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            Publication 584
            (Rev. October 2017)                                                What’s New
            Cat. No. 15151M                                                    Disaster  tax  relief. Disaster  tax  relief  was 
Department                                                                     enacted for those impacted by Hurricanes Har-
of the                                                                         vey,  Irma,  and  Maria,  including  provisions  that 
Treasury                                                                       modified  the  calculation  of  casualty  and  theft 
                                                                               losses  of  personal-use  property.  These  provi-
Internal    Casualty,                                                          sions include:
Revenue                                                                        The $100 limitation per casualty has been 
Service                                                                        increased to $500 for net hurricane disas-
            Disaster, and
                                                                               ter losses.
                                                                               The 10% of adjusted gross income limit 
            Theft Loss                                                         does not apply to net hurricane disaster 
                                                                               losses.
                                                                               You can claim your standard deduction in-
            Workbook                                                           creased by your net hurricane disaster loss 
                                                                               instead of itemizing deductions on Sched-
                                                                               ule A.
            (Personal-Use Property)                                            See Pub. 976, Disaster Relief, for more in-
                                                                               formation about these and other disaster tax re-
                                                                               lief  provisions  that  may  not  be  covered  in  this 
                                                                               publication.

                                                                               Reminders
                                                                               Future developments.   For the latest informa-
                                                                               tion  about  developments  related  to  Pub.  584 
                                                                               such  as  legislation  enacted  after  it  was  pub-
                                                                               lished, go to IRS.gov/Pub584.
                                                                               Photographs of missing children.          The Inter-
                                                                               nal Revenue Service is a proud partner with the 
                                                                               National  Center  for  Missing   &  Exploited 
                                                                               Children®  (NCMEC).  Photographs  of  missing 
                                                                               children selected by the Center may appear in 
                                                                               this publication on pages that would otherwise 
                                                                               be  blank.  You  can  help  bring  these  children 
                                                                               home by looking at the photographs and calling 
                                                                               1-800-THE-LOST (1-800-843-5678) if  you  rec-
                                                                               ognize a child.

                                                                               Introduction
                                                                               This  workbook  is  designed  to  help  you  figure 
                                                                               your loss on personal-use property in the event 
                                                                               of  a  disaster,  casualty,  or  theft.  It  contains 
                                                                               schedules  to  help  you  figure  the  loss  to  your 
                                                                               main home, its contents, and your motor vehi-
                                                                               cles. However, these schedules are for your in-
                                                                               formation only. You must complete Form 4684, 
                                                                               Casualties and Thefts, to report your loss.

                                                                               How To Use This 
                                                                               Workbook
                                                                               You  can  use  this  workbook  by  following  these 
                                                                               five steps.
                                                                               1. Read Pub. 547 to learn about the tax rules 
                                                                               for casualties, disasters, and thefts.
                                                                               2. Know the definitions of cost or other basis 
                                                                               and fair market value, discussed later.
                                                                               3. Fill out Schedules 1 through 20.
                                                                               4. Read the instructions for Form 4684.
              Get forms and other information faster and easier at:            5. Fill out Form 4684 using the information 
              IRS.gov (English)         IRS.gov/Korean (한국어) 
              IRS.gov/Spanish (Español) IRS.gov/Russian (Pусский)          you entered in Schedules 1 through 20.
              IRS.gov/Chinese (中文)      IRS.gov/Vietnamese (TiếngViệt)     Use the chart below to find out how to use 
                                                                               Schedules 1 through 19 to fill out Form 4684.

