CAPITAL GAINS AND LOSSES Attach to Form 540 or 540NR Use this schedule to report gains and losses on stocks, bonds and similar investments, and gains (but not losses) on personal assets such as a home or jewelry. — JFK Act 6 (3) e. Cost or other basis as . adjusted, cost of subse- ; a. Kind of property and description b. Date acquired c. Date sold d. Gross sales quent improvements (if f. Gain or loss wf .  (€xample, 100 shares of ‘'Z’' Co.) (mo., day, yr.) (mo., day, yr.) price not purchased, attach (d. less e.) , . 0 ss explanation) and ex- : ; pense of sale - ; 10D. [eee CECT. CT LEVER 12 [73 Hey BAF | BZ -_ REIL fA... Vale 22. 3 f a, [2 Bus. Be BA 3672. 2. Enter gain (or loss), if applicable, from line 18, Sched ule D. 1 (540) (attach copy) . 3. Enter your share of net gain or loss from partnerships and fiduciaries . 4, Net gain or loss, combine lines 1, 2.and 3... 1. ee ee 27Y/ ; " PART fli—Assets Held More Than One Year But Not More Than Five Years ‘6. Enter gain (or toss); if applicable, from line 20, Schedule D-1 (540) (attach copy) | _ 7. Enter your share of net gain or loss from partnerships and fiduciaries 8. Net gain or loss, combine lines 5, 6 and 7 "PART Ill—Assets Held More Than Five Years 10. Enter gain (or loss), if applicable, from line 22, Schedule D-1 (540) (attach " copy) 11. Enter your share of gain or loss from partnerships and fiduciaries 12. Net gain or loss, combine lines 9, TO and 11 PART 1V—Summary of Capital Gains and Losses 13. Enter amount from line 4 14: Enter 65% of the amount on line 8 : . 15. Enter 50% of the amount on line 12 197 Los3- | py ‘Baz. =- _/ 16. Enter unused capital loss carryover from preceding taxable years (attach computation) 17. Combine the amounts shown on lines 13, 14, 15 and 16 18. If line 17 shows a gain, enter here and on page 2, Part Il of Form 540 « or 540NR . '19, If line 17 ‘shows a loss, enter here and on page 2, Part Il of Form 540 or 540NR the smallest oft ‘"' (a) amount on line 17; . ' * (b) the taxable income for the taxable year (computed without regard to gains or losses from sale or exchange of capital assets; or (ce) $1,000 ($500. in the case of a husband or wife filing a separate return). “NW55923 DocId:32245535_ Page 131 | mere emer ee ome memes wm mn geen een ae reneemcgey Somrae apr, tend eocameieewergan geese wommepeersseen maar smote
SUPPLEMENTAL SCHEDULE OF GAINS AND LOSSES (Sales or Exchanges including Involuntary Conversions) (Attach to Form 540, 540NR, 541 or 565) + Identifying number as shown on return JFK Act 6 PART 1 Gaim From Disposition of Property Under Sections 18211, 18212-18, 18219, 18220 ' Lines 9 and 10 should be omitted if there are no dispositions of farm property or farm land; or, if this form is filed by a partnership. . 11. Description of Sections 18211, 18212-18, 18219, and 18220 property. ; (ne tay 9n) © LAL. S. RA Ske... PPE Peo cceeeeeeeeteeeteteeteeeeep APO | SBF. ‘Correlate lines. 1(A) through 1(D) with these columns > ‘ ai ae [ae Property . Gross sales price Cost or other basis and expense of sale Depreciation allowed (or allowable) . . Adjusted basis, line 3 less line 4 . Total gain, subtract line 5 from line 2 . !f Section 18211 property: - _ (a) Depreciation allowed (or allowable) after applicable date. (See- Instruction D-3) wo. _ (b) Line 6 or line 7(a), whichever is smaller. 8. If Section 18212-18 property: . (a). Enter additional depreciation after 12-31-63 and before . 11-71. * (b) Enter additional depreciation after 12. 31 70 ‘ (c) Enter line 6 or line 8(b), whichever is smaller . (d) Line 8(c) times applicable percentage (Instruction D-4) . « (e) Enter excess, if any, of line 6 over line 8(b) (f) Enter line 8(a) or line 8(e), whichever is smaller . _'(g) Line 8(f) times applicable percentage (Instruction D- 4) . (h) Add line 8(d) and line 8(g) So es '.. 9. If Section 18220 property: .. (a) If farm land, enter soil and water conservation expenses - for current year and four preceding years . (b) If farm property, other than land, subtract line 7(b) from line 6; OR, if farm land, enter line 6 or line 9(a), which- _ ever is smaller (see Instruction D-5) « (c) ‘Excess deductions account (see Instruction D-5) - (d) Enter line.9(b) or line 9(c), whichever is smaller . 