- Please print-or type For the! re pulve te y2)/ Department of the Tréaoury / US 1 a January 1-December 31, 1969, or other taxable year beginning... ee First namo and initial (If joint return, use first names and middle initials of both) Last name 1 Homo address (Number and street or rural route) © City, town or post office, State and ZIP code |” Ne ea ean T-7--War 77 BP= SPO mEPanad STOPDONENSYETT OMEN T<preveere rien remererete TE Enter below name and address used on your return for. 1968 (if same as above write ‘“Same’). If none filed, give reason.. lf changing from separate to joint or. r joint to separate returns, enter 1968 names and addresses. “Your present employer and address G8 72900. Internal Revenue Service | Individual Imcome Tax Return @ 1968 Your soclal security a : . Your eccupation Spouso's social security number Spouse’s occupation 4 (] Unmarried Head of Household 5 (3 Surviving widow(er) with dependent child . | 6 1 Married filing separate return and spouse Your. | 2 LJ Single Filing ~~}.2 (] Married filing joint return (even if only one had income) - Status—, 3 [J Married filing separate return and spouse is also filing a return. (Check | If this item checked give spouse's social security number in space provided is not required to file " only. one) |. above and enter first name here > “Please attach Copy B of Form W-2 here ~- Blind ’ Please attach Check or Money Order here ~] To - | Check boxes for exemptions which apply Rowmuar 65 or over E a | 7a Yourself . re rn a O C | Enter 5 .| 7b. Spouse (only if her (his) income is included in this return or.she (he) had no income) - CF Cj C] Hbetie te a ‘sy 8 First names of your dependent children who lived with you ‘ a E i Enter number > "| 9 Tne fiesesat tas ane ited a ia sae ‘or mate. | furnished. 11100% | by capnden and we «|, DEPENDENTS (if more space is needed, use other r side) s Pf ‘ page'3 of, instr, income? ; write “ALL.’ others co 10 Total exemptions from lines 7, 8, and Sabeve. : ~ “p> Lo ; y1L Wages, salaries, tips, e etc. Attath Forms W-2. if unavailable, explain on back . ja eo | . ae e. Total bet Kh if 100, , () —_ 5 12a Dividends Cselsion $_— AH over, me) Less 12b Exclusion $... ROOK “Baap 12c od 43 interest (If over $100, list in Schedule B, Part II) . Bi J447\— ~-: _14 Other income from Schedule C (], Schedule D 1, Schedule E 0, ScheduleF ] . 14 | — fe (Add tines 11 thru 14) (see back) bay ‘ +} 15a Total, $ é -- Less 15b Adjustments $ ty 3 yy PS , Adjusted Gross Income Bb» — Coe A If line Yc is $5,000 or more, go to Schedule T, to figure tax and surcharge. (Omit lines 16a and 16b.) ao] ,, ,B Also go to Schedule T, to figure tax and surcharge if you itemize deductions; or claim retirement income credit, foreign tax credit, or 5 i ";, | investment credit; or if you owe self: :employment tax or. tax from recomputing prior year investment credit. (Omit lines 16a and 16b.) x c {f neither A nor B applies use Tax Tables instead of Schedule T. Complete tines 16a, 16b, and 16c, See paragraph D on back for & Go). °: oo rules under which the IRS will figure your tax and surcharge. = 16a. Tax from Tax Table: A (1, BO, or C oO ‘(check one) 16a Zee 3a 16b Tax surcharge on amount on line 16a (see’ Page 10 of instr.) . |16b | f\- a nl : Total add lines 16a and. 16b OR enter amount ‘from Schedule T (Form 1 1040), line 1 line 11. 2. ‘17 Total Federal income tax withheld (attach Forms W-2) 17 _ ered 3 18 © Excess F.1.C.A. tax withheld (two or more employers—see page 5 of inst.) . 18 : J money order pay- Z -S | 19 [j Nonhighway Fedéral gasoline tax—Form 4136, [1] Reg. Inv.—Form 2439 |19 | _ ig able to Internal J met t ; ; - ; GA— g Revenue Service. Z 3 | 20° 1969 Estimated tax payments (include 1968 overpayment allowed as a credit) 2) SO — Gecnnusnayonmuile > Total (add lines 17, 18, 19, and 20) Loe 21 | | es 22 !f line 16c is larger than line 21, —p enter BALANCE DUE | 22 = »| 23 If line 21 is larger than line 16c, - > enter OVERPAYMENT | 23) nD —— {ee ~. 24. Line 23 to be: (a) Credited on 1970 estimated tax > $ ; (b) Refunded [> $ i M —_ ' (Under penalties of perjury, | dectare that { have examined this return, including accompanying schedules and statements, ond to tho best of my know! eden and belief it is true,, correct, and complote. = De signature _ Date’ Signature of preparer other than taxpayer, based on Date all information of which he has any knowledge, Addross , « 16¢- eT ae eee Ie Pgs a a Tou
ae ney Gains and Losses From Sales or Exchanges — ’ pS vee oe) . of Property | | 19 we : internal Revenue Service . Attach this schedule to your income tax return, Form 1040 ” ' "Name as shown on page 1 of Form 1040 : i Social mar Number camicedene so seamneieeieiticin vane ceetttahre toh vormeanere : Part l—~-CAPITAL ASSETS—~Short- term capital gains arid josses—assets hald net more than ‘6 months le. How | i . | ‘ : . { kind 1s allow | : : | ost or other : + a. Kind a) prop. d. Description ; quired. i. i . asis, cast cf 1 _ arty, Indicate t 100 Enter | d. Gate - . g. Depreciation i subsequent imprava- | security, real Sexamales: san brick letter acquired (na aay) t Gross gales i allowed (or i ments (if not i waste :, Gstate, or other . " ste.) ‘ symbol | (mo., day, yr.) ¥ , ! allowable} since purchased, attech © { ‘ a Specify) , Pree (Seo | f ; i acquisition . explanation) and = j . : ; , instr.) ' é expense of sale to : x 4 fod Lf werene [emer mene ree men enmnnnel f- o ey Teg A ates neem neni aa tee wen eee cane en enetemeal enna hb cs a oe oonnneseee be we’, , 2 Enter your share af net Short-terin gain (or loss) from partnerships: ‘and “fiduciaries a ee es ee 7 |, Enter unused’ short: -term capital losa” carryover from preceding taxable years » {attach statement). 