TAXABLE “PROFIT (OR re FROM BUSINESS OR we rere (Sole Proprietorshigps) a ye HAF r m on a | FORM. 540 3 Attoch this schedule.to your Income iax raturn, Form 540 or 540NR —— Portnerships, joint ventures, etc., must file on Form 365 Social Security Hus Name as shown on Form 540 or S40NR Samuel and Phyl iq Ruby er + ae I S > . A. Principal business activity..... Food | ervice ce eg product 2... a . : . ‘ . (For example: “retail “hardware; wholesale— “tobacco; services — ~legal; manufacturing fursiture; etc) Lo Se . Lb Pp : . “B. Business name........ Snack Bar Teast Ue ce eepg eget ge C. Federal emer identification number. _ D, Business location... 5418 Van Nuvs Rivd. ; Van Nuys, Califerni a. 1 . ‘ise ’ wee eee rr . ooo - wee eee named caterer eek ee ence nee , . (Number and street or tural route) ot ‘(City—post ‘office), . "State? : . (2lp codes, E. Indicate’ method of accounting: Ch cash; O accrual; ["] other (describe) meeseane feces ca casnaeeactadeleaeeenasseemdascheneeegeestemmesadney ee, -£, Was theré any. substantial change in the manner of determining quentities ‘costs: or valuations between the opening and closing inventories? [] Yes (a No. .If “yes,” attach explanation. ae . ee co was G. Were Forms 591, 592, 596 and 599, for the calendar year filed (if required)? [Yes RB No: . Gross receipts or gross sales $0 Less: Returns ond allowances $ ~-: - . Inventory at beginning of year (If different than last year’s closing inventory attach, . explanation) Soe ew . re - SCHEDULE) “pe Merchandise purchased $ _. _ ce oy tess cost of any | items with- >| So ATTACHED “ mi _ drawn from business for personal use $ oa , rs Cost of labor (do not include salary paid to yourself) _ Material and supplies Other costs (explain in Schedule C. 1). Total of lines 2 through 6 ~ Inventory at end of this year. - . Cost of goods seld and/or operations (subtract line a from lin n). Gross profit (subtract line 9 from line 1) an : LO _- OTRER BUSINESS DEDUCTIONS : Depreciation (explain in Schedule C-2) . Taxes on business and business property {explain in | Schedule C. 1) Rent on business property : Repairs (explain in Schedule C-1) . . . ; . Salaries and wages not included ‘on ‘Tine 4. (exclude any: paid to yourself) . Insurance . - oe ae Legal and professional fees - Commissions .. ery » Amortization (attach statement) ry (a) Pension and profit-sharing plans (see instructions)... (b) Employee benefit programs (see instructions) interest on business indebtedness .° . Bad debts arising from sales or services . ma . Depletion of mines, oil. and gas wells, timber, ‘ete. (attach schedule). Other business expenses (explain in Schedule c- ). Total of lines 11 through 24 . os Net profit (or loss) (subtract line 25 from line 10). ‘Enter here and on page: 2 Form 540 « or “540NR - SCHEDULE C-1. EXPLANATION OF LINES 6,.12, 14, AND 24 _ Explanation - Lo : Amount Line No, : Se . Explanation | Amount = ° Ray, 1971) ; i : ; : ; oo on = oe a oo, Page 1 ; §5923 Docld:32245535 Page 108 , : a re
Department of. the Treasury—Internal Revenue Service _ a EA Usk Individual Income Tax Returm ~ | oe /1973 ceeescesescteesenesseusceeesseey 1973, ONdINg ..eseccsececcevecleceeeedeecteeeen DQeccseees COUNTY OF . Your social security number RESIDENCE yi Present home address (Number and street, ae uding apartment number, or + rural ; if City, town or post office, $ State and ZIP code JFK Act 6 (3) les Avec Occu- | Yours _{[Pation Spouse’s > HTtaF. RO Filing Status creck only one: Exemptions * Regular / 65 or over / Blind 1 [7] Single 6a Yourself... is oOo cy ater. ay _ : ; {2 A raried filing joint return (even if only one had income) b Spouse. . . fA - CT | of boxes > 2 _ pet 3 Married filing separately. If spouse is also filing give c First names sof your dependent children who lived with Hy spouse’s social security number in designated space above oe ‘. and enter full name here > z : 4 [] Unmarried Head of Household d Number of other dependents (from line 227) « _ 1. eb 5 C} Widow(er) with dependent child (Year spouse died > 19 )! 