a Tener ee RO er er a en “SCHEDULE G. a ‘ " » Frcrmt 1040) imcome onan “le: Department of the Treasury,. : p> See instructions on pages 3 and 4. 1973 «Internal Revenue Service > Attach to Form 1040. ’ Name(s) as shown on Form 1040 wy JFK Act 6 Taxable Income and Adjustments’ (a) - : (b) . (c)° . (d) ° ~ fe), Computation year Ist preceding -base 2d preceding base 3d preceding base Ath preceding base : nn period year ~ period “year , period year period year °° ; 1973 1972 1971 . 1970 1969 - 1 Taxable income (see instruction 1) . . ? 76) 6 —~ 0 ; j : « | 2 Income earned outside of the United Yj 7 . States or within U.S. possessions and ex- VJ “ cluded under sections 911 and 931 _. Yl yo 3 Excess community income and certain YY Uy Wf WY wo ts amounts received by owner-employees _ V7 | | ‘+ ."* 4 subject to a penalty under section Tam) YY Y Yy la - (5). See instruction 3... __ . °  Accumulatioh distributions subject to sec- _, tion 668(a). See Form 4970 5 Adjusted tarahe income or base period i o > income. (Line 1 plus line 2, less lines DS — —_ ~ ee — and 4.) If less than zero, enter zero 76 24 -—O —Oo 7 O ° Gomputation of Averagable Income 6 Adjusted taxable’ income from line 5, column (a). - 2 ee 8 ee et te TE 6 2b 26- 7 30% of the sum of line 5, columns (b), (€), (4), and (@). 2 ee ee ee 8 Averagable income (line 6 less line 7) eo ee : . ee ee 8 WAS 26 . | . Complete the remaining parts of this form only if line Bi is more than $3,000. If $3,000 or Ro, ae less, you do not qualify for income averaging. Do not fill in rest of form. Q. j + Computation of Tax - 9° Amount from line 7. 6 6 ee ee ee a0 20% of me 8 ss fae ESBS arf 11 Total (add lines Q9and10) ......:; ne ee kp ee ee et il IS 2-S 12 Amount from line 3, column (a), less” any income subject to a penalty under section 72m@) . which was. included-in line 3 . - oo . "13 Total (add lines 11 and 12) . 14 Tax on amount on fine 13 15 Tax on amount on line 11 ‘4 16 Tax on amount on line 9 . OE 17 Difference (line 15 less line 16)... . . ee ee ee daz | 2G | 18 Mutipy the amount on line 17 by4. . . ae _ re oe oe 19 Total (add lines 14 and 18)... 1 ee ee re i Ce “20 Tax on income subject to the penalty under section 72(m)(5) which was included in line 3 ; . |20 -21 Tax (add lines 19 and 20). Enter here and: on Form 1040, line 16. Also check Schedule G box on Form 1040, jine 16 . 21 on of ° = , _ 16—82358-1 NW 55923. Docld: 32246535... Page 116 mine yee ce feeeeig eogene ions weperapeti try Pop ee remem meet
. . ’ “ SCHEDULE SE | Computation of Social Security Self- Employment Tax “(Form 1040) p> Each self-employed person must file a Schedule SE. epartment of the Treasury * Peiernal Revenue Service p> Attach to Form 1040. ‘© lf you had wages, including tips, of $10,800 or more that were subject to social security taxes, do not fill in this form. @_ If you had more than one business, combine profits and losses from all your businesses and farms on this Schedule SE. Important.