3 FROM LINE 2
204,065.
5.
ENTER THE AMOUNT SHOWN BELOW FOR YOUR FILING STATUS. * SINGLE, HEAD OF HOUSEHOLD, OR QUALIFYING WIDOW(ER)-$50,OOO * MARRIED FILING JOINTLY-$105,OOO .
105,000.
6.
IS THE AMOUNT ON LINE 4 MORE THAN THE AMOUNT ON LINE 5? [ ] NO. SKIP LINES 6 AND 7, ENTER -0 ON LINE 8, AND GO TO LINE 9 [X] YES. SUBTRACT LINE 5 FROM LINE 4 .
7.
DIVIDE LINE 6 BY $15,000 ($30,000 IF MARRIED FILING JOINTLY). ENTER THE RESULT AS A DECIMAL (ROUNDED TO AT LEAST THREE PLACES). IF THE RESULT IS 1.000 OR MORE, ENTER 1.000
3•
MULTIPLY LINE 1 BY LINE 7 . . . .
3.
STUDENT LOAN INTEREST DEDUCTION. SUBTRACT LINE 8 FROM LINE 1. ENTER THE RESULT HERE AND ON FORM 1040, LINE 33
",ORM 1040
r
, )
99,065.
EMPLOYER'S NAME
r OFFICE OF THE GOVERNOR r SPE CORPORATE SERVICES, INC rOTALS
L4200411 786859 630
2,500. O.
WAGES RECEIVED AND TAXES WITHHELD
AMOUNT PAID
1. 000
FEDERAL TAX WITHHELD
STATEMENT
CITY STATE TAX SDI WITHHELD TAX W/H
FICA TAX
5
MEDICARE TAX
103,320.
13,781.
5,840.
1,598.
389.
97.
24.
6.
103,709.
13,878.
5,864.
1,604.
34 2006.05020 PERRY, JAMES R.
STATEMENT(S) 4, 5 630 1
JAMES R. & M. ANITA PERR
FORM 1040
STATEMENT
QUALIFIED DIVIDENDS ORDINARY DIVIDENDS
NAME OF PAYER
6
QUALIFIED DIVIDENDS
BANK OF NEW YORK
3.
3.
BPillK OF NEW YORK
28.
28.
12,935.
7,804.
FROM K-1 - REVOCABLE "BLIND" TRUST STATE AGREEMENT FBO RICK PERRY DTD 9-13-9 TOTAL INCLUDED IN FORM 1040, LINE 9B
L4200411 786859 630
35 2006.05020 PERRY, JAMES R.
7,835.
STATEMENT(S) 6 630 1
JAMES R. & M. ANITA PERR
FORM 1040
STATEMENT
EXCESS SOCIAL SECURITY TAX WORKSHEET
TAXPAYER 1. ADD ALL SOCIAL SECURITY TAX WITHHELD BUT NOT MORE THAN $5,840.40 FOR EACH EMPLOYER (THIS TAX SHOULD BE SHOWN IN BOX 4 OF YOUR W-2 FORMS). ENTER THE TOTAL HERE . . . . . . . . . . . . . . . . . . . . .
7
SPOUSE
5,864.
2. ENTER ANY UNCOLLECTED SOCIAL SECURITY TAX ON TIPS OR GROUP-TERM LIFE INSURANCE INCLUDED IN THE TOTAL ON FORM 1040, LINE 63 . . ... 3. ADD LINES 1 AND 2
5,864.
4. SOCIAL SECURITY TAX LIMIT
5,840.
5. SUBTRACT LINE 4 FROM LINE 3. EXCESS SOCIAL SECURITY TAX INCLUDED IN FORM 1040, LINE 67. . .... FORM 1040
24. STATEMENT
FEDERAL INCOME TAX WITHHELD
8
r S DESCRIPTION
AMOUNT
r OFFICE OF THE GOVERNOR r SPE CORPORATE SERVICES, INC J BANK OF NEW YORK S BANK OF NEW YORK
13,781 97.
rOTAL TO FORM 1040, LINE 64
13,887.
