High profit sale after 2012 can trigger the special 3.8% Medicare surtax. Starting in 2013, the new health care law imposes a 3.8% tax on investment income of singles with adjusted gross incomes over $200,000 and marrieds above $250,000. Capital gains are treated as investment income. The surtax will be on gains that exceed $250,000 for single taxpayers or $500,000 for married taxpayers. The surtax can take even a bigger bite on sales of second homes where the principal residence exclusions don't apply.
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