—The self-employment income reported below will be credited to your social security record and used in figuring social security benefits. - 1” NAME OF SELF-EMPLOYED PERSON (AS SHOWN,ON SOCIAL SECURITY CARD) Social security number aan 4. @ If you have only farm income > complete Parts | and Ill. ; © If you have only nonfarm income complete Parts Il and Il. - ©: If you have both farm and nonfarm income complete Parts I, Il, and Ill. ‘Computation of Net Earnings from FARM Self- Employment — y "4 : A farmer may elect to compute net farm earnings using the OPTIONAL METHOD, line 3, instead of using the Regular Method, we line 2, if, his gross profits are: (1) $2,400 or less, or (2) more than $2,400 and net profits are less than $1, 600. However, lines “1 and 2 must be completed even if you elect to use the FARM OPTIONAL METHOD. vee t 7 1 REGULAR METHOD—Net profit or (loss) from: : : | 7 Co ur (a) Schedule F, line 54 (cash method), or line 74 (accrual method) . . —_—— jy // arr ~ (b) Farm partnerships . 4 i “he 2° Net earnings. from farm self: -employment (add lines 1(a) and 100) 3 FARM OPTIONAL METHOD—f gross profits from farming ‘are: * (a) Not more than $2,400, enter two- ‘thirds of the gross profits. . . ., (b) More than $2,400 and the net farm profit is less than $1,600, enter $1,600. . a . '  1Gross profits from farming are the total gross profits from Schedule F, line 28 (cash oh oe or line 72 (accrual method), plus the distributive share of gross profits from farm partnerships De _ Schedule K-1 (Form 1065), line 15) as explained in instructions for Schedule SE. 4 Enter here and on line 12(a), the_ amount on line 2, or line 3 if you elect the farm optional method . Part: ee Computation of Net Earnings from NONFARM Self-Employment . oo a 5 ‘REGULAR METHOD—Net profit or (loss) from: . he . (a) Schedule C, line 21. (Enter combined amount if more than one business.) . - - - + + + : 9 ¥, a _ (b) Partnerships, joint ventures, etc. (other than farming) : : a * “0 Service .as.a minister, member of a religious order, or a Christian Science practitioner. (include Sor 3 t e . ] rental value of parsonage or rental allowance furnished. ) If. you filed Form 4361, check here [| “ and enter zero on this line . an soe ee (d) Service with a foreign government or international organization . Co : (e) Other (director’ s fees, etc.). Specify Preece cece ce eeeeeeeeceneceneneceteeteceeeseeeseees qevecceceseeseensestetesenessnes an . __ 6 Total. (add-lines 5(a), 5(b), B(0), 5(a), and 6(@)) - ee Loe | a Sy Enter other adjustments (attach statement) . . i 8 Adjusted net earnings or (loss) from nonfarm self-employment (line 6, as adjusted by line 7). . . vi 7 18 oo AE line 8 is $1,600 or more OR if you do not elect to use the Nonfarm opacaet Method, omit lines 9 through 11 and enter Yj Yj ~  °.; amount from line 8 on line 12(b), Part Ill. j 7 “ Note:. You may use the nonfarm optional method (line 9 through: line 11) only if line 8 is less than j/ Ct $1,600 and less than two-thirds of your gross nonfarm profits,? and you had actual net earn- root, INS from self-employment of $400 or more for at least 2 of the 3 following years: 1970, 1971, J ;, and-1972. The nonfarm optional method can only be used for 5 taxable years. '* Gross profits from nonfarm business are the total of the gross profits from Schedule C, line 3, lus the distributive share of gross profits from nonfarm partnerships (Schedule K-1 (Form 1065), line 15) as explained in instructions for Schedule SE. Also, include gross profits from ‘services reported on lines 5(c), 5(d), and 5(e) ¢ as adjusted by line 7. .9 NONFARM : OPTIONAL METHOD: - (a) Maximum amount reportable, under both optional methods combined (farm and nonfarm) . * (b) Enter: amount from.line 3. (If you did not elect to use the farm optional method, enter zero. )- ~ (e) Balance (subtract, line ab) from line 9(a)) . ; ; , 10° Enter: two-thirds of gross nonfarm profits * or $1, 600, whichever issmailer . . 1 1 ee es —_— _ -1l Enter here and on line 12(b), the amount on line 32) or line 10, whichever is smaller. ' . ; ; 16—-82342-1