3CHEDULE A
1 8.
MISCELLANEOUS DEDUCTIONS SUBJECT TO FLOOR
)ESCRIPTION
STATEMENT
9
AMOUNT
:"ROM K-1 - REVOCABLE "BLIND" TRUST STATE AGREEMENT FBO RICK ?ERRY DTD 9-13-9
1,000.
rOTAL TO SCHEDULE A, LINE 22
1,000.
L4200411 786859 630
36 2006.05020 PERRY, JAMES R.
STATEMENT(S) 7, 8, 9 630 1
OMS No. 1545-0074
SCHEDULE SE (Form 1040)
2006
Self-Employment Tax
DepaJ1ment of the Treasury
Internal Revenue Service
~
(99)
Attach to Form 1040.
~
See Instructions for Schedule SE (Form 1040).
Name of person with self-employmf'nt income (as shown on Form 1040)
Social security number of
M. ANITA PERRY
income
person with self-employment ~
Who Must File Schedule SE You must file Schedule SE if: • You had net earnings from self·employment from other than church employee income (line 4 of Short Schedule SE or line 4c of Long Schedule SE) of $400 or more, or • You had church employee income of $108.28 or more. Income from services you performed as a minister or a member of a religious order is not church employee income (see page SE·1). Note. Even if you had a loss or a small amoun: of income from self·employment, it may be to your benefit to file Schedule SE and use either "optional method" in Part II of Long Schedule SE (see page SE·3). Exception. If your only self·employment income was from earnings as a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361 and received IRS approval not to be taxed on those earnings, do not file Schedule SE. Instead, write "Exempt-Form 4361" on Form 1040, line 58.
May I Use Short Schedule SE or Must I Use Long Schedule SE?
Note. Use this flowchart only if you must file Schedule SE, if unsure, see Who Must file Schedule SE, above.
Did you receive wages or tips in 2006?
,,. Yes
No
t
~
Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings?
Was the total of your wages and tips subJect to social security or railroad retirement tax plus your net earnings from self employment more than $94,200?
Yes ~
+
~~
No
~
Are you using one of the optional methods to figure your net
earnings (see page SE-3)?
~r No .... No
No Old you receive church employee income reported on Form W-2
of $1 08.28 or more?
~ No Section A-Short Schedule SE. Caution.
~
~
You may use Short Schedule SE Below
I
~
Did you receive tips subject to social security or Medicare tax that you did not report to your employer?
I
...
You must use Long Schedule SE on page 2
I
Read above to see if you can use Short Schedule SE.
1 Net farm profit or (loss) from Schedule F,/ine 36, and farm partnerships, Schedule K·1 (Form 1065), box 14, code A
..........
..
1
.. ..... ..... . ....
........... ... .................................
2 Net profit or (loss) from Schedule C, line 31; Schedule C·EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-8), box 9, code J1. Ministers and members of religious orders, see page SE·1 for amounts to report on this line. See page SE·3 for other income to report
3 Combine lines 1 and 2
S'rM.'r J 6
................
3
63 333. 63 333.
4
58 488.
5
8 949.
2
4 Net earnings from self-employment. Multiply line 3 by 92.35% (.9235). If less than $400, do not file this schedule; you do not owe self-employment tax
................
~
5 Self-employment tax. If the amount on line 4 is: $94,200 or less, multiply line 4 by 15.3% (.153). Enter the result here and on • Form 1040, line 58.
•
}
More than $94,200, multiply line 4 by 2.9% (.029). Then, add $11,680.80 to the result. Enter the total here and on Form 1040, line 58.
6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (.5). Enter the result here and on Form 1040, line 27 . LHA
I
6
.....................
I
For Paperwork Reduction Act Notice, see Form 1040 instructions.
4 475. Schedule SE (Form 1040) 2006
624501
10-24-06
14200411 786859 630
19 2006.05020 PERRY, JAMES R.
