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Form 4562 (2009) MODELS OF TSE MAKER WOMENS MINISTRIES 75-2865878 Page 2 <br />Pa4V-= Llsted PPOp eYfy (lnciude automobiles, certain ofher vehicles, cefiular ielephones, cerlain compufers, and properly used for <br />entertainmenl, recreation, or amusement.) <br />Note: For any vehicle for which you are using the standard mi/eage rate or deducting lease axpense, compiete anly 24a, 24b, <br />columns (a) ihrough (c) of Section A, all o/ Sec7ion B, and Sactron Cit applicable. <br />Section A- Depreciation and Other Inforniation Caution: See the rnsiructions for fimrts for passenger automobiles.) <br />24a Do ynu have evidence to support lhe businesslinvestmenk use claimed? Yes No 244b If 'Yes,' is Ihe evidence written? X Yes No <br />(a) (b) (c (d) (e) (fl (9) (h) 0) <br />Dep`eclaUon <br />Type of poperty pESI Date p~aced Busin) ess/ Cost w Basis (w depreclation Recovery fdetlwd/ Elected <br />vehkles fvsi} !n servke Inv ~ e ent other basis (busines~nvestment period Conventton deducUon sectbn 179 <br />u5e only) cost <br />I ~ - _ <br />25 Special depreciaiion allowance for qualified Iisted properiy placed in servica during fhe tax year and 25 <br />used more than 50% in a qualified business use (see instructions) <br />Zb rro en usea m <br />VAN <br />ure uinji avjo <br />22/16/05 <br />140.00 <br /> <br />1,500. <br />1 500. <br />5.00 <br />200DB-HY <br />227. <br /> <br />u rro eri useu ~ <br />u-to ut 1-3 <br />0o na,, .,-i.,+c r., -i.- !hl lines 95 throuah 27. En1er here and on line 21, page i 28 <br />227 <br />` <br />29 Add amounis in colvmn line 26 Enier here and on Eine 7 page 1 • • - - • • • • - • • • • • • • - <br />Section 8- Informatlon on Use of Vehtctes <br />Complete ttiis section for vehic[es used by a sole proprietor, partner, or olher 'more than 5% awner,' or related person, It you provided vehic[es <br />co,.+i- c i„ - is vnu meet an exceotion fo comoleiinq this section for khose vehic►es. <br />(a) <br />l~) <br />(C) <br />td) <br />(e) <br />30 Tofal business/investment miles driven <br />Vehicle i <br />Vehicle 2 <br />Vehicle 3 <br />Vehicle 4 <br />Vehicle 5 <br />Vehicle 6 <br />during tite year (do not include <br />. <br />miles) <br />ti <br />. . . . . . . . . . . . . . . . <br />ng <br />commu <br />. <br />mifes driven during the year <br />l commuiia <br />31 T <br />t <br /> <br />g <br />o <br />a <br />32 Tota( other personal (noncommuting) <br /> <br />driven <br />ii <br /> <br />es <br />m <br />33 7oial rniles driven during tkie year. Add <br />. <br />h 32 <br />30throu <br />li <br /> <br />g <br />nes <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />34 Was the vehicle available for personat use <br /> <br />hours? <br />ff•duf <br />i <br />d <br /> <br />y <br />ng o <br />ur <br />35 Was lhe vehicle used primarily by a more <br />. . . . <br />5% owner or related person? <br />th <br />. . . . . . <br />an <br />36 Is another vehicle available for <br />oersonaluse? <br />Section C- Questions for Employers Who Provide Vehicles tor use ny i neir nriipioyees <br />Answer these questions to determine if you meet an excaption to completing Section B for vehicles used by employees who are not more than <br />5% owners or related persons (see insirucfions). <br />N. <br />Yes <br />37 Do you maintain a written policy statement that prohibits afl personal use of vehicles, inckuding commuting, <br />by yovr ernployees? <br />38 Qo you maintain a written policy statement that prohibils personal use of vehicles, except commuting, by your <br />employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners <br />39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . <br />40 Do you provide ntore than five vehicles io your employees, obtain inforrnation from your empioyees about the use of the <br />vehicles, and retain the information received? <br />41 Oo you meef fhe requfrements concerning qualified automobile demonsiratinn use? (See instruciions.) . . . . . . . . . . . . . <br />Note: If your anssver to 37, 38, 39, 40, or 41 is 'Yes,' do not complete Saction B for lhe covered vehicles. <br />raCL vf ' Hmurucuuv11 <br />(a) <br />(p) <br />(c) <br />(d) <br />(e) <br />~fl <br />Description of cosls <br />Dale amortization <br />Amortlzabla <br />Code <br />SecUon <br />AmortizaUon <br />perlod or <br />Amwlization <br />(a ihis year <br />begins <br />amount <br />perceniage <br />42 Amortization of costs that begins during your 2009 tax year (see instructions)• <br />43 Amortization oi costs ihai began before your 2009 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />44 Toiaf Add amounis in cofumn (f} See the insirucfions for where to report . . . • • • • • • • • • • • • ~ ~ ~ <br />Foiz0312 07r07/09 Form 4562 (2009) <br />