10. If Section 18219 property: (a) Soil and water conservation expenses made after 12-31-69 (b) Enter amount from line 9(d), if any; otherwise, enter a zero (ce) Enter excess, if any, of line 10(a) over 10(b) (d) Line 10(c) times applicable percentage (Instruction D-5) " (e) Line 6 less line 10(b) ‘ (f) Enter smaller of line 10(d) or line 10(e) . ‘ SUMMARY OF PART | (Complete Property Columns (A) through (D) up to Line 10(f) before going to Line 11). - 11. Enter amounts.from line 6 . to. . ’ _ 12, Enter amounts from lines 7(b), Bch), 9(d) ‘and 10(8) ' 13. Subtract line 12 from line 11, enter here and in appropriate Section in Part Il (see Instruction D-2) . . Total of Property Columns (A) through (D), line 12. Enter here and on line 24, Part I 1... J2L¥ F = Nl Oo a WOW . CREV. 1973) j _ 35923 ‘DocId: 32245535 | Page i32_
: . e a . Ts ’ Sehedule D-1(540) e 7 Page 2 PART [ Sales or Exchanges of Property Used in Trade or Business and/or Involuntary Conversions (Section 18181-82) see Instruction E "Section A — INVOLUNTARY CONVERSIONS DUE TO CASUALTY AND THEFT f. Cost or other basis, cost of subsequent improvements * (if net purchased, attach explanation) and expense of sale e. Depreciation allowed - (or allowable). since acquisition 9. Gain (or loss) (d. plus e. less f.) a. Kind of property (if necessary, attach statement of descriptive details not shown betow) d. Gross sales price © c. Date sold b. Date acquired (mo., day, yt.) (mo., day, yr.) ; 16. Combine the amounts on line 15, enter here and also on the appropriate line as “follows - (a) For all returns, except partnership returns: (1) If line 16 is zero or a gain, enter amount of each’ gain or loss, above, in - column (g) of applicable Section: B-1, B-2 or B-3; (2) ‘If line 16 is a loss, enter such amount on line 25 of Part Ill. ' (b) For partnership returns: Enter gain(s) and loss(es) in Schedule K (Form 565). See Instruction E. Section B— SALES OR EXCHANGES OF PROPERTY USED IN TRADE OR BUSINESS: AND CERTAIN INVOLUNTARY CONVERSIONS , (Not * Reportoble in Section A) : "Section B-1 Property Held One Year or Less 2 SANNA TE SA ETERS CE ORE OE EEE re ecoremaatie oa ~ Section B-3 Property ‘Held More Than Five: Years 22. Combine the amounts on line 21, enter here . . 23. Combine the amounts on lines 18, 20 and 22; enter here and also on the ‘appropriate line ¢ as follows (a) For all returns, except partnership returns: (1) If line 23 is a “gain, enter the amounts from lines 18, 20 and 22, on lines 2, 6 and 10, respectively, of the Schedule D (Form 540 or 541) that is being filed. (2) If line 23 is a loss, enter such « amount on line 26 of Part fil. ; (b) For partnership returns: Enter amounts on lines 18, 20 and 22, in Schedule K(565)—see Instruction E. PART M1 Ordinary Gains and Losses a. Kind of property and how tage . acquired (if necessary, b. Date acquired c. Date sold d. Gross sales &. Depreciation altowed f. Cast or cotter basis. cost of g. ‘Gain (or loss) attach statement of descriptive (mo., day, yr.) (mo., day, yr.) a price since acquisition and expense of sale wae 4 plus e. less f.) 24. Gain, if any, from line 140. 1 1 LADY ET 25. Loss, if any, from line 16. 6 2 2 ee Ce 26. Loss, if any, from line 23. 2. 2. ee ee a 28. Combine lines-24 through 27, enter here and also on the appropriate line as follows . . (22YF <= (a) For fiduciary and partnership returns: Enter the gain (or loss) shown on line 28 on the line provided for on the “e return being filed—see Instruction F for specific line reference. (b) For individual returns: . ,. (1) If the gain (or loss) on line 28 includes losses which are to be treated as an itemized deduction on 1 Schedule A (Form 540 or 540NR) (see Instruction F), enter the total of such loss(es) here and on Schedule A (Form 540, or 540NR)—Identify as loss from line 28(b)(1), Schedule D-1 (Form=540).. (2) Redetermine the gain (or loss)-on line 28, excluding the foss (if any) entered on line 28(6)(1). Enter here and on page 2 of Form 540 or Form 540NR, under “Other Income" Loe ne x vo 12248 = 48 B925 Doold:32245535 Page 133_ , "372%-Apo 5:73 2,s00m zoom (a OSP