630
1
Schedule SE (Form 1040) 2006
Attat:nment Sequence Nc.
17
Name of person with self-employment income (as shown on Form 1040)
Social security number of person with self-employment
JAMES R. PERRY
income
Page
2
... ~
Section B - Long Schedule SE Part I
I
I
Self-Employment Tax
Note. If your only income subject to self-employment tax is church employee income, skip lines 1 through 4b. Enter -0- on line 4c and go to line 5a. Income from services you performed as a minister or a member of a religious order is not church employee income. See page SE-1. A
If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had $400 or
more of other net earnings from self-employment check here and continue with Part I __ .. . _..
1
eJr--
Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K-1 (Form 1065),
box 14, code A. Note. Skip this line if you use the farm optional method (see page SEA) . .._ ... _..
Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A
2
(other than farming); and Schedule K-1 (Form 1065-8), box 9, code J1. Ministers and members of religious orders, see page SE-1 for amounts to report on this line. See page SE-3 for other income to report_ Note. Skip this line if you use the nonfarm optional method (see page SEA) _..
3
Combine lines 1 and 2
S.EE .. S'J:'.~.::I'EI1EN'J:'_J.7
..
4 a If line 3 is more than zero, multiply line 3 by 92.35% (.9235). Otherwise, enter amount from line 3 ... b
If you elect one or both of the optional methods, enter the total of lines 15 and 17 here
c
Combine lines 4a and 4b. If less than $400, stop; you do not owe self-employment tax. Exception.
If less than $400 and you had church employee income, enter -0- and continue 5 a Enter your church employee income from Form W-2. See page SE-1 I
s..a
4a 4b
.
_.... ~
I
1L-'=--"----
for definition of church employee income
8 269. 8 269. 7 636.
2 3
.
-'--7 ~-.h
f---'-'4c=--+ --1
b Multiply line 5a by 92.35% (.9235). If less than $100, enter -0
5b
7 636.
6
6
Net earnings from self-employment. Add lines 4c and 5b
7
Maximum amount of combined wages and self-employment earnings subject to social security tax or
.
the 6.2% portion of the 7.65% railroad retirement (tier 1) tax for 2006
94,200.00
7
.
8 a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2) and railroad retirement (tier 1) compensation. If $94,200 or more, skip lines 8b through 10, and go to line 11
9 10
.
b
Unreported tips subject to social security tax (from Form 4137, line 9)
c
Add lines 8a and 8b
8b
Be
Subtract line 8c from line 7. If zero
or less,
enter -0· here and on line 10 and go to line 11
Multiply the smaller of line 6 or line 9 by 12.4% (.124) .
.
11
Multiply line 6 by 2.9% (.029)
12
Self-employment tax. Add lines 10 and 11. Enter here and on Form 1040, line 58
13
Deduction for one-half of self-employment tax. Multiply line 12 by 50% (.5). Enter the result here and on Form 1040, line 27 .
I
94.589.
8a
Part II
I
.
9
.
10 .
Optional Methods To Figure Net Earnings
.
12
221. 221.
14
1,600_00
11
111.
(see page SE-3)
Farm Optional Method. You may use this method only if (a) your gross farm income 1 was not more than $2,400, or (b) your net farm profits 2 were less than $1,733. 14
Maximum income for optional methods ..... .......... .........
15
Enter the smaller of: two-thirds (2/3) of gross farm income 1 (not less than zero) or $1,600. Also include this amount on line 4b above
................
.......
15
Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits 3 were less than $1,733 and also less than 72.189% of your gross nonfarm income~ and (b) you had net earnings from self-employment of at least $400 in 2 of the prior 3 years. Caution. You may use this method no more than five times. 16
Subtract line 15 from line 14
17
Enter the smaller of: two-thirds (2/3) of gross nonfarm income 4 (not less than zero) or the amount on
......... .................................. ................
line 16. Also include this amount on line 4b above ........................ ...... 1 2
From Seh. F, line 11, and Seh. K-1 (Form 1065), box 1~, code B. From Seh. F, line 36, and Seh_ K-1 (Form 1065), box 1~, code A.
