CAPITAL GAINS AND LOSSES 7 a Attach to Form 540 or 540NR sc {EDULE = 1° 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. Name as shown on Form 540 or S4CNR Secial Seturity Humber Samuel and Phyllis Pubv abe | Se SHORT-TERM—ASSETS HELD NOT MORE THAN 6 MONTHS |, ; | e. Cost or other t.:is, as adjusted, cast af subsequent irirpeerents i f. Gain er loss | a. Kind of oroperty and descriation b. Date acquired | c. Gate sola! ' (Examate, 100 shares of "2" Co.) 1 (mo., day, yr.) | (mo. day. yr.) | dG: ass sales. price H Gi not avechased, (3 tess e) attach expianation) : and expense of sale i oe an -_ . Me eecececec tence cece ceeneeeneeesveneeees ceeeees }- eee ee fo eceeebe ceceevesseteeeteneseeccaceduseeeesssssseseeeneeeneee 1 we eae | rs an an | veeetesees sees SCHED. Eo Ar TAG HED | 4 Lecce ceeeete cbc e cece cceeeeteeeseee “2. “Enter your share of net short-term gain (or loss) from partnerships ‘ond fiduciaries 3, Enter net gain (or loss), combine lines ] and 2 . . . 4. Enter unused short-term capital loss carryover from preceding taxable | years (ottoch statement) 5. Net short-term gain (or loss), combine lines 3 and 4 . LONG-TERM—ASSETS HELD MORE THAN 6 MONTHS 7. Emer gain if opplicable from line 4, Schedule D-1 (Form 540) (attach copy). ee Le enecert 8. Enter your share of net long-term gain (or loss) from partnerships and fiduciories . . 2. 2. wee 9. Net gain (or loss), combine lines 6 through 8 . . . Ct. . oe rrr . Enter unused long-term capital loss carryover from preceding taxable years (ottach statement) (14 274,00). Net long-term gain (or loss), combine lines 9 and 10 . 12. Combine the amounts shown on lines 5 and 11, and enter the net gain (or loss) here 2 2 7 2 we i; (15,522.09). 13. If line 12 shows a gain— (a) Enter 50% of line 11 or 50% of line 12, whichever is smaller. Enter zero if there i is a lass or no entry on line W (b) Subtract line 13(a) from line 12. Enter here and on line 32, Form 540 (line 33, Form 540NR) 14. If line 12 shows a loss— (a) Add lines 4 ond 10 (if lines 4 and 10 are blank, enter a zero here and on fines 14(b) and 14(c) and go to line 14(d)) 2 we ; ee (b) Combine lines 3 and 9—if gain, enter gain; if loss, enter zero 6 we Lecce eevee (c) Enter smallest of (i) line 14(a) less line 14(b); (ii) the amount of taxoble income on ‘Form 540 or SANR, computed without capital gains ond or losses—determine this figure via a side computation; or (iii) $1,000 | eee (d) Combine lines 3 and 9—if loss, enter loss; if gain, enter zero here and on line 14(e) and go to fine 14/f) 2 fee (e) Enter smallest of (i) the amount of taxable income on Form 540 or 540NR, computed without capital sjains and or losses, tess line 14(c)—determine this figure via a side computation; (ii) $1,000 ($500 if married and filing separately); (iii) if line 3 is zero or shows a gain, 50% of line 14(d); (iv) if line 9 is zero or shows a gain, amount on line 14(d); or (v) if lines 3 and 9 show losses, line 3 added to 50% of line 9 . (f) Enter here, and on line 32, Form 540 (line 33, Form 540NR}, the sum of lines 14{c) ond 14(e)—(Do not enter an amount greater than $1,000) - ( 1,990,09) Carrvover (1-:) (814,522.09) See tnstructions on Buck MW 35923 Doold: 32245535 Page 136
Rdiérence Copy, urkK LCoLiection: nSLA (AU “5s] te age INDIVIDUAL an we ee CALIFORNIA INCOME TAX w the year January 1-December 31, 1973, or other Taxable year beginning vf "Spouse's Social ‘ t “TAXABLE YEAR occu. PATION fy-K2 A Spouse's ing Status - Check Only “One i. OF Single ?, A Married filing joint return 3. (© Married filing separate return—Enter spouse's full Exemption Credits If line 1 or 3 checked, enter $25 | 6. Personal Exemption: |if line 2, 4 or 5 checked. enter $50) . ©. 2. + ST O}...--- 7. Dependents.- Do not list person who qualifies you as head of household. - Name (include last name and/or address if different from ygur, iogship ae ets a = PRED". 4. €] Head of Household—Enter name of qualifying ; LIS : - individual _ “Total “awe Be ences x 38 8. Blind (refer to instructions) Number of blind exemptions P ......... wen $8 5. () Widow(er) with dependent child. Enter year spouse died 19....... Total exemption credits (add lines 6, 7 and 8) Enter here and on line 20 below ; 7 Attach copy 2 of Form(s) W-2 to front, ° , , Income 10. Wages, salaries, tips and other employee compensation Gr unavailable, attach explanation ) 11. 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) 14. Total (add lines 10, 11, 12 and 13) 15. Adjustments to income (from line 56) . . ~ 16. Adjusted gross income (subtract fine 15 from tine 14) e@ If you do NOT itemize deductions AND line .16-is under 10,000, find tax in. Tax Table:and enter.on.tine 19. e 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 fine 2, 4 or 5 checked) | 17 St6 sal - 18. Taxable income (subtract line 17 from line 16) Compute tax from Tax Rate Schedule—Enter tax on line 19 <4 ATTACH COPY 2 OF FORM W-2 HERE > 19. Tax—If an averaging method is used, check appropriate box (] Schedule G, or ( Schedule G-1 20. Total exemption credits (from line 9, above) 21. Tax Hability (subtract line 20 from line 19—if tine 20 ib pester than line 19, enter rerd) Your 22, Other credits (from fine 66) . ba 23. Net tax (subtract line 22 from line 21—Iif line 22 is greater | ‘than ‘line 21 “enter zero) oe Credits 24 Special tax credit—from line 75 (see Instructions, page 2, for allowabl erédit) 25. Net Tax liability (subtract line 24 from line 29—if line 24 is greater than Iie b3, enter zero) 26. Tax on preference income (see instructions—attach Schedule P(540)) ; 27. Total tax liability (add | tines 25 and 26) | 3 - 26. Renter's credit—if you lived in rented property on March 1, 1973, complete Part | on page 2 2p Your 29. Total California income tax withheld (attach Form(s) W-2 or W-2P to face of return). 3 ent 30. 1973 California estimated tax payments (include amount allowable as a credit from 1972 return) . 2 nits 31, Excess California SDI tax withheld (attach Form DE 1964 to face of return). ©. 2 2 2 3 32. Total prepayment credits (add lines 28 through 31), , FE . 33. If line 27 is equal to or larger than line 32, enter-amount of BALANCE DUE Loa : Balance Pay in full and mail with return to: Franchise Tax Board, Sacramento, CA 95867 be not write in these spaces Due 4. line 32 is larger than line 27, enter amount OVERPAID . . . . . . rare | or Mail return to: Franchise Tax Board, P.0, Box 13-540, Sacramento, CA 95813 te : Refund 35, Amount of line 34 to be REFUNDED. (allow at least “gix weeks for your refund) 2. we. 36. Amount of line 34 to be credited on your 1974 estimated tax. M A “Under penalties of perjury, 1 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, {f prepared by a person other than taxpayer, his dectaration is based on afl information of which he has any knowledge. 2 SIGN B oie al tere eeenes site settee DP cea a ag — eNO. social security number on check or money order. ATTACH HERE > <4 Wri Your signature we Y HERE &. ss ¢ dindinges Shing apatalury g°°~C~C”C“CS<C72C?Re™tst=‘=S:ts Date | ‘dais ‘(and Zip codey Preparer’s Eabloyer = Ween Mrs ee A A TREST
Reference copy, JFK Collection: @ es ~~ —. CALIFORNIA SUPPLEMENTAL SCHEDULE OF GAINS AND LOSSES (Sales or Exchanges Including Involuntary Conversions) (Attach to Form 540, 540NR, 541 or 565) PART | Gain 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. 1. Description of Sections 18211, 18212-18, 18219, and 18220 property. (mo day yt) A SMACK BA Ro eee MPO. | MBL A Correlate lines 1(A) through 1(D) with these columns carey > 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 If Section 18211 property: (a) Depreciation allowed (or allowable) after applicable date. (See Instruction D-3) . (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 1-1-71 (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) 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 (c) 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. . “¢ 12. Enter amounts from lines 7(b), 8(h), 9(d) ‘and 10(f) 13. Subtract line 12 from line 11, enter here and in oppropriate Section in Part Il (see Instruction D-2) 14, Total of Property Columns (A) through (0), line 12. Enter here and on line 24, Part Ill =. 2. 2 ww we 12.¥2 —_ MWCSS923 _PocrdT 3229s o3 5 Page 20 NSA oa on
Reference copy, JFK Collection: HSCA (RG 233) INDIVIDUAL INCOME TAX RETURN For Calendar Year 1970 or Fiscal Year Begun 1970 and Ended 1971 FIRST NAME(S) AND INITIAL(S) LAST NAME SO i) i f Please SAMUEL AND PHYLLIS RUBY Your occupation COUNTY Type PRESENT HOME ADDRESS (Number and street, or rural route) sos Angeles oF, ' 16250 Bircher Print CITY, TOWN OR POST OFFICE STATE ZiP CODE Granada Hills Califernia 91344 | Self-Employed fp— NAME AND ADDRESS OF EMPLOYER AT TIME OF FILING Spouse's occupation an Self-Employed Housewife NAME AND ADDRESS ON 1969 CALIFORNIA RETURN. IF SAME AS ABOVE, WRITE “SAME”. IF NONE FILED, Adjusted gross income on 1970 Federal Return $.. 83 r 284.97. GIVE REASON. If different from tine 11, below, explain 11346 Montgomery Avenue Granada Hills, Calif. in Part VIE. page 2. Filing Status . 3 (check one) 2. Married, filing joint return 4. : | Married, filing separate return—spouse’s name: .. .. hese Unmarried “head of household’—Complete Part |, page 2 5. Wages, salaries, tips, etc. (before payroll deductions) if more than two employers, attach schedule Income Emotoyer’s name Where employed (city and state) {f Joint return, 5 ie - Include all Income of both husband and wife 6. Dividends. Enter total here (also fist in Schedule B (540), Part 1, if total is over $100) 6,° 3 20 |60 & 7. Interest. Enter total here (also fist in Schedule B (540), Part !, if total is over $100) . 2. 2... 7 \e@. = oad : 3 8. Other income (from page 2, line 30) 8 x E 9, Total (add lines 5, 6,7 and 8 0 ee | 9f BB OK LE? ae = , 10. Adjustments to Income (from page 2, line 35) 10 < = =< 11. Adjusted gross Income (subtract fine 10 from line 9) . , © If you do not itemize deductions AND fine 11 is under $10,000, find your tax in Tax Table in instructions. Enter tax on line 12. © If you itemize deductions OR fine 11 is $10,000 or more, go to Part IV on page 2 to figure tax. ta 12, Tax from (check one): Tax Table (J, Tax Computation (page 2, Part {V) Og, or Schedule G (540) Q] © | j 12 | o.. and 13. Exemption credits (from page 2, fine 43) 2 2 2 2 ee LB Credits 14, Tax liability (subtract fine 13from fine 12). 2 ww te ee ee fA EE a 15. Total other credits (from page 2, line 49) 2. 2 2. 2. 2. ee ee Lo. 16. Net tax {lability (subtract line 15 from fine 14—If $1.00 or less, enter “zero’’) : . 1970 California estimated tax payment or credit from 1969 (if any). If none, enter “zero” 2 2... . 4 Balance 18. Balance due—If any (subtract fIne 17 from Jine 16) . . . . . . . . . PAY IN FULL WITH RETURN Due or 19. Overpayment—if any (subtract line 16 from tine 17). 6 we COVERPAYMENT Refund 20. Portion of line 19 you wish to apply on 1971 estimated tax 20 21, Refund—if any (subtract line 20 from fine 19). 2 2. ee ee ee es REFUND t Under penalties of perlury, | declare that | have examined this return, Including accompanying schedules and statements. and to the best of my knowiedge and Do not write in these spaces belief it is true, correct and complete. If prepared by a person other than taxpayer, his declaration Is based on all information of which he has any knowledge. T Sign D> si igsaece i ia aii BOTW wet en Date D> sisciina an ‘preparer other than taxpayer — here B> ssaiav aanatarg bate ogee AMBER T-MARKELL, 56: BLVD. © Make Remittance Payable fo FRANCHISE TAX BOARD-Mail to 26033 VENTURA Crag FRANCHISE TAX BOARD, SACRAMENTO, CALIFORNIA 95814. NW 35923 Doold: 322455355 Page 201
