Form 1122
TREASURY DEPARTMENT
INTERNAL REVENUE SERVICE

Return of Information and Authorization and Consent of Subsidiary Corporation Included in a Consolidated
Income Tax Return of Railroad Corporations

For Calendar Year 1935

Or Fiscal Year begun

Or for Period begun _..., 1935, and ended

PRINT PLAINLY CORPORATION'S NAME AND BUSINESS ADDRESS} Serial

Ifreturn is for calendar
year 1935, file it on or be-

fore March 15, 1936. ==
‘emo of subsidiary)
If the return is for a
fiscal year, file it on or
before the 15th day of the nna waa waa anne

third month following the
close of the fiscal year.

(Post offic and State)

(1) Date incorporated Under laws of what State

(2) Capital stock outstanding at beginning of taxable year: (¢) Common, $

(b) Preferred, $_...

(8) Kind of business -.....-.. Active or inactive -....

(4) Name of common parent corporation a

ive name of corporation which filed the consolidated income tax return for the entire

(5) Address of common parent corporation -....-----.

(6) Internal revenue district in which consolidated return is filed _

The above-named subsidiary corporation hereby authorizes the above-named common parent corporation (or in the event of
its failure, the Commissioner or the collector) to make a consolidated income tax return on its behalf for the taxable year for which
this form is filed, and for each taxable year thereafter that a consolidated return must be made under the provisions of Article 11 (a)
of Regulations 89.

The above-named subsidiary corporation, in consideration of the privilege of joining in the making of a consolidated return
with the above-named common parent corporation, hereby consents to and agrees to be bound by the provisions of Regulations 89
prescribed prior to the making of this return. This consent is applicable to the taxable year for which this form is filed and to each
taxable year thereafter that a consolidated return must be made under the provisions of Article 11 (a) of Regulations 89.

AFFIDAVIT

We, the undersigned, president (or vice president or other principal officer) and treasurer (or assistant treasurer or chief account-
ing officer) of the above-named subsidiary corporation, being severally duly sworn, each for himself deposes and says that the above-
named subsidiary has authorized him to execute this form on its behalf, and that this form, including the accompanying list (if any),
has been examined by him and the information contained herein is, to the best of his knowledge and belief, a true, correct, and
complete return of information, made in good faith pursuant to the Revenue Act of 1934 and the Regulations issued thereunder.

Sworn to and subscribed before me this

‘(recsurer, Assistant Pressure, or Ghiet Accounting Oflie:) (State title)

NOTARIAL ‘CORPORATE,
SEAL SEAL

INSTRUCTIONS

‘Two duplicate originals of this form must be prepared by each subsidiary corporation. Each form must be execiited under the
corporate seal, and sworn to by the persons then qualified to swear to a separate return of the subsidiary. One of these forms shall
be forwarded to the common parent corporation to be filed with the consolidated income tax return; and the other filed, at or before
the time the consolidated income tax return is filed, in the office of the collector for the district prescribed for the filing of a separate
return by the subsidiary.

(Forward this form to the common parent corporation to be filed with the consolidated return)

0.5, GOVERNMENT PRINTING OFFICE 217008




Form 1122
TREASURY DEPARTMENT
INTERNAL REVENUE SERVICE

Return of Information and Authorization and Consent of Subsidiary Corporation Included in a Consolidated
Income Tax Return of Railroad Corporations

For Calendar Year 1935

seee ccna , 1935, and ended

Or Fiscal Year begun

Or for Period begun _.-) 1935, and ended

PRINT PLAINLY CORPORATION'S NAME AND BUSINESS ADDRESS Serial

Ifreturn is for calendar
year 1938, file it on or be~
fore March 15, 1936.

(Name of subsidiary)
If the retun is for a
fiscal year, file it on or
before the 15th day of the _
third month following the (ireot and number)
close of the fiscal year.

(Bost office and State)

Under laws of what State _...

(1) Date incorporated

------- (6) Preferred, $-.......------------

(2) Capital stock outstanding at beginning of taxable year: (a) Common, §.

(8) Kind of business

(4) Name of common parent corporation

(5) Address of common parent corporation ....

(6) Internal revenue district in which consolidated return is filed

(Give district or city and State)

The above-named subsidiary corporation hereby authorizes the above-named common parent corporation (or in the event of
its failure, the Commissioner or the collector) to make a consolidated income tax return on its behalf for the taxable year for which
this form is filed, and for each taxable year thereafter that a consolidated return must be made under the provisions of Article 11 (a)
of Regulations 89.

The above-named subsidiary corporation, in consideration of the privilege of joining in the making of a consolidated return
with the above-named common parent corporation, hereby consents to and agrees to be bound by the provisions of Regulations 89
prescribed prior to the making of this return. This consent is applicable to the taxable year for which this form is filed and to each
taxable year thereafter that a consolidated return must be made under the provisions of Article 11 (a) of Regulations 89.

AFFIDAVIT

We, the undersigned, president (or vice president or other principal officer) and treasurer (or assistant treasurer or chief account-
ing officer) of the above-named subsidiary corporation, being severally duly sworn, each for himself deposes and says that the above-
named subsidiary has authorized him to execute this form on its behalf, and that this form, including the accompanying list (if any),
has been examined by him and the information contained herein is, to the best of his knowledge and belief, a true, correct, and
complete return of information, made in good faith pursuant to the Revenue Act of 1934 and the Regulations issued thereunder.

Sworn to and subscribed before me this

day of , 193

“(@reasurer, Assistant Treasurer, or Obiet Accounting Officer) (State title)

NOTARIAL ‘CORPORATE
SEAL ‘SEAL

INSTRUCTIONS

‘Two duplicate originals of this form must be prepared by each subsidiary corporation. Each form must be executed under the
corporate seal, and sworn to by the persons then qualified to swear to a separate return of the subsidiary. One of these forms shall
be forwarded to the common parent corporation to be filed with the consolidated income tax return; and the other filed, at or before
the time the consolidated income tax return is filed, in the office of the collector for the district prescribed for the filing of a separate
return by the subsidiary.

(File this form with the collector for the district in which the subsidiary has its principal office or place of business)

1. 8, GOVERNMENT PRINTING OFFICE 217008