SuperCalc ver. 1.12 1040 SCHED R for 1987 by Ed Smith, Canoga Park, CAÏÏÏ P7 '"1040 SCHED R for 1987 by Ed Smith, Canoga Park, CAÏÏ"12/31/87D R "(to print P.1, use: A5:K46). Page 2 is below at A47.Ï "(Note: It is impractical to do page 1 on your cmptr; just fill in original P.1!/eÏÏ '=ote  "=ote)"SCHED R - 1040 CREDIT for ELDERLY or P & T DISABLED 1987nal P  "|HED '-HED  "|HED!"Name(s)- 104!"Soc Sec #104  "|c S '.c S  "|c S$"Read instructions on IRS formor ELDE  "|ad '.ad "|ad )"PART I - Check ONLY ONE box that applies to your filing status and agenal P "|RT !"If your Chec #"And by the end of 1987:box t "|d b !"status is:en "|atu &"1 You were 65 or over 1 "[ ]o "|]o!"Single*ere 6&"2 You were under 65 & ret. on P & T disability 2 "[ ]o  "|]o'"* includes Head of Hshld or Qual widow(er) w/ dep. childtatu  "|inc '.inc  "|inc&"3 Both spouses were 65 or over 3 "[ ]o  "|]o!"Marriedspous&"4 Both under 65, but only one ret. on P&T dis. 4 "[ ]o  "|]o!"filing ander&"5 Both under 65 & both ret. on P&T disability 5 "[ ]o  "|]o!"jointh under&"6 One 65 or over; other under 65 & ret. on P&T 6 "[ ]n  "|]n!"return65 or &"7 one 65 or over; other under 65 NOT ret. on P&T 7 "[ ]n  "|]n '.]n  "|]n!"Married5 or  "|rri!"filing a or &"8 65 or over; never lived with spouse in 1987 8 "[ ]5  "|]5!"separateover&"9 Under 65, ret. on P&T disability, and never 8  "| Un!"returnr 65, &" lived with spouse at any time in 1987. 9 "[ ]i  "|]i  "|]i)"NOTE: If you checked box on line 1,3,7, or 8, skip Part II but do III.nal P  "|TE:'"If you ckd line 2, 4, 5, 6 or 9, complete Parts II & III. bu  "| yo '- yo  "| yo)"PART II - Statement of P & T Disability (Complete only if 2,4,5,6 or 9 ckd)  "|RT '.RT "|RT !&"IF: 1 You filed a physician's statement ....ANDe on ! "|: ")" 2 Due to your continued disabled condition you were unable to engaged) " "| #(" in any substantial gainful activity in 1987, check box >o en #"[ ] # "|] $ '-] $ "|] %%" PHYSICIAN'S STATEMENTty in % "| & "| '#" (See actual form)CIAN'S ' "| ( "| ) '- ) "| *#"Instructions for Statement'S * "|str + "|str,#" (See actual form)ent'S , "| - '= - "= ." (end of page 1 of Sched R. Page 2 is below)87, c . "| (e/("1040 SCHED R for 1987 - P.2 by Ed Smith, Canoga Park, CA en / "|40 0$"(to print P.2, use: A52:K87) 0 "|o p1"Please enter the # of box checked on P.1 --->--->--1"?eas 1 "|o p 2 "|o p3%"PART III - Figure the Amount of Your Creditm 3 "|RT 4 '.RT 4 "|RT 5("10 Enter $5000 if you chkd box on line 1,2,4, or 7 in Part 1, OR en 5 "| En6(" $5000 if you chkd box on line 3, 5, or 6 in Part 1, OR en6 "|10| 6¨DPIF(OR(G50=3,G50=5),7500,IF(G50=6,7500,IF(G50>7,3750,5000))) 6 "|...7'" $3750 if you chkd box on line 8 or 9 in Part 1t 1, 7 "|\\| 7 "|\|8)"Caution: If you chkd box 2,4,5,or 9, you must complete line 11 below.aged)8 "|\\| 8 "|\|9)" Otherwise skip line 11 and enter amt from line 10 on line 12.ged)9 "|\\| 9 "|\|: "|\\| : "|\|;)"11 Enter on this line your taxable disab. inc (and also your spouse'sged); "|\\| ; "|\|<)" if you chkd box 5). But if you chkd box 6, enter here the txbl incged)< "|\\| < "|\|=%" of spouse who was under 65, plus $5000>.,= "|11| =".....?....e = "|...>("12 If you completed line 11, enter smaller of lines 10 or 11.xbl inc> "| | > "| |?$" Otherwise, enter line 10 amt.r sm? "|12| ?¤DPIF(J62>0,MIN(J55,J62),J55)m ? "|@%"13 Enter pensions, annuities, or dis. inc.of@$" --------------------------------. @ "| --A&" that you (or both if jt. ret.) recd in 1987.nes 1A!" | |ou (A "|\\| A "|\|B$" a Non-txbl part of Soc Sect.) recB!" |13a|txblB"....?....xblB "|\\| B "|\|C(" b Non-txbl part of RR retirement; & | |bl incC "|\\| C "|\|D(" Non-txbl vet's pensions; & | |bl incD "|\\| D "|\|E(" Any other pens, ann, or dis benefit that | |bl incE "|\\| E "|\|F(" is excl. from inc under any prov. of law. |13b|bl incF"....?....cl.F "|\\| F "|\|G(" | |bl incG "|\\| G "|\|H(" c Add lines 13a & 13b. If blank, enter zero. |13c|bl incH¤IF(H67+H71>0,H67+H71,0)), H "|\\| H "|\|I!" |///|ineI "|\\| I "|\|J%"14 Enter amt from 1040,line 31 |14|J"....?....mt J!" |///|mt J "|\\| J "|\|K%"15 Enter $7500 if box 1 or 2 chkd | |K!" |///|$750K "|\\| K "|\|L%" $10000 if box 3,4,5,6, or 7 | |L!" |///|1000L "|\\| L "|\|M%" $5000 if 8 or 9 chkd |15|M§EIF(OR(G50=1,G50=2),7500,IF(G50>7,5000,10000)),3750,M!" |///|500M "|\\| M "|\|N%"16 Subtract ln 15 from 14 but | |N!" |///|ct lN "|\\| N "|\|O%" enter zero if 15 is greater |16|O¤IF(F78>F75,0,F75-F78) O!" |///|IF(FO "|\\| O "|\|P("17 Divide line 16 by 2 |17 |bl incP¢F80/2>F75,0P "|\\| P "|\|Q#"18 Add lines 13c & 17. Q "|18| Q¢H73+H81& 17 Q "|R%"19 Line 12 less 18. If zero or less, STOP! R "|19| R¤DPIF(J64-J82<=0,NA,J64-J82), R "|/AS&"20 "Percentage you use to figure credit = 15% S "|20| S!" x .15ntag S "| x T)"21 Multiply amt on 19 by 15%. Enter amt on 1040 line 41 unless you fileed)T "| | T "| |U%" Schedule C, D, E, or F (Form 1040). on 10U "|21| U¢CuJ83*.15 E, U "|/AV '=/A V "=/AW" (end of P.2, Sched R, 1040)0)