Reference copy, JFK Collection: HSCA (RG 233) SCHEDULE ITEMIZED DEDUCTIONS Attach to Form 540 FORM 340 Name as shown on Form 540 Samuel and Phyllis Rub os ltemized vs. Standard Deduction--You have a choice between two deduction if one spouse itenuzes deductions, the other may not use the Tax Table or claim methods. You can either itemize your deductions o1 take a standard deduction as the standard deduction. If you choose to itemize your deductions, crmplete the explained in the 540 Instructions. On separate returns of @ husband and wife, appropriate items below. Medical and denta! expenses {not compensated by insurance or otherwise) for medicin: and drugs, docturs, dentists, nur.es, hospital care, insurance — —~ premiums for medical care, etc. 1. One half (but not more than $159) of insurance premiums for medical care oo. 2. Medicine and drugs . . . . . a 3. Enter 1% of adjusted gross income “shown on Form 540 3 4. Subtract line 3 from line 2 (if less than zero, enter zero) 2 2. . eo PA ee 5. Other medical and dental expenses. Include balance of insurance premiums for n-dical care not deducted on line 1 (attach schedule) Ce 5 6. Total—{Add lines 4 and 5) . . 1... ee) 7. Enter 3% of adjusted gross income shown on Form 540 Co ee LT ; ; 8. Subtract fine 7 from line 6 (if less than zero, enter zero) © 6. ee Ck 9. Total—{Add fines 1 and 8) Don ee a 150}; 00 Child Adoption Expense 10. Total expenses paid or incurred—Attach itemized list 11. Enter 3% of adjusted gross income shown on Form 540 Lo. 12. Subtract line 11 from line 10—See instructions for maximum limitations od 13. Real estate . 14. State and local gasoline 15. General sales . . 16. Auto Heense—Excess of registration and weight toes (see instructions) 17. Persona! property . ‘ 18. State disability insurance (SD!)-—Employer arivate disability plans do not quality 19. Other (specify) co estes bene nee wt wees a 20. Total taxes-—(Add lines 13 through 19) > Contributions 21. Cash—Including checks, money orders, etc. (itemize) . .... 22. Total cash contributions 23. Other than cash (see instructions). Enter total here 24. Total—Add lines 22 and 23—Maximum deduction may not exceed 20% of adjusted gross income 2 ww ww ee ee UNS nS NCIC SE OS SEE Interest Expense 25. Home mortgage 26. Installment purchases re 27. Other (itemize) 9 0. oe eee 28. Total—Add lines 25, 26 and 27) 2 1 Ww Miscellaneous Deductions 29. For child care, alimony, union dues, casualty losses, etc.—See instructions (itemize). nce ceececcceseeeeeeeee sevetneettetevns ventas eee 29 30. Total. miscellaneous deductions Lon. . . . > | 30 100) 00 31. Total deductions- (Add tines 9, 12, 20, 24, 28 and 30). Enter total here and on Forni 540. page aw mh space prt vided rS/ A. . 413i ay TIES RY MW.W5582e Doold: 32245535 Page 202 Cehedule Aone eecaccn
Reference copy, JFK Collection: HSCA (RG 233) -PROFIT (OR L0ss) FROM BUSINESS OR PROFESSION (Sole Proprietorships) AXABLE Fs FORM 840 Partnerships, joint ventures, etc., must file on Form 565 Attach this schedule to your Income tax roturn, Form 540 or 540NR — Name as shown on Form 540 or S4ONR Samuel and Phyllis Ruby i . POO encoun eneeeeneceeye ; product... . veccee seceeeeeeeees A. Principal business activity. fn cease nee ee ee ett ei (For example: retoil—hardware; wholesale—tobacco; services —legal; man: facturing — furniture; ‘etc.) B, Business name 20aCk Bar cesses ss az €s Federal employer identification number. n S855 578 -... D. Business location. 5418 Van Nuys. ‘Boulevard Van Nuys, California....91401 0 . (Number and streot of rural route) (Clry—post office) (State) (ZIP code) E. Indicate method of accounting: f] cash; [J] accrual; ([) other (describe)... ----e----e-c-eemecceeeee cee coerce ncn _— F. Was there any substantial change in the manner of determining quantities, costs or valuations between the opening and closing inventories? (_] Yes No. If “yes,” attach explanation. G. Were Forms 591, 592, 596 “and 599, for the calendar year filed (if required)? [Yes &] No 1. Gross receipts or gross sales $....-.---...020 cen. Less: Returns and allowances $0 ecece cece ere cece | Bee e eee c c cee caret ene cepee teres 2. Inventory at beginning of year (If different than last year’s closing inventory attach a explanation) . rn Ce 3. Merchandise purchased $.. costes ve cestsavuivsess wig te88 cost of any items with- drawn from business for personal use of. . . Cost of labor (do not include salary paid to yourself) 4 5. Material and supplies . . a ee 6. Other costs (explain in Schedule C. ) 7. Total of lines 2 through 6 . ig 8. Inventory at end of this year . ATTACHED 9. Cost of goods sold and/or operations (subtract line 8 from line 2). 10. Gross profit (subtract line 9 from line 1). . . OTHER BUSINESS DEDUCTIONS - 11. Depreciation (explain in Schedule C-2) . 12. Taxes on business and business property (explain in Schedule C. 1) 13. Rent on business property . 14, Repairs (explain in Schedule C- 1). 15. Salaries and wages not included on line 4 (exclude any y paid to - yourself) 16. Insurance . 17, Legal and professional ‘foes . 18. Commissions . 19. Amortization (attach statement) . 20. Retirement plans, etc. (other than your share) . 21. Interest on business indebtedness . 22. Bad debts arising from sales or service. . 23. Losses of business property (attach statement) . 24, Depletion of mines, oil and gas wells, timber, ete. (attach schedule) . 25. Other business expenses (explain in Schedule C-1) Loe ee 26. Total of lines 11 through 25. . ww 27. Net profit (or loss) (subtract line 26 from line 10). Enter here ‘and on page 22, Part i, Form 540 or '540NR Is 9,284 by SCHEDULE C-1. EXPLANATION OF LINES 6, 12, 14, AND 25 MW. 35a¢3 Doold:32245535 Page 203 , , Pana 1
Reference copy, JFK Collection: HSCA (RG 233) y CALIFORNIA SALES OR EXCHANGES OF PROPERTY Attach to Form 540 or 540NR FORM 540 Name as shown on Form 540 or 540NR Samuel and Phyllis Ruby Part 1—-CAPITAL ASSETS an SHORT-TERM—ASSETS HELD NOT MORE THAN 6 MONTHS f. Cost or other basis, e. Oto allowable) _ cost of subsequent ment of descriptive fi d. Gross sales price or allowable improvements (if no mo., day, yr.) (mo., day, yr.) since acquisition purchased, attach details not shown below) (attach schedute) explanation) and expense of sale 0. Gain or loss (d plus e tess f) 4. “anand of property Cif necessary, b. Date acquired | ¢. Date sold “ee Ba: 29). “9. Enter. your ‘shore of net short-term gain (or, loss) from partnerships and fiduciories . a 3..Enter unused short-term capital loss carryover from preceding taxable years (attach statement} 4. Net short-term gain (or loss) from lines 1, 2 and 3 LONG-TERM—ASSETS HELD MORE THAN 6 MONTHS 5. Enter gain (if any) from line 16, Part II a Enter your - share of net long- term gain (or loss) from partnerships and fiduciaries 7. Enter unused long-term capital loss carryover from preceding taxable years (attach statement) 8. Net long-term gain (or loss) from lines 5, 6 and 7 (15,274.00) 9. Combine the amounts shown on lines 4 and 8 and enter the net gain (or loss) here . 10. If line 9 shows a GAIN, enter 50% of line 8 or 50% of line 9, whichever is smaller. (Enter zero ‘if there i is a loss or no entry on fine 8) . . . . Ce ee ee be Subtract line 10 from line 9, Enter here and on ‘line 17, Part mn . 12. If line 9 shows a LOSS, enter here and on line 17, Part Il] the smallest of the following: | (a) the amount on line 9; (b) the amount of taxable income on Form 540 or 540NR, computed without capital gains and losses; or (c) $1,000 Carryover Loss (14,274.00). = aa . ( 1,000.00) Part H—SALE OR EXCHANGE OF PROPERTY UNDER SECTIONS 18181--82 13. Enter gain (if any) from ling 22, Port IV. ww ee fl Ce 14. Enter gain (if any) from line 25, Part IV. ww ww ee Le 15. Enter your share of gain (or loss) of Section 18181-82 items from partnerships and fiduciaries 16. Net gain (or loss), If GAIN, enter on line 5, Part 1; if LOSS, enter on line 29, Part V PART 1l—-TOTAL NET GAIN OR LOSS FROM SALES OR EXCHANGES OF PROPERTY 17. Net goin (or loss) from line 10 or 11, Parth 2 6. ww eee Le 18. Net gain (or loss) from line 31, Part IV 19. Total net gain (or loss)—Combine lines 17 and 18, Enter here and on | Form 540 « or Form 540NR, poge 2, Part Ht, line 23. . Ce HeteSSI2E Docld:32245535 Page 204 (Schedule continund on rave: cel So Pane I
an, 2 — . ‘ & ~ : ° oo ~ “7 , ~ . Dow oto tate > . as PAGE 4 SCHEDULE E-- SHAREHOLDERS SHARE OF INCOME AND CREDITS ic (If additional space is needed, attach schedule) 7 eS (1) Name and Address of Each Shareholder ESCA (RG 233) CEQ hKhrk:,... JARELMS 30 MI4A ‘ Bo ~=S7o eee erence rereseeerenee JFK Collection Reference copy,