Oct 19, 2017



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                                                 And enter it on    (including  any  improvements,  such  as  build-           Tax questions.  If you have a tax question 
Take what's in each row of...                          Form 4684... ings, trees, and shrubs) is treated as one item.       not  answered  by  this  publication,  check 
Column 1 . . . . . . . . . . . . . . . . . . . . . . . . Line 1     Figure the loss using the smaller of the follow-       IRS.gov and How To Get Tax Help.
Column 2 . . . . . . . . . . . . . . . . . . . . . . . . Line 2     ing.
Column 3 . . . . . . . . . . . . . . . . . . . . . . . . Line 3         The decrease in FMV of the entire prop-
Column 4 . . . . . . . . . . . . . . . . . . . . . . . . Line 4         erty.                                              How To Get Tax Help
Column 5 . . . . . . . . . . . . . . . . . . . . . . . . Line 5         The adjusted basis of the entire property.
Column 6 . . . . . . . . . . . . . . . . . . . . . . . . Line 6                                                            If  you  have  questions  about  a  tax  issue,  need 
Column 7 . . . . . . . . . . . . . . . . . . . . . . . . Line 7     Deduction  limits. After  you  have  figured  the      help preparing your tax return, or want to down-
Column 8 . . . . . . . . . . . . . . . . . . . . . . . . Line 8     amount of your loss, as discussed earlier, you         load free publications, forms, or instructions, go 
Column 9 . . . . . . . . . . . . . . . . . . . . . . . . Line 9     must figure how much of the loss you can de-           to IRS.gov and find resources that can help you 
                                                                    duct.  You  do  this  on  Form  4684,  section  A.  If right away.
                                                                    the loss was to property for your personal use 
Losses                                                              or  your  family's,  there  are  two  limits  on  the  Preparing  and  filing  your  tax  return. Find 
                                                                    amount  you  can  deduct  for  your  casualty  or      free  options  to  prepare  and  file  your  return  on 
Generally,  you  may  deduct  losses  to  your                      theft loss.                                            IRS.gov or in your local community if you qual-
home, household goods, and motor vehicles on                        1. You must reduce each casualty or theft              ify.
your  federal  income  tax  return.  However,  you                      loss by $100 ($100 rule).                              The  Volunteer  Income  Tax  Assistance 
may not deduct a casualty or theft loss that is                                                                            (VITA)  program  offers  free  tax  help  to  people 
covered by insurance unless you filed a timely                      2. You must further reduce the total of all            who  generally  make  $54,000  or  less,  persons 
insurance  claim  for  reimbursement.  Any  reim-                       your losses by 10% of your adjusted gross          with  disabilities,  and  limited-English-speaking 
bursement  you  receive  will  reduce  the  loss.  If                   income (10% rule).                                 taxpayers  who  need  help  preparing  their  own 
you didn’t file an insurance claim, you may de-                             If your loss arose in the Hurricane Har-       tax returns. The Tax Counseling for the Elderly 
duct only the part of the loss that was not cov-                    TIP     vey disaster area on or after August 23,       (TCE)  program  offers  free  tax  help  for  all  tax-
ered by insurance.                                                          2017, the Hurricane Irma disaster area         payers,  particularly  those  who  are  60  years  of 
                                                                    on or after September 4, 2017, or the Hurricane        age and older. TCE volunteers specialize in an-
Amount of loss.        You figure the amount of your                Maria  disaster  area  on  or  after  September  16,   swering  questions  about  pensions  and  retire-
loss using the following steps.                                     2017,  and  was  caused  by  that  hurricane,  see     ment-related issues unique to seniors.
1. Determine your cost or other basis in the                        Pub.  976  for  more  information  about  disaster         You can go to IRS.gov to see your options 
property before the casualty or theft.                              tax relief for those impacted by Hurricanes Har-       for  preparing  and  filing  your  return  which  in-
                                                                    vey, Irma, and Maria.                                  clude the following.
2. Determine the decrease in fair market                                                                                       Free File. Go to IRS.gov/FreeFile. See if 
value (FMV) of the property as a result of                          More  information.    For  more  information               you qualify to use brand-name software to 
the casualty or theft. (The decrease in                             about the deduction limits, see Pub. 547.                  prepare and e-file your federal tax return 
FMV is the difference between the proper-                                                                                      for free.
ty's value immediately before and immedi-                           When your loss is deductible.  You generally               VITA. Go to IRS.gov/VITA, download the 
ately after the casualty or theft.)                                 must deduct a casualty loss in the year it occur-          free IRS2Go app, or call 1-800-906-9887 
3. From the smaller of the amounts you de-                          red. However, if you have a casualty loss from a           to find the nearest VITA location for free 
termined in (1) and (2), subtract any insur-                        federally  declared  disaster  that  occurred  in  an      tax preparation.
ance or other reimbursement you received                            area  warranting  public  or  individual  assistance       TCE. Go to IRS.gov/TCE, download the 
or expect to receive.                                               (or both), you can elect (choose) to deduct that           free IRS2Go app, or call 1-888-227-7669 
                                                                    loss  on  your  return  or  amended  return  for  the      to find the nearest TCE location for free tax 
Apply  the  deduction  limits,  discussed  later,  to               tax year immediately preceding the tax year in             preparation.
determine the amount of your deductible loss.                       which the loss was sustained. For details, see             Getting  answers  to  your  tax  ques-
Cost  or  other  basis.                Cost  or  other  basis       Disaster Area Losses in Pub. 547.                          tions.    On IRS.gov get answers to your 
usually means original cost plus improvements.                                                                                 tax questions anytime, anywhere.
If you didn’t acquire the property by purchasing 
