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SCHEDULE E Supplemental Income and Loss OMB No.1545-0074
<br /> (Form 1040) 2012
<br /> (From rental real estate,royalties,partnerships,S corporations,estates,trusts,REMICs,etc.)
<br /> ■ Attach to Form 1040,1040NR,or Form 1041.
<br /> Department of the Treasury Attachment
<br /> Internal Revenue Service (99) ■ Information about Schedule E and its separate instructions Is at www.irs.gov/rorm1040. Sequence No. 13
<br /> Name(s)shown on return
<br />
<br /> Part I Income or Loss From Rental Real Estate and Royalties Note.If you are in the business of renting personal property,use
<br /> Schedule C or C-EZ(see instructions).If you are an individual,report farm rental income or loss from Form 4835 on page 2,line 40.
<br /> A Did you make any payments in 2012 that would require you to file Form(s)1099?(see instructions) ❑ Yes © No
<br /> B If"Yes,"did you or will you file required Forms 1099? ❑ Yes D No
<br /> 1a Physical address of each property(street,city,state,ZIP code)
<br /> A 182 Depot Drive Verona,WI 53593
<br /> B 6610 Sun Valley Parkway Belleville,WI 53508
<br /> C
<br /> 1 b Type of Property 2 Personal Use
<br /> For each rental real estate property listed Fair Rental Days QJV
<br /> (from list below) above,report the number of fair rental and Days
<br /> A 1 personal use days.Check the QJV box A
<br /> B 1 only if you meet the requirements to file as B '
<br /> a qualified joint venture.See instructions.
<br /> C C
<br /> Type of Property:
<br /> 1 Single Family Residence 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental
<br /> 2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other(describe)
<br /> Income: I Properties: A B C
<br /> 3 Rents received 3 7,968 16,460
<br /> 4 Royalties received 4
<br /> Expenses:
<br /> 5 Advertising 5
<br /> 6 Auto and travel(see instructions) 6 37
<br /> 7 Cleaning and maintenance 7_ _ 214
<br /> 8 Commissions 8
<br /> 9 Insurance 9 1,625
<br /> 10 Legal and other professional fees 10 81
<br /> 11 Management fees 11
<br /> 12 Mortgage interest paid to banks,etc.(see instructions). . 12 4,891
<br /> 13 Other interest. . 13
<br /> 14 Repairs 14 124 6,388
<br /> 15 Supplies 15 2,522
<br /> 16 Taxes 16
<br /> 17 Utilities 17 1,901
<br /> 18 Depreciation expense or depletion 18 1,754 40,664
<br /> 19 Other(list) • See attached statement 19 4,270
<br /> 20 Total expenses.Add lines 5 through 19 20 6,769 57,702
<br /> 21 Subtract line 20 from line 3(rents)and/or 4(royalties).If
<br /> result is a(loss),see instructions to find out if you must
<br /> file Form 6198 21 1,199 -41,242
<br /> 22 Deductible rental real estate loss after limitation,if any,
<br /> on Form 8582(see instructions) 22 ( 1,199 ) ( ) )
<br /> 23 a Total of all amounts reported on line 3 for all rental properties 23a 24,428
<br /> b Total of all amounts reported on line 4 for all royalty properties 23b 0
<br /> c Total of all amounts reported on line 12 for all properties 23c 4,891 A401, ,
<br /> d Total of all amounts reported on line 18 for all properties 23d 42,418 k
<br /> e Total of all amounts reported on line 20 for all properties 23e 64,471F'
<br /> 24 Income.Add positive amounts shown on line 21.Do not include any losses 24 1,199
<br /> 25 Losses.Add royalty losses from line 21 and rental real estate losses from line 22.Enter total losses here. . . 25 ( 1,199 )
<br /> 26 Total rental real estate and royalty income or(loss).Combine lines 24 and 25.Enter the result here.
<br /> If Parts II,Ill,IV,and line 40 on page 2 do not apply to you,also enter this amount on Form 1040,line
<br /> 17,or Form 1040NR,line 18.Otherwise,include this amount in the total on line 41 on page 2 26 0
<br /> For Paperwork Reduction Act Notice,see your tax return instructions. Schedule E(Form 1040)2012
<br /> HTA
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