. ee — woe ' oe - . , PAGE 4 OO -. + SCHEDULE’E-- SHAREHOLDERS SHARE OF INCOME AND CREDITS (If additional space is needed, attach schedule) a (2) , (3) Social Security Number of Name and Address of Each Sharehoider . . . Number * Shares BSCA (KG 233) . ry 2 (a)... GEQRKG mR... FUREY So oocccccccceptetecces 30 M12 GarbeNds DR, Man) . (db)... FARE, BIBL ccc geeteeepiesse terse blecebeetengeetppered: : 4380 S70 Cae DR, Bremils ham miht Hota “~ (Gd) .eccccscecsecseseeseesesseseseeneesenees JFK Collection Reference copy,
SCHEGUcée F - SHAREHOLDERS SHARE UF INCOWE ANU Cacuiis (if additionai space is needed, attach schedule) a Te GOO : (1) Name and Address of Each Shareholder (5) Distributive Income from page 1, line 5, or page 2, schedule B, line 6 (a) tL Soo (b) Yb, eqo.os (c) (d) (e) NW 35923 Dnooid: 32245535 (6) Amount to be used by share- holder on M1-1040 (enter on page 2, schedule 1, line 34 or on page 2, schedule 2, line 43) difference between column 4 and column 5 (See instructions) Page 207 , (2) (3) Social Security Number of Number Shares (7) Enter here and on form MI-1040, page 1, line 22 each shareholder’s pro- portionate share of per- sonal Property . taxes paid on inventories or the credit for franchise fees paid. (See instructions) (4) Amount taxable as ordinary income (schedule K, total of lines 4 and 8, U.S. 1720-S) (8) Enter here and on form MI!-1040, each shareholder's proportionate share of Single business tax paid. (See instructions) . 3 BSCA (RG 233) JFK Collection Reference copy,
wa (If additional space is needed, attach schedule) SHOLDERS SHARE UF INCOME AND CREDIIS nn ma (2) (3) - (4) nN Name and Address of Each Shareholder Social Security Number of Amount taxable as ordinary Number Shares income (schedule K, total of ° lines 4 and 8, U.S. 1120-S) ~ . co a a =n . f 1g 0) ig : ot = Se s) cm) om a fe) is) i ua ae) (5) Distributive Income from page 1, line 5, or page 2, schedule 8, line 6 (6) Amount to be used by share- holder on MI-1040 (enter on page 2, schedule 1, line 34 or on page 2, schedule 2, line 43) difference between column 4 and column 5 (See instructions) (7) Enter here and on form M1-1040, page 1, line 22 each sharehoider's pro- portionate share of per- sonal property taxes paid on inventories or the credit for. franchise fees paid. (See-instructions) (8). Enter here and on form MI-1040, each shareholder’s proportionate share of Single business tax paid. (See instructions) (a) 19,730 -/6 | | 4¥b.6) | bb) 11, 30078 46.61 I {c) (d) ——S.). $5 NW 55923 Doold: 32245535 Page 208 Reference copy,
D-1040 (NR) rin ¢ = =TR — Ic iS CITY OF CiiY OF DETROIT INCOME TAX 1976 INDIVIDUAL RETURN —|NONRESIDENT m DETROIT od I 8 ‘T First Name ‘and initial _ a Last Name es i Your Social. eoecurity N Number EXTENSION NUMBE! ° Earl R, and Marge Ruby et ~~ : . . . . Your Occu ation t LCA ot PLEASE (If joint return of husband and wife, use first names and middle initials of both) Sales P enter your Federal ENPLO 3 PRINT | Home Address (Number and Street or Rural Route) - - Identification No. hers: ba OR : . Spouse's Social Security Number tree | 18135 Livernois ' - A. If married, is spouse filing o separate return? (7) YES (% NO. If yes, enter spouse's first name B. Enter the name and address used on your return for 1975 (If the same as above write “Same”. If different, indicate date City, Town or Post Office State Postal Zip Code Spouse's Occupation FP APP. Detroit, Michigan 48221 Housewife OA. JFK Collection moved.) If none filed, give reason. Same: Auditor : Regular 65 or over Blind fates ' ~ number o SCHEDULE A—EXEMPTIONS 1. yourself © ww we ee ee a oO oO exemptions Qu . checked GD . SPOUSE. . 2... aa o oO “ u 2. Enter first names of each of your DEPENDENT CHILDREN who lived with you: Enter to. ¥ Months lived in Hy Enter figure 1 in Ane last column to Relationship your home during wt 3 tight for each name listed 1976 v- 4. Total exemptions from lines 1, 2 and 3; enter here and om tire 15 bel w, mr | Attach Copy of Form DW-2 or W-2 Here £20. <a. cC 22. SIGN —e HERE Employer’s Name Where employed (City and State) on OW-2 or we 2 INCOME (If joint return, include all income of both husband and wife) : 5. Enter GROSS income from employers for wages, salaries, commissions, tips, etc. — indicate (W) for wife Total wages reported Detroit Income Tax WAGES, ETC.. EARNED Withheld IN DETROIT 14 1C8%), oT 6. 7. Rental income (or loss) from tangible property in the City of Detroit — from page 2, Schedule B, line 4. 8. Other income (or loss) from partnerships, etc. — from page 2, Schedule F, line 4. Lee e eee eee ray 9. Gain (or loss) from sale or exchange of tangible property in the City of Detroit — from page 3, Schedule E, dine 10. cof ceteteeeteceeseeeeteeeeeeneeny vecntneneees 10. Net profit (or loss) from business — from page 3, Schedule C, a 0 2 ne | rere D) 1. Income ( (or loss) — TRUSTS AND ESTATES ONLY — from page 4, Schedule G, line 7 (see instructions for. exemptign to enter on line 15) ® 12. Total (add lines 6 through 11 of last column) . Sade ne 7 raion fer rman eto i 9} — a o 13. Less: Deductions from page 2, Schedule M, line 5 (if none, enter zero)... 0.0. ccc cbc b cbc ebb ee eey ee Ta Total (line 12 less line 13) 000... c eevee eee eevee eeveeeeeee, bocce reece reve dm AD $EPS 22. 3 15. Less Amount for Exemptions: Enter number of exemptions from line 4 above ............ oN cesestesenes and ‘multiply by $600. Pees s__(72009,90 | O 1. TOTAL INCOME SUBJECT TO TAX 220 ccc v cece vee eeeeees Leelee eee eee levee nes Ft 2G272 > 17. CITY OF DETROIT TAX: Multiply line 16 by .005 (2%)... cee bende beet bneteyeey eis. ¢7/ 3/ 5 PAYMENTS AND CREDITS | : } = 18. a. Tax withheld by employer — from line 6 above ~— ATTACH Forms OW-2 of W-2. 20.2 eee S$. 1.9 BO eo fees Q b. ‘Payments and credits on 1976 Declaration of Estimated Detroit Income Tox veer eeas e poceceneentictened ccceeeteaee 9 c. Other Credits — explain in attached statement (See Instructions) 2002. ce ee tees - ee o 19. _-TOTAL— Add Lines 18a, by ond ¢ 202 ete ge eee wee ee _.ofs___f, 089 20 "§ TAX DUE OR REFUND , / . If your payments (line 19) are larger than your tax (line 17), enter amount of OVERPAYMENT eee hd | nee C08 167 bee Check box if you wish overpayment on line 20 to be: (A) (] Credited on 1977 Estimated Tax or (B) Refunded. ' If your tax (line 17) is larger than your payments (line 19) enter amount of BALANCE DUE Pay in full with this return. @ [$000 ee bien Make check payable to: “TREASURER, CITY OF DETROIT.” A balance due of less than one dollar ($1.00) néed not be paid. I 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. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge. SIGN HERE BY oo cece cr eeeenenesisrssescessnstsscensesescsessscsisiesssiseecsececsacesestesvesesetsearee | [pPecccccccccccsccceccsseaeseeveseevstrssnssvecsuseeevsagecsisiesicivanteesetaventenesseserscsnenatecses {Taxpayer's signature and date) (Signeture of preparer other than taxpayer) : (Date) SIGN HERE 9) (Spouse's signature and date) (if joint return, BOTH HUSBAND ANO WIFE MUST SIGN) CERTIFIED PUBLIC KCEOUNTANT NW 55993 poo TAG TAsbganceQgnanment, Treasury Division, 104 City-County ADE75 INEST FEN Willd ROALZ6 SrTimmate asatterT BF FIPRA AY ARR FAn A Nnweias =
MWe $5923] Deas 3 Rae said PRAIA) =20 Mica, Dept, oF Treasury | Som ht ee ae eee A ee ey EY : 1 ueauie oF Partners or Sharenolders— 1976 Cc Parinersuip, Subchapter $ Corp., Professional Corp. | See instructions on reverse side i Name: 2 Account Number: - Cobo-Rumar Sales, Inc, 38-1812707 . | Heavine ) SURIMARY “3 Total Number of Partners or Shareholders............................svvsssssse 4 Total Number of Qualified Partners or Shareholders from Part ||—enter here and on C-8000, line 60a....| 4 | Pag ai QUALIFIED PARTNERS OR SHAREHOLDERS j ee | lA NAME AND ADDRESS B SOCIAL C % |DSHAREHOLDER’S/E % PARTNER'S or SHAREHOLDER’S SECURITY NO. Time} SALARY Own. | F Share of Bus. Inc. | G Share of SBT Paid] . SS ES AS i. {Earl Ruby es 4380 Stoney River; Birm. | REAM }100,/ 18,000 | 00/100% 100 | 00 a ee ee eee ee ee eT % 00 00 % 00 0 0 0 i Mm at too) a eee % % 0 PAR Garr 1 NGON-QUALIFIED PARTNERS OR SHAREHOLDERS. If more space is needed submit separate schedule and enter totals on line 7. % % qo % % % ni aS % 0 % s| ! % 4 . | a0 “I lam] o | 00% (Fs | da 00 00 00 00 | 00 | 00 ‘| 00 | 00 100] | 00 inn JFK Collection: H5SCA (RG 233) Reference copy,
fF eeWABER LE Fetes Ee Calendar Year 197 THIS NUMBER WHEN SUBMITTING PAYMENT, OR IN CORRESPON( 1 OR FISCAL YEAR ° Beginning ____ sd 7 1 ON Ending Po ronorficeuseomy = | DX INDIVIDUAL (Check . a . CJ FIDUCIARY One) RUBY EARL & MARGIE 69885 5 % 18135 LIVERNOIS AVE se a DETROIT MI 4822} . Husband's Social Security No. ' JFK Collection bile L j jo Day Yr. Wife’s Societ Security No. 09 30 76 698855 76 | 12 Retroactive Date Intangible Account Number City File Date Employer identification No. bi if this return is for an Estate, give Probate. POSTED: “RU ED: a ee — LINE “. Computation of Tax Due AMOUNT TAX . Accounts and Notes Receivable (non-income producing only) Less Accounts and Notes Payable . Balance Taxable @ 1/10th of 1% + | al mu fe) 10] Y v RA v W vy WH Oo me . Accounts and Notes Receivable (income producing only) 1 2 3 4 5. Less Accounts and Notes Payable (use only that portion, if any, not used in Line 2) 8. Balance Taxable 7. Income applicable to balance 8. Tax @ 3%% of income (Line 7) or 1/10th of 1% of Balance (Line 6), whichever is greater. 9. Stocks and Bonds - - - - - Schedule A, Column 9. 10. Mortgages and Land Contracts - - - - - Schedule B, Column 8. BK? 11. Annuities - - - - - Schedule C, Column 9. OS 1. 12. Beneficiary Return {attach copy hereto) ee 2 13, TOTAL . 14, , Less Statutory deduction ($175.00 or $350.00 by husbands and wives filing joint return) 15. BALANCE DUE 16. Cash on Hand or in Transit as of retroactive date (include cash in safety deposit boxes) 17. Bank Deposits in Banks Located Outside of Michigan ss for Withdrawn from Mich. Banks or Ass’ns. after 18. Savings in Building and Loan Ass‘ns. Located Outside of Michigan RETROACTIVE DATE. 19. TOTAL 20. TAX @ 20¢ per $1000.00 of Line 19 21. TOTAL TAX DUE (Line 15 plus Line 20) 22. . Less Advance Payment of Tax 23. ; TOTAL TAX DUE 24. Penalties & Interest; Penalty %, S_t_____; Interest _____ ss % ___ ss Months, S. 25. TOTAL AMOUNT OUE WITH THIS RETURN (Due on or before April 30)... 0.000 0 ee Lee eee eee Or Four Months after End of Authorized Fiscal Year : Make Remittance Payable To: ‘STATE OF MICHIGAN’ wiite your Intangible Account No. on your check, Mail To; MICHIGAN DEPARTMENT OF TREASURY, TREASURY BUILDING, LANSING, MICHIGAN 48922 Business or Profession of Taxpayer: Amount Singie Business Tax Paid: Single Business Tax Account No.: Telephone Number: Year of Last Return Filed: Address of Last Return: , : Check which Method your return is Computed by. : [X] Retroactive pate = [_] MONTHLY AVERAGE “| NOTE. if this return is from a4 Trustee, attach a list of Names and Addresses of Beneficiaries and Date of Creation of Trust. | declare under the peannitins imposed by Act No. 304 P.A. of 1939, as Amended, that thie retin, dneliding ny ranerpanying seherties and olalementa tas leer garined by ma and to the best of my kaowleige and belief ia a true, correct Signatue —s — ~ oe and complete return. - Prepared By: GORDON Lb; HOLEANDER- P-€- Signature CERTIFIED PUBLIC ACCOUNTANT _ HW agave @nokporas SEF 5a WSS TEN Meat 86 ‘B Title: (State whether Individual, Owner, Executor, Administrator, Trustee, etc.) :