it,  your  basis  is  determined  as  discussed  in                 Comments and                                               Go to IRS.gov/Help or IRS.gov/LetUsHelp 
                                                                                                                               pages for a variety of tools that will help 
Pub. 551, Basis of Assets. If you inherited the                     Suggestions                                                you get answers to some of the most com-
property from someone who died in 2010, and 
                                                                                                                               mon tax questions.
the executor of the decedent's estate made the                      We  welcome  your  comments  about  this  publi-           Go to IRS.gov/ITA for the Interactive Tax 
election to file Form 8939, refer to the informa-                   cation and your suggestions for future editions.           Assistant, a tool that will ask you questions 
tion provided by the executor or see Pub. 4895, 
                                                                                                                               on a number of tax law topics and provide 
Tax Treatment of Property Acquired From a De-                       You  can  send  us  comments  through                      answers. You can print the entire interview 
cedent Dying in 2010.                                               IRS.gov/FormComments. Or you can write to:                 and the final response for your records.
Fair  market  value.               FMV  is  the  price  for                                                                    Go to IRS.gov/Pub17 to get Pub. 17, Your 
which  you  could  sell  your  property  to  a  willing                 Internal Revenue Service                               Federal Income Tax for Individuals, which 
buyer,  when  neither  of  you  has  to  sell  or  buy                  Tax Forms and Publications                             features details on tax-saving opportuni-
and  both  of  you  know  all  the  relevant  facts.                    1111 Constitution Ave. NW, IR-6526                     ties, 2017 tax changes, and thousands of 
When  filling  out  Schedules  1  through  20,  you                     Washington, DC 20224                                   interactive links to help you find answers to 
need to know the FMV of the property immedi-                                                                                   your questions. View it online in HTML, as 
ately before and immediately after the disaster,                    Although  we  can’t  respond  individually  to             a PDF, or download it to your mobile de-
casualty, or theft.                                                 each comment received, we do appreciate your               vice as an eBook.
                                                                    feedback  and  will  consider  your  comments  as          You may also be able to access tax law in-
Separate computations.                 Generally, if a single       we revise our tax forms, instructions, and publi-          formation in your electronic filing software.
casualty or theft involves more than one item of                    cations.
property, you must figure the loss on each item 
separately.  Then  combine  the  losses  to  deter-                 Ordering  forms  and  publications.       Visit        Getting  tax  forms  and  publications. Go  to 
mine the total loss from that casualty or theft.                    IRS.gov/FormsPubs  to  download  forms  and            IRS.gov/Forms to view, download, or print all of 
                                                                    publications. Otherwise, you can go to IRS.gov/        the forms and publications you may need. You 
Exception  for  personal-use  real  prop-                           OrderForms  to  order  current  and  prior-year        can also download and view popular tax publi-
erty. In  figuring  a  casualty  loss  on  per-                     forms and instructions. Your order should arrive       cations and instructions (including the 1040 in-
sonal-use  real  property,  the  entire  property                   within 10 business days.                               structions) on mobile devices as an eBook at no 
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charge. Or, you can go to IRS.gov/OrderForms              tion, such as text messages and social me-            Understanding an IRS notice or letter.   Go to 
to place an order and have forms mailed to you            dia channels.                                         IRS.gov/Notices  to  find  additional  information 
within 10 business days.                                  Go to IRS.gov/IDProtection for information            about responding to an IRS notice or letter.
                                                          and videos.
Access your online account (Individual tax-               If your SSN has been lost or stolen or you            Contacting  your  local  IRS  office.  Keep  in 
payers  only). Go  to IRS.gov/Account  to  se-            suspect you’re a victim of tax-related iden-          mind,  many  questions  can  be  answered  on 
curely access information about your federal tax          tity theft, visit IRS.gov/ID to learn what            IRS.gov without visiting an IRS Tax Assistance 
account.                                                  steps you should take.                                Center (TAC). Go to IRS.gov/LetUsHelp for the 
     View the amount you owe, pay online or                                                                     topics people ask about most. If you still need 
     set up an online payment agreement.                  Checking on the status of your refund.                help, IRS TACs provide tax help when a tax is-
     Access your tax records online.                      Go to IRS.gov/Refunds.                                sue  can’t  be  handled  online  or  by  phone.  All 
     Review the past 18 months of your pay-               Due to changes in the law, the IRS can’t is-          TACs  now  provide  service  by  appointment  so 
     ment history.                                        sue refunds before mid-February 2018, for             you’ll  know  in  advance  that  you  can  get  the 
     Go to IRS.gov/SecureAccess to review the             returns that properly claimed the EIC or the          service  you  need  without  long  wait  times.  Be-
     required identity authentication process.            ACTC. This applies to the entire refund,              fore you visit, go to IRS.gov/TACLocator to find 
                                                          not just the portion associated with these            the  nearest  TAC,  check  hours,  available  serv-
Using  direct  deposit.  The  fastest  way  to  re-       credits.                                              ices,  and  appointment  options.  Or,  on  the 
ceive a tax refund is to combine direct deposit           Download the official IRS2Go app to your              IRS2Go  app,  under  the  Stay  Connected  tab, 
and IRS e-file. Direct deposit securely and elec-         mobile device to check your refund status.            choose the Contact Us option and click on “Lo-
tronically transfers your refund directly into your       Call the automated refund hotline at                  cal Offices.”