6... ew of 4 Net short-term gain (or loss) from lines 1, 2, and 3 ye a ‘Total long-term gross sales price. -. [_ - i a » 6a Enter your share of set long-term gain (or toss) from partnerships and fiduciaries. 5. , er er er er a 6b Enter your. share of net long-term gain from small business corporations (Subchapter 8)... toe ewe ee - : ‘ As 7 Enter. unused. long: -term capital loss carryover from preceding taxable years (attach statementy 2. . 2 1 2 eee t ba @ Capitat gain dividends (see Form 1040 Instructions, pageS). 2 ee J Net long-term gain for loss) from lines 5, 6a, 6b, z ands... gw eg ee . a “10 Combine ‘the.: ‘amounts shown on fines 4 and 9, and enter the net gain (or loss) here : : os ~ ' , 42 ifine 10 shows @ GAIN—Enter 50% of line 9 or 50% | of line 10, whichever is smaller. (Enter zero if there is a loss or no oo: oe te "entry on line 9.) (See reverse side for computation of alternative rr rs ns 0 ier, wd . &2 Subtract. tine. 11 from fine 10. Enter here and in Part IV, line 1, on reverse sidé. . . : : - ok ie) . f re . 43 ff tine 10 shows a LOSS-—Enter here and in Part iV, line 1, the smallest of the following: (a) the amount on line 10; (b) | aT < , the amaunt'on Form 1040, page 1, 4geal 1b, computed without regard to capital gains or less 5; Or @&)§ $1,000 Liq 3 | ‘ ; . { ) ~/ ineneeeeeneenemnerets Senna eatmemntatana bienemimeneaatanememaenanemensemienemmmemntemmmemeemen meererueeeenaes Part il—GAIN FROM DISPOSITION OF DEPRECIABLE PROPERTY UNDER SECTIONS 1245 assets held more than 6 months (see instructions for Cefinitions) cae ee rte ae nee , t “1 Kind of property and how acquired (if necessary, attach statement . 4 of Rin dotails not shown below—write 1245 or 1250 b, Date acquired Date sold d. Gross sales price « to Indicate type of asset)’ (mo., day. yr.) (0, day, ye.) . east Anaeeeeiioantnnamer chemeameeniemee iG { @, Cost or other basis, cost of subsequent i improvements Gt not purchased, attach expla- ation) and expense cf Sate “te f, Depreciation allowed (or allowable) since acquisition "| | : | Ordinary gain g. Adjusted basis 5. ther gain: . “Rl. Prior to January. 11 1962 | 4-2, After December 3 31, 1961 ; usted ‘he Tata! gain dies iSOT off for h) i A te cee me ee OR a cate were em toe fen ct mee are cone OR ae ee Co logs suni of f-1 and £-23 iG fess gh JOT peheieten > Citess i) Aga Prior to danwary 1, 1964 "After Decembar 31, 1953 we ss . | (see inattnctions) [ee ‘2 Total ordinary gain.. Enter here and In Part NV, line 2, onraverseside. . . 1, eo! “8 Total other gain, Enter‘here and In Part |, fine 5: however, if the gains do not exceed the losses when this amount is _ combined with other gains and fosses from section 1231 propery enter the total of colunan din Partil, fine 1. Vt CN NA YW Ie nce
"2, $1,000 ($500 if married an SCHEDULE T (Form 1040) Department of the Treasury internal Revenue Service Tax Computation Attach this schedule to your income tax return, Form 1040 Name (as shown on Form 1040) Tax Computation 1 Your adjusted gross income (from line 15c, Form 1040) . Note.-——If your adjusted gross income is less than $5,000 and you choose to take the ‘standard deduction instead of itemizing your deductions, omit lines 2, 3, 4, and 5. Find your tax.in the tables on pages 10~12 in the instructions and enter it in line 6a instead of making a percentage rate computation. methods: —If you itemize deductions, enter the total from Schedute A (Form 1040), line a ‘OR —Figu re your standard deduction as follows: (a), Enter’ 10 ‘percent of line 1 ‘but"* “not more than $1,000 ($500 if Pare married and filing separately) . $ "(b) Enter the sum of: $200 ($100 if "married and filing separately) *- plus $100 for each exemption claimed in line,10 of Form 1040, but do not’ enter more than ‘2 Enter on the line at the right the amount of your deduction figured under one of go Enter the larger of (a) or (b) on the line at the right. If your spouse files a separate return, determine your deduction in the same manner that she (he) has. | . filing Separately) Se 3 Subtract the amount on line 2 Q the amount on line 1 and enter the balance here. | 4) Enter number of exemptions claimed on fine 10, Form 1040, . _— . Multiply this number by $600, and - enter the amount on this line . : 5 ‘Subtract the amount on line 4 from the amount on 1 line 3 and enter ‘the balance here. This. is your taxable income . line 5. : , (Check if. tax is from: Tax Table Oo. Tax Rate Schedule ‘o. Schedule D O. or Schedule G oO) Tax ‘surcharge. If line 6a is less than $730, find surcharge from tables on page 10 of instructions. if line 6a is $730 or. more, multiply amount on tine 6a by .05 and enter result. (If you claim retirement income credit. use Schedule R (Form 1040) to figure surcharge.) . 6c Total ‘add lines 6a and 6b) . Special credits . ~ 7a Retirement income credit . ! , . 7b Investment credit. 7c Foreign tax credit . Ce ee a . |.7d Total (add lines 7a, 7b, and 7c) .. 8 Income tax (subtract line 7d from line 6c) . 9 Seltemployment tax (from Schedule se (Form 1040), line 13) . 10 Tax from recomputing prior-year investment credit (attach statement) : nv Total tax (add lines 8, 9, and 10). Enter here and on line 16c, Form 1040 (make no entries on line 16a or _16b, Form 1040) ” a . ae ree een pee ene ere ee te ; LALo 6a Tax: Use the appropriate Tax Rate Schedule on page 9 of instructions to feure y your tax on the amount on tr U.S. GOVERNMENT PRINTING OFFICE 11989—-O-337-051 Sees og
