(a) (b) (c) (d) (e) (f)
37 Do you maintain a written policy statement that prohibits all personal use of vehicles including commuting by Yes No
38 Do youmaintain awritten policy statement that prohibits personal use of vehicles except commuting by youremployees?
39 Do you treat all use of vehicles by employees as personal use?
40 Do you provide more than five vehicles to your employees obtain information from your employees about the
41 Do youmeet the requirements concerning qualified automobile demonstration use?
42 Amortization of costs that begins during your 2013 tax year (See IRS instructions):
43 Amortization of costs that began before your 2013 t ax year 43
44 Total Add amounts in column (f) 44
Amortization
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5%
begins amount section period or this year
Description of costs Date amortization Amortizable Code Amortization Amortization for
Form 4562 (2013) Page 3
Note: If your answer to 37 38 39 40 or 41 is Yes do not complete Section B for the covered vehicles
owners or related persons
Part VI
percentage
Section C Questions for Employers Who Provide Vehicles for Use by Their Employees
See IRS instructions for vehicles used by corporate officers directors or 1% or more owners
use of the vehicles and retain the information received?
your employees?