financial account. Eight in 10 taxpayers use di-          1-800-829-1954.
rect deposit to receive their refund. IRS issues                                                                Watching  IRS  videos.  The  IRS  Video  portal 
more than 90% of refunds in less than 21 days.            Making a tax payment.  The IRS uses the lat-          (IRSvideos.gov) contains video and audio pre-
                                                          est encryption technology to ensure your elec-        sentations  for  individuals,  small  businesses, 
Delayed refund for returns claiming certain               tronic payments are safe and secure. You can          and tax professionals.
credits. Due  to  changes  in  the  law,  the  IRS        make  electronic  payments  online,  by  phone, 
can’t  issue  refunds  before  mid-February  2018,        and  from  a  mobile  device  using  the  IRS2Go      Getting tax information in other languages. 
for returns that properly claimed the earned in-          app.  Paying  electronically  is  quick,  easy,  and  For taxpayers whose native language isn’t Eng-
come  credit  (EIC)  or  the  additional  child  tax      faster than mailing in a check or money order.        lish, we have the following resources available. 
credit (ACTC). This applies to the entire refund,         Go  to IRS.gov/Payments  to  make  a  payment         Taxpayers  can  find  information  on  IRS.gov  in 
not just the portion associated with these cred-          using any of the following options.                   the following languages.
its.                                                      IRS Direct Pay: Pay your individual tax bill           Spanish IRS.gov/Spanish ( ).
                                                          or estimated tax payment directly from                 Chinese IRS.gov/Chinese ( ).
Getting a transcript or copy of a return.   The           your checking or savings account at no                 Vietnamese IRS.gov/Vietnamese (       ).
quickest way to get a copy of your tax transcript         cost to you.                                           Korean IRS.gov/Korean ( ).
is to go to IRS.gov/Transcripts. Click on either          Debit or credit card: Choose an ap-                    Russian IRS.gov/Russian ( ).
"Get  Transcript  Online"  or  "Get  Transcript  by       proved payment processor to pay online,                The IRS TACs provide over-the-phone inter-
Mail"  to  order  a  copy  of  your  transcript.  If  you by phone, and by mobile device.                       preter  service  in  over  170  languages,  and  the 
prefer, you can:                                          Electronic Funds Withdrawal: Offered                  service is available free to taxpayers.
     Order your transcript by calling                     only when filing your federal taxes using 
     1-800-908-9946.                                      tax preparation software or through a tax 
     Mail Form 4506-T or Form 4506T-EZ (both              professional.                                         The Taxpayer Advocate 
     available on IRS.gov).                               Electronic Federal Tax Payment Sys-                   Service Is Here To Help You
                                                          tem: Best option for businesses. Enroll-
Using online tools to help prepare your re-               ment is required.                                     What is the Taxpayer Advocate 
turn. Go to IRS.gov/Tools for the following.              Check or money order: Mail your pay-                  Service?
     The Earned Income Tax Credit Assistant               ment to the address listed on the notice or 
     (IRS.gov/EIC) determines if you’re eligible          instructions.                                         The Taxpayer Advocate Service (TAS) is an     in-
     for the EIC.                                         Cash: You may be able to pay your taxes               dependent  organization  within  the  IRS  that 
     The Online EIN Application IRS.gov/EIN ( )           with cash at a participating retail store.            helps  taxpayers  and  protects  taxpayer  rights. 
     helps you get an employer identification                                                                   Our job is to ensure that every taxpayer is trea-
     number.                                              What  if  I  can’t  pay  now? Go  to IRS.gov/         ted  fairly  and  that  you  know  and  understand 
     The IRS Withholding Calculator IRS.gov/ (            Payments for more information about your op-          your rights under the Taxpayer Bill of Rights.
     W4App) estimates the amount you should               tions.
     have withheld from your paycheck for fed-            Apply for an online payment agreement                 What Can the Taxpayer Advocate 
     eral income tax purposes.                            (IRS.gov/OPA) to meet your tax obligation             Service Do For You?
     The First Time Homebuyer Credit Account              in monthly installments if you can’t pay 
     Look-up IRS.gov/HomeBuyer ( ) tool pro-              your taxes in full today. Once you complete           We  can  help  you  resolve  problems  that  you 
     vides information on your repayments and             the online process, you will receive imme-            can’t  resolve  with  the  IRS.  And  our  service  is 
     account balance.                                     diate notification of whether your agree-             free. If you qualify for our assistance, you will be 
     The Sales Tax Deduction Calculator                   ment has been approved.                               assigned  to  one  advocate  who  will  work  with 
     (IRS.gov/SalesTax) figures the amount you            Use the Offer in Compromise Pre-Qualifier             you  throughout  the  process  and  will  do  every-
     can claim if you itemize deductions on               (IRS.gov/OIC) to see if you can settle your           thing  possible  to  resolve  your  issue.  TAS  can 
     Schedule A (Form 1040), choose not to                tax debt for less than the full amount you            help you if:
     claim state and local income taxes, and              owe.                                                   Your problem is causing financial difficulty 
     you didn’t save your receipts showing the                                                                   for you, your family, or your business,
     sales tax you paid.                                  Checking the status of an amended return.              You face (or your business is facing) an 
                                                          Go  to IRS.gov/WMAR  to  track  the  status  of        immediate threat of adverse action, or
Resolving tax-related identity theft issues.              Form 1040X amended returns. Please note that           You’ve tried repeatedly to contact the IRS 
     The IRS doesn’t initiate contact with tax-           it  can  take  up  to  3  weeks  from  the  date  you  but no one has responded, or the IRS 
     payers by email or telephone to request              mailed your amended return for it to show up in        hasn’t responded by the date promised.
     personal or financial information. This in-          our system and processing it can take up to 16 
     cludes any type of electronic communica-             weeks.