“SCHEDULE B (Form 1040) Department of the Treasury internal Revonuo Servies Dividends and interest on Income Schedule Attach this schedule to your income tax return, Form 1040 "Name (as shown on page 1 of Form 1040) Social Security Number PART |—Dividends Income 1 Gross dividends and other distributions on stock (list payers and amounts—write (H), W), (), for stock - held by husband, wife, or jointly) Total line 1. 2 Capital gain distributions (see page 5 of instructions) 3 Nontaxable distributions ce} | Page 5 of instructions) 4 Total (add lines 2 and 3) . rn 7 7 7 4 5 Dividends before exclusion (line 1 less 4—not less than zero). Enter here and on Form 1040, line 12, in space provided . PART’ li—Interest Income (list payers and amounts below) Earnings. from savings and loan associations and credit unions miler SAG er Dochdt SRM SESE re RagensSderery SST se Seaicnceal — aa
‘(Form 1040) itemized Deductions : 1969 i Department of the Trossury j Internal Revanuo Service Attach this schedule to your income tax return, Form 1040 ; '. Name (as shown on Form 1040) . | Social Security Number itemized Deductions—You have a choice between two arnount equal to 10 percent of the income you report on fine deduction ‘methods. You can either itemize your actual 15c of Form 1040, but not less than $200 plus $100 for deductions or take a standard deduction. Deductions may | ‘be each exemption claimed on line 10 of Form 1040 (subtract -itemized for charitable and other contributions, interest ex- $100 if married and filing separately). The maximum "pense, medical expense, certain taxes, casualty losses, child standard deduction is $1,000 ($500 if married and filing _ care, and other items described in the instructions on separately). If you choose to itemize your deductions, fill : back. If you take the standard deduction, you will get an‘ in the appropriate spaces below. Medical and dental expense (not compensated by insurance | Contributions. rp cash—including checks, money orders, etc. ‘, | Or otherwise) for medicine and drugs, doctors, dentists, nurses, : : " hospital care, medical insurance premiums, etc. “. 1 One half ef insurance premiums for medi- (. gal care (but not more than $150) . . 2 Medicine and drugs . . ' 3 Enter 1% ‘of line 15c, Form 1040 . . 4 Subtract. line 3 from line 2 (not less than zere) . . : . § itemize other medical, dental expenses (Include balance of insurance premiums not deducted on line 1). i lla Total cash contributions. - . . 2 AO 1lb Other than cash (see instructions for ‘ , required statement). Enter total of such items here. . . . a es oo llc Carryover from prior years (see in- 11d Total contributions (add lines ila, 1lb, and 1l1c—see instructions for limitation) . 9... 2. 2. 2 Interest expense—Home mortgage . Installment purchases Other (itemize) - . 6 Total (add lines 4 and 5). . . = we 7 Enter 3% of line 15c, Form 1040:. . . 4 —|_12 Total_interest expense... fa ' . 8 Subtract fine 7 from line6.,. =. ~«.~«:CY ~~] Miscellaneous deductions for child care, 9_Total (line 1 plus line 8) alimony, union dues, casvalty losses, etc. Taxes.—Real estate . State and local gasoline . ’ General sales (See page 15 of instructions) ». *, State and.local income . Personal property. "90 Total taxes 2... . | 13 Total miscellaneous structions on back). . . . | ¢ a i 4 \ ! SS err a ee TET a ee # Lap hee det eee
reason, “Your ’ Filing ter below name and address used on your. return fe 1968 (if samme as above write “Sami!’): If- none filed, Samoan and address of f employer a at time cf filing a If changing from Sepp rate to j int or a Baniuel x tyecn fo BY ~ Gt ws Mine Gtr ——— Statusy—| 3 : Internal Revenue Service ’ ‘ - Combined "Department ofthe Treasury / ) = US| individual income Tan ax ( Return - JEK Act 6 JFK Act 6 (3) = Samvel ¥ PAVE Ruay i A aL Mav T & QWERY . Ave . GRANADA jfiees, Cac Gi ap - : Gol JEK Act 6 ‘give y r 7 7separate- returns, enter 1968 names ; »pouse's occupation and agdresses, CLE a Cohie, A Go di & led ['} Unmarried Head of Household O Surviving widow(er) with dependent child (] Married filing ‘separate return and spouse is not filing a return , of ru 1 (Single 2 BY Married filing joint return (even if only one had income) 3] Married tiling separate return and spouse is ajso filing a return. If this item checked give spouse's social secizrity number in space provic dad above and enter first name hére 6 why, 7 ow ‘Wicome be ead 4. ‘laa Dividends ( a3. ty Check boxes for exeni emptions aS which apply , a Regu ‘65 or over: ‘Blind «agli Ta Yourself. 6 ee ee ee A : iat Enter , ee L, Tb Spouse. (applies only if line 2 orfineGisechecked) . . . a ms or boxes 2 iy % . & First names of your ‘dependent children n who lived withyou cre —— Thogee mee ZED - Aerand-E£1i sa - THoat as a 7 * Enter number > uy a tg : 5) WAME—Enter figure 1 in the last : (c) Months lived’ | (d) $500 “ Support you (f) Support furnished val OTHER ! h listed - - in your home. See or more furnishad. If 100 by di dent = DEPENDENTS (i Imore space is needed, "use other side). . instructions, B=2. . income? write “ALL," Mb othe no ent and | EI en aE: sae is = . ~ a ee Lal i, a. z 10 Total exemptions from lines7,8,andQabove., . we ee eee ee oe ee ho See item 2 Total before] $ = gn 4040-1 exclusion Hom nterest t (Enter total here and if over $100, also list in Schedule B, Part Nl) ] 42b Less Exclusion 05 ae —-— bin > e es. Other in income; Total from attached schedules (check schedules used—C [1], D ay EO, F ye ' at Ly Adjus We Gress J -15a‘-Total a (ie Hoe) $ 443" {15b Less Adjustments [roao-al § 7 re Gand © “lf line 15¢ is $5,000 or mbbye, 20 tb Schedule. T, to figure tax and surénarge. (Orhi Tries 16 ana 17,) , et 9 Go to Sch. T to ‘figure tax and surcharge if you itemize ‘deductions; or Claim retiremént income Credit, orcign & fax fear or inet. sl ' 5 & -.' ment credit; or if you owe self-employment’ tax or tax trom recomputing prior year investment credit. Smit | a g. x SI. @ it neither of above two items applies, go to Tax Tables instead of Sch. T.,Complete lines 16,17,&18. : YY eney iy “) oe, - for rules under ', 22-5] 16° tax ‘from Tax Table (see tables on T-2 and 7-3). an 16 — il Uj Jour ty ae surcharge. Yy 4 a3 17. Tax surcharge on line 16 (see T~1 for tax surcharge tables) . [37 eh cee or Money N a4 26° 9° Total Federal income tax withheld (attach Forms Ww-2 to back) . 