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Section 4, Part D collects expenditures on fuels and utilities for the household residence and other owned properties as well as rented vacation properties, including electricity, natural gas, other fuels, water service, sewer maintenance, garbage collection, and cable television or satellite service.
Now I am going to ask about utility bills. Please refer to any billing statements or other records you have when answering these questions. Please remember to include any bills you receive or pay online or have automatically deducted. Report any utility bill you have received, even if the bill has not been paid.
Since the first of the reference month, have you or any members of your household received any bills for any of the following utilities, fuels, or services? Do not include bills for properties used entirely for business.
* Read each item on list:
Which property was the bill for?
* FOR OWNED PROPERTY - Enter the owned property number [enter value] _____________* FOR RENTED PROPERTY OR PROPERTY NOT OWNED OR RENTED – Enter the rented property type below
* Briefly describe the property. [enter text] _____________
What is the name of the company or government agency which provides the utilities, fuels, or services? [enter text] _____________
Will any part of the utilities, fuels, or services charges be deducted as a business expense?
How much were you billed for in the reference month? [enter value] _____________
How much were you billed for in 2nd month of the reference period? [enter value] _____________
How much were you billed for in last month (of the reference period)? [enter value] _____________
What is your usual billing period for the service?
* Specify: [enter text] _____________
* Enter 'C' for a combined expense
What other utilities, fuels, or services was the above services charge combined with?
* Enter all that apply
Did you receive any other utilities, fuels, or services bills?
End of Section 4D
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Last Modified Date: May 15, 2012