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How Can You Reach Us?                                   how  they  apply.  These  are your  rights.  Know     need to resolve tax problems with the IRS, such 
                                                        them. Use them.                                       as audits, appeals, and tax collection disputes. 
We  have  offices in  every  state,  the  District  of                                                        In  addition,  clinics  can  provide  information 
Columbia,  and  Puerto  Rico.  Your  local  advo-       How Else Does the Taxpayer                            about taxpayer rights and responsibilities in dif-
cate’s  number  is  in  your  local  directory  and  at Advocate Service Help Taxpayers?                      ferent  languages  for  individuals  who  speak 
TaxpayerAdvocate.IRS.gov/Contact-Us.       You                                                                English as a second language. Services are of-
can also call us at 1-877-777-4778.                     TAS works to resolve large-scale problems that        fered for free or a small fee. To find a clinic near 
                                                        affect  many  taxpayers.  If  you  know  of  one  of  you,  visit TaxpayerAdvocate.IRS.gov/LITCmap 
How Can You Learn About Your                            these  broad  issues,  please  report  it  to  us  at or  see  IRS  Publication  4134, Low  Income 
Taxpayer Rights?                                        IRS.gov/SAMS.                                         Taxpayer Clinic List.

The Taxpayer Bill of Rights describes 10 basic 
rights that all taxpayers have when dealing with        Low Income Taxpayer 
the    IRS. Our   Tax       Toolkit        at           Clinics
TaxpayerAdvocate.IRS.gov  can  help  you  un-
derstand what  these  rights  mean  to  you  and        Low Income Taxpayer Clinics (LITCs) are inde-
                                                        pendent from the IRS. LITCs represent individu-
                                                        als whose income is below a certain level and 

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Schedule 1. Entrance Hall
      (1)     (2)              (3)           (4)        (5)         (6)             (7)    (8)                       (9)
              Cost             Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
              or               or            casualty1orvalue       value       (5) minus  column (2)                loss (column
              other            other         theft      before      after       column (6) or column                 (8) minus  2
     Item     basis            reimbursement            casualty    casualty               (7)                       column (3))
Example:
Chair         350.00           200.00        .00        275.00      .00         275.00     275.00                    75.00
Clock         90.00            .00           .00        60.00       .00         60.00      60.00                     60.00

Chair
Clock
Curtains
Draperies
Lamp
Mirror
Picture
Rug
Table
Umbrella stand
Wall fixture

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 2.       Living Room
       (1)        ) 2 (      ) 3 (         ) 4 (       (5)         ) 6 (       ) 7 (      ) 8 (                      (9)
                  Cost       Insurance                 Fair market Fair market Column     Smaller of                 Casualty/Theft
                  or         or            Gain from   value       value       (5) minus  column (2)                 loss (column
                  other      other         casualty or before      after       column (6) or column                  (8) minus
      Item        basis      reimbursement theft 1     casualty    casualty               (7)                        column (3))2

Accessories
Blinds
Bookcase
Book
Chair
Chest
Clock
Coffee table
Curtains
Desk
Draperies
Fireplace hardware
Lamp
Magazine rack
Mirror
Piano
Picture
Pillow
Radio
Rug & pad
Shades
Shuers
Sofa
Stereo/Home
theater
Television
Wall fixture

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 3.    Dining Room
      (1)      (2)             (3)           (4)        (5)         (6)             (7)    (8)                       (9)
               Cost            Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
               or              or            casualty1orvalue       value       (5) minus  column (2)                loss (column2
               other           other         theft      before      after       column (6) or column                 (8) minus
     Item      basis           reimbursement            casualty    casualty               (7)                       column (3))
Buffet
Chair
China cabinet
Chinaware
Crystal
Curtains
Draperies
Glassware
Mirror
Picture
Rug & pad
Silver flatware
Silver tea set
Silver items
Table
Tea cart
Wall fixture

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 4.     Kitchen
       (1)      (2)          (3)           (4)        (5)         (6)             (7)    (8)                         (9)
                Cost         Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
                or           or            casualty1orvalue       value       (5) minus  column (2)                  loss (column2
                other        other         theft      before      after       column (6) or column                   (8) minus
     Item       basis        reimbursement            casualty    casualty               (7)                         column (3))

Blender
Broiler
Canned goods
Can opener
Clock
Coffee maker
Curtains
Cutlery
Dishes
Dishwasher
Food processor
Freezer
Frozen food
Glassware
Ice crusher
Microwave oven
Mixer
Pots and pans
Radio
Refrigerator
Stove
Table and chairs
Telephone
Toaster
Trash compactor
Utensils
Wall accessory

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 5. Den
       (1)     ) 2 (           ) 3 (         ) 4 (       (5)         ) 6 (           ) 7 (  ) 8 (                    (9)
             Cost              Insurance     Gain from   Fair market Fair market Column     Smaller of               Casualty/Theft
               or              or            casualty1 orvalue       value       (5) minus  column (2)               loss (column2
             other             other         theft       before      after       column (6) or column                (8) minus
      Item   basis             reimbursement             casualty    casualty               (7)                      column (3))

Bookcase
Book
CD player
Chair
Computer
Clock
Curtains
Desk
Draperies
DVD player
Lamp
Mirror
Picture
Pillow
Radio
CDs/Records
Rug & pad
Telephone
Sofa
Stereo/Home
theater
Table
Television
Video gaming
system

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 6.   Bedrooms
      (1)     (2)            (3)           (4)        (5)         (6)             (7)    (8)                         (9)
              Cost           Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
              or             or            casualty1orvalue       value       (5) minus  column (2)                  loss (column2
              other          other         theft      before      after       column (6) or column                   (8) minus
     Item     basis          reimbursement            casualty    casualty               (7)                         column (3))

Bed cover
Bed
Bedside table
Bureau
Chair
Chest
Clock
Clothes hamper
Desk
Dresser
Jewelry box
Lamp
Linens
Mirror
Picture
Radio
Rug & pad
Telephone
Television

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 7.   Bathrooms
      (1)     (2)              (3)           (4)        (5)         (6)             (7)    (8)                       (9)
              Cost             Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
              or               or            casualty1orvalue       value       (5) minus  column (2)                loss (column2
              other            other         theft      before      after       column (6) or column                 (8) minus
     Item     basis            reimbursement            casualty    casualty               (7)                       column (3))
Bath mat
Clothes hamper
Curtains
Hair dryer
Linens
Mirror
Picture
Razor
Scale
Towel rack
Wall fixture

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 8. Recreation Room
       (1)     ) 2 (         ) 3 (         ) 4 (       (5)         ) 6 (           ) 7 (  ) 8 (                      (9)
               Cost          Insurance     Gain from   Fair market Fair market Column     Smaller of                 Casualty/Theft
               or            or            casualty1 orvalue       value       (5) minus  column (2)                 loss (column2
               other         other         theft       before      after       column (6) or column                  (8) minus
     Item      basis         reimbursement             casualty    casualty               (7)                        column (3))

Billiard table
Book
Card table
CD player
Chair
Clock
Curtains
DVD player
Game
Lamp
Picture
Ping Pong table
Pool table
Radio
CDs/Records
Rug & pad
Sofa
Stereo/Home
theater
Table
Television
Video gaming
system