me id dee UU (a MICHIGAN INDIVIDUAL INCOME TAX RETURN for 1975, or taxable year beginning , 1975, ending YD Y First name and initial (if joint return, use first names and initials of both) Last name ; Your social secunt number . Earl R. and Marge Ruby & kcal Fd Home address (number and street or rural route) Your occupation » 18135 Livernois Sales = City, town or post office, and State : ZIP code’ Spouse's social security no. 3 Detroit, Michigan -— 48221 = Residency Status during tax year: : ; Spouse's occupation - [x] X j Resident CJ Non-resident J Part-year resident, from —___- to 2 8S © filing Status: 1. Exemptions: ; ad A CoSingle (a) Enter here the number of exemptions claimed on your B C&Married, filing jointly federal income tax return... ........--00-0 20a 50° _ 4 C (JMarried, filing separately (see instructions, page 2) (b) Special exemption for paraplegics & quadriplegics . [nstrectional —_ 4 Name of Spouse ————______________ (c) TOTAL EXEMPTIONS, add lines 1(a) and I(b)..........-.--- 4 (Give spouse's Soc. Sec. No. in the space provided) i i i NOTE: If you check the "YES' boxes 2. STATE Do you wish to designate $2.00 of your taxes for this fund? 2) . (ves &) NO Nevir not increase your tax or CAMPAIGN FUND \f joint return, does your spouse wish to designate $2.00?..... Cl yes KINO reduce your refund. Doon nrn- w —_ 12. 13. 14. ‘15. 16. > Attach State Copy of Form W-2 Here < 17. 18. 19. 20. 21. 22. 24. 20. 26. 27. 28. 29. _D Attach Check or Money Order Here <4 11. 23. 30. This return is due April 15, 1976 or on the 15th day of the fourth month after the close of your tax year. Under penalties of perjury. | deciare that | have examined this return, including accompanying schedules and statements, and to the best of my knowledge and beliet it is true. correct and comptete. It prepared by a person other than the taxpayer, his deciaration is based on alt information of which he has any knowledge. . Adjusted gross income as defined in the Internal Revenue, Code ang which should be be reported on Federal Form 1040, line 15, or 1040 A, line 12 tram vrove income (See page 5 edules that indicale'a loss or deduction ence eee _ Additions to adjusted gross income, (from page 2, line 35)..... 6... 6... eee eee treet tenes Total, add lines 3 and 4.00 etter errr reese es . _ Subtractions from adjusted gross income, (from page 2, line tS ee Subtract line 6 from line 5.06. rent ner ees _ Residents multiply exemptions claimed on line 1 by $1,500.00 (part-year and nonresident allowance from line 48) _ Income subject to tax (subtract line 8 from line 7)... . 20.0... eect ee eee eter tenner ese nes _ Tax: multiply line 9 by 4.37% (.0437) 660. ett ttre - CREDITS (See instructions - pages 7- “” AMOUNT PAID cREDIT income tax paid to Michigan cifies..................-00 005 9 lla. Contributions to Michigan colleges & universities (attach receipts) . © Income tax paid to another state (attach copy of return)........ e Total credits (add lines 11a, 12a, and 13a), enter total here... 66... eee ete cette crete ee wa5 hi Income tax, subtract line 14 from line 10 (if line 14 is greater than line 10, enter ‘NONE’))..............-, 00 ee EF Credits from any MI-1040 CR form. (see page 9 of instructions). .......-..+ 0+. +++: 6) oy @ Do not complete lines 17 thru 21 if you have claimed a credit on line 16. ; Household income from line 56 ......-. 0... eee ever ees @ Enter 1975 homestead property tax or amount from line 59 ..... 18) Tax not eligible for credit, enter 3.5% (.035) of line 17......... 19. Subtract line 19 from line 18, if line 19 is greater, enter ‘NONE’ .. 20. : Property tax credit, 60% (.60) of line 20, (500.00 maximum) |. 0... 2.6... cere eee 21. — Personal property tax paid on inventory. @ LK 39% (39)... 22. 7 PAYMENTS , Michigan tax withheld (attach State copy of W-2)........... cece eee eee nee Michigan estimated tax payments.............. cbc e beet nett eee e nee 1974 overpayment credited to 1975...... 0.0.00. eee eee es Sven ensues : ; : Add lines 16, 22, 23, 24, and 25,/or lines 21, 22, 23, 24, and 25............. beeen as vee e beeen 26. G, ISSO if line 26 is less than line 15, enter BALANCE OF TAX DUE HERE.............. Sc ceeees ete PAL e 340 |3 if line 26 is greater than line 15, enter AMOUNT OVERPAID... 0c 8. Amount of line 28 to be REFUNDED TO YOU... 22.20... 00.0. ee eee ccc eeeeeeees REFUND > © Amount of line 28 to be credited to 1976 estimated tax......... 0) ee Nenad fline 28), make nO gniry on ine 30, sign D> sescsansie fps wig Basin! mat eR BER Bc Oo eveeeee. ae nw 34008 Ppocia:32245 535, PAS@rS AR sign even only one tad incomes |, CERTIFIED: PUBLIC: ACGQUNTANT QALVL UIPeT Trai AAP AAA HSCA (RG 233). JFK Collection: Reference copy,
reuecteg m 19/0 2 Exemptions (number of allowable exemptions times $1,500.00)... 0.2... eee 3. Subtract line 2 from line 1. (This is your estimated taxable income)... 22... es 4. Estimated tax (line 3 times .046 or 4.6%)......... ...... bene bbb tent ben b tenn e ne es 5. LESS: Total estimated tax credit for Michigan City income taxes, personal property tax on inventories, j Michigan homestead property taxes and contributions to Michigan colleges and universities.................00.. ‘ 6. Subtract line 5 from line 4. Enter here and on line 1 below............... [ens THE oaeat Se. MICHIGAN DECLARATION OF ESTIMATED INCOME TAX FOR INDIViDUALS— 1 976 MICHIGAN Mi-1040-ES | For calendar year 1976 or fiscal year ending —______________., 19_____ STATE OF MICHIGAN : Department of Treasury Address ( (number and street) City, State, ond ZIP code ant sit Your social security number First name and initial (if joint declaration, use names and initials of both) Please Spouse’s social security number L. Your estimate of 1976 income tax. . 2. Estimated income tax withheld and to be withheld during entire year of 1976.......... beets - \ _ 3. ESTIMATED TAX (line 1 less line 2). (If less than. $100, no declaration is required)... iceneeenseensecenatseceeeeetees ‘ 4. COMPUTATION OF INSTALLMENT. Check proper box below and enter amount indicated. if this declaration is {{JApril 15, 1976, enter 1/4 of line 3; (] September 15, 1976, enter 1/2 of line Dove cece tet cocccceececscetteneauenceseteceane € due to be filed on: one 15, 1976, enter 1/3 of line 3; [J] Jan. 15, 1977, enter amount on line 3 a oe 5. If you had an overpayment on your 1975 income tax return which you elected to have applied as a [| “ credit against your 1976 estimated tax, enter the amount here....... 00.0002 ee . Yr 6. To apply entire overpayment credit to this installment and any excess to the next, enter here the amount on line 5. To spread credit evenly.to each installment, divide it by number of installments and enter results here. bebe b eee e teens 7. Amount to be paid with this declaration at time of filing (line 4 less line 6)............ occ eee bbb enter eens " § Note: The payment of the estimated tax (line 3 less any 1975 overpayment credit) with this return eliminates the filing of quarterly estimates. Enter lump sum payment here.......... 0. | have examined this deciaration and to the best of my knowledge it is correct. : SIQMALUlelS) oie cee cec cc ccceegeeenccseceecaucescecee cos receseee case seseasacsarenencusseeenserserscesneesenrenacees Date... eee eee ee nec eeeeeteeee eens /19 MICHIGAN DECLARATION OF ESTIMATED INCOME TAX FOR INDIVIDUALS- T 976 First name and initial (if joint declaration, use names and initials of both) Earl R. and Marge Address (number and street) 18135 Livernois City, State, and ZIP code Detroit, Michigan FORM For calendar year 1976 or fiscal year ending______________, 19. STATE OF MICHIGAN Department of Treasury Please print or type 48221 -1. Your estimate of 1976 income tax 0... $609.02 2. Estimated income tax withheld and to be withheld during entire year of 1976... 0.0. 3. ESTIMATED TAX (line 1} less line 2). (If less than $100, no declaration is required)................ eee 3 600-09 | 4. COMPUTATION OF INSTALLMENT. Check proper box below and enter amount indicated. if this declaration is ween 15, 1976, enter 1/4 of tine 3; (September 15, 1976, enter 1/2 of ine 3), [a t28 29 due to be filed on: { June 15, 1976, enter 1/3 of line 3; ([JJan. 15, 1977, enter amount on line 3 \ §. If you had an overpayment on your 1975 income tax return which you elected to have applied as a credit against your 1976 estimated tax, enter the amount here.......... Ove e beeen v eee. [ 6. To apply entire overpayment credil to this installment and any excess to the next, enter here the amount on line 5. To spread credit evenly to each instaliment, divide it by number of installments and enter results here............ (oe i iennaeengesececssnscaeescesseces 7. Amount to be paid with this deciaration at time of filing {line 4 less line SD lee J , 00-00 8. Note: The payment of the estimated tax (line 3 less any 1975 overpayment credit) with this return eliminates the filing of quarterly estimates. Enter lump sum payment here... 0.2... 11. MW os sae expmaaiaths ada aun an¢ste the bes tof my knowledge it is correct. tana Nata . 19 JFK Collection: HBSCA (RG 233) Reference copy,