3
4
......
. . . . . . . . . . . ..
.....
............
... .......
.........
.....
- ........
16
17
From Seh. C, line 31; Sen. C-EZ, line 3; Seh. K-1 (Form 1065), box 1~, code A; and Seh. K-1 (Form 1065-B), box 9, code J1. From Seh. C, line 7; Seh_ C-EZ, line 1; Seh. K-1 (Forni 10G5), box 1~, code C; and Seh. K-1 (Form 1065-G), box 9, code J2.
Schedule SE (Form 1040) 2006
624502 10-24-06
_4200411 786859 630
. ......
20 2006.05020 PERRY, JAMES R.
630
1
OMS No. 1545-0121
1116
Form
2006
Foreign Tax Credit
Depanment of the Treasury Internal Revenue Service (99)
~
(Individual, Estate, or Trust) Attach to Form 1040, 1040NR, 1041, or 99O-T.
Name
Identifying number
as shown on page' of your tax return
JAMES R. & M. ANITA PERRY Use a separate Form 1116 for each category of income listed below. See Categories of Income on page 3 of the instructions. Check only one box on each Form 1116. Report all amounls in U.S. dollars except where specified in Part II below. a
[X]
Passive income
d
b
D
High withholding tax interest
e
Financial services income
f
D
k Resident of (name of country) ~
D D
D
Shipping income
Lump-sum distributions
Dividends from a DISC or former DISC
Section 901(j) Income
Certain distributions from a foreign sales corporation (FSC) or former FSC
General limitation Income
Certain income re-sourced by treaty
UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to more than one foreign country or U.S. possession, use a separate column and line for each country or possession.
I Part I [iaxable Income or Loss From Sources Outside the United States (for Category Checked Above) I
I
Enter the name of the foreign country or U.S. possession ~ 1a Gross income from sources within country shown above and of the type checked above:
Total (Add cols. A B and C.)
Foreic n Country or U.S. Possession A
B
C
OTHER 00UNTRIES
30. b Check if line 1a is compensation for personal services as an employee, your total compensation from all sources is $250,000 or more, and you used an alternative basis to determine its source (see instructions) ...... ~ CI Deductions and losses (Caution: See pages 13 and 14 of the instructions): Expenses definitely related to the income on line 1a 2 (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add lines 3a and 3b
10 304. 10,304. 30. 228 521. .000131 1.
d Gross foreign source income e Gras s income from all sources f Divide line 3d by line 3e 4
30.
1a
g Multiply line 3c by line 3f Pro rata share of interest expense: a Home mortgage interest (use worksheet on page 13 of the instructions)
b Other interest expense 5 Losses from foreign sources 6 Add lines 2, 30, 4a, 4b, and 5
1.
7 Subtract line 6 from line 1a. Enter the result here and on line 14 Daoe 2
..
1. 29.
6 ~ 7
I Part II I Foreign Taxes Paid or Accrued Credit is claimed lor taxe s (you must >. check one)
... § (m) 8 Inl D
Foreign taxes paid or accrued In foreign currency
In U.S. dollars
Taxes withheld at source on:
OOpald Accrued
(0) ga~~g~~dd
(p)
DIVidends
(q) ~~~I~I:~d
(r)
Interest
(s) Other foreign taxes paid or accrued
Taxes withheld at source on: (t)
Dividends
(u) ~;;~I~I:id
(V)
Interest
{w)Other foreign taxes paid or accrued
A VARIOUS
9.
B
-
C 8 Add lines A througll C, column (x). Enter the tot3111ere and all line 9, page 2
LHA
(x) Total foreign taxes paid or accrued {add cols. (t) through (w))
For Paperwork Reduction Act Notice, see separate instructions.