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 9.    Laundry and Basement
      (1)      (2)             (3)           (4)        (5)         (6)             (7)    (8)                       (9)
               Cost            Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
               or              or            casualty1orvalue       value       (5) minus  column (2)                loss (column
               other           other         theft      before      after       column (6) or column                 (8) minus  2
     Item      basis           reimbursement            casualty    casualty               (7)                       column (3))
Chair
Dryer
Electric iron
Food freezer
Ironing board
Ladder
Luggage
Table
Tool
Tub
Washing machine
Work bench

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 10. Garage
       (1)    (2)            (3)           (4)        (5)         (6)             (7)    (8)                         (9)
             Cost            Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
              or             or            casualty1orvalue       value       (5) minus  column (2)                  loss (column
             other           other         theft      before      after       column (6) or column                   (8) minus  2
      Item   basis           reimbursement            casualty    casualty               (7)                         column (3))
Bicycle
Garden hose
Garden tool
Hedger
Ladder
Lawn mower
Snow blower
Sprayer
Spreader
Tiller
Tool
Wheelbarrow

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 11.     Sporting Equipment
   (1)           (2)           (3)           (4)        (5)         (6)             (7)    (8)                       (9)
                 Cost          Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
                 or            or            casualty1orvalue       value       (5) minus  column (2)                loss (column
                 other         other         theft      before      after       column (6) or column                 (8) minus  2
   Item          basis         reimbursement            casualty    casualty               (7)                       column (3))
Boat & motor
Camera
Camping equipment
Field glasses
Fishing tackle
Golf clubs
Gun
Lawn game
Projector
Tennis racket

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 12. Men’s Clothing
      (1)     (2)            (3)           (4)        (5)         (6)             (7)    (8)                         (9)
             Cost            Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
              or             or            casualty1orvalue       value       (5) minus  column (2)                  loss (column
             other           other         theft      before      after       column (6) or column                   (8) minus  2
     Item    basis           reimbursement            casualty    casualty               (7)                         column (3))
Belt
Boots
Gloves
Handkerchief
Hat
Overcoat
Raincoat
Shirt
Shoes
Shorts
Slacks
Socks
Sport jacket
Suit
Sweater
Tie
Underwear

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 13. Women’s Clothing
      (1)    (2)               (3)           (4)        (5)         (6)             (7)    (8)                       (9)
             Cost              Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
              or               or            casualty1orvalue       value       (5) minus  column (2)                loss (column
             other             other         theft      before      after       column (6) or column                 (8) minus  2
     Item    basis             reimbursement            casualty    casualty               (7)                       column (3))
Belt
Blouse
Boots
Coat
Dress
Fur
Gloves
Hat
Hosiery
Jacket
Lingerie
Scarf
Shirt
Shoes
Skirt
Slacks
Suit
Sweater

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 14. Children’s Clothing
      (1)     (2)            (3)           (4)        (5)         (6)             (7)    (8)                         (9)
             Cost            Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
              or             or            casualty1orvalue       value       (5) minus  column (2)                  loss (column
             other           other         theft      before      after       column (6) or column                   (8) minus  2
     Item    basis           reimbursement            casualty    casualty               (7)                         column (3))
Blouse
Boots
Coat
Dress
Gloves
Hat
Shirt
Shoes
Skirt
Slacks
Socks
Sport jacket
Stockings
Suit
Sweater
Underwear

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 15.   Jewelry
      (1)      (2)             (3)           (4)        (5)         (6)             (7)    (8)                       (9)
               Cost            Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
               or              or            casualty1orvalue       value       (5) minus  column (2)                loss (column2
               other           other         theft      before      after       column (6) or column                 (8) minus
    Item       basis           reimbursement            casualty    casualty               (7)                       column (3))

Bracelet
Brooch
Earrings
Engagement ring
Necklace
Pin
Ring
Watch
Wedding ring

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 16.   Electrical Appliances
     (1)       (2)           (3)           (4)        (5)         (6)             (7)    (8)                         (9)
               Cost          Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
               or            or            casualty1orvalue       value       (5) minus  column (2)                  loss (column
               other         other         theft      before      after       column (6) or column                   (8) minus  2
     Item      basis         reimbursement            casualty    casualty               (7)                         column (3))
Air conditioner
Blanket
Dehumidifier
Fan
Floor polisher
Grill
Heating pad
Humidifier
Sewing machine
Sun lamp
Vacuum cleaner

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 17. Linens
      (1)     (2)              (3)           (4)        (5)         (6)             (7)    (8)                       (9)
             Cost              Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
              or               or            casualty1orvalue       value       (5) minus  column (2)                loss (column
             other             other         theft      before      after       column (6) or column                 (8) minus  2
      Item   basis             reimbursement            casualty    casualty               (7)                       column (3))
Bath mat
Bedsheet
Bedspread
Blanket
Comforter
Mattress pad
Napkins
Pillow
Pillowcase
Placemat
Quilt
Tablecloth
Towel
Washcloth

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 18.      Miscellaneous
   (1)            (2)          (3)         (4)        (5)         (6)             (7)    (8)                         (9)
                  Cost       Insurance     Gain from  Fair market Fair market Column     Smaller of                  Casualty/Theft
                  or           or          casualty1orvalue       value       (5) minus  column (2)                  loss (column2
                  other      other         theft      before      after       column (6) or column                   (8) minus
   Item           basis      reimbursement            casualty    casualty               (7)                         column (3))

Barbeque
Lawn furniture
Musical instrument
Outdoor shed
Picnic set
Porch furniture
Sport equipment
Swing set
Toy

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 19. Motor Vehicles
  (1)        (2)               (3)           (4)        (5)         (6)             (7)    (8)                           (9)
             Cost              Insurance     Gain from  Fair market Fair market Column     Smaller of                Casualty/Theft
  Vehicle    or                or            casualty1orvalue       value       (5) minus  column (2)                loss (column
(year, make  other             other         theft      before      after       column (6) or column                 (8) minus  2
and model)   basis             reimbursement            casualty    casualty               (7)                       column (3))

1 If column (3) is greater than column (2), enter the difference here and skip columns (5) through (9) for that item.
2 If zero or less, enter -0-.