2, able ta Internal L oO Nonhighway Federal gasoline tax, Form 4136; [7] Reg. Inv., Form 2439 Gea Revenue Service. Yj "1969 Estimated tax payments (inclutle 1968 overpayment allowed asa credit) 22 G YA CLL BS wD Foal . Enter total of lines 16 and 17 OR amount from Schedule T, line 18, if applicable (Check D if from_Tax Table A CJ, BE), CO; Tax Rate Sch. (J, Sch. ar Sch, G YY Make - Mi or money order pay-” “, 9 4 ~~ Excess. F.1.C.A. tax withheld (two or more employers—see R-+2) ewe ‘eos ey ‘ . Total (add lines 19, 20, ai, and 22) ‘ if ine 18: is larger than line 23, enter BALANCE DUE. Pay in full with rtm ————p. 24 Vf line 23 is larger than line 18, enter OVE RPAYMENT- a _ Line 25. to be: (a) Credited on 1970 estimated tax b> $ 3 7b) Refunded P- »$ Ea Under “4 _ 4s true, correct, and complete. oD? De Your signature penalties ‘of perjury, | declare that J “have examined ‘this? returo,. including accompanying § schedules and statements, ¢ and to” tothe ‘best of f my tonic Baba it: | bs : Signature of p of preparer other than taxpayer, based on | ' « . Mate Date a ae OD & @ all information of which he.has any knowledge. vile rated <= oe ee ee ee _ : os Sous Ss signature at filing jointly, Address ’ bi geres Dooldi 32245535 BOTH wast sign ¢ even if only one had income) Page 155 —
~ SCHEDULE: A — . q (Form: 1040) itemized Deductions "Department of the Treasury & See instructions on Am} and A=-2, internal Revenue Service & MW you use this sehedit nciutte, at attach t te Ferm 1049, na ae em ate Elves ay at eee ~ 5 5 atnvuel «+ Fiyeurs At le ene Medical and pal expenses (not compensated by insurance " Gentributions.—Cash—Including checks, money ordars, etc, , or otherwise) for medicine and drugs, doctors, dentists, nuises, (itemize) —_ ” pospital « Care, insurance premiums for medical care, etc, 2 One half of insurance premiums for me — ol Reese cal ‘care (but not more than $150). . _- 2'Medicine and drugs. . .°. 2 : bead 3 Enter 1% of line 15c, Form 1940, . . . _ 4. Subtract line 3 from line 2. Enter differ- * ence (if less than zero, enter zero) oo fO\2 5 itemize “other medical and dental ax ", penses (include balance’ of insurance ~* premiums for medical care not déduicted on tine 1) cee ce ee ee 11 Total cash contributions 2. 40. 12 Other than cash (see instructions on A-l for required statement). Enter: total for such items here. . ot 13 Carryover from prior years (see in- 7 structions on A-2).0.-°. 0.005, . alanine tena as 14 Total coniributions | (edd tines ii, "Interest expense—Home mortgage toe Installment purchases e 6 © © » Other (itemizey oo. oo ee ee. al 3 I i ee i. 6 Total (add lines 4 and 5). hs : .7 Enter 3% of line 15c, Form 1040 . H . { t Wiscellaneous deductions for child care, alimony, union dues, casualty losses, etc. 8 Subtract line 7 from fine 6. Enter differ- (se instructions on A- 2) ence (if less ‘than zero, enter zero) cys 9 Total deductible medicat and ‘dental ex- fon | re —Penses (add lines Land 8) 00s . A ee fon | ‘Taxes. Realestate, 2... dw nee enn ene enn State and ‘local gasoline. . 2 . a a 7 i. . General: “gales (see sales tax tables) , 5 ee — _ ee - State and localincome 2g fee pf nee ae | ! Personal | property. es = en ae 18 Total miscelluneous deductions > . — —- ee ee i? TOTAL ITEMIZED OEDUCTIONS (add hs an — a peeled fines 8, 10, 14, 15, and 16—enter 10 Total taxes 2. eo ee, el /30|- | here and on Se ‘hedule T, line 2). 39.2 2|- “ ("55923 Docld:32245535 Page 156
Pea eee hy geHEDULE B  Bividend and imterest income A - ro (Form 1040) fe See instructions on BH1 he Tatornal Revenue Service . Bb if you use this schedule, attach it to Form 1046 i { : Name as Shown on Form 40 TT — errr ss _SA AMUCL t HHYL GIS. kK 2 ne ot PART Dividend | income : | (PART on interest Income i. Gross dividends and other distributions on stock (ist payers | i Earnings from savings and loan associations and credik and amounts—write (H), GW), GJ), for stack held by ‘hus- unions (list payers and amounts) band, wife, or jointly) fe Wk (Bclaf, Henin Si Vint _£ Che | 329; ~ ‘ : ~ ss - = = ~ = 7 on oa ceonaee a awe. . ——— Oia, . . . . _ — eee ne eee} Se ee interest on hank deposits, bands, WY, Ys RU ’ \ payers ; and amounts ) yy Ye LSU, Hy, im 7 . . a ne re aia cone ET 5 x — y . — a fe 00 ) Cant ve Wh Aes Hes cf 1312 o . a ae seneenenennceceie tne! aan DOC enna ne A \- ~— A A I f Ft nn te | yp 1 - wt —- - nn | | coe 2 Total of line 1- ; 3 Capital gain distei- butions (see instruc- - tlonson B-1). . 4 Nontaxable distribu- tions .(see instruc- tionsonB-1). . . 7 on ay art Pearse o, fy 6 ‘Dividends before exclusion (subtract ~ re 2 "“jine 5 from fine 2). Enter here and on | | 3 Total interest income. Enter here and i __ ‘Form 1040, line 12a. dt Form 2040, Hine 13s mes | gaz oan ' i { } | { t . - 5 Total (add lines 3 and 4) .. i t \ 5 t |