7 Total exemptions claimed . . . . 3... OB 8 Presidential Election Campaign Fund.—Check [_] if you wish to designate $1 of your taxes for this fund. !f joint return, : : _ check [7] if spouse wishes to designate $1. Note: This will not increase your tax or reduce your refund. See note below. Attach Forms W-2. If 9 Wages, salaries, tips, and other employee compensation. attach explanation) 9 . _ Mae 10a Dividends co inststons ye OP Joruen 10b Less exclusion $9 we , Balance b> |_10c =D am ae /iod (Gross amount received, if different from line 10a 2 11. Seeceeese eee eeeeeeeee ) ‘ I 11 Interest income . : : so : 12 Income other than wages, dividends, and interest (from line 238) . 13 Total (add lines 9, 10c, 11, and 12) 14° Adjustments to income (such as “‘sick pay,” moving expenses, etc. : from line 43) . -15 Subtract line 14 from line 13 (adjusted gross income) . © If you do not itemize deductions and line 15 is under $10,000, find tax in Tables and enter on line 16. © if you. itemize deductions or ‘line 15 is $10,000 or more, go to line 44 to figure tax. ae © CAUTION. If you have unearned income and can be claimed as a dependent on your parent’s return, check here B> |] and see instructions on n page 7. } 16 Tax, check if from:: Tax Tables 1-12 | Tax Rate Sche sfor|[remasve X, Y, or Z an a _ [Schedule D | Mt Saco o Schedule G [Ch Form 4726 Jor |Form 4972|'| 16 109s | en “17 Total credits (from line 54) 18 Income tax (subtract line 17 from line 16). : ‘19. Other taxes (from line 61) 3 20 Total (add lines 18 and 19) “2la Total Federal income tax withheld (attach Forms W-2 or W-2P to front). . . . . . .|2ta -Income ~~ Piease attach Copy B of Forms W-2 here | Tax, mene and Credits mated tax... woe ee ‘26 Note: 1972 Presidential Election Campalan Fund Secignation —Check C] if you did not designate $1 of your taxes on your . 1972 return, but now wish to do so. If joint return, check Ci if spouse did not designate on 1972 return but now wishes to do so. { b 1973 estimated tax payments (include amount . “' allowed as credit from 1972 return) ee _ c¢ Amount paid with Form 4868, Application for Automatic | - i o Extension of Time to File U.S. Individual Income Tax Return c : a _-d Other payments (from line 65)" toe ek d 4 22 Total (add | lines 21a, b, ¢, and d) ; us & z 23 = If line 20 is larger than line 22, enter BALANCE DUE IRS to internal Revenue’ Service > : o = (Check here > | , if Form 2210, Form ™2210F, or statement is attached. See instructions on page 8.) , . i : £ w| 24 If line 22 is larger than line 20;.enter amount OVERPAID . . ...°. . . B& — - 3 5. 25° Amount of line 24 to.be REFUNDED TO YOU . ‘ f ie} 26 Amount of line 24 to be credited on 1974 est | aa | t Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, -and to the best of my knowledge and belief “It is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on ali information of which he has any knowledge. Sign : : Your signature . * . Date Preparer's signature (other than taxpayer) , —, ; Date : an han . JEK Act 6 (3) Preparer’s Emp. de Address (and ZIP Code) 16-8233 7-2 a . wo . ae i 3717 VANGWEN. STREET _— , a “(WAM NUYS, CA. 91403 + Write soc. see. no. on Check ‘or Money Order. Attach herel  - : — ‘signature (if filing jointly, BOTH must sign even if only one had income). .  BG7-34-8729 ee SS Page i09 7 ; = BLES : ot eee,