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Schedule 20. Home (Excluding Contents)
Note. If you used the entire property as your home only, fill out only column (a). However, if you used part of the property as your home and part of it for business or to produce rental 
income, you must allocate the entries on lines 2-9 between the personal part (column (a)) and the business/rental part (column (b)).
1.   Description of property (Show location and date acquired.)                                                                           (a)            (b)
                                                                                                                                           Personal Part  Business/Rental 
                                                                                                                                                         Part

2.   Cost or other (adjusted) basis of property (from Worksheet A, line 13)
3.   Insurance or other reimbursement
     Note. If line 2 is more than line 3, skip line 4. If line 3 is more than line 2, you exclude gain, and the gain is more than you can 
     exclude, see the instructions for line 3 in the instructions for Form 4684 for the amount to enter.
4.   Gain from casualty. If line 3 is more than line 2, enter the difference here and skip lines 5 through 9. But see Next below line 9.
5.   Fair market value before casualty
6.   Fair market value after casualty
7.   Decrease in fair market value. Subtract line 6 from line 5.
8.   Enter the smaller of line 2 or line 7
     Note for business/rental part. If the property was totally destroyed by casualty, enter on line 8, column (b) the amount from 
     line 2, column (b).
9.   Subtract line 3 from line 8. If zero or less, enter -0-.
Next: Transfer the entries from line 1 and lines 2-9, column (a), above to the corresponding lines on Form 4684, Section A. Transfer the entries from line 1 and lines 2-9, column (b), to 
the corresponding lines on Form 4684, Section B.

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Worksheet A. Cost or Other (Adjusted) Basis                                                                                                       Keep for Your Records
Caution. See the Worksheet A Instructions before you use this worksheet.
                                                                                                                                                  (a)
                                                                                                                                                  Personal (b)
                                                                                                                                                  Part     Business/Rental Part
1.  Enter the purchase price of the home damaged or destroyed. (If you filed Form 2119, Sale of Your Home, when you 
    originally acquired that home to postpone gain on the sale of a previous home before May 7, 1997, enter the adjusted 
    basis of the new home from that Form 2119.)                                                                                               1.            
2.  Seller paid points for home bought after 1990. Don’t include any seller-paid points you already subtracted to arrive at 
    the amount entered on line 1 .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2.            
3.  Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   3.            
4.  Settlement fees or closing costs. (See Settlement costs in Pub. 551.) If line 1 includes the adjusted basis of the new 
    home from Form 2119, skip lines 4a-4g and 5; go to line 6.
a.  Abstract and recording fees   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4a.           
b.  Legal fees (including fees for title search and preparing documents)          . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4b.           
c.  Survey fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4c.           
d.  Title insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d.           
e.  Transfer or stamp taxes   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4e.           
f.  Amounts that the seller owed that you agreed to pay (back taxes or interest, recording or mortgage fees, and sales 
    commissions)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4f.           
g.  Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4g.           
5.  Add lines 4a through 4g   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   5.            
6.  Cost of additions and improvements. (See Increases to Basis in Pub. 551.) Don’t include any additions and 
    improvements included on line 1     . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   6.            
7.  Special tax assessments paid for local improvements, such as streets and sidewalks                . . . . . . . . . . . . . . . . . . .   7.            
8.  Other increases to basis  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   8.            
9.  Add lines 3, 5, 6, 7, and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   9.            
10. Depreciation allowed or allowable, related to the business use or rental of the home            . . . . . . . . . . . . . . . . . . . .   10. 0         
11. Other decreases to basis (See Decreases to Basis in Pub. 551.) .          . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   11.           
12. Add lines 10 and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   12.           
13. Cost or other (adjusted) basis of home damaged or destroyed. Subtract line 12 from line 9. Enter here and on 
    Schedule 20, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   13.           