“Ft SCHEDULE D | Sales or Exchanges of Property (Form 1040) See instructions on D—1 and D-2.: Department of the Treasury | Be If you use this schedule, attach it to Farm 1040. _ internal Revenue Service areennniiaiy secret rien emer mew maLoecette seat rien omen or Name as shown on Form 1046 ‘Part 1—CAPITAL ASSETS—Short-ierm capital 2 gains ns and losses—~ ts held not thore ihan cs) a eS i ~— . oo rn omnes ne me mmem ees n c. How Kind of ' ac: . ne Cost or che a. King @ prop- b, Description Quired, - . asis, cost 9 ae _(Exampies: 100 sh. hah ‘Euuter scauired @. Date sold | f. Gross sales eee amens (if sot . Gain or loss estate,’ or other 2 COE Story bricks | symabal | (te9., day, yr.) | days 91.) price atlgivable) since | purchased, attzch ¢ plus g*less h) (Specify) gic, . (Sez : acquisition _ explanation) and instr.) | 4A oO expense of sale ia 4 Le 4 . - ary 2 Enter: your share of net short-term gain (or joss) frern part inerships and fiduciaries _3 Enter unused short-term capital loss carryover from. preceding taxabie years (attac hn statement) 4 Net short-term gain (or loss) frorn lines 1, 2, and 3 so toe ke ce a RR Long: -term capital gains and losses-—assets hele. more than 6 months (12 months oy more for . 6a Enter your share of net long: -term gain (or loss) from partnerships and fiduciaries Prey . rr rr . . . 6b Enter: your Share of net long-term gain from small business corporations (Subchapter 5 a - 7 Enter unused long-term, capita! loss carryover from preceding taxable years {attach statement) . . 0. 0.0%. ~~ oan pe : 8 Capital gain dividends wes a i . 9 Net long-term gain (or loss) from lines 5,6a,60,7,and&8.-.. .., , woe ee ke ee ‘ ‘ a 9 _Net longterm gain (or loss) from lines 5, 64, 6b, 2, and 8. —~ ne nnn wee 10 Combine the amounts shown on lines 4 and 9, and enter the net gain. (cr joss) here . my € 11 IF LINE 10 SHOWS A GAIN—Enter 50% of line 9 or 50% of line 10, whichever is smailer. (Enter zero if there is a loss or ng entry on line 9.) (See reverse side for computation of alternative tan). 2. 2. ew ew ee we sore : 12° Subtract: line ll from line 10. Enter here and in Part IV, line 1, of, reverse side. 2... . + a .. .. 2 13 «IF LINE 10 SHOWS A LOSS—Enter here and in Part IV, line 1, the smallest of: (a) line 10; @ si tine oa, Sia , (tine 15¢, - Form 1040, if tax table used). computed without c4 ‘pit tal gains or r losses; or or (c) $1,000. . 2... . .e H ‘Part l—GAIN FROM DISPOSITION OF DEPRECIABLE “PROPERT Y UNDER SECTIONS 1245 AND 1250— A assets held more than 6 months (see instructions on D~1 for definitions) : Where ‘double headings appear, use the first heading for sectlon 1245 and the second heading for section 1250, : eee Soe nt panne soe - ~ —y : , Kind, of property and how acquired (if necessary, attach statement , ; . . e. Cost or other basis, cost of * of” descriptive details not shown balow—write 1245 or 1250 b. Date acquired c. Date sold d, Gross sales price “subsequent improvomants (if ‘. “to indicate type of asset) (mo., day, yi.)- (mo:, day, yt.) noi purchased,’ dtidch 2x pla- ’ : . nation) and expense of sale —o — : _ paar tn on te ne 0 er ane Le nnn cae we nt ern 1 —c- fore en ee eS ee cs oa wee Po de ee fe ee ele ee eb tee ae a a ee a ey ee wee eee ore tenant ne enn irae paseo Liam ninivamnene tn ny seme tl items ntntumensestranen odin pstes yarns i nner haps senna mane ys i f, Depreciation allowed (or allowable) since acquisition 7 i. Ordinary: gain che f-1, Prior to January 1, 1962 | 1-2. Alter December 31, 136! | g.. Adjusted basis h. Total vain (lesser of f-2 a: h) “ot oot OR-~—----~-~- | meee ----—---4 (@ less sum of t-1 and f-2) : Cd lass re) res OR- ~~~ = i. ait her gain 1 Priaz to January 1, 1964 [ After December 31, 1963 (sée instructions) Enter here and in Part IV, line 2, on reverse side. . . , . . tl 2 Total ordinary gain. ‘3 Totai. other gain, Enter here and in Part |, line 5; however, if tha gains do not exceed the josses when this amount is combined! with other gains and losses from section 1231 property enter the total of column j in Part ll, Jine 1. Lo i en nnn nen nee nde 1 inbetnees aeeeaemessnemaensrmaenat y§5923 Doeld:32245535 Page 158 _ . __.
He He na ig oR ma ae = ween ¥, » ULE’ T: oe | : - Cha ee ofthe Treasury | > If no entry Is made on line 14, line 16, or line 17, keep this for your records ; UW) Ne iy ; ‘enue Service ag . : . .! : . . ded by the : > “If entry is made on line 14, line 16, or Jine 17, attach to form 1040 ons. This is jule T. Also st own on Form 1040 © -., Bo, SAMUEL “adjusted gross income (from line 15c, Form 1040). .-°- «© » i-1f your adjusted gross income is less than $5,000 and you chose to take the standard deduction ad of itemizing your deductions, omit lines 2, 3, 4, and 5, Find your tax in the appropriate table r.B on T-2 or C on T-3), Enter tax on line 6 below. . ; , onthe. line, at. the right the amount of your deduction figured: under one of the following Pris Kby et aneeennremen amen come antnesmentamnnninar ot i] “ . « gu itemize deductions; enter the total from Schedule A, line 17 OR: _ | gure your standard deduction as follows: ¢0 (1). ‘Enter 10 percent of ling 1 but do not ; | 0 “Sater more than $1,000 ($500 if + . : bes $ Enter the larger of b(1) ~ married and filing separately): . - . or b(2) on the line at the (2) Enter the sum. of: ‘$200 ($100 if , right. it your spouse files _ married and filing separately) plus: a separate return, deter- .) } ) ae) > 0 ) 0 3 0. “$100 for each exemption claimed in mine your deduction in 3 5 line 10 of Form’ 1040, but do not. | fhe same manner that sto] 0 - enter more than. $1,000 ($500 if ae she (he) has. a oO i 'tmarried and filing: separately) - $ : a 2 9 tract the amount on line 2 from the amount on line 1 and ener the balance here. 2 » + + «© >» 9 e ér number of exemptions claimed on line 10, Form 1040, .....02... _.. Multiply this number by $600, and G 9 ' er the amount here ee tone ee ee 9 9 tract’ the amount on'line 4 from the amount on line 3 and enter the balance here. This is your , 5 able. income. Figure tax on this amount by using the appropriate Tex Rate Schedule (1, Il, or HH) on Q 9 \.. Enter tax on line 6 below. . 