If you're a taxpayer who's received a Form 4697, you may be wondering what it is and what to do with it. A Form 4697 is basically an information form that the IRS uses to track certain types of gambling income. This form must be attached to your tax return if you've incurred gambling losses during the year. If you've won money while gambling, that amount will be reported on your 1040 tax return, on line 21 as Other Income. So, if you've got a Form 4697 in your hands, don't panic - it's just the IRS keeping track of your gambling income and losses. Just fill it out and attach it to your return, and you're good to go!
| Question | Answer |
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| Form Name | Da Form 4697 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | V3, USAPPC, 40a, QTY |
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DEPARTMENT OF THE ARMY |
1. DATE PREPARED |
2. SURVEY NUMBER |
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REPORT OF SURVEY |
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For use of this form, see AR |
the proponent agency is ODCSLOG |
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3. TYPE OF PROPERTY |
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4. ADDRESS OF ACCOUNTABLE OFFICER |
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5. ORIGINATOR (Accountable officer, or primary hand receipt holder) |
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6. |
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7. |
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8. |
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9. |
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10. |
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NATIONAL STOCK NUMBER |
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ITEM DESCRIPTION |
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QTY |
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UNIT PRICE |
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TOTAL COST |
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11. DATE AND CIRCUMSTANCES |
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12. |
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SIGNATURE AND DATE |
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13. Subscribed and sworn to |
(or affirmed) |
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AFFIDAVIT |
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before me at |
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I do solemnly swear (or affirm) that (to the best of |
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this |
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day of |
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my knowledge and belief) |
the articles of public |
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TYPED NAME, GRADE, AND SSN |
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NAME AND GRADE (type and sign) |
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property shown above and/or on attached sheets |
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were lost, destroyed, damaged, or worn out in the |
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manner stated, while in the public service. |
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14. DATE |
15. NAME, GRADE, AND SIGNATURE OF ACCOUNTABLE OFFICER |
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16. DOCUMENT NUMBER |
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17. |
APPOINTING AUTHORITY |
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I have received the evidence pertaining to the lost, damaged, or destroyed property, and have determined that the following action is required. |
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a. |
No further investigation is required. There is no positive evidence of negligence. I do not suspect willful misconduct, or |
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deliberate unauthorized use. I hereby forward this document to the approving authority for final action. (Proceed to block 37.) |
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b. |
The circumstances surrounding the lost, damaged or destruction warrants further investigation. (Proceed to block 21.) |
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c. |
Conduct an investigation according to AR |
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it to the approving authority. |
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18. |
DATE |
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19. TYPED NAME, GRADE, AND TITLE OF APPOINTING AUTHORITY |
20. SIGNATURE |
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DA FORM 4697, SEP 81 |
DA FORM 4696(TEST), 1 JUL 78 and DA FORM 4697(TEST), |
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1 JUL 78 ARE OBSOLETE. |
USAPPC V3.00
21. APPOINTING AUTHORITY
22. STATION
23. DATE
24. |
NAME, GRADE OF SURVEYING OFFICER |
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25. |
YOU ARE APPOINTED SURVEYING OFFICER BY ORDER OF: |
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(Typed name, grade of Appointing Authority) |
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26. |
FINDINGS AND RECOMMENDATION |
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I have examined all available evidence as shown in exhibits |
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to |
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and as indicated below have personally investigated the |
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same and it is my belief that the article(s) listed hereon and/or attached to sheets, total cost $ |
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27.
RECOMMEND PECUNIARY CHARGE
a. ACTUAL LOSS
b. AMOUNT CHARGED
c. LOSS TO GOVERNMENT
28. DATE
29a. TYPED NAME, GRADE OF SURVEYING OFFICER
b. SIGNATURE
30.
I have examined the findings and recommendations of the Surveying Officer on this report of survey and the exhibits
to and desire to make a statement which is attached hereto; do not desire to make a statement. I am aware of my right to legal advice in preparing the statement and, if a pecuniary charge is finally approved, to make appeal and (If an en- listed man) my right to request remission of indebtedness. I am/am not the accountable officer for the lost or damaged property. The property was/was not my personal arms or equipment.
31. DATE
32a. TYPED NAME, GRADE OF INDIVIDUAL BEING CHARGED
b. SIGNATURE
33.RECOMMENDATION BY THE APPOINTING AUTHORITY
CONCUR
NONCONCUR
34. COMMENTS
35. DATE
36a. TYPED NAME, GRADE & TITLE OF APPOINTING AUTH
b. SIGNATURE
37. APPROVING AUTHORITY |
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a. |
REJECTED. Investigation is required. Appoint a survey officer. Date |
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Initials |
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b. |
REJECTED. Investigation incomplete. Additional information required. Date |
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Initials |
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c. APPROVED BY AUTHORITY OF THE SECRETARY OF THE ARMY. |
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38.PECUNIARY CHARGE
a. ACTUAL LOSS
b. AMOUNT CHARGED
c. LOSS TO GOVERNMENT
39. DATE
40a. TYPED NAME, GRADE & TITLE OF APPROVING AUTH
b. SIGNATURE
REVERSE, DA FORM 4697, SEP 81
USAPPC V3.00