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Worksheet A Instructions.                                                                                                              Keep for Your Records
If you use Worksheet A to figure the cost or other (adjusted) basis of your home, follow these instructions. DON’T use 
this worksheet to determine your basis if you acquired an interest in your home from a decedent who died in 2010 and 
whose executor filed Form 8939.
IF...                                        THEN...
you inherited your home from a             1 skip lines 1–4 of the worksheet.
decedent who died either before or         2 find your basis using the rules under Inherited Property in Pub. 551. Enter this amount on line 5 of the worksheet.
after 2010 or from a decedent who died 
in 2010 and whose executor didn’t file     3 fill out lines 6–13 of the worksheet.
Form 8939.
you received your home as a gift           1 read Property Received as a Gift in Pub. 551 and enter on lines 1 and 3 of the worksheet either the donor's adjusted basis or the home's 
                                             fair market value at the time of the gift, whichever is appropriate.
                                           2 if you can add any federal gift tax to your basis, enter that amount on line 5 of the worksheet.
                                           3 fill out the rest of the worksheet.
you received your home as a trade for      1 enter on line 1 of the worksheet the fair market value of the other property at the time of the trade. (But if you received your home as a 
other property                               trade for your previous home before May 7, 1997, and had a gain on the trade that you postponed using Form 2119, enter on line 1 of 
                                             the worksheet the adjusted basis of the new home from that Form 2119.)
                                           2 fill out the rest of the worksheet.
you built your home                        1 add the purchase price of the land and the cost of building the home. Enter that total on line 1 of the worksheet. (However, if you filed a 
                                             Form 2119 to postpone gain on the sale of a previous home before May 7, 1997, enter on line 1 of the worksheet the adjusted basis of 
                                             the new home from that Form 2119.)
                                           2 fill out the rest of the worksheet.
you received your home from your           1 skip lines 1–4 of the worksheet.
spouse after July 18, 1984                 2 enter on line 5 of the worksheet your spouse's cost or other (adjusted) basis in the home just before you received it.
                                           3 fill out lines 6–13 of the worksheet, making adjustments to basis only for events after the transfer.
you owned a home jointly with your           fill out one worksheet, making adjustments to basis for events both before and after the transfer.
spouse, who transferred his or her 
interest in the home to you after July 18, 
1984
you received your home from your           1 skip lines 1–4 of the worksheet.
spouse before July 19, 1984                2 enter on line 5 of the worksheet the home's fair market value at the time you received it.
                                           3 fill out lines 6–13 of the worksheet, making adjustments to basis only for events after the transfer.
you owned a home jointly with your         1 fill out a worksheet, lines 1–13, making adjustments to basis only for events before the transfer.
spouse, and your spouse transferred        2 multiply the amount on line 13 of that worksheet by 50% (0.50) to get the adjusted basis of your half-interest at the time of the transfer.
his or her interest in the home to you 
before July 19, 1984                       3 multiply the fair market value of the home at the time of the transfer by 50% (0.50). Generally, this is the basis of the half-interest that 
                                             your spouse owned.
                                           4 add the amounts from steps 2 and 3 and enter the total on line 5 of a second worksheet.
                                           5 complete lines 6–13 of the second worksheet, making adjustments to basis only for events after the transfer.
you owned your home jointly with a         1 fill out lines 1–13 of the worksheet.
nonspouse                                  2 multiply the amount on line 13 by your percentage of ownership to get the adjusted basis of your part-interest.

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The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Worksheet A Instructions.              (Continued)                                                                                Keep for Your Records
IF...                                    THEN...
you owned your home jointly with your  1 fill out a worksheet, lines 1–13, including adjustments to basis only for events before your spouse's death.
spouse who died before 2010 and        2 multiply the amount on line 13 of that worksheet by 50% (0.50) to get the adjusted basis of your half-interest on the date of death.
before the casualty
                                       3 figure the basis for the half-interest owned by your spouse. This is one-half of the fair market value on the date of death (or later 
                                         alternate valuation used for estate or inheritance tax). (The basis in your half will remain one-half of the adjusted basis determined in 
                                         step 2.)
                                       4 add the amounts from steps 2 and 3 and enter the total on line 5 of a second worksheet.
                                       5 complete lines 6–13 of the second worksheet, making adjustments to basis only for events after your spouse's death.
you owned your home jointly with your  1 skip lines 1–4 of the worksheet.
spouse who died before 2010 and        2 enter the amount of your basis on line 5 of the worksheet. Generally, this is the fair market value of the home at the time of death. (But 
before the casualty, and your            see Community Property in Pub. 551 for special rules.)
permanent legal home is in a 
community property state               3 fill out lines 6–13 of the worksheet, making adjustments to basis only for events after your spouse's death.
you owned your home jointly with a     1 fill out lines 1–13 of the worksheet, including adjustments to basis only for events before the co-owner's death.
nonspouse who died before 2010 and     2 multiply the amount on line 13 by your percentage of ownership to get the adjusted basis of your part-interest on the date of death.
before the casualty
                                       3 multiply the fair market value on the date of death (or later alternate valuation used for estate or inheritance tax) by the co-owner's 
                                         percentage of ownership. This is the basis for the co-owner's part-interest.
                                       4 add the amounts from steps 2 and 3 and enter the total on line 5 of a second worksheet.
                                       5 complete lines 6–13 of the second worksheet, including adjustments to basis only for events after the co-owner's death.
your home was ever damaged as a        1 on line 8 of the worksheet, enter any amounts you spent to restore the home to its condition before the prior casualty.
result of a prior casualty             2 on line 11 enter:
                                             any insurance reimbursements you received (or expect to receive) for the prior loss, 
                                             and
                                             any deductible casualty losses from prior years not covered by insurance.
the person who sold you your home        on line 2 enter the seller-paid points only if you deducted them as home mortgage interest in the year paid (unless you used the 
paid points on your loan and you         seller-paid points to reduce the amount on line 1).
bought your home after 1990 but before 
April 4, 1994
the person who sold you your home        on line 2 enter the seller-paid points even if you didn’t deduct them (unless you used the seller-paid points to reduce the amount on 
paid points on your loan and you         line 1).
bought your home after April 3, 1994
you used part of the property as your    you must allocate the entries on Worksheet A between the personal part (column (a)) and the business/rental part (column (b)).
home and part of it for business or to 
produce rental income
none of these items apply                fill out the entire worksheet.

Publication 584 (October 2017)                                                                                                                                         Page 27






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