6 © © © © to 8 rs Q 0 ; Pe ee ee ng ee foe een of a] 8 ‘ou-claim the’ retirement income credit, enter amount from Schedule R, line 12, here» + 2 + 2 » ; 9 a Q ! atract line 7 from line 6 ee re ee bag : ¢ surcharge. If line 8 is less than $735, find surcharge from tax surcharge tables on T~1. if line 8 fs 9 6 6 : 35 or; more, multiply amount on line 8 by 10 and enter resuit here 2. 6 6 6 ee re er of oa 0 { tal (Add lines 6 and 9) © o 0 8 * © © © © 8 8 co 0 8 e©' 6 0 © © © @ @ © 8 8. 8 0 Gt ‘O49 : woe . . o| 0) Oo ¢ ; tirement income credit from Schedule R, line 17 (attach Schedule R). . + + as ee rererenenen: carer 8 g Q ; Jestment credit (attach Form 3468). . + - + + rs Sones ae of of 9 reign tax credit (attach Form 1116). 6 + + + 2 + * °° wh ee ee as tai 'cfadits (add lines 11,12, and 13)... 2 © © © ss se tee 8 bgt come tax (subtract line 14 from line LO). © © © «© 2 ©.e¢ 2 © & @ & 8 0 . of e) : sif-employment tax (attach Schedule SE) - © + + ss st sos fot 8 8 of 9 8 ax from recomputing prior-year-investment credit (attach Form 4255) 2. 2 6 2 2 6 ee 8 is 8 8 otal, tax(add lines 15, 16, and 17). Enter here and on line 18, Form 1040 (make no entry en line 16 x20, 8 r17, Form 1040). Attach: Sch. T to Form 1040 only if you made an entry on line 14, 16, cr 17 above - ja}. al 0 ne — — — — Samara an aa nnn Tn ; “* a a jel 0] 0 ie Averaging.—lf your income has ° (b) a joint return, or as a surviving hus- To claim tax-free covenant bonds credit, 23 6 8 ised substantially this year, it may .band or wife, with taxable: incorne ex- enter the amount of credit above line ad eas oe ‘your advantage to figure your tax ceeding $52,000, or (c) as a head of 14, and write “covenant bonds’ to left 37; | 0 @ surcharge under the “averaging household with taxable income exceeding of the entry. , ; 3 rf 8 od.”, Obtain Schedule G from an $38,000, _ . ., 331 71 4 al Revenue Service office for full Line 16-—Self-Employment Tax.—Enter a ; IS, joa a oo Line 9—-Tax Surcharge.—The rate for amount shown on fine 9, Part Ill, Schedule 6 Ps 13 foe ME Coe Be the calendar year 1969 is 10 percent. SE. iil 26) 25 native’ Tax.—It will “ygually be to The tax surcharge is an addition to the 19] 33) 32 ; advantage to use the alternative tax regular income tax. See the Tax Sur-- Line 17-—Tax From Recomputing Prior = el 39] 39 " in-net long-term capital ‘gain exceeds charge Tables on J-1. . Year Investment Credit—Enter the . l net short-term capital loss, or if you . . arnount by which’ the credit taken in a at H a net fong-term capital gain only, and Credit for Foreign Yaxes and Tax-Free = prior year or years exceeds the credit as ; T-3 3 are filing (a) a separate return with Covenant Bonds.—You may claim these recomputed due to early disposition of . ‘ ale income exceeding '$26,000, or credits only if you itemize deductions. property. Attach Form 4255. ; f i Pe ‘55923. Dod]d: 32245535, Page 159 .
on Ue 3 ro ii Aa ¥ i ¥ i rv hi aa “Tr Ss. rei oem Internal Revenue Service Vail 119 ni cep UTTER TT PRT AMER Tare TRE PRUETT TEE Ie A Q Cc 9) m e Ta xX OR e t uu ir ni for the year January 1~December 31, 1968, anteceneccunecesenenssscecenees , 1968, ONING 0... eceeeneceeeeeenseneces ecaeceee Firat namo ond initial (if joint return, use first names and middie initials of both) Last name Your social security number JFK Act 6 (3) Your occupation "ZIP. code JFK Act 6 (3) Enter below namé and address used on your return for 1967 (if same as above, write Same”). If none filed, give reason. if changing | from separate to joint or foint to separate returns, enter 1967 names and addresses. / j ; [fous 6 v4) f Spouse’s occupation r Your Filing Status—check only one: Your Exemptions ‘Regular 65orover Blind . da Single - | ‘2a Yourself. . . & O ~~  |number “i db J Married filing joint return (even if only one had income) 2b Spouse .., : DB ; i) oO | sre Be ns ‘Ic Married. filing separately. If spousg is also filing a return, | 3a First names of your dependent children who lived’ with : - enter her (his) social security number in space provided above ” you f rom te and give first name here : p— Ey sien ie Enter > ZZ: ; ‘ld (1 Unmarried. Head of Household 3b Number of ‘éther dependents (from page 2, Part I, line 3) : le 0 Surviving widow(er) with dependent child 4 Total exemptions claimed eo. > ra : Income | 5 Wages, salaries, tips, etc. If not shown on attached Forms W~2 attach explanation 5 4 2. Ya © Uf folnt re 6 _ Other income (from page 2, Part Il, line 8) ’ * § all income | 7 \_.- Total (add lines 5 and 6) ny of volt 8 __ Adjustments to income (from page 2, Part Ili, line 5) : vs ay 'z and wife 9 ___.Total income (“‘adjusted gross income") (subtract line 8 from line 7) rare ,! ——— Ee “ -£ Find tax . 