é - 30 Net gain or (loss) from Supplemental Schedule of Gains and Losses (attach Form 4797) . * 32 Farm income or (loss) (attach Schedule F) . . . . ee Neal 5.55 re ae Form 1040 (1973) ‘ . Page & (a) NAME .,, (b) Relationship’ | (c) Months lived in your | (d) Did “de- | (e) Amount YOU | (f) Amount fur- “a : “ : home. If born or died pendent have furnished for de- nished by. OTHERS = during year, write B or D. income of pendent’s SUD- including depen- = @ Sats ‘ $750 or more? | port, “If 100% | dent. oo oo , write ALL. | ° og _| $ _ $ 27 Total number of dependents listed in columin (a). Enter here and online 6d... ee es ee | kr: a Income other than Wages, Dividends, and ares 28 Business income or (loss) (attach Schedule C) . 29 Net gain or (loss) from sale or exchange of capital assets (attach Schedule D) 31 Pensions, annuities, rents, royalties, partnerships, estates or trusts, etc. (attach Schedule E). . . ‘ .- 32 | 33 Fully taxable pensions and annuities (not reported on Schedule E—see insty uctions on page 8). 33 |. ae . 34 50% of capital. gain distributions (not reported on Schedule D) . ‘ So | 84 fT __ ‘does not.apply if refund tis f hich took th 35 State income tax refunds (Standard “Fedaction others ar year in which, ee page 3. rr ie — 36 Alimony received Ce a 37 ‘ 37 Other (state nature and SOUPCE) Deo. eeegeeeecee cece eecec cee cee lep peers teepene estes caeeeeecncesceeeecencreeaceeaanens : . Total (add lines 28, 29, 30, 31,°32, 33, 34, 35, 36, and 37). Enter here and on line 12 . TEL.) Adjustments to Income 7 39 “Sick pay.”’ (From Forms W-2 and W-2P. if not shown on Forms W-2 or We 2P, attach Form 2440 or statement.) 39 : ‘40 Moving expense (attach Form 3903) . . . . Coe ee ee eee ee | 40 | 41. Employee | business expense (attach Form 2106 or statement) Coe soe ee Al _ 42 Payments as a self-employed person to a retirement plan, etc. (see Form 4848) : Jo. we [427 __ | = Total adjustments (add lines 39, 40, 41, and 42). Enter here and on line 14. . :. > 43 ; ; _Tax Computation (Do not use this part if you use Tax Tables 1-12 to find | your tax.) - 44 "adjusted gross income (from line 15)... . oa “3-|_Le ane ‘ fo 45 (a) If you itemize deductions, enter total from Schedule A, line 41 and attach Schedule A | . uf SS __ (b) If you do not itemize deductions, enter 19% of line. 44, but do NOT enter more than . $2,000. ($1,000 if'line 3 checked) J - 46 Subtract line 45 from line 44 . 47 Multiply total number of exemptions claimed on + line 7 7, by $750 : 48 Taxable income. Subtract line 47 from line 46 . ©. (Figure your tax on ‘the amount on line 48 by using Tax Rate Schedule X, Y, or Z, or if . applicable, the alternative tax from Schedule D, income averaging from Schedule G,max- t imum tax from Form 4726, or special averaging ffom Form 4972.) Enter tax on line 16. — “ , PERN | Credits 49 Retirement income credit (attach ScheduleR) . ©. 1, 1 ee ee ee ee | AD ; __ 50 Investment credit (attach Form 3468) . 2 1 1 1 ee ee ee ee ee | BO le 51 Foreign tax credit (attach Form 1116). . . . ee ee ee ge ee ee | SEY | 52 Credit for contributions to candidates for public office—see instructions onpage9. . . . |_92__ eee ee 53 Work Incentive (WIN) credit (attach Form 4874) . . oe 53° _ 54 Total credits (add lines 49, 50, 51,52, and 53). Enter here and. on ‘line 17 oe 54 , eiFtawe, Other Taxes 7 a 55 Self-employment tax (attach Schedule SE)... . Coe ba, _55 29 6. _ 56 Tax from.recomputing prior-year investment credit (attach Form 4255) rr 56 fo 57 Tax from recomputing prior-year Work Incentive (WIN) credit (attach schedule) . rrr _57 _ _ 58 Minimum tax. Check here > C) if Form 4625 is attached Se ee ee | BBL _ 59 Social security tax on tip income not reported to. employer (attach Form 4137).. . 1. . 59 _ 60 Uncollected employee social security tax on tips (from Forms’ W-2) . 0.0.0. 2. 4. 8. 60 __ 61 Total (add lines 55, 56, 57, 58, 59, and 60). Enter here and on line’ 19. SPartwWik Other Payments : 62 Excess FICA tax withheld (two or more employers—see instructions on page 9) . . . . 62 63 Credit for Federal tax on special fuels, nonhighway gasoline and lubricating oil (attach Form 4136)... . . rr a) a 64 Credit from a Regulated Investment ‘Company (attach F Form 1 2439) re aa _|. 