01000 INR] CITY OF DETROIT INCOME TAX l 9) 15 = iy oF . INDIVIDUAL RETURN — NONRESIDENT) - 8 DE i nOlT or other taxable year beginning... oes 1 1975, ending cp Worcs =e © First Name and Initial ¥ * Last Name Your Social Ss curity sie EXTENSION NUMBEIL ~~ Earl R, and Marge . Ruby Ca Gs | Mk gs : ays Your Occupation if you "are an EMTS! OW) PLEASE (If joint return of husband and wife, use first names and ‘middle initials of both) Sales IF you ore on EMP i PRINT | Home Address (Number and Street or Rural Route) OR . Spouse's Social Sequiy Number type. | 18135 Livernois Identification No. here: a City, Town or Post Office : State Postal Zip Code een ‘4 Detroit, Michigan 48221 u A. If married, is spouse filing a separate return? (1) YES Tt NO. if yes, enter spouse’s first MAME... i Fs sessetcagusuansnasasacanavannnseseneneannanacaseusvannannssencbeynenensueeayesscessctasavansessssecnevsesgeececnscgnenreevvsscsssseteuvesatanscaseasaeensegeqnacnanceeteedanaeseaconsaaterstses se B. Enter the name and address used on your return for 1974 (If the same as above write “Same”. ‘If different, indicate date a "moved. | If none filed, give reason. Same Auditor , : ‘ Regular 65 or over Blind Enter ° SCHEDULE A—EXEMPTIONS 1. voursip-_ «7 7 2 ee ee Og an CI] (umber of >. : - SPOUSE...) ee K] oOo oO checked 2. Enter first names of each of your DEPENDENT CHILDREN who lived with you: Enter i Denise Joyce ——_ Months lived in Enter figure 1 in Ate last column to Relationship your home suring. 3. right for each name listed OTHER DEPENDENTS —— as Reference copy, 4 i 4. Total exemptions from lines 1, 2 and 3; enter here and on line 15 below. = 4 INCOME (if joint return, include all income of both husband and wife) — 5. Enter GROSS i income from employers for wages, salaries, commissions, tips, etc. — indicate (W) for wife ; . Total wages reported Detroit Income Tax |] WAGES, ETC. EARNED . Employer's Name Where employed (City and State)- on DW-2 or W-2 . Withheld IN DETROIT LAL... PEIN ELS, 6, EMG 8. PET i LIL EEN | $e Ot OE Ld Soccnnn 227.22... stinnnininnnissnisnnnsinnnnne tainnnnennnininnnnsssiei Lt Seefes “121° é TOTALS 00.0 o oc ccc cc cece cee cece eeueeneeevevens 43 Ae}. 7. Rental income (or loss) from tangible property in the City of Detroit — from page 2, Schedule 8, line 4. Attach Copy of Form DW-2 or W-2 Here 8. Other income (or loss) from partnerships, ete. — from page 2, Schedule F, line 4. Lee ee eee eee <> 9. Gain (or loss) from sale or exchange of tangible property in the City of Detroit — from page 3, Schedule E, line 10. 10. Net profit (or loss) from business — from page 3, Schedule C, line 8 6.6.6... 6 ee ieee eee eee eee eee tee ol... <> TI. Income (or loss) —- TRUSTS AND ESTATES ONLY — from page 4, Schedule G, line 7 (see instructions for exemption to enter on line 15) ———__—_._--— 12, Total (add lines 6 through 11 of last column) . SO Re ene EEO eee neat eee eet ee eden woth OTF 12 5 13. Less: Deductions from page 2, Schedule M, line 5 (if none, enter zero)... 6... eee eee 4 Ce eee eee eee ee ee = 14, ; Total (line 12 less line 13) 2.0... ee ee hee we fees MEISEL 3. 3 _15. Less Amount for Exemptions: Enter number of exemptions from line 4 above on... a tees sees and multiply. by $600, tees Plea. $ A, FOO OO Oo 16. TOTAL INCOME SUBJECT TO TAX ...... ene EEE CEE ED Ee Dn Eee ete detente eee ee 43 734 1/3 2 17. CITY OF DETROIT TAX: Multiply line 16 by 005 (4%). 00 eee ae re els 218 77 3 PAYMENTS AND CREDITS . - 3395 !00 ~ 18 a. Tax withheld by employer — from line 6 above — ATTACH Forms DW-2 of W-2.........-.. Lee eee teens Soe eateetesenneese | rer 2 b. Payments and credits on 1975 Declaration of Estimated Detroit income Tax «0.2.2... 0c e cee cette nett eens e posverseetnnaeeeeatn cevneeensees bf c. Other Credits — explain in attached statement (See Instructions) Le ee ne eee eb eee et tent eee eee ee een e ees ee Se o 1. TOTAL — Add Lines 18a, _b, ond @ els GOO GS TAX DUE OR REFUND a : +3 2 20. If your payments (line 19) are larger than your tax (line 17), enter amount of OVERPAYMENT ira e Soccccnmad AOU9 tees << 21. \ Check box if you wish overpayment on line 20 to be: (A) [1] Credited on 1976 Estimated Tax or (B) A Refunded. ' <> 22. If your tax (line 17) is larger than your payments (line 19) enter amount of BALANCE DUE Pay in full with this return. . @ [$...........0 veeeeeeed Lceereeneeee Make check payable to: “TREASURER, CITY OF DETROIT.” A balance due of less than one dollar ($1.00) need not be paid. | declare that | have examined this return (including accompanying schedules and statements) and to the bestof my knowledge and belief it is true, correct and SIGN complete. If orepared by @ person other than taxpayer, his declaration is based on all information of which he has any knowledge. mm | SIGN HERE BD oon ccc cccccccccccccscscsssescscscevesresesrecscscsesessesessecesausseceecgucseaeenesenescenesesnsicneseneeesecsesatsesee [| fbpPeecsccccesescseescesneessnesenenteecisenersscsneeeesessesseeassnsassasnereraacasaaeseres scageeenens HERE . ; {Taxpoyer’s signature and date) ‘(Signature of preparer other than taxpayer) (Date) NW 55923 SIGN MERE oii wig abiaiiay Qed weiuras SO1W HUSBAND AND Wite’WU8T SIGN) CERTIFIED PUBLIC ACCOUNTANT”
THIS NUMBER WHEN SUBMITTING PAYMENT, OR IN CORRESPONZ. zl poe ercind Us Teno - Revenue Division i ~ INTANGIBLES TAX RETURN | m : a N Calendar Year 19. joe OR FISCAL YEAR ee ne Beginning 19 bo~+4-------------~+-------. DO NOT WRITE ABOVE THIS LINE---~------~--~~-~~--+ a" Ending 19___ RUBY EARL & MARGTE 69 A KS S 4 Individual . ., . 18135 LIVERNOIS AVE artnersnt . - - ° Check DETROIT MI 4A2e2} ” Michigan Corporation o A —_ ne [e) Foreign Corporation 3 Fiduciary Y JF THIS RETURN ISFO 3 ESTATE GIVE probs MONTH DAY YEAR | : ; County : 4 _ 11 30 75 6982855 007] 82 1 75 | 12 Fite Nos _RETROACTIVE DATE ACCOUNT NO, | rvee | county | cry | Kk | oc | FILE DATE Date of Death. Fa = = Line, ‘i. Computation of Tax Due | amount it 1K }, Accounts and Notes Receivable (non-inconte producing only). Ft | fd 1 2. Less Accounts and Notes Payable a ee 2 3. Balance Taxable @ 1/10th of 1%. a ee 3 4, Accounts and Notes Receivable (income producing only). ee ee ee 4, 5. Less Accounts and Notes Payable (use only that portion, if any, not used in Line 2 - a 5. 6. Balance Taxable - . : ee eee ee 6 ; 7 7 8 8 9 9 0. 0 Reference copy, | . Income applicable to balance | | tt « Tax @ BWA% of Income (Line 7) or 1/10 of 1% of Balance (Line 6), whichever is greater. . Stocks and Bonds----- Schedule A, Column 9. - [2s 5a lo, 10. Mortgages and Land Contracts -- + - Schedule B, Column 8. - 1 en 11, Annuities - - - - - Schedule C, Column 9. a 0 12. Beneficiary Return (attach copy hereto) : - 12. | 13. . TOTAL AIK > |&7 14, , Less Statutory deduction ($175.00 or $350.00 by husbands and wives filing joint return) _ : 15, BALANCE DUE 3 14 15. S 16. Cash on Hand or in Transit as of retroactive date (include cosh in safety deposit boxes) 16 17, Bank Deposits in Banks Located Outside of Mmm | or Withdrawn from Mich. 17. 18. Banks or Ass’ns. after 18. Savings in Building and Loan Ass’ns. Located Outside of Michigan RETROACTIVE DATE. = 20. TAX @ 40€ per $1000.00 of Line 19 noi | _| 21. TOTAL TAX DUE (Line 15 plus Line 20) nL =| Go a" 22. ° Less Advance Payment of Tax . : aEere a 23. TOTAL TAX DUE Coals 23. 24. Penalties & Interest; Penalty %, $s: Interest. %____ Months, $. 24, [| 25, TOTAL AMOUNT DUE : _ 25, meer P| MAKE REMITTANCE PAYABLE TO STATE OF MICHIGAN a Please forward Remittance for Amount Shown Here on or betore April 30, | To: MICHIGAN DEPARTMENT OF TREASURY, LANSING, MICH. 48922 (or four months after ond of authorized fiscal year) IMPORTANT—Be Sure to Answer the following Question When Applicable. 1. Business or Profession of Taxpayer. SALES : __ Phone No 3-~ OF OD 2. Give year of last return filed. DY . Address of Last Return AM) E 3. Check here if return is computed on a Retroactive Date Method._.- lor Monthly Average Method=_———_ 4, If taxpayer is a corporation give State and Date ‘of Incorporation. Federal Employers Identification Number. 5. If this is the return of a Trustee attach list of némes and addresses of beneficiaries and date of creation of trust. 6. If this is a Business Return a copy of the Balance Sheet as of the close of the Tax Year must be attached. | declare under the penaltion Imposed by Art No. JOl P. A, of 1999, ae Amended, that thie return, Including any accompanylny and to the best of my knowledge and belief laa tue, correct aud complete return, Social Becurity Number — GORDON L. HOLLANDER, PC. . “anes ACCOUNTAN Signed NW 55923 Docld:3224559675PWESPIEN MILE ROAD Return Prepared by, Tate
got WUE & — SHARENOLOERS SHAAE Ud INCGIME ANU Cacuite (if additionai space is needed, attach schedule) er , (4) (1) Name and Address of Each Shareholder (5) Distributive Income from page 1, line 5, or page 2, schedule B, line 6 . Amount to be used by share- holder on M1-1040 (enter on page 2, schedule 1, line 34 or on page 2, schedule 2, line 43) -difference between column 4 and column 5S (See instructions) S5923 Doold: 322455355 Page 216 (2) Number (6) Social Security (3) Number of Shares (7) Enter here and on form Mi-1040, page 1, line 22 each shareholder’s pro- portionate share of per- sonal property taxes paid on inventories or the credit for franchise fees paid. (See instructions) Mi-1040, proportionate share of Single business tax paid. (See instructions) Amount taxable as ordinary income (schedule K, total of lines 4 and 8, U.S. 1720-S) (8) and on form each shareholder’s here : ESCA (RG 233) JFK Collection Reference copy,