.........
9 .
-
9.
8 Form
1116 (2006)
611501
12-02-06
L4200411 786859 630
21 2006.05020 PERRY, JAMES R.
630
-
1
:. . :Fo:.:. :rm.:. :. . ;. 11:. .;.1.:. 6'-.:(2.:..00:..:6.!....)....::J~AM..:=..=;E~S--:.R~.'---..:&=--~M:..:..~fu~I/I=-T~A:........=P-=E=.=R~R:..;.v=-~ I
Part III
I
agce_ """""_p--: 2
Figuring the Credit
9 Enter the amount from Ime 8. These are your total foreign taxes paid or accrued
for the category of mcome checked above Part I
9•
9
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
12 Reduction in foreign taxes
12
9.
13 Subtract line 12 from line 11. This is the total amount of foreign taxes available for credit
15 Adjustments to Ime 14 16 Combine the amounts on Imes 14 and 15. This is your net foreign source taxable income.
(If the result is zero or less, you have no foreign tax credit for the category of income
you checked above Part I. Skip lines 17 through 21. However, if you are filing more than
one Form 1116, you must complete line 19.) . 17 Individuals: Enter the amount from Form 1040, Ime 41 (minus any amount on Form 8914, line 6). If you are a nonresident alien, enter the amount from Form 1040NR, line 38 (minus any amount on Form 8914, Ime 6). Estates and trusts: Enter your taxable income without the deduction for your exemption SEE STATEM:ENT
9.
13
14 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United States (before adjustments) for the category of income checked above Part I
29.
14 15
29.
18
17
184 741.
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see instructions. 18 Divide line 16 by line 17. If line 16 is more than line 17, enter "1"
1-1""'8"+-
----".'--'°"'--"'°__'°'-'1=5'--"--7
19 Individuals: Enter the amount from Form 1040, Ime 44. If you are a nonresident alien, enter the amount from Form 1040NR, line 41. Estates and trusts: Enter the amount from Form 1041, Schedule G, line 1a, or the total of Form 990-T,
Ii ne s 36 and 37 1-1.:..:o9'-tCaution: If you are completing line 19 for separate category g (lump-sum distributions), see pg. 18 of the instructions. 20 Multiply line 19 by line 18 (maximum amount of credit) f-'20=--t21 Enter the smaller of line 13 or line 20. If this is the only Form 1116 you are filing, skip lines 22 through 30 and enter this amount on line 31. Otherwise, complete the appropriate line in Part IV
I Part IV
I
~
....:3::....8"'-L..:::5'--=9::....4~.
-"6--"-.
21
6.
30 31
6•
Summary of Credits From Separate Parts III
22 Credit for taxes on passive income
22
23 Credit for taxes on high withholding tax interest
23
24 Credit for taxes on financial services income
24
25 Credit for taxes on shipping income
25
26 Credit for taxes on dividends from a DISC or former DISC and certain distributions from a FSC or former FSC
26
27 Credit for taxes on lump-sum distributions
27
28 Credit for taxes on ccrtain income re-sourced by treaty.
28
29 Credit for taxes on general limitation income 29 30 Add lines 22 through 29 31 Entel the smaller of line 19 or line 30 32 Reduction of credit for international boycott operations 33 Subtract line 32 rrornline 31. This is your foreign tax credit. Entcr here and on Form 1040, line 47; FOim 1040NR, linc 44; Form 1041, Schedule G, line 2a; or Form 990-T, li~e '10a
32
~
6•
33 Form
111 G (2006)
611511 12-02-06
22 14200411 786859 630
2006.05020 PERRY,
J&~ES
R.
630
1
1116
Form
OMS No 1545-0121
ALTERNATIVE MINIMUM TAX
2006
Foreign Tax Credit (Individual, Estate, or Trust) ~ Attach to Form 1040, 1040NR, 1041, or 9oo-T.
