1.   a. Name: _______________________________________   b. Taxpayer is an individual, a trust (revocable or irrevocable), a partnership, a corporation ("C" or "S"),      or LLC: ____________________________________________________________________________________     2.   a. Anticipated closing date of property being relinquished?   _____________________________________________     3.   a. Property(ies) being relinquished:     Property #1 Property #2 Property #3 Fair Market Value       Amount of existing mortgages       Equity       Adjusted basis       If applicable, amount of suspended passive losses       If applicable, prior low income or rehab tax credits         b. Anticipated replacement property, if known:     Property #1 Property #2 Property #3 Fair Market Value       Anticipated acquisition financing       Equity           4.  With respect to the property being relinquished:   Date of the acquisition of the property ?______________________________ Any accelerated depreciation taken with respect to the improvements on the property? Yes/ No Any depreciation taken on the personal property located on the premises? Yes/ No     5.  Purpose for the property being relinquished?   _____________________________________________________________________________________   _____________________________________________________________________________________     6.  Intention for the use of the replacement property?   _____________________________________________________________________________________   _____________________________________________________________________________________     7.  Any recent refinancing on the property being relinquished or intention to refinance this property before the exchange?   Yes / No.   If yes, when, for what amount and for what purpose?   _____________________________________________________________________________________   _____________________________________________________________________________________     8.  After the exchange, any intention to refinance the property being acquired?   Yes / No.   If yes, when, for what amount and what purpose?   _____________________________________________________________________________________   _____________________________________________________________________________________     9.  Any anticipation of disposition (e.g., sale, gift) of the acquired property in the future?   Yes / No.   If yes, explain:   _____________________________________________________________________________________   _____________________________________________________________________________________     10.  Will any personal property (e.g. furniture or equipment) be received as a result of this transaction?   Yes /No.   If so, what value has been placed on it?   _____________________________________________________________________________________     11.  Is any personal property (e.g. furniture or equipment) being relinquished in this transaction?   Yes / No.   If so, what value has been placed on it? _________________     12.  Any promissory notes, cash or non-like-kind property to be part of the transaction or any other boot?   Yes / No.   If so, explain:   _____________________________________________________________________________________   _____________________________________________________________________________________     13.  Are any major expenditures (capital improvements or structures to be built) anticipated to be made to any of the properties?   Yes / No.   If yes, which property?   _____________________________________________________________________________________   What is the estimated cost? $_________________________________________     14.  Is there a need to have the replacement property acquired before the disposition of the property being relinquished (i.e. "Reverse Starker")?   _______________________________________________________________