- $ehedule: SE “(Form 1040) 1973 7 if Page 2 [Patt | Computation of Social Security Self- Employment Tax oy , . 12 Net earnings or (loss): (a) From farming (from line 4) . . (b) From nonfarm (from line 8, or line 11 if you elect to use the Nonfarm Optional Method) . ': 43 Total net earnings or (loss) from self-employment reported on line 12. (If line 13 is less than $400, you are not subject to self-employment tax. Do not fill in rest of form.) . 14 The largest amount of combined wages and self-employment earnings sub- , ject to social security tax for 1973 is . -15 (a) Total “FICA" wages as indicated on Forms w-2 (b) Unreported tips, if any, subject to FICA tax from Form 4137, line 9 . (c) Total of lines 15(a) and 15(b) . a "16 Balance (subtract line 15(c) from line 14) . a Self-employment income—line 13 or 16, whichever is smaller . 18 If line 17 i is $10,800, enter $864.00; if less, multiply the amount on line 17 by .08 . ae ‘19 Railroad employee’ s and railroad employee representative's adjustment for hospital insurance bene- ‘4 ; fits tax from Form 4469 from line 18). Enter here and on Form 1040, line 55 . 20 Self-emplo ment tax (subtract line 19 You may use this space to make any needed computations ae : ae . ‘ +x U.S. GOVERNMENT PRINTING OFFICE: 1973—-0-500-055 © 16--82342-1 Nw, (55923 ‘Docld:32245535 Page 118
“ QT9T : Supplemental Schedule of Gains and Losses te ; Sales, Exchanges and Involuntary Conversions under Sections 1231, 1245, 1250, etc. A978 Department of the Treasury Internal Revenue Service To be filed with Form 1040, 1041, 1065, 1120, etc.—See Instruction A Sales or Exchanges of Property Used in Trade or 8 dsiness and/or | (Section 1231) SECTION A.—Involuntary Conversions Due to Casualty and Theft (See Instruction D) . — ; : | . _ f. Cost or other basis, . * Saatach statement of descriptive b. Date acquited | . Date sold | 4. Grosssales | S,c%Eratowattey | provements Cif nat pur. | & Gait or (loss) details not shown below)’ (mo., day, yr.) | (mo., day, yr.) price since acquisition chased, attach explana- (d plus e less f) . tion) and expense of sale 2 Combine the amounts on line 1, enter here and also on the appropriate line as follows . ~ (a) For all returns, except partnership returns: (1) If line 2 is zero or a gain, enter such ‘amount in column g, line 3. . (2) Ifline 2 is a loss, enter the loss on line 5. “(b) For partnership returns: Enter the amount shown on line 2, on line 6, Schedule K (Form 1065). SECTION B. —Sales or Exchanges of Property Used in Trade or Business and Certain Involuntary Conversions (Not Reportable . --jn Section A) (See Instruction D) . 