65 Total (add lines 62, 63, and 64). Enter here and on line‘21d Looe. : > 65 ; ec 2 | Did you, at any time during the taxable year, have ‘any interest in or signature o or other authority over . 509} a bank, securities, or other financial account in a foreign country (except | ina U.S. military banking : 5 8 facility operated by a U.S. financial institution)? . .. - oe ee ee 2 C7: Yes. [] No = =| if “Yes, "" attach Form 4683. (For definitions, see Form 4683. ) — “ wy U.S. GOVERNMENT PRINTING OFFICE : 1973—-O- 500-047 ee 16—83337-1 23 Doold: 32245535 Page 110. cee ee eet etme nn genet fe erie perenne Fenn rnatenge ne mee
. ° cS SCHEDULE A | 7 a . boo "(Form 1040) Itemized Deductions | 1973 . +... Department of the Treastity . ( ao Internal Revenue Service ; ; > Attach to Form 1040. Name(s) shown on Form 1040 JFK Act 6 (3) Medical and | Denta or otherwise) for medicine and drugs, doctors, dentists, nurses, hospital care, insurance premiums for medical care, etc. 1 One haif (but not more than $150) of insurance premiums for medical care. (Be sure to include in line 10 below) 2 Medicine and drugs - os - 3 Enter 1% of line 15, Form 1040 21 a Cash contributions for which you have receipts, cancelled checks, etc. [fo -b Other cash contributions. List donees and amounts. Bl /..2.o2 2... : _ —— 4 Subtract line 3 from line 2. Enter dif- ference (if less than zero, enter zero) . Enter balance of insurance premiums for medical care not entered on line 1 . 6 Enter other medical and dental expenses: a Doctors, dentists, etc... . 9. . . | an b Hospitals . . _ ae c Other (itemize—include hearing aids, oa dentures, 5, eyeglasses, transportation, 22 Other than cash (see instructions on page 12 for required statement) # 23 Carryover from prior years. . . 24 Total contributions (add lines 21a, b ' 22, and 23). Enter here and on line Ba one 9). ter ees | MO I Casualty or Theft Loss(es) (See instructions on page 12.) Note: {f you had more than one loss, omit lines 25 through 28 and see instructions on page 12 for guidance. | 25 Loss before insurance reimbursement . | 26 Insurance reimbursement . 27 Subtract line 26 from line 25. Enter difference (if less than zero, enter ‘n _| zero). . 1 ew we en | 28 Enter $100 or amount on fine ‘27, i whichever is smaller. . . : ’ ~ sm 29 Casualty or theft loss (subtract line 28 from line 27). Enter here and on line 39. & Miscellaneous Deductions (See instructions on page Ss 12) 7 Total (add lines 4, 5, 6a, b, and ¢) aren . | 8 Enter 3% of line 15, Form 1040. . . . 9 Subtract line 8 from line 7 (if less than : zero, enter zero) woe ee . 709 30 Alimony paid 31 Union dues . se ee 32 Expenses for child and dependent care || F 10 Total (add lines 1 and 9). Enter here 19 - and on ine 35. | services (attach Form 2441) Pe Taxes 33 Other (Itemize) B>..........--0-- eee 11 State and local income _ 12 Real estate ___ 13 State and local gasoline (see gas tax x tables) _ | 14 General sales (see sales tax tables) _ 15 Personal property. . . . Lo. i 16 Other (Itemize) B.........- ere re ___| 34 Total (add lines 30, 31, 32, and 33). _ Enterhereandonline40. . .  . & Summary of Itemized Deductions 35 Total medical and dental—line 10 . 36. Total taxes—line 17. ww ee 37 Total interest—line 20 . . . . . >} 6 q ‘| 38 Total contributions—line 24. . . . } 5 [2] _ '39 Casualty or theft loss(es)—line 29. . _ 40 Total miscellaneous—line 34. . . |____ __ 41 Total deductions (add lines 35, 36, 37, ° 38, 39, and 40). Enter here and on SI bi Form 1040, line 45 _ be +x U.S. GOVERNMENT PRINTING OFFICE : 1973--O-500-049 ; 16—82343-3 17 Total (add lines 11, 12, 13, 14, 15, and q 16). Enter here and on line 36 > 2 Interest Expense 18 Home mortgage . soe tee 19 Other (Itemize) B.........- 20 Total (add lines 18 and 19). Enter here and on line 37 . woe SW 55923 DoctId: (32945535 Page iii