Department of the Treasury Internal Revenue Service (99)
Identifying number
Name
as shown on page 1 of your tax return
JAMES R. & M. ANITA PERRY Use a separate Form 1116 for each category of income listed below. See Categories of Income on page 3 or the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. a
[X]
Passive income
D
High withholding tax interest
D
d
Financial services income
k Resident of (name of country) ~
D
D tD
Shipping Income
Lump-sum distributions
Dividends from a DISC or former DISC
Section 901(j) income
Certain distributions from a foreign sales corporation (FSC) or former FSC
Certain income re-sourced by treaty
e
General limitation income
UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to more than one foreign country or U.S_ possession, use a separate column and line for each country or possession.
Part I
I
I Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
I
Enter the name of the foreign country or U.S. possession ~ 1a Gross income from sources within country shown above and of the type checked above:
Total (Add cols. A Band C.l
Foreic n Countrv or U.S. Possession C B
A
OTHER COUNTRIES
30.
30.
1a
b Check if line 1a is compensation for personal services as an employee, your total compensation from all sources IS $250,000 or more, and you used an alternative basis to determine its source (see instructions) ~D Deductions and losses (Caution: See pages 13 and 14 of the instructions): 2 Expenses definitely related to the income on line 1a (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add lines 3a and 3b d Gross foreign source Income
30. 228 521. .000131
e Gross income from all sources f Divide line 3d by line 3e g Multiply line 3c by line 3f Pro rata share of interest expense:
4
a Home mortgage interest (use worksheet on page 13 of the instructions) .', b Other interest expense 5 6
Losses from foreign sources Add lines 2, 30, 4a, 4b, and 5
6
7 Subtract line 6 from line 1a. Enter the result here and on line 14 Daoe 2
"
~ 7
30.
I Part II I Foreign Taxes Paid or Accrued Cred it is claimed for taxes (you must >. check one) L.
Foreign taxes paid or accrued In foreign currency
§ (m) [Xl Paid 8 JI!l D Accrued (0) £a~~g~~dd
Taxes witrlheld at source on: (p)
Dividends
(q) ~Oey~ITj~~d
(r)
Interest
In U.S. dollars (s) Other foreign taxes paid or accrued
Taxes withheld at source on: (t)
(u) ~oe~~111~d
DIvidends
(V) Inlerest
(w)Other foreign taxes paid or accrued
A VARIOUS
9.
9.
B
I
I
d
i
J_
8 Add lines A through C, column (XI. Enter the total here and on line g, p~ge 2
LHA
(x) Total foreign taxes paid or accrued (add cols. (t) !tHough (w))
For Paperwork Reduction Act Notice, see separate instructions.
J ~
B
9. -
I Fcnn
1116 (2005)
511501 12-02-05
L4200411 786859 630
23 2006.05020 PERRY, JAMES R.
630
1
ALTERNATIVE MINIMUM TAX
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i Part III
i
- - - - ' _ Page 2
Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of Income checked above Part I
9.
9
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
12 Reduction in foreign taxes
12
9.
13
9•
18
.000153
19
37 863.
20
6.
21
6.
30 Add lines 22 through 29 . 31 Enter the smaller of line 19 or line 30
30 31
6.
32 Reduction of credit for international boycott operations
32
13 Subtract line 12 from line 11. This IS the total amount of foreign taxes available for credit 14 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United States (before adjustments) for the category of income checked above Part I 15 Adjustments to line 1~ .. 16 Combine the amounts on lines 1~ and 15. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax credit for the category of income you checked above Part I. Skip lines 17 through 21. However, if you are filing more than one Form 1116, you must complete line 19.) .
30.
14 15
. ......
30.
1161
17 Individuals: Enter the amount from Form 10~O, line ~ 1 (minus any amount on Form 89H, line 6). If you are a nonresident alien, enter the amount from Form 10~ONR, line 38 (minus any amount on Form 891~, line 6). Estates and trusts: Enter your taxable income without the deduction for your exemption ............. SEES':I'ATEMENT.l.9
556.