awe ww avid” a wed a AMICHIGAN EMDIWIDUAL INCOME TAX RETURN , 1975, ending —__--_-__ - ___—_-, 19 for 1975, or taxable year beginning Y First name and initial (if joint return, use first names and initiais of both) Last name . Your social security number_ Earl R. and Marge Ruby 4 es Home address (number and street or rural route) Your occupation . . i » 18135 Livernois Sales = City. town or post office, and State , ZIP code Spouse's social security no. 5 Detroit, Michigan 48221 = Residency Status during tax year: . Spouse's occupation Ss Resident [_] Non-resident [_] Part-year resident, from _______ to S CO Filing Status: 1. Exemptions: ~ A CJSingle (a) Enter here the number of exemptions claimed on your B CaMarried, filing jointly federal income tax return... 2.20. ses’ ” 7 _ 4 C (JMarried, filing separately (see instructions, page 2) (b) Special exemption for paraplegics & quadriplegics . [instrectional —___ 4 Name of Spouse ———_--_____________- (c) TOTAL EXEMPTIONS, add lines 1(a) and K(b).......-..-.--- @_ 4 (Give spouse's Soc. Sec. No. in the space provided) ‘ : is) ish t i 00 of for this fund? NOTE: If you check the ‘YES’ boxes 2. STATE 0 you wish to designate $2.00 of your taxes for this fund 2) LI Yes KINO Sai net increase your tax or CAMPAIGN FUND If joint return, does your spouse wish to designate $2.007..... Clyes No reduce your refund. 3. Adjusted gross income as defined in the Internal Revenue Code and which should be reported on Federal Form 1040, M fine 15, or 1040 A, line 12 Atschcopes or amy federa oe'etiheimstuchons) vss scene se Soe e ee: coe ccveeerteues 3) 4. Additions to adjusted gross income, (from page 2, line |) = 5. Total, add lines 3.and4............... bbb bbb bbb bbb by pbb De Denner nnn nena eg 6. Subtractions from adjusted gross income, (from page 2, line 44)......... ccc cee ten eee eens een n ne nes © = 7. Subtract line 6 from line 5.6... eects bebe beet een e tent e cnet e a s 8. Residents multiply exemptions claimed on line 1 by $1,500.00 (part-year and nonresident allowance from line 48)... 3 9. Income subject to tax (subtract line 8 from line 7)... . . vce e eet nese een e een ene cece tenes @ 10. Tax: multiply line 9 by 4.37% (.0437) 00 eee terete rr rene os CREDITS (See instructions - pages'7-10) AMOUNT PAID CREDIT S11. Income tax paid to Michigan cities....... cece cee eennes @ 00 |& lla. a = 12. Contributions to Michigan colleges & universities {attach receipts) . @ 12a. A. 13. Income tax paid to another state (attach copy of return)........ 13. @. 14. Total credits (add lines 11a, 12a, and 13a), enter total here... 60.66. ee teen teres 14. 20104 ‘15. Income tax, subtract line 14 from line 10 (if line 14 is greater than line 10, enter ‘NONE’... 0.2... 00-20 eeee © 241784 16. Credits from any MI-1040 CR form. (see page 9 of instructions) ......-.----- 020-05 16) ts 2 Do not complete lines 17 thru 21 if you have claimed a credit on line 16. 17. Household income from line 56 ..........--- 2022s seer eee 18. Enter 1975 homestead property tax or amount from line 59 ..... 18) wy 19. Tax not eligible for credit, enter 3.5% (.035) of line 17......... 19. ~ 20. Subtract line 19 from line 18, if tine 19 is greater, enter ‘NONE’... 20. u 5 21. Property tax credit, 60% (.60) of line 20, ($500.00 maximum) .......... 0.000002 5 21. ——- 5 22. Personal property tax paid on inventory. @ EX 39% (.39). 0 22. So PAYMENTS 3 23. Michigan tax withheld (attach State copy of W-2)......--.. 2. se eeeee reese ener ees 23] AIS? [SO = 24. Michigan estimated tax payments .......... vce eeveueetetreteeeeneeees 24) f, 029|.99 S 25. 1974 overpayment credited to 1975......... cece ce eneutebeeevneueeneneened @ . % 26. Add lines 16, 22, 23, 24, and 25,/or lines 21, 22, 23, 24, and 25........... +. renner reeenee 2. G, SSO © 27. If line 26 is less than line 15, enter BALANCE OF TAX DUE HERE........0..-000ece0eeeeereetes se PAVED 77) 340 |3 & 28. if line 26 is greater than line 15, enter AMOUNT OVERPAID... 0.0... ccc cece eee eee ee a. 28. % 29 Amount of line 28 to be REFUNDED TO YOU..... 0.2.0... ccc cece eee eens REFUND & © ———h A 30. Amount of line 28 to be credited to 1976 estimated tax......... 30) _ | Sonied fline 29). ‘make no gnyon line 30, OFFICE USE This return is due April 15, 1976 or on the 15th day of the fourth month after the close of your tax year. Under penaities 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. \f prepared by a person other than the taxpayer. his dectaration is based on all information of which he has any knowledge. sign D> vssesiaiig oe vps ig oo b asi “OL ERNER' re sg Here i es ~ ACC NY ccs v cee eect etn te eens ees MW 55923 oars 2rassg sine Bald Banyst sen even if only one had income) 19675 We PUBLIC ACGQUNTANT 2675 WEST TEN MibF TROBD. orawer H, Lansing 48904 seneee Gan Can &@ Aflail saturn an JFK Collection: HSCA (RG 233) Reference copy,
oa D-1040 (NR) ciTy ‘OF DETROIT INCOME TAX 197 5 PLEASE DETROIT __ INDIVIDUAL RETURN —INONRESIDENT] a an or other taxable year beginning... re , 1975, ending boc ttttteteae VI, re First Name and Initial ; a, Last Name ~ . Your Social Security cas EXTENSION NU/ABE: i Earl R, and Marge Ruby m= Ss ce _— a sa PRINT | Home Address (Number and Street or Rural Route) R Your Occupation If you are an EMPLO’ enter your Federal EMPLO Sales Identification No. here: (If joint return of husband and wife, use first names and middle initials of both) ° Spouse's Social Security Number . 2 . _ 1 = oa tyre | 18135 Livernois ' Po “ City, Town or Post Office State Postal Zip Code Spouse's Occupation “APP, 8 . . . ° : : OA, od Detroit, Michigan 48221 >, 16] - ; ; . g A. If married, is spouse filing a separate return? (] YES Et NO. If yes, enter spouse's first NAME... ee seeeeeesenenes 4 Peereer seer eer eet rete ere cere street reerey v B. Enter the name and address used on your return for 1974 (If the same as above write “Same”. if different, indicate date & moved.) If none filed, give reason. Same Auditor 5 ; Regular : 65 or over Blind Enter ' a . SCHEDULE A—EXEMPTIONS - i. voursele .. 2... .--- iq Ol. CT] Sexemations 0 : , checked <> SPOUSE . 2... ee ee ee Kl Ol oO _ 2. Enter first names of each of your DEPENDENT CHILDREN who lived with you: Enter 4 .. be Denise Joyce a Months lived in ry} Enter figure 1 in ane last column to Relationship your home curing Net 3. OTHER right for each name listed ® _ DEPENDENTS a _ 4. Total exemptions from lines 1, 2 and 3; enter here and on line 15 below. Sev eee 4 Attach Copy of Form DW-2 or W-2 Here INCOME (If joint return, include all income of both husband and wife) © 5. Enter GROSS income from employers for wages, salaries, commissions, tips, ete. — indicate (W) for wife ” Total wages reported Detroit Income Tax WAGES, ETC.’ EARNED Employer's Name Where employed (City and State) - on DW-2 or W-2 Withheld IN DETROIT Coho. SH EAVERS, | BENS RET LILES $i FO OBE | Gon APPS Ng 25080122 /4,490!e0 6. TOTALS 2.00. cee bee c eee eee neces Le gO Soni 28 7. Rental income (or loss) from tangible property in the City of Detroit — from page 2, Schedule B, line 4.0.0... bert ee tees 8. Other income (or loss) from partnerships, etc. — from page 2, Schedule F, line 4.0.0.0... 0. ee ee ee epee . Gain.(or loss) from sale or exchange of tangible property in the City of Detroit — from page 3, Schedule E, line 10. 10. Net profit (or loss) from business — from page 3, Schedule C, line 8 0.00... 6. ee ete eens Oa 11. Income (or loss) —TRUSTS AND ESTATES ONLY— from page 4, Schedule G, line 7 (see instructions for exemption to enter on line 15)|_______1___. 12, Total (add lines 6 through 11 of last column) 200 ee eee ee nee eee es oe AGL IEF VIB. : 13. Less: Deductions from page 2, Schedule M, line 5 (if none, enter zero)... 2... eterna —— 14, Total (line 12 less line 13) 0.0... cece cece ce teen eee ete beeen en eees ; Lee ee cot IS 15. Less Amount for Exemptions: Enter number of exemptions from line 4 above 0... ut peeeeveeeaes and multiply. by $600. bees g_— 3, $90 2° 16, TOTAL INCOME SUBJECT TO TAX 00000 cece cece eben been bb bbe c bb ebb eben beens 43 73+ 1/3 21877 17, CITY OF DETROIT TAX: Multiply line 16 by .005 (2%)... eee eee e}$_ PAYMENTS AND CREDITS ; Lo 33900 18. a. Tax withheld by employer — from line 6 above — ATTACH Forms DW-2 of W-2.........-.. 0020000 eee eee ae Societe Vcereceee Attach Check or Money Order Here > 22. SIGN — HERE NW 5592 b. Payments and credits on 1975 Declaration of Estimated Detroit income Tax c. Other Credits — explain in attached statement (See Instructions) 19. TOTAL — Add Lines 18a, b, and Ce eee eee ee ED Rene R nee ene TAX DUE OR REFUND 20:2 3 20. If your payments (line 19) are.larger than your tax (line 17), enter amount of OVERPAYMENT ........--------5- bd Soocccccsad eetente ‘ Peelerenien 21. ' Check box if you wish overpayment on line 20 to be: (A) [] Credited on 1976 Estimated Tax or (B) K Refunded. \f your tax (line 17) is larger than your payments (line 19) enter amount of BALANCE DUE Pay in full with this return. © [$..........ccc cece Make check payable to: “TREASURER, CITY OF DETROIT.” A balance due of less than one dollar ($1.00) need not be paid. I declare that | have examined this return (including accompanying schedules and statements) and to the bestiof my knowledge and belief it is true, correct and complete. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge. SIGN HERE SIGN HERE 9) : . (Spouse's signature and date) (if joint return, BOTH HUSBAND AND WIFE MUST SIGN) CERTIFIED PUBLIC ACCOUNT Docldy AAA AiankAsepariMent, Treasury Division, 104 City-CaOGy7 BWWEBE, TRA AIILMiRCAA 48226," . Ar:
a . - : — 2. Exemptions (number of allowable exemptions times $1,500.00). . 3. Subtract line 2 from line 1. (This is your estimated taxable income)... . . Det eeen ee 4. Estimated tax (line 3 times .046 or 4.6%)... eee Svc v eb vce e bev eebeevees 5. LESS: Total estimated tax credit for Michigan City income taxes. personal property tax on inventories, Michigan homestead property taxes and contributions to Michigan colleges and universities............ eet 6. Subtract fine 5 from line 4. Enter here and on line | below.......... AA MICHIGAN DECLARATION OF ESTIMATED INCOME TAX FoR INDIVioUALs- 1976 MICHIGAN eucat tant y ante First name and initial (if. joint declaration, use names and initials of both) FORM MI-1040-ES For calendar year 1976 or fiscal year ending —__________ /19- STATE OF MICHIGAN Department of Treasury Address (number and street) _ | City, State, and ZIP code Your estimate of 1976 income tax... ees . Estimated income tax withheld and to be withheld during entire year of 1976... 6.0.0... 21sec neces _-ESTIMATED TAX (line 1 less line 2). (If less than $100, no declaration is required)........ 6.00. .05 200-000: ines \ _ COMPUTATION OF INSTALLMENT. Check proper box below and.enter amount indicated. if this declaration is CJ Aprit 15, 1976, enter 1/4 of line 3; (-] September 15, 1976, enter 1/2 of line Lovee eee due to be filed on: ‘one 15, 1976, enter 1/3 of line 3; (J) Jan. 15, 1977, enter amount on line 3 5, It you had an overpayment on your 1975 income tax return which you elected to have applied as a [| credit against your 1976 estimated tax, enter the amount here....... 6.6.2. eee eee 6. To apply entire overpayment credit to this installment and any excess to the next, enter here the amount on line 5. To spread credit evenly to each installment, divide it by number of installments and enter results here........ . 7. Amount to be paid with this declaration at time of filing (line 4 less line 6)... 0.6. eee "8. Note: The payment of the estimated tax (line 3 less any 1975 overpayment credit) with this return eliminates the filing of quarterly estimates. Enter lump sum payment here..........-.0 Your social security number Spouse's social security number fe Wr | have examined.this declaration and to the best of my knowledge it is correct. ; SiQMALUE(S) oe. e cece cceccecesscesscceesnacecceaeecceseces ccosneesaetesseseccarerceansasaesaeeeeatecnaeeenaersnsaees Date... eecccccsseecesceececeateeseees on ee Tet eetet Veet : . . “  gtane t , : , : , First name and initial (if joint declaration, use names and initials of both) . Last name ; Earl R. and Marge Ruby Address (number and street) ° > ; 18135 Livernois . City, State, and ZIP code — ; 48221 MICHIGAN DECLARATION OF ESTIMATED INCOME TAX FOR INDIVIDUALS- ] 976 FORM For calendar year 1976 or fiscal year ending _______________,19_____ STATE OF MICHIGAN MI-1040-ES Department of Treasury Your social security number Please print or type Spouse’s social security number Detroit, Michigan 1. Your estimate of 1976 income tax 0 $609.09 2. Estimated income tax withheld and to be withheld during entire year r of 1976 eee a, 3. ESTIMATED TAX (line 1 less line 2). (If less than $100, no declaration is required)................ eee 8, 600-99 | 4. COMPUTATION OF INSTALLMENT. Check proper box below and enter amount indicated. - — If this declaration is whorl 15, 1976, enter 1/4 of line 3; (JSeptember “15, 1976, enter 1/2 of line 3) :..... [a it99.09 due to be filed on: { June 15, 1976, enter 1/3 of line 3: -C)Jan. 15, 1977, enter amount on line 3 \ ; 6. To apply entire overpayment credit to this installment and any excess to the next, enter here the amount on line 5. To spread credit evenly to each installment, divide it by number of installments and enter results here. 7. Amount to be paid with this declaration at time of filing (line 4 less tine Fe 8. Note: The payment of the estimated tax (line 3 less any 1975 overpayment credit) with this return eliminates the filing of quarterly estimates. Enter lump sum payment here ea | have examined this declaration and to the best of my knowledge it is correct. §. If you had an overpayment on your 1975 income tax return which you elected to have applied as a credit against your 1976 estimated tax, enter the amount here ween ifa must cian : BSCA (RG 233) JFK Collection Reference copy,
Car elo 406 WE eens Loe . rosueciy Ub tA ” Revenue Division INTANGIBLES TAX RETURN THIS NUMBER WHEN SUBMITTING PAYMENT, OR IN CORRESPONI: E] ’ ~ \ m Calendar Year 19 ne OR FISCAL YEAR —______ | iS Beginning 19. b~--+--~--~-+-------------- DO NOT WRITE ABOVE THIS LINE: ------------—-—-~~- ~-. me Ending 1g RUBY EARL & MARGTE | 69R 85S G vee | 18135 LIVERNOIS AVE | (a artnership Check DETROALT MI GAZA] Michigan Corporation L One Foreign Corporation POSTED FILED Fiduciary Y IF THIS RETURN {5 FO! ESTATE GIVE PROBA County_____ —_ 698R55 4? 12 file No. _ scene TE scot 8 Cee [ae ae Le FE OE Owe of ew - JFK Collection i . Li . “e Computation of Tax Due | amount fi TA! 1. Accounts and Notes Receivable (non-income producing only) . - Pf | ft 1. 2. Less Accounts and Notes Payable. : : . - ee 2 3. Balance Taxable @ 1/]0th of 1% ‘ . ; | TL 3 4. Accounts and Notes Receivable (income producing only). . re 4 5. Less Accounts and Notes Payable (use only that portion, if any, not used in Line 2 ~ ee ee 5. 6. Balance Taxable : . ~ ee é 7 7 8 8 9 9 0 ) er Reference copy, . Income applicable to balance. a a ee . Tax @ 312% of Income (Line 7) or 1/10 of 1% of Balance (Line’6), whichever is greater. . Stocks and Bonds - -- - - Schedule A, Column 9. 10. Mortgages and Land Contracts ---- - Schedule 8, Column 8. 10. 11. Annuities ----- Schedule C, Column 9. : : MW. 12. Beneficiary Return (attach copy hereto} 12. 13. . TOTAL - 13. 14, Less Statutory deduction ($175.00 or $350.00 by husbands and wives filing joint return) _ : 14. 15. ; BALANCE DUE 15. 16, Cash on Hand or in Transit as of retroactive date {include cash in safety deposit boxes) 17, Bank Deposits in Banks Located Outside of Michigan or Withdrawn from Mich. Banks or Ass’ns. after 18. Savings in Building and Loan Ass’ns. Located Outside of Michigan. RETROACTIVE DATE. 19, TOTAL 20. TAX @ 40¢ per $1000.00 of Line 19 a 21. . TOTAL TAX DUE (Line 15 plus Line 20) . »[ 2a a7 22. Less Advance Payment of Tax || 23. TOTAL TAX DUE __ 23, Alcerle 24. . Penalties & Interest; Penalty, $C; «Interest. %o———.._Months, $. 24}, TE ; ALC OBIE 25. TOTAL AMOUNT DUE ; 25. + MAKE REMITTANCE PAYABLE TO STATE OF MICHIGAN . ; Please forward Remittance for Amount Shown Here on or betore April 30. To: MICHIGAN DEPARTMENT OF TREASURY, LANSING, MICH. 48922 (or four months aiter end of authorized Hscal year) IMPORTANT—Be Sure to Answer the following Question ‘When Applicable. 1. Business or Profession of Taxpayer. SA ce = . 2 phone Nob 3-OFOD 2. Give year of last return filed. _ I994 pddress of Last Return AM = 3. Check here if return is computed on a Retroactive Date Method__-_____ lor Monthly Average Method 4, \f taxpayer is a corporation give State ‘and Date “of Incorporation Federal Employers Identification Number. 5. If this is the return of a Trustee attach list of names and addresses of beneficiaries and date of creation of trust.” 6. If this is a Business Return a copy of the Balance Sheet as of the close of the Tax Year must be attached. I declare uncer the penalties Imposed by Act No, a01 PL A, of 1999, ae Amended, that thle retuens, Including any accompanying in examined by + and to the beat of my knowledye and belief tea tive, correct and complete return, Social Security Number ~— GORDON L. HOLLANDER, P.-C. ‘art ACCOUNTANT Signed | CERTIFIED PUBLIC ACCOUNTANT 1967 NW 55903 Docld: 3224588 hra age SepN, MILE ROAD ee Wereres Mbabane Af Ele Bae ene Return Prepared by,
~pUnebuce F — SHAR ENOLOEAS SHARE UF INCGWE ANY Cnciuiio 7 (if additionai space is needed, attach schedule): (2) (3) (4) Amount taxadle as ordinary income (schedule K, total of lines 4 and 8, U.S. 1720-S) . (1) : Name and Address of Each Shareholder Social Security Number Number of Shares (5) Distributive Income from page 1, line 5, or page 2, schedule B, line 6 (6) Amount to be used by share- holder on M!-1040 (enter on page 2, schedule 1, line 34 or on page 2, schedule 2, line 43) difference between column 4 and column 5 (See instructions) (7) Enter here and on form MI-1040, page 1, line 22 each shareholder’s pro- portionate share of per- sonal property taxes paid on inventories or the credit for franchise fees paid. (See instructions) . (8) here and on form each’ shareholder's proportionate share of Single - business tax paid. (See instructions) i (a) HL Sye-o4 I (b) YE, &4o.0t (f) (g) (h) (i) (j) NW 55923 Docld: 32245535 Page 221 nive— wa — — : .BSCA (RG 233) JFK Collecticn Reference copy,
SCHEDULE F — SHARZHOLODERS SriARE OF INCOME AND Cae Oi id " ; : {lf additional space is needed, attach schedule) (1) Name and Address of Each Shareholder - (5) _ Distributive Income from page 1, line 5, or page 2, schedule B, line 6 (6) holder on MI-1040 (enter on page 2, schedule 1, line 34 or on page 2, schedule 2, line 43) difference between column 4 and column 5 (See instructions) (2) Social Security Number Amount to be used by share- © (3) Number of Shares (7) Enter here and on form MI-1040, page 1, line 22 each shareholder's pro- portionate share of per- sonal property taxes paid on inventories or the credit for franchise fees paid. (See instructions) (4) Amount taxable as ordinary income (schedule K, total of lines 4 and 8, U.S. 1120-S) (8). Enter here and on’ form MI-1040, each shareholder's proportionate share of Single business tax paid. (See instructions) a 4G.G/ — & ~ MW 55923 Doold:32245535 Page 222 46.61 JFK Collection: ESCA (RG 233) Reference copy,
Nw is6023-Docid: 32245535 Page 223 Nat be Set err en Nat er a ea tn ‘ Wica, apt. of roasury Partnors hip ; eat aailer 78 fe re fess Sonal Corp. See instructions on reverse side 1 Name: 2 Account Number: _ Cobo-+Rumar Sales, Inc. 38-1812707 t i pitdsyyae | SUMMARY I i ARAL | QUALIFIED PARTNERS OR SHAREHOLDERS A NAME-AND ADDRESS B SOCIAL C % | DO SHAREHOLDER'S|E % PARTNER'S or SHAREHOLDER’S SECURITY NO. Time| SALARY Own. F Share of Bus. Inc. | G Share of SBT Paid | * ‘Earl Ruby 4380 Stoney River; Birm, Pel ee ee eee % [00 | | 04) p———————] | | on a r pi 0 [pa in e co p—————————] lo a) pa] go i, | | PARE 8) NGN-QUALIFIED PARTNERS OR SHAREHOLDERS. If more space is neoded submit separate schedule and enter totals on line 7. ‘ 7 ae f TOTALS (Part II and Part iD) “3 Total Number of Partners or Shareholders... 00... ... ccc ceececececeeeceveeeceeseeeeeeeeeees | 4 Total Number of Qualified Partners or Shareholders from Part Il—enter here and on C-8000, line 60a....| 4 | ; JFK Collection: SCA (KG 233) Reference copy,
