RETURN OF INFORMATION AND AUTHORIZATION AND CONSENT OF
SUBSIDIARY CORPORATION INCLUDED IN A UNITED STATES
CONSOLIDATED INCOME TAX RETURN *

For Calendar Year 1952
Or fiscal year beginning __ _..» 1952, and ending ~____......-----2------------ » 1953
_-» 1952, and ending

Or for period beginning

Serial
Number
Date Received

If the return is for calen- PRINT PLAINLY CORPORATION’S NAME AND BUSINESS ADDRESS
dar year 1952, file it on or
before March 15, 1953.

If the return is for a
fiscal year, file it on or
before the 15th day of the
third month following the
lose of the fiscal year.

(1) Date incorporated ....
(2) Capital stock outstanding at beginning of taxable year: (a) Com., $_..
(8) Kind of business ....

(4) Name of common parent corporation _
(Give name of corporation which filed the consolidated income tax return for the entire affiliated group)

(5) Address of common parent corporation ...
(6) Internal revenue district in which consolidated return is filed —
(Give iy

(7) If a regulated public utility described in Section 448 (d) of the Internal Revenue Code, state whether the

consent is made to compute the excess profits credit without regard to section 448 or under section 448
only ee

The above-named subsidiary corporation hereby authorizes the above-named common parent corporation
(or in the event of its failure, the Commissioner or the director) 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 con-
solidated return must be made under the provisions of the consolidated income tax regulations.

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 the above-mentioned regulations. 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 the consolidated income tax regulations.

DECLARATION
We, the undersigned, president (or vice president or other principal officer) and treasurer (or assistant
treasurer or chief accounting officer) of the above-named subsidiary corporation, each for himself declares
under the penalties of perjury that the above-named subsidiary has authorized him to sign this form on its
behalf, and that this form 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 Internal Revenue Code and the regulations issued thereunder.

(6) Pref., $.
Active or inactive

(tate title)

ate) CORPORATE
SEAL

INSTRUCTIONS
Two duplicate originals of this form must be prepared by each subsidiary corporation. Each form must
be signed under the corporate seal. 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 director 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)

16—874S1-1—U. 5. GOVERNMENT PRINTING OFFICE




©: 6, ue ear ae 1952
RETURN OF INFORMATION AND AUTHORIZATION AND CONSENT OF
SUBSIDIARY CORPORATION INCLUDED IN A UNITED STATES
CONSOLIDATED INCOME TAX RETURN

For Calendar Year 1952
, 1952, and ending .....
coeeeeeceeeeeeeeeeee _» 1952, and ending

Or fiscal year beginning -__...

Or for period beginning ...

If the retum is for calen- PRINT PLAINLY CORPORATION'S NAME AND BUSINESS ADDRESS
dar year 1952, file it on or
before March 15, 1953.

If the return is for a
fiscal year, file it on or
before the 15th day of the
third month following the
dlose of the fiscal year.

“(State)

(1) Date incorporated -... Under laws of State of
(2) Capital stock outstanding at beginning of taxable year: (a) Com., $__.
(8) Kind of business - a

(4) Name of common parent corporation ___________.
(Give name of corporation which filed the consolidated income tax return for the entire affiliated grouy

(6) Address of common parent corporation -....._.-
(6) Internal revenue district in which consolidated return is filed

(Give
(7) Ifa regulated public utility described in Section 448 (d) of the Internal Revenue Code, state whether the
consent is made to compute the excess profits credit without regard to section 448 or under section 448
only ..

The above-named subsidiary corporation hereby authorizes the above-named common parent corporatiot
(or in the event of its failure, the Commissioner or the director) 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 con-
solidated return must be made under the provisions of the consolidated income tax regulations.

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 the above-mentioned regulations. 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 the consolidated income tax regulations.

DECLARATION
We, the undersigned, president (or vice president or other principal officer) and treasurer (or assistant
treasurer or chief accounting officer) of the above-named subsidiary corporation, each for himself declares
under the penalties of perjury that the above-named subsidiary has authorized him to sign this form on its
behalf, and that this form 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 Internal Revenue Code and the regulations issued thereunder.

rrineipal officer) (State title)

(State title)

@ate) CORPORATE
SEAL

INSTRUCTIONS
Two duplicate originals of this form must be prepared by each subsidiary corporation. Each form must
be signed under the corporate seal. 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 director for the district prescribed for the filing of a separate
return by the subsidiary.

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

E—87431-1n U.S. GOVERNMENT PRINTING OFFICE