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IRS 4684 2015 free printable template
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Form4684Department of the Treasury
Internal Revenue ServiceCasualties and Thefts
OMB No. 154501772017Go to www.irs.gov/Form4684 for instructions and the latest information.
Attach to your tax return.
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How to fill out 2015 4684 form

The 2015 4684 form is required for individuals who have experienced casualty or theft losses during the taxable year. Here's how to fill it out in detail:
01
Enter your name and Social Security number at the top of the form.
02
Check the appropriate box in Part I to indicate whether the loss was from casualty or theft.
03
Enter the date the loss occurred in Part II, along with a brief description of the property involved.
04
In Part III, enter the fair market value (FMV) of the property immediately before the loss, the FMV immediately after the loss, and the amount of the loss as a result of the casualty or theft.
05
If any insurance or other reimbursement was received, enter the amount in Part IV.
06
Subtract any reimbursement from the amount of the loss in Part V to calculate the adjusted loss.
07
Complete Part VI by calculating the amount of the loss that is deductible on Schedule A of your tax return.
08
In Part VII, provide any additional information that may be necessary to explain the loss or to support your deduction.
09
Sign and date the form at the bottom, and attach it to your tax return.
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