10 If you do not itemize deductions and line 9 is under $5,000, find tax in tables on 10 uw from table _pages 12~14 of instructions. Omit lines 11a, b, c, or d. Enter tax on line 12a. VM ONS mn QRam UW, a aw _ | dda - Ifyou itemize deductions, enter total from page 2, Part IV, line 17 fe my ‘ If you do not itemize deductions, and line 9 is $5,000 or more enter the larger of: Tf ¢, Ré¢ j c a. (1) 10 percent of line9; OR (2) $200 ($100 if married and filing separate return) lla} fo a rs} ne ‘plus $100 for each ‘exemption claimed on line 4, above. die cn Figure tox ‘Deduction under (1) or (2) limited to $1, 000 ($500 if married and filing separately). “a , og using tax iib' “Subtract line 11a from line 9. Enter balance on this line oo 1b 3/ Sy ' & schedules | 11¢: Multiply total number of exemptions on line 4, above, by $600 lc v7 ho 0 {7 "a 8 Ald Subtract line 11c from line 11b. Enter balance on this line. Figure your tax on this 1ld ; : & -, amount by using tax rate schedule on page 11 of instructions.) Enter tax on line 12a. 2 Ob2 3/ yo! 12a Tax (Check if from: Tax Table (1, Tax Rate Schedule (4, Sch. D [, or Sch. G 0) "T2a YOO og “ 42b Tax surcharge. If line 12a is less than $734, find surcharge from tables on page 10 of instruc- : tions. If line 12a is $734 or more, multiply amount on line 12a by .075 and enter result. (If |12b 7, . you claim retirement income credit, use Schedule B (Form 1040) to figure surcharge.) . oe a}. Rn OQ SS eee — = —— 12c Total (add lines 12a and 12b) 12c Yk lal 4s 13-. Total credits (from page 2, Part V, line 4) ; 13 // Sy 14a Income tax (subtract line 13 from line 12c) , : 14a 475 |O¢ 14b Tax from recomputing prior year investment credit (attach statement) 14b _ 15__ Self-employment tax (Schedule C-3 or F-1) 15 Th. 16 Total tax (add lines 14a, 14b, and 15) , . 16 “f 2 | OY 17 Total Federal income tax withheld (attach Forms W—2) 17 LETNOC Milling , 5 - — Y Make check or Z 18 Excess F.I.C.A. tax withheld (two or more employers—see page 5 of instr.) |18 —Z money order pay- Z 19 _() Nonhighway Federal gasoline tax—Form 4136, [1] Reg. Inv.—Form 2439 19 Z able to Internal Z WS Z Revenue Service. 20 1968 Estimated tax payments (include 1967 overpayment allowed as a credit) 20 CLE 21. Total (add lines 17, 18,19, and20) — _ {21 | [3 fy | VO ‘22 __ If payments (line 21) are less than tax (line 16), enter Balance Due. Pay in full with this return 22 "| 4) ie “Pouce 23 _ If payments (line 21) are larger than tax (line 16), enter Overpayment ; 23 | __ 24. Amount of line 23 you wish credited to 1969 Estimated Tax : 24 : __ efund ie R 25 Subtract line 24 from 23. Apply to: [) US. Savings Bonds, with excess refunded or [1] Refund only |25 © Under penaitics of perjury, 1 doclaro that | have examined this return, Including accompanying schedules and statements, and to the best of my knowledge ond beliof it ts truo, corract, and complote. $f proparod by o porson othor than taxpayor, ‘his declaration is based on all Information of which he has any knowledgo, ~. Sign Your signature ee . . . Dato Ds Signature of proparer othor than taxpayor ; here Bpaeso"s clgnoture Uf filing Jelntiy, BOTH must eign evan If only ono had Incoma) Addross 058—-10-—-80189-8
te YL ae eR - ye 49 Exemptions Oe @ NAME “at more space, is needed attach schedule) = i 2 Ja Gross dividends and other distributions on stock (list payers and amounts—write (H), (W), (J), for stock held by husband, wife, or ointly) ; uantlect.... 292 Lh dest lok OS. Coburn veoneeee Risen Ly MS3.€ esbeg 5 LL “Atlas. 20.00. Cas beta LHe dod S2 a aon vewsrbied. THE FNS. ener any oe ET] CIS — | Total jine la... . we oe 1b Exclusion (see instructions), |_~_- £60 - ‘le Capital gain distributions ; . (see page 5 of instructions). : | “1g Nontaxable distributions BI vi cc (1°) page 5 of instructions). 1e Total (add lines 1b, 1¢,andid). . » » LZ COI6Q) if Taxable dividends (inet la less line le— ee _ not less than zero) _ 1 a interest (list payers and amounts below) ‘Earnings from savings and loan assoc. and credit unions. ‘) ". 2 Total interest income. . . . .:. €_ Ola! terns ene "3: Pensions and. annuities, rents and royalties, part: ; nerships, estates or trusts, etc. (attach Sch. B) . os " 4 Business income or loss (attach Schedule C) . "s' B& Sale or exchangé of property (attach Schedule D) . "6 Farm income or loss (attach Schedule F). '*’ Miscellaneous income (state nature and source) oe Hanes OGD vaainssssssesssuasseseessssssonteereseesgunnense 17% Total miscellaneous Income . “8 TOTAL (add lines 1f, 2, 3, 4, 5, 6, and 7). oo. Enter here and onpagel,fine6. . . PL S SLY a Pat Adjustments to income . a ” 1 “Sick pay” if included in line 5, page 1 (at - tach Form 2440 or other required statement) , ‘2 Maving ¢ expanses, (attach Form 3903). . “3 En bia ikee 2 Sed Beach Form 2166-or-other statetiefit) © 6. 6. _& Payments by self-employed persons to re- Comuteta only far de andenis claimedon line 3b, paged 7 (b) Relationship (<) Months lived in ‘our home. Hf born or ing year write “B" or “D” --|1 One-half of insurance premiums for medi- o. cal care (but not more than $150). . . oss ~oolsr| 12 Carryover from prior years (see page 7 of Instr.) tlrement plans, ete. (attach Form 29505) . * B TOTAL ADJUSTMENTS (lines 1 through 4), of Enter here anid on 1 page 4, line: a Hho y3 i Forma 1040—1968---Page a (@) Amount YOU furnished for depandent’s Reiaha if 100% write “ALL (d) Did depend- ent have income of $600 or more? (f) Amount furnished - by OTHERS includ- ~ ing dependent, - died dur- a | rt 0B Itemized ded uctions—Use only if you donotuse tax table or standard deduction. Medical and dental expense (not compensated by insurance or. otherwise)—Attach itemized list. 2 Total cost of medicine and drugs . . . 3 Enter 1% ofline9, pagel . . . s . 4 Subtract line 3 from line 2 (not less than zero) 5 Other medical, dental expenses (include - OG. balance of insurance premiums for medi- . | cal care not deductible on linel) . . | AY|6 Total (add lines 4 and 5) Cee ee ede 7 Enter 3% of line 9, pagel . . soe 8 Subtract line 7 from line 6 (not less than-zero) . 