Form 8606 Nondeductible IRAs 2004. Summary: This is an example of Form 8606 (2004) with items included as described in the text. Additionally, these line items are completed:

“Name. If married, file a separate form for each spouse required to file Form 8606. See page 5 of the instructions.” field contains Rose Green

“Your social security number” field contains 001-00-0000

Under “Part I: Nondeductible Contributions to Traditional IRAs and Distributions From Traditional, SEP., and SIMPLE. IRAs”:

“2. Enter your total basis in traditional IRAs for 2003 and earlier years (see page 6 of the instructions)” field contains 300

“3. Add lines 1 and 2” field contains 800

“4. Enter those contributions included on line 1 that were made from January 1, 2005, through April 15, 2005” field contains 0

“5. Subtract line 4 from line 3” field contains 800

“13. Add lines 11 and 12. This is the nontaxable portion of all your distributions” field contains 460 Footnote: From Worksheet in Publication 590.

“14. Subtract line 13 from line 3. This is your total basis in traditional IRAs for 2004 and earlier years” field contains 340

“15. Taxable amount. Subtract line 12 from line 7. Also include this amount on Form 1040, line 15b; Form 1040A, line 11b; or Form 1040NR, line 16b” field contains 0 Footnote: From Worksheet in Publication 590.