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Name______________________________________
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Social Security No.________________________
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WORKSHEET
FRINGE BENEFIT COMPENSATION
VALUE FOR
EMPLOYER-PROVIDED VEHICLE
Covered Period:________ to _________
Company:_________________________________________________________
Employee:________________________________________________________
Auto Description:_______________________ Date Acquired:_______________
Annual Lease Value Method
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1. FMV (e.g. per NADA book) as of auto acquisition date or as of January 1 following the end of a deemed four-year lease term
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$__________
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2. IRS annual lease value factor for line 1 (see the Annual Lease Value Table)
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$__________
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3. Prorate to cover period less than 12 months (if applicable)
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X_________%
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4. Annual lease value for 1999 (line 2 x line 3)
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$__________
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5. Personal-use percentage: a. 11/01/98 to 10/31/99 personal miles (see note 1 below) b. 11/01/98 to 10/31/99 total miles (see note 1 below) Ratio (5a divided by 5b)
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___________ ___________
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X_________%
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6. Annual personal-use value
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$__________
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7. Plus: Additional amount for company-provided gas used personally: a. Total personal miles per above b. Less mileage where gas paid for personally c. Total personal miles on company-paid gas d. Additional value for company-paid gas
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___________ ___________ ___________ x .055/mile
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$__________
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8. Total additional compensation for 1999 (line 6 plus line 7d)
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$__________
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Standard Mileage Rate Method
[available only if estimated FMV of vehicle is less than $15,500 (for vehicles placed in service in 1999) when first made available to any employee]
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9. Personal mileage (11/01/98 to 03/31/99): ________________ x $.325 + Personal mileage (04/01/98 to 10/31/99): ________________ x $.31 =
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$__________
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10. Less personal miles where employee provided fuel: _________________ miles at $.05
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(__________)
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11. Standard mileage rate method additional compensation for 1999
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$__________
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Note 1: Taxpayers may elect not to adopt this special accounting period (allowing ease in cut-off dates), but must measure mileage from 1/1/99 to 12/31/99.
Note 2: FMV can be used instead of $.055 per mile.
Return to Automobile Fringe Benefit section 3.8.B "Annual Lease Value"
Return to Appendix A