195 17 Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see instructions.
18 Divide line 16 by line 17.lf line 161s more than line 17, enter '1" .. 19 Individuals: Enter the amount from Form Form 10~ONR, line H
10~O,
Estates and trusts: Enter the amount tram Form lines 36 and 37
line 10~
~~.
If you are a nonresident alien, enter the amount from
1, Schedule G, line 1a, or fhe total of Form 990-T,
Caution: If you are completing line 19 for separate category g (lump-sum distributions), see pg. 18 of the instructions. 20 Multiply line 19 by line 18 (maximum amount of credit) 21 Enter the smaller of line 13 or line 20. If this is the only Form 1116 you are filing, skip lines 22 through 30 and enter this amount on line 31. Otherwise, complete the appropriate line In Part IV ~
IPartlVI
Summary of Credits From Separate Parts III
22 Credit for taxes on passive income
22
23 Credit for taxes on high withholding tax interest
23
24 Credit for taxes on financial services income
24 I
25 Credit for taxes on shipping income .
25
26 Credit for taxes on dividends from a DISC or former DISC and certain distributions from aFSC or former FSC
26
27 Credit for taxes on lump-sum distributions ..
27
28 Credit for taxes on certain income re-sourced by treaty ..
28
29 Credit for taxes on general limitation income
29
33 Subtract line 32 from line 31. This is your foreign tax credit. Enter here and on Form Form 1040~JR, line ·14; Form 10H Schedulc G, line 2a; or Form 990-T, lillC 40a
10~O,
line
~7;
-
~
.~
6"
33 Form
1116
(2006)
611311 12-02-06
_4200411 786859 630
24 2006.05020 PERRY,
JAMES R.
630
1
Form
8582
OMS No. 1545-1008
lntemai Revenue Service
2006
Passive Activity Loss Limitations ~ See separate instructions.
8epanmenl of the Treasury
~~t~~~~~n~o. 88
~ Attach to Form 1040 or Form 1041.
(99)
Identifying number
Name(s) shown on return
JAMES R.
&
M. ANITA PERRY
I Part I I 2006 Passive Activity Loss
Caution: Complete Worksheets 1, 2, and 3 on page 2 before completing Part I.
Rental Real Estate Activities With Active Participation (For the aefrnition of active participation see Special Allowance for Rental Real Estate Activities on page 3 of the instructions.) 1a Activities with net income (enter the amount from Workshee: 1, column (a)) ...... . ......
1a
I
I
b Activities with net loss (enter the amount from Worksheet 1, column (b)) ............... ............
4
c Prior years unallowed losses (enter the amount from Worksheet 1, column (c)) ................ .... . ... .. . . .. . .............. d Combine lines 1a 1band 1c ..
1c
i 1d
Commercial Revitalization Deductions From Rental Real Estate Activities 2a Commercial revitalization deductions from Worksheet 2, column (a) . b Prior year unallowed commercial revitalization deductions from Worksheet 2, column (b) ...... ............... ..... .. .....
2a 2b
. ............
c Add lines 2a and 2b
2c
.......
All Other Passive Activities 3a Activities with net income (enter the amount from Worksheet 3, column (a)) ............
b Activities with net loss (enter the amount from Worksheet 3, column (b)) _ .......
...........
. .......
e W
722.
3b
c Prior years unallowed losses (enter the amount from Worksheet 3, column (c)) ........................................... . .. d Combine lines 3a 3b and 3c .. 4 Combine lines 1d, 2c, and 3d. If the result is net income or zero, all losses are allowed, including any prior year unallowed losses entered on line 1c, 2b, or 3c. Do not complete Form 8582. Report the losses on the forms and schedules normally used If line 4 is a loss and:
..........
..........
..........
• Line 1d is a loss, go to Part II.
3d
3 722.