" oo : 104 Qe = UY S- “Department ofthe Treasury / Internal Revenue Service L--@ i a individual income Tax Return — r For the year January 1-December 31, 1970, or other taxable year beginning _.__.._.....-....--.------- , 1979, ending -- veo g First name end initial (If Joint return, use first names and middle initials of both) Last name r “Your. social: security number & -SAMUEL_AND PHYLLIS: - |. RUBY. < Present home address (Number and street or rural route) ‘ Spouse's social security number & 16250 Bircher eo gt | grK Act 6 (3) | . : a City, town or post office, State and ZIP code _ ; ; | Occu. Yours S@ [ee . 7 a Granada Hills, California  — _ PAI |Soouse's_ Housewife L Filing Status—check only one: Exemptions Regular / 65 or over / Blind Enter mos." 7° 2 O] Single; 2 BY Married filing jointly over if only one 7 Yourself - . - . ~ . Rl (] C) ores * 3 (I Married filing separately and spouse is also filing | 8 Spouse (3?0/"%5 any i item i] [J checked | 2 seg if this item checked give spouse's social security number in 9 First names of your dependent children who lived with Fes xi - space above and enter ., |. Fred Bri an, FE Li isa | : 8 ‘first name here > oe you._. ~ ine ar 4 g| 4 © Unmarried Head of Household — Thomas Ente ar > “ . 5 GI Surviving widow(er) with dependent child 10 Number of other dependents (from line 34)... >! | 6 [7] Married filing separately and spouse is not filing 11 Total exemptions claimed . eee >| 6 _ nay 12 Wages, salaries, tips, ete. (Attach Forms W—2 to back. If unavailable, attach explanation) . |_°¢.. Ce ee ee fo] . a : “ me 2 13a Dividends (,0°ghef 8.) $. .. 2060 _ 13b Less exclusion ¢ 20. 60 Balance. pm |_213¢ a _ ta 8 © ‘ (Also list in Part | of Schedule B, if gross dividends and other distributions are over $100) , s E 14 Interest. Enter total here (also list in Part Il of Schedule B, if total is over $100) . 14 | . " z 3 . 9; 15 Income other than wages, dividends, and interest (from line 40) . ~ S|. 7 2284 27 8 : _ ® . - 36) 7,284: 97 See page nage 2 of in instructions 1s for rules aur t tax and surcharge, e eit you do not itemize deductions and lire 7 18 | __ 74284 | 97 RE ' If you itemize deductions or line 18 is $10,0000% tax. we mo ; Py 49 ‘Tax (Check if from: Tax Tables 1-15 (J, Tak at fi ru Hdule D [1], or Schedule G [-) | |_19_ LLP. 53 : 3 » 20 Tax surcharge. See Tax Surcharge Tables A, Byap in i ions. gu claim retire! i os ~, ment income credit, use Schedule R to figure E . _ | =| 2¥ Total (add lines 19 and 20). 117/53 - |. — saat _ g «22 Total credits (from line 55). ee ee 5 'B | 23 Income tax (subtract line 22 from line 21) . § Z | 24 Other taxes (from line61). 2. 6. ee ee _24 538/20 5 a . ae ‘ =| & | 25 Total (add lines 23:and 24) . to. , 2 oo it BB ‘So C7 8 € |°26 Total Federal income tax withheld (attach Forms w-2t to back) . | 26 | . | ZMake check or money Y , P Fa 27 1970 Estimated tax payments (include 1969 overpayment allowed as a credit) | 27 | | _ Zon parene £0 inter: Y i 3 |: 28 Other payments (from line 65)... 6. ee 1 28 | | Be nani a : Bi |_| 29 Total (add tines 267 27, and 28). BJ | eS \aa 30 If line 25 is larger than line 29, enter BALANCE DUE. Pay in full with return . p> | 30 _ 655 23 7 © |31 If line 29-is targer than line 25, enter OVERPAYMENT . tore p> | 31) | 5) 32, Line 31 to-be: (a) Credited on 1971 estimated tax BS © (>) Refunded > $ ; Te tre tite eel ee nplcte that i have examined this return, including accompanying schedules ‘and statements, and to the best of my knowledge and belief & 2 P saessentie ———----—---—-——sis—— | Ds, | A Your signat = Dat Signature of " ‘< " LAMBERT. T-MARKE | _— "s signature oH filing jointly, BOTH must sign even If only one had income) - Address) 16633 VENTURA BLVD. bes NW 55523 Doold: 32245535 . Page i34 ENCINO, CALIF. 94316