Wich, Jeph oe treasury . ‘ ee ee + jee = a. bad &, . melnnie f Qe: 7, men fed tal S34 vate 1-4, Ee Gece da | Soe OF PaWneYS OF SAlronc.uers— vid 2 | Paorizershie, Subchaster S Corp., Proiessional Corp. | 1 Name: Cobo Cleaners i} | SUMMARY i See instructio Inc. [3 Total Number of Partners or Shareholders...... re ; 4 Total Number of Qualified Partners or Shareholders from Part |!—enter here and on C-8000, line 60a. | 4 | aati wil QUALIZIED PARTNERS ' NAME AND ADDRESS Ze | OR SHAREHOLDERS ns on reverse side 2 Account Number: 38-1 806433 —_ Earl Ruby 380 Stoney River; Birm. | B SOCIAL © % |D SHAREHOLDER'S |E % PARTNER'S or SHAREHOLDER’S SECURITY NO. | Time] SALARY Own. EAB AMD 100) 144,600 | 00 | 106 | | 00 00 ‘ | th | 00) 4 | 00 00 | ee | qh )00! | 00 00 TT th hn | 00 00 _ 9 (00| 9% 00 | 00° h | 00 % 00 . { 00 Zz |00| | 00 100} % _ | 00 % | 00 | 00] & wl | 00 __ 0 ‘Neti Ale] NON-QUALIFIED PARTNERS OR SHAREHOLDERS. If more space is needed submit separate schedule and enter totals on line 7. 00 00 fo) So a 2 f—) Q ra) xa 2 So Qo Oo 34 Q Oo 3st | ill | . ~ aree TOTALS (Part I and Part Ill) . MW 99S4—Docld: 32245535 PF age 224 a So | | n = MRP Lac” BSCA (RG 233) JFK Collection: Reference copy,
sibewee Maes cee ee eee tee iim Seek eed ala o. a me ey siete eee ee : : vepariment of treasury ee - we et wy ror 1973. or iaxabie year Geginning ©2020... , 1973, ending. 2.0, , OPirsi meme and saitial ff joint fetarh, uSe tirsi names and tnitials of Doth) | kasi name cae) , ~~ , ; aA ; _ w Home adcress (aumoer and sireet or rural route} , = wey ee A OPSS Sieegay me a a Cay. town of gost oftice, and Siaie ZIP code BIN ees ~~ a 3 r ot g bee » C8te aq GAA C4 ees = ¢ ee a _ i Exempi ions-Enter nére total number of exemptions claimed on your & Were you a Michigan resicent orior io July 1, 1972? S€Yes (71 ee yo eing|at PESIGENL OFON 10 July vaYes —INo 1973 Federal income tax return ~ g sigius - check one. 1] Married Filing Jointly C] Single CilResident (fuli year) Lo Married Fiing Separately - Name of Spouse... 0... (TPari-year from oo, to. Give spouse's social security no. in space provided C]Nonresicent V3. Adjusied gross income as deiined in the Internal Revenue Code and which should be reposted on Federal Form 1040, 2 Attach copies of any Federal schedules that indicate a loss or deduction = Line 15 or 1040A, Line 12 trom gross income. (See page 5 of the instructions) ©... ee ee ee ey 4. Adcitions (irom page 2, line 36)... cee been bbb bbb b eevee = 5. Addiines3and4.00..0 000... Dee ccc b en bv eee eeeeeeeeieees ‘5 6. Sublraciions (irom page 2, line 44). 020 Tee eb eet bree bbe bbb eben ees So7. Balance jineG less tine 6)... cnn S 3. 2eidents muliply exemptions claimed on tine 1 by $1200.00... 00. ences —, ° Part-year and nonresident allowance from line 48..... 00.00.00. b etc c ce cele cece cee eevee ee enee. S fis 2 s 9. Income subject to tax (line 7 less fine 8)... coco ccc cece be boc 9. i a? j act aes = 10. Tex: multiply line 9 by 039 (3.99%) 2 Si i ones 10. te, ST = CREDITS AMOUNT PAID CREDIT 4 (See pages-8, 9, and 10 of the instructions) LL, income tax paid to Michigan citles....................00 000. © GENES ya, 27 |e . 12. Coniributions io Michigan colleges and universities (attach receipis).. @.. 12a. 13. income tax paid to anoiner staie (attach copy of return).......... 13. —_T ~@:. | . a id. Total credits (add lines 1]a, 12a, and 13a,) enter total here... cece cece eee e ee ees 14, BT te 15. Sudtract line 14 from tine 10 (If line 14 is greater than line 10, enter NONE)...0.. 000.0. c cece ccc eee, 5 Le aAS| oF Homesieac properiy tax relief - lines 16 thru 20 - senior citizens, veterans and bling persons see form MI-1040CR. . y 16. Enier 1973 homestead property tax or ling 51......0........... 0 , _ © 17. Household lacome from line 58-.. 0.00... yg —___ 1 = 18. Enter 3.5% (.035) cf Housenold Income shown on fine 17......... 18. S 19. Diiference between line 16 and line 18 (IH line 18 is greater f+ than line 16, enter NONE). eee, 19, = 20. Enter 60% of line 19 (Maximum $500.00)... 0... e cece cece eee . 20, —____{ __ = 21. Credit from MI-1O40CR (attach f orm MI-1040CR). 00. eee. @ __! = 22. Parsonal proderty tax paid on inventory..................-0-. 22) | 2 23. tnveniory iax credit - 25% of line 22.0.0 cece 23. = PAYMENTS ao; © 24. Michigan tex withheld (attach State copy of W-2)......0 000s o ccc cecebeeeveceeeee. @ 2A [> a 29. Michigan estimated tax payments... eevee ccc cece cece cece, @. CFS 00 26. 1972 overpayment credited to 1973.00. bee e cee ee cee eee. 26) ny ek 27. Add tine 20 or 21 to lines 23, 24, 25, and 26.0.0... vv eve evteeevieeveeeeeeeens ah! Fe. 28. if line 27 is Jess than line 15, enter BALANCE OF TAX DUE HERE PAY IN FULL WITH RETURN. | cece eevee eee 28) PG ep 29. li line 27 is greater than line 15, enter OVERPAYMENT HERE... ooo ccc cece cece ccc cece, 29, 30. Amount of tine 29 you wish to apply to your estimated tax payments...............0- 00. e ce oe eee eee Qo | 3i. Amount io be REFUNDED (subtract line 30 from line 29) 000.00 c cece cece ees gio This return is due April 15, 1974 or on the 15th day of the fourth month after the close of your tax year. Under penalties of perjury, | declare that | have examined this return, includin is irue, correct and complete. If prepared by a person other than taxpayer, hi g accompanying schedules and statements, and to the best of my knowledge and belief it $ declaration 1s based on all information of which he has any knowledge. » . Sign 7 Your signature 00 bate D> --sienatuie oi preparer other than taxpayer Date Here x aa ‘Soins sit i in ii, TH mw os) GORDON L HOLLANDER, PC oe a | at 17350 TEN MILE ROAD a SOUTHFIELD, MICHIGAN 42975 2°: a7 ? : a a See MW 35923 Doold:32245535 . Page 227
3 : nis Is your estimated taxable income)... eee er rn rn 4, Estimated tax Gine 2 times 039 of 3.9%)... eee Bebe eect teens 5. LESS: Totai estimated iax credit ior Micnigan City income taxes, persona: property tax on inventories, Michigaa nomesies G propery taxes anc contributions io Michigan colleges and universities... .. eee eee , 6. Subtract line 5 from fine 4. Enter here and on fine i below... ccc cece cette eevee MICHIGAN DECLARATION OF ESTIMATED INCOME TAX FOR INDIVIDUALS S- 2 TO7L | FORM ta , : For calendar year 1974 or fiscal year ending 19... STATE OF MICHIGAN | Mi-1060-ES ea \ ; . Department of Treasury | iat woo | | First name and initial (if joint declaration, use names and initials of both) | Last name , Your social security number | ty Please | Address (number and street) : . | Spouse's social security numoer or ype | , . ; : \ i | City, State, and ZiP code i) | . Your estimate of 1974 income tax.....4........ weve eee ebb ev cece vent eeveerenee. ne Se. . Estimated income tax withheld and to be withiield during entire year of 1974... 00.000 ee . ESTIMATED TAX (line 1 less.iine 2). (If less than $100, no declaration is recuired)............. Meee ees _ COMPUTATION OF INSTALLMENT. Check proper box below and enter amount indicated. if this declaration is sOAeail 1s 15, 1974, enter 1/4 of line 3; Q) September 16, 1974, enter 1/2 of line wy been ence due to be filed on: = {i_}June 17, 1974, enter 1/3 of line 3; (J Jan. 15, 1975, enter amount on line 3 5. if you had an overpayment on your 1973 income tax return which you elected to have applied as a credii against your 1974 estimated tax, enter the amount here... eee 5. To apply entire overpayment credit ito this installment and any excess io the next, enter here the amount on line 5. To spread credit evenly io each installment, civide it by number of instaliments and enter resuits here............. beeen ee | seceeueceeseesceeecesencenceeeees ‘ 7. Amount io be paid with this deciaration at time of filing (line 4 less fine 6)....... 0.0.0.0... 0.00... 0 000. ne 3. Noie: The payment of the estimated iax (line 3 less any 1973 overpayment credit) with this return eliminates the filing of quarterly estimates. Enter lump sum payment here... eee L.  G&) i have examined this declaration and to the besi of my knowledge it is correct. Signature(s) oo... eeeeccceseeeeeeee a ca caneuseseccceeeccesensssusecccecasescusnessucevsrsceeuecoeseseesssnnarsescenes Date... ees eeeececeescceeseceeseneeeees 19 | MICHIGAN DECLARATION OF ESTIMATED INCOME TAX FOR INDIVIDUALS— 20/74) | oops Ml-i040-2S For calendar year 1974 or fiscal year ending-________»_ 19 STATE OF MICHIGAN i , , ; Department of Treasury | First name and initial (if joint declaration, use names and initials of both) Last name Your social security number SAL AND MARGE Piaase | Address (number and street) Spouse's social security number ariat | -— , = a“ or type LEI BS IVER A OIE City, State, and ZiP code. . mo TyeT ROT MICH IGA “era 1. Your estimaie of 1974 income tax 2. Estimatéd income tax withheld and to be withheld during entire year of 1974.0 eee, eevee tee ees 5. ESTIMATED TAX (line 1 less line 2). (If less than $100, no declaration is required)........... 2... eee a. OOs.a0 4. COMPUTATION OF INSTALLMENT. Check proper box below and enter amount indicated, CC a li this declaration is {f4April 15, 1974, enter 1/4 of line 3; (JSeptember 16, 1974, enter 1/2 ofline3) ...... SOF 8D Cue id de flea on: {aie 17, 1974, enter 1/3 of line 3; (TJan. 15, 1975, enter amount on line 3 \ 5. If you had-an overpayment on your 1973 income tax return which you elected to have applied as a ; credit against your 1974 estimated tax, enter the amount here...... 0.0.0.0... 0... cee een [| 6. To apply entire overpayment credit to this installment and any excess to the next, enter here the amount on line 5. To spread credit evenly to each instaliment, divide it by number of installments and enter results here............00. 7. Amount io be oaid with this declaration at time of filing (line 4 less line 6) : 8. Note: The payment of the estimated tax (line 3 less any 1973 overpayment credit) with this return eliminates the filing © of quarterly estimates. Enter lump sum payment here... ee | have examined this declaration and to the best of my knowledge it is correct. SiQhAture(S) ooo. ecee cc cceececscece cas eeeaecucecsecsacevecsecssccesssuscesacccsseesorccecacconsessenccacsseaececce D&C... ccccecccccerececccocseccceeseeaceees » AD NW 55923 Docld: 424 5atmele. potausbarm and wife must sign
tee ra ee ee 77 er otnor fs xaibte eo year be beginning * PoNeone aie initