COST BASIS CALCULATOR FOR LIFE INSURANCE POLICIES
1. Name of insurance company
2. Name of policy owner
3. Name of insured
4. Face value of policy	$ (no commas)
5. Date of sale transaction (mm/dd/yyyy)
6. Type of insurance policy--enter 1 for whole life, 2 for term
7. Cash surrender value at sale date	$ (no commas)
8. Cumulative premiums paid since inception	$ (no commas)
9. Cumulative cost of insurance charges since inception	$ (no commas)
10. Cumulative withdrawals, distributions, and loans since inception	$ (no commas)
11. Sales proceeds from life insurance settlement	$ (no commas)
12. Unearned premium at sale date if term type policy (enter 0.00 if none)	$ (no commas)
13. Your marginal ordinary income tax rate	%
14. Your long-term capital gains tax rate	%
15. Is this a viatical settlement or insurance payment to a chronically ill or terminally ill individual (see link for definitions)? Enter 1 if no, 2 if yes