4 ‘Combine the amounts on line 3, enter here and also on the appropriate line as follows . (a) Forail returns, except partnership returns: (1) If tine 4 is a gain, enter such gain as a long- -term capital gain on the Schedule D (Form 1040, 1120, etc.) that is _ being filed—see instruction D. ~~ (2) If line 4 is zero or a loss, enter such amount on line 6. t H ; (b) For partnership returns: Enter the amount shown on line 4, on ‘line 7, Schedule K (Form 1065). . Field .4 - Ordinary Gains and Losses “ -~ , Cost or other basis ae a. Kind of property and how acquired b. Date acquired| c. Date sold d. Gross sales | yn, Depreciation ai- ' cost of subsequent - g. Gain or (loss) ae (if necessary, attach statement Limo, day, yt.) | (mo., day, pricey | “nce acquisition | imerovements and} (4 plus e less 1) . 5 Amount, ‘if. any, from line 2(a)(2) 6 en [pct erennnntnee 6 Amount, if any, from line 4(a)(2) a Pee 7 Gain, if any, from line 21 . . TE. 9 Combine: ‘lines 5 through 8, enter here and also on the appropriate line as follows . (a) For all returns, except individual returns: Enter the gain or (loss) shown on line 9, on the line provided ° for on the return (Form 1120, etc.) being filed—see instruction E, for specific line reference. (b) For individual returns: , (1) If the gain or (loss) on line 9, includes losses which are to be treated as an itemized deduction on Schedule A (Form 1040) (see instruction E), enter the total of such loss(es) here and include on .. * fine 29, Schedule A (Form 1040)—identify as loss from line '9(b)(1), Form 4797 . (2). “Redetermine the gain or (loss) on line 9, excluding the loss (if any) entered on line 9(b)(1). Enter | 2248 here and on line 30, Form 1040 . ee ee soe ee ; ” 1e—g2348-1 “Ww 55923 Docld: 132245535 Page 119 "
. 17 If section 1250 property: 4 * Form 4797 (1973) Page 2 "1251, 1252—Assets Held More than Six Months (See Instruction F) Lines 18 and 19 should be omitted if there are no dispositions of farm property or farmland; or, if this form i is filed by a partnership. . 10 Description of sections 1245, 1250, 1251, and 1252 property: Date acquired (mo., day, yr.) Date sold (mo., day, yr. Correlate lines 10(A) through 10(E) > P Pp with these columns => - 11 Gross sales price 12 Cost or other basis and expense of s sale . 13 Depreciation allowed (or allowable) . 14 Adjusted basis, line 12 less line 13 . 15 Total gain, subtract line 14 from line i 16 ff section 1245 property: (a) Depreciation allowed (or allowable) after applicable date (see instructions) . (b) Line 15 or line 16(a), whichever is smaller Enter additional depreciation after 12/31/63 and before 1/1/70 . Enter additional 12/31/69 . Enter line 15 or line 17(b), whichever i is smaller . (a) after (b) depreciation (c) (d) (see ' ‘instruction F.4) (e) Enter excess, if any, of line 15 over "fine 17(b) . ook ee Enter. line 17(a) or line 17(@), whichever is smaller . . . (f) (g) Line 17(f) times applicable percentage (see instruction’ F.4) . (h) Add line 17(d) and line 17(g). . . 18 If section 1251 property: (a) If farmland, enter soil, water, and land clearing expenses for current year and the four preceding years . (b) if farm property, other than land, sub- tract line 16(b) from tine 15; OR, if farm- ~ Jand,:enter line 15 or line 18(a), which- ever is smaller (see instruction F.5) - (ce) Excess deductions account (see instruc- tin FS)... - - oe (d) Enter. line 18(b) or line 18(C), wi whichever is smaller... 