~J
3,722 •
• Line 2c is a loss (and line 1d is zero or more), skip Part II and go to Part III. • Line 3d is a loss (and lines 1d and 2c are zero or more), skip Parts II and III and go to line 15. Caution: If your filing status is married filing separately and you lived with your spouse at any time during the year, do not complete
Part /I or Part /II. Instead, go to line 15.
LEili!.!!J Special Allowance for Rental Real Estate Activities With Active Participation Note: Enter a/l numbers in Part /I as positive amounts. See page 8 of the instructions for an example.
5
Enter the smaller of the loss on line 1d or the loss on line 4 ...
6
Enter $150,000. If married filing separately, see the instructions
7
Enter modified adjusted gross income, but not less than zero (see the instr.)
5
6
7
...
Note: If line 7 is greater than or equal to line 6, skip lines 8 and
9, enter-O- on line 10. Otherwise, go to line 8.
8
9 10
Subtract line 7 from line 6
8
............. Multiply line 8 by 50% (.5). Do not enter more than $25,000. If married filing separately, see the instructions ..
9
Enter the smaller of line 5 or line 9 ......
10
If line 2c is a loss
0
to Part III. Otherwise
0
to line 15.
Part III Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities Note: Enter a/l numbers in Part /II as positive amounts. See the example for Part /I on page 8 of the instructions. 11
Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions
211 . .
12
Enter the loss from line 4 .
.
13
Reduce line 12 by the amount on line 10
14
Enter the smallest of line 2c treated as a ositive amount line 11 or line 13.
.
12
_
13
_
14
Part IV Total Losses Allowed 15 16
-----
Add the income, if any, on lines 1a and 30. and enter the total.
Total losses 8110wed from all passive
LHA
--------·------.-1-.1:Jt-
619761/10-17-06
... SEE
instructi(JIl~~
For Paperwork Reduction Act Notice, see separate instructions.
14200411 786859 630
1-"-6
II
-.--
.BTATEMEN'J-:"c...:2=..=1,--,,--,
24.1 2006.05020 PERRY, JAMES R.
_ Form 8582 (2006)
630
1
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' - '
Pane 2
Caution: The worksheets must be filed with your tax return. Keep a copy for your records.
Worksheet 1 - For Form 8582 , Lines 1a , 1band 1c ,
(See instructions)
Current year
Prior years
Name of activity (a) Net income (line 1a)
Total. Enter on Form 8582, lines 1a, 1b, and 1c
(b) Net loss (line 1b)
Overall gain or loss
I
(c) Unallowed loss (line 1c)
(d) Gain
(e) Loss
~
Worksheet 2 - For Form 8582 , Lines 2a and 2b
(See instructions) (b) Prior year unallowed deductions (line 2b)
(a) Current year deductions (line 2a)
Name of activity
(c) Overall loss
Total. Enter on Form 8582, lines 2a
~
and 2b
Worksheet 3 - For Form 8582 , Lines 3a , 3b , and 3c
(See instructions)
Current year
Overall gain or loss
Prior years
Name of activity (a) Net income (line 3a)
SEE
(b) Net loss (line3b)
ATTAC!RED
(c) Unallowed loss (line 3c)
STATE~lENT FOR
(d) Gain
(e) Loss
we tRKSHEET 3
Total. Enter on Form 8582, lines 3a,
~
3b, and 3c
3 722.
Worksheet 4 - Use thiS worksheet If an amount IS shown on Form 8582 , Ime 10 or 14 Form or schedule and line number to be reported on (see instructions)
Name of activity
Total
Worksheet 5 - AllocatIOn of Unallowed Losses
Total
-
(c) Special allowance
(d) Subtract column (c) from column (a)
~ (See instructions)
Form or schedule and line number to be reported on (see instructions)
Name of activity
(b) Ratio
(a) Loss
(See instructions)
(a) Loss
~
'u
(b) Ratio
-
(c) Unallowed loss
Form 8582 (2006)
619762 10-17-06
24.2 _4200411 786859 630
2006.05020
PERRY,
JAMES
R.
630
1