9 Total (add lines2and8). ws... >| _ ] corwivovos. —Cash—including checks, money . orders, ete, (itemize) sreenesanecesnenetnassesagenasserserenarecssaeeasnessronseeres stetecsscneecessseneens onan ce cc emncacesenn can snsecnrcnsa pecans sos eweccoucnensuenenen sewer nnenececevssenscensonsesseenenes 10 Total cash contributions . . . . + 11 Other than cash (see instructions for required statement). Enter total of such items here. Taxes.—Real estate. 1. 1. ee et wh State and local gasoline . to ; . : General sales (see page 15 of instructions) . State and local income, « . 2 6s Personal property .o. « . ee 13 Total contributions (add lines 10, 11, . -- and 12—see instructions for limitation) > 14 Total taxes . woe ee ee ee Interest expense.—Home Mortgage. i . de eweweerccconccccenaceccess Instaliment purchases . . . « + 6 «6 Other (itemize) .............cceeee seaqeeeseeneacaeansauceqenansnenecssnnnensonengsens rrr errr rrr rr rer rr rr rrr rrr ret ret rier et errr tere ree Tree ee eee eer r rere Yy  prcne miscellaneous... . . . . > 17 TOTAL DEDUCTIONS (add lines 9, 13, 14, 15, and 16). Enter here and on page 1, line lla. > eee Wi] Credits 1 Retirement income credit (Schedule B) . 2 Investment credit (Form 3468). . 3 Foreign tax credit (Form 1116); . 9°. . | 4 TOTAL CREDITS (for page 1,:line 13). > EXPENSE ACCOUNTS—if you had an expense allowance or chatz 18 expenses to your employer, chack here Cane ) page 6 of Instructions 2
Voy ve /. lf Mes ke, ed-to lane vnc wer 2 pf oO tet ——— i bo 1 { | | i } i 5 ¢ Th | tas e SY de Ae cone ae cep cere ees atte ! | ! 1 ' j . 4 . : t Vag a ae Pant ae “ baz Vi aoe rt vot ST, ap nly ; t t } 5 | expen pSes are} in’ | connection| | }
Tite vest paid ent che of A se Z : ! ya i : t i i { ' 1 i i 1 H u i HI i u : i : t i th eros { i i ‘ 1 i i i Co ue/ apd Ws Raby ©/2 3: y = Lele <a “es or ot US. Tie = di Ka / = i j | iN} “sennection| i “ be. ow, Ary 2 i | e—mormesanmmest i if + ts - os t {SS ee : i 5 . i : iV |
SCHEDULE D Gains and Losses From Sales ¢ Or r Exchanges 2 (Form 1040) ; £ PB a U.S, Treasury Department ® roper y Lo - ; | | 16 Internal Revenue Service Attach this schedule to your: income tax return, Form 1040 Name as shown on page 1 f Form 1040 ” : | . h. Cost or other he a, Kind of prop. | b. Description basis, cost of souirity eae SSeogpless 100 sh. ick os Bate e. Date sold | f. Gross sales & ‘allowed orn subsequent jmprove- i. Gain or loss too estate, or other ‘ete ne bot | (mo., day, yr.) | (Me day, yr.) price allowable) since | purchased, attach (f plus g less h) i (Specify) ; . * acquisition explanation) and expense of sale S 026.42 ow Sa a ha meen teen nee nneen: sme ew enn ene eeennne=. =| ores prenesece _, . @ Enter your share of net short-term gain (or loss) from partnerships and fiduciaries . . . 1. 2's 6 0 @ 6 ew ee 3 Enter unused short-term capital loss carryover from preceding taxable years (attach statement) ...: ; : po ‘4 Net short-term gain (or loss) from lines 1, 2,and 3... 6. 6 1 ee ee ee ee ee ek ete a 8 S 040-Ac oo : “. Long-term capital gains and losses—assets held more than 6 months (12 months or more for certain livestock) we 5 Enter gain from Part Hi, line 3 . ee ee we ee enna temeenemewe nes | sn Henan enema meneame |menee ne: | ope eecerew wenn aranemnconmanan : , : ; _ Total long-term gross sales price. . | | ; 6a Enter your share of net long-term gain (or loss) from partnerships and fiduciaries. . . . « Te : PT Cran 6b Enter your share of net long-term gain from small business corporations (Subchapter S). . 4 i + «© 6 © © © = wanna eee nee eennnes 7 Enter unused long-term capital loss carryover from preceding taxable years (attach statement) es oe peeeewee . 8 Capital gain dividends (see Form 1040 Instructions, page 5). . 2. 1 ee ee ee ee lk elke ‘ 9 Net long- “term gain (or loss) from lines 5, 6a, 6b, 7, and8. . we ew et ew lk ll ll . ‘ 10 Combine the amounts shown on lines 4 and 9, and enter the net gain (or loss) here. .- 1°. « 1 « ew 5S OB or. 11 If line 10 shows a GAIN—Enter 50% of line 9 or 50% of line 10, whichever is smaller. (Enter zero if there is a loss or no ; F entry on line 9.) (See reverse side for computation of alternative tax). 6 0. ee ew we ee ke 12 Subtract line 11 from line 10. Enter here and in Part iV, line 1, on reverse side. « 2. 1 we te ek kl . 413 If line 10 shows a LOSS—Enter here and in Part IV, line 1, ‘the smallest of the following: (a) the amount on line 10; (b) the amount on Form 1040, page 1, line’ 11b, computed without regard to capital gains or losses; or (c) $1,000. . . o o Part II—GAIN .FROM DISPOSITION OF ‘DEPRECIABLE PROPERTY. UNDER SECTIONS 1245 AND 1250— - assets held more than 6 months (see instructions for definitions) ; Where double headings appear, use the first heading for section 1245 and the second heading for section 1250. a. Kind of property and how acquired (if necessary, attach statement . @, Cost or other basis, cost of 4 i below—write 12 1250 b. Date acquired ¢, Date sold , rice * subsequent improvements (if a of descriptive | fo Indieate, pe ei emi 45 or (mo., day, ys.) (mo., day, yt.) d Gross sales pri not purchased, attach exple- , nation) and expense of sale f. Depreciation allowed (or allowable) since acquisition’ i, Ordinary gain "fel. Prior to January 1, 1962 | f-2. After December 31,1961 / - gy Adjusted basis - - hy Total gain ces of f-2 or h) ee) OR-———— _ @ loss sum of f-1 and £2) Cd less g) OR ' Prior to January 1, 1964 After December 31, 1963 2 Total ordinary gain. Enter here and in Part IV, line 2, on reverse side rr) 3 Total other gain... ‘Enter here and in Part |, line 5; however, if the gains do not exceed the losses when this amount is. . . -"combined with other gains and losses from section 1231 property enter the total of column j in Part IH, line 1. a SS Re ‘DSSTALSSDESSIS BAG] TES