19 If section 1252 property: (a) Enter‘soil, water, and land clearing ex- penses made after 12/31/69 . (b) Enter amount from line 18(d), if any; ~ otherwise, enter a zero . . (c) Enter excess, if any, of line e192) over line 19(b) . . (dd) Line 19(c) times applicable percentage (see instruction F.5) . (e) Line 15 less line 19(b) . : (f) Enter smaller of line 19(d) or line 19(e) 20 Total of Property columns (A) through (E), line 15 . » 21 Total of Property columns (A) through (E), lines 16(b), 17(h), 18(d), and 19(1). Enter h here atid on line 7 . 22 Subtract tine 21 from line 20. Enter here and in appropriate Section in Part | (see instructions D and F. 2). Line 17(c) times applicable percentage Dgcld 32245535 Page 120. ow erepregenE ye U.S, GOVERNMENT PRINTING OFFICE :1973-—-O-500-154 Property Property (D) (E) ‘
_ . ‘¢ Form 4798 (1973) i eri: |. Pre-1970 and Post-1969 Capital Loss Carryovers Section A.—Short-term Capital Losses Identified . 1 Enter loss ‘from line 5, Schedule D (Form 1040) for 1972; however, if such line is blank or shows a gain, check this block , and OMIT lines 1 through 20 (because no short: term capital loss carry- - over exists), complete line 41, enter loss from line 36, Form 1040 for 1972 on line 22—then go to line 23 . a 2 Enter gain from line 13, Schedule D (Form 1040) for 1972: however, if such line is : blank or “shows | a loss enter a zero . Loe Loa ne 2 3 Reduce the loss on line 1 to the extent of the gain, if. any, online2 . 3. Note: If line 4(a), Schedule D (Form 1040) for 1972 is blank, OMIT lines ‘4 through 11, enter a zero on line 12—then go to line 13. yoo _° 4 Combine lines 3 and 11, Schedule D (Form 1040) for 1972 and if gain, enter gain; if zero ora loss, enterazero. . .|_ 4 Note: /f line 4 is zero, OMIT lines 5 through 11, enter on ‘line 12 the loss from line 4(a), Schedule D (Form 1040) for 1972—then go to line 5 ‘Enter gain, if any, from line 3, Schedule D (Form 1040) for 1972 : _5 6 Enter smaller of amount on line 4 or line 5 . _6 7 Enter excess of gain on line 4 over amount on line 6 . a {7 \ 8 Enter loss from line 12), Schedule D (Form 1040) for 1972; otherwise, ‘ enter a ‘zero _8_ 9 Reduce the gain, if any, on line 7 to the extent of the loss, if any, on line 8 _9 7 : oe 10 Enter loss from line 4(a), Schedule D (Form 1040) for 1972; otherwise, - a enterazero. . . cr ee 11 Add the gain(s) on lines) 6 and 9 soe eg . 1 12 Reduce the loss on line 10 to the’extent of the gain, if any, on line u soe ee toe eee _12_ 13 eS 13 Pre:1970 short-term capital loss (enter smaller of amount on fine 3 or on line 12) oe et _ “ 14 Short-term capita! loss attributable to years beginning after 1969 (excess of line 3 over line 13). . 14 Section B.—Computation of Capital Loss Carryovers to 1973 A 15 Enter loss, if any, from line 13 above . ae 16 Enter loss deducted on line 36, Form 1040 for1972.. . . . . {36 ey - oe 17 Loss carryover to 1973 (excess of line 15 over line 16——lf line 15 does not exceed line 16, enter zero). Enter here and on line 4(a), Schedule D (Form 1040) fori1973.. .... ... . .{417 18 Enter loss, if any, from line l4above. . . Lo 1. ee, {28 19 Enter excess of line 16 over line 15—if line 16 does not exceed line 15, enter zero . i9 Jt 20 Loss carryover to 1973 (excess of line 180 over line 19— if line 18 does not exceed line 19, enter zero). Enter here and on line 4(b), Schedule D (Form 1040) for 1973. . ......~. =. 4220 21 If you were required to complete Part IV, Schedule D (Form 1040) for 1972, enter loss, if any, from line 30, Schedule D (Form nee for 1972. Otherwise, enter zero . . 22 Enter excess of line 19 over line 18—if line 19 does r not exceed line 18, enter zero (unless you checked the block on line 1, and followed the line 1 instructions) . . nl lOTD 23 Loss carryover to 1973 (excess of line 21 over + tine 22 if line 21 does not exceed line 22, enter zero). Enter here and on ‘line 12(a), Schedule D (Form .1040) for 1973. . . . . . _23 oN 24 If you were required to complete Part IV, Schedule D (Form 1040) for ’ 1972,.enter loss, if any, from line 31, Schedule D (Form 1040) for 1972. ; Otherwise, enter loss, if any, from line 13, Schedule D (Form 1040) for 1972 |_24 _ l 21 25 Enter excess of line 22 over line 21 Be... eseeeeeeeeeeeceees X 2 (Ifline | 22 does not exceed line21, enter zero.) . 2. 0. ww ee 25 “oOo =~ 26 Loss carryover to 1973 (excess of line 24 over line 25—if line 24 does not exceed line 25, enter zero). Enter here and on line 12(b), Schedule D (Form 1040) for 1973. . . .°. . . 26 ¥ U.S. GOVERNMENT PRINTING OFFICE : 1972—O-500-156 36-2603-697 _ NW. 55923 DocId: 32245535. Page. 432
PRD GT [frei are Laeger nOare ae oe oe * — ue Sauce £ ay JFK Act 6 (3) SOC. SEC, NO. ADDRESS MEDICAL MEDICINE/DRUGS DEDUCTION SCHEDULE CONTRIBUTIONS —__ | STATE [PARTNERSHIP sHARE | FEDERAL _ CALENDAR YEAR wp 7S. FEDERAL | LESS 1% A.G.l. (Line 18 - 1040) | GiRL/BOY SCOUTS es eee NET MED /DRUGS pT ear eunp/cancer FUND i ee ee ee H&A INS. (+ EXCESS) | YAsi {|__| Reo cross/uniTED FUND ry {| jf Of. : pT Pati a as TE SEALS <7) on OR. - KOT pis oncanizep cranes NPT OR. (Td Proniticat contrisutions (7 [TT DR. }\——__-s50r_|._ [fenrcnes OR. Aaa CER NN MER CC NO CO DR. eee eee TTT Ne eae DR. ) || es oR. et—‘“—tSCS*sdrSC‘(‘“‘CCdrC Cd Se PROSTHETIC APPLIANCES rT feerorac contrieutions bt ASQ] | Fe “HEARING AID rT SC«dCSCSdE( SSS CASUALTY OR THEFT LOSS(ES) HOSPITAL | [| |__| Loss BEFORE ADJUSTMENT ne ee eee RNBULANGE | TF sioo timrarionrer casuactm | | |_| LABORATORIES ee ee ee ee eee TRAVEL FOR MED. { (OO Zoli ator. cas-ontHert toss pf Td | {|_| __ | MIscELLANEOUS DEDUCTIONS Se MEDICARE INS. (| [| Tincome taxereraration TTP “MEDICAL EXPENSES Ter [eee] [umrormsprotec.ccotuine [| ft ; LESS REIMBURSED BY INS. rt |. [J] mace toous ano suppies [| CP SS ee NE) ROS ING ECU ELL TPZ eaunory ano.creannc | i 749711 766) | auto usegpamace ee ee ee +: (TO $150) OF H & A INS. I Tsp 789] [aumonyiscueoure, | 10 TOTAL MEDICAL DED. ro LLL LAL | invest.counserarussscnen) | | TAXES [emPLoyment acencyrees | | J Sy REAL ESTATE ZOTL 1.1 sareverostnox | dT CP "STATE & LOCAL GASOLINE jae tp tec reqineusiness | | GENERAL SALES TAX r—37R LT LL | cHILDaer. care (Form aaa) [| -STATE & LOCAL INCOME “ee | fossa | T™~—“—=SSC~*drSC *_PERSONAL PROPERTY —_ 7 COC OCC / PERSONAL PROPERTY AUTO rp COC—C“—sCs‘“‘SCUCd STATE DISABILITY INS. ee ee | ee ee ee _SALES TAX AUTO PCOTCTCd "Sgro isc. DED. ae : [|_| ___| = suimary OF ITEMIZED DepucT. | FEDERAL | STATE INTEREST (TO WHOM PAID) _ (Sg. TOTAL TAXES (FROMLINE 17) | | of MORTGAGE Z T 2S TO |__| SESWOTAL INTEREST (Line 20) es ee ee OD | 2a. [| [S8imotat contr. (Line 24) ee ee INSTALLMENT LOANS i ia ae wy TT PT TT ears” SS ' " "20 TOTAL INTEREST ._ > 69... Lier | BUD AERO a BA GHrBS4 AES Bos BSE, dahiS Form 101
0. aA ; CALENDAR YEAR 19 ns SOC. "SEC. NO. — mo  "s “ADDRESS FISCAL YEAR ENDING JFK Act 6 (3) 19 SCHEDULE OF PROFIT (OR LOSS ) FROM BUSINESS OR PROFESS! ON PRINCIPAL BUSINESS ACTIVITY BUSINESS NAME EMPLOYERS NO. BUSINESS ADDRESS TOTAL RECEIPTS | - = INVENTORY AT BEGINNING OF YEAR j Me wx) ‘MERCHANDISE PURCHASED , | £4236 LABOR | |NVENTORY AT END OF YEAR [| —v— | 20136 " GROSS PROFIT : ; _ {GROSS INCOME I : | ran) ws oe OTHER BUSINESS DEDUCTIONS. oe Lig | CADVERTISING : —_ _ Pp se ue * AUTO AND TRUCK EXPENSE j T efel | Sat . oor CASH SHORT 2! 4 = ee ee ee 1 TC OMMISS TONS a ae Sores Lo ; Ta DELIVERY 1 : a Le DEPRECIATION (, SCHEDULE ATTACHED ) | 2Apr!. | ous . DUES AND SUBSCRIPTIONS , . J leg = — ; oo. 4 ENTERTAINMENT AND PROMOTIONAL INSURANCE j INTEREST JANTTOR SERVICE - LAUNDRY LEGAL AND ACCOUNTING MAINTENANCE OFFICE SUPPLIES: AND EXPENSE : GHUSSRAGEERAAED RENT nC eam REPAIRS SALARIES AND WAGES SALARIES OFFICERS RO ‘SUPPLIES aS) Y TAXES AND LICENSES : 3 M AYA wee FAD TAXES - PAYROLL” TELEPHONE .TRAVEL UTILITIES NET PROFIT:-OR( LOSS ) - FEDERAL RETURN ; | We Us NET PROFIT OR LOSS ) + STATE RETURN ( SEE DEPREC. SCHEDULE FOR DIFF. ) . bale PROFESSIONAL STATIONERS INC. FORM 104 LOS ANGELES, CALIF. SCHEDULE “NW 55923 DoeIa: 32245535 Page 124 Ce oy ©
wee ] ROT ase BREE * Name =. 1.0. NO. CALENDAR YEAR? 197 ADDRESS. . _ $OC. SEC, NO, FISCAL. YEAR ENDING s ; _ 19 ! < - . ; a ; ee ee re 7 _ __ ~ "SCHEDULE OF DEPRECIATION / AMORTIZATION KIND OF PROPERTY roo DPAJILL ps OMPETE ist - ~ Add 20% Additional Depreciation on Items Purchased THIS Year. | : | =. TOTAL DEPRECIATION THIS YEAR lao, PROFESSIONAL STATIONERS INC. LOS ANGELES . CALIF. FORM NO.M0RA ” : oe SCHEDULE - So “ft | oe _ es | “Y ; cost OR | spec 20% | ACQUIRED § DEP H OTHERBASIS § -f i H RATE(%) DEPRECIABLE | DEP ALLOWED | REMAINING | oo. | on LIFE BASIS } PRIOR YEARS cost } (yrs) FOR THIS YEAR EXy) = ‘a S| 5 o ie) SI i : | VII. NP 9 0 D 17 5 OD | f/f ‘i es ee ee ee ee ee ee ee eee H i I i H . . Sa Ee OO Oe OO OS A y i f ! f B ; : \ E ' f i 3 i j ; | se ee ee ee ee TOTALS 1 DEPRECIATION ww $5993 |pobta!so245535 Page i2
Please |_ INDIVIDUAL CALIFORNIA INCOME TAX ecurity Number Type JFK Act 6 (3) or re occu | 7G A; A C s PATION Spouse’s HIY fim Status Check only One , Exemption Credits If line 1 or 3 checked, enter $25 1. OD Single 6s 6. Personal Exemption: tt line 2, 4 or 5 checked, enter 0 "O....-- “2. SSA Married fi filing joint: return 7. Dependents - Do not list person who qualifies you as head of household. 3. Married filing se arate return—Enter, s ouse’ s full Name (include last name and/or address if different from ygur: iopshio’ 2 D name... : _ ee eee i veneer ee TH ow. / —-: v4 E. D.. 4.--(]: Head of Household—Enter name of qualifying serngentenst seen cectens 9) Ns 0 eee Ce a oo: ne he imbividal ta eae eeepc . Total ‘Number LS eevee X $8 a~¥ ~ Widowler) with dependent child. Enter year spouse 8. Blind (refer to instructions) Number of blind exemptions B.......... coceneeceeeeneeneee X $8 ne died 19_. an a 9. Total ‘exemption credits (add tines 6, 7 and 8) Enter here and on line 20 below. 7¥ a ¥ * _<dATTACH-COPY 2 OF FORM W-2 HERE oe _.Angome ae Attach copy 2 of Form(s) Ww. 2 to front, 10. Wages, salaries, tips and other employee compensation \if unavailable, attach explanation Dividends—before federal exclusion. Capital gain dividends must be included at 100% 12. Interest. (See instructions for taxability of federal, state and municipal bonds) 13. Income other than wages, dividends and interest (from tine 50) ‘Total (add lines 10, 11, 12 and 13) 15. “Adjustments to income (from line 56) : 16. Adjusted gross income (subtract.line 15 from line 14) —_ _ ae ren _ > © If. you do NOT ‘itemize deductions AND line 16 is under 10,000, find tax in Tax Table and enter on line 19. ° If you itemize deductions OR line 16 is $10, 000 or more, complete lines 17 and 18. 17. . Deductions: Itemized (from line 63) OR Standard ($1,000 if line’1 or 3 checked—$2,000 if line 2, 4 or. r5 checked) “", 18, Taxable income (subtract line 17 from line 16) Compute tax from Tax Rate Schedule—Enter tax on fine 19 — = ye } 19.. Tax—If an averaging method is used, check appropriate box O Schedule 6, o 3 Sele * 20. Total exemption credits (from line 9, above) woe ‘ a er 10 Tax Jiability (subtract line 20 from line 19—if line “20 Ne renter than line 19, enter a . i . Your - 92. Other credits (from line 66) a A er 23. Net tax (subtract line 22 from jine 21—if line 2 is greater ‘than ‘ine a patter zero), foe f=. Credits ” 24. Special tax credit—from line 75 (see Instructions, page 2, for. allowable dit) : - = "|. 25.’ Net-Tax liability (subtract line 24 from line 23—if line 24 is greater than 1B, enter zero) » g 26. Tax-on preference income (see instructions—attach Schedule P(B40)) are: a7. Total tax liability (add lines 25 and 26). ©. 1s os Noe | Sin wes _ . £ Ze" 28. Renter's credit_if you lived in rented property on March’ L 1973, éomplete- Part | on page 2 i pp Your . 29, Total ‘California income tax withheld (attach Form(s) W-2 or W.2P to face of return). = S fayment 30. 1973 California estimated tax payments (include amount allowable as a credit from 1972 return) £ B. ‘Brett 31. Excess California SDI tax withheld (attach FormDE 1964 -to face of return) . 5 = 32. Total prepayment credits (add lines 28 through 31) BS 33. If line 27 is equal to or larger than line 32, enter amount of BALANCE DUE . . 2 “iE Balance . Pay: in full and mail with return to: Franchise Tax Board, Sacramento, CA 95867. oe me not write in these spaces . 2 Due 34. If line 32 is larger than line 27, enter amount OVERPAID ; Loe i, Boot _ Mail return to: Franchise Tax Board, P.0. Box 13-540, Sacramento, CA 95813 . (rere ‘Refund = 35, - Amount of line 34-to be REFUNDED. (allow at least ale weeks for your refund)... ton 36. ° Amount of line 34 to be credited on your 1974 estimate’ tax. ee ee 1 ee ee M 7 3 Under ‘penalties. of perjury, 1 declare ‘that | “have examined this -yeturn, inetuging accompanying schedules and statements, "and to the hest of my knowledge and A iy 3 belief it is true, correct and’ complete. If prepared by a person other te, taxpayer, his declaration is based on all information of which he has any knowledge. a) 1 cas Sigh > vir iaae wsooeceesrececnonegetanecseccessorooanggatTETe "7" Bade "LF Preparers signature: (other than’ taxpayer)" i‘ HERE it i it Geturn oop | Address (and Zip codey 1 Preparers Employer —Dra , ‘ ; 13717 VANOWEN STREET pW 55923 DocId:32245535 Page 126 . | oo YAN NUYS, CA. 91403 1 REBAR TI ep ie nr pew re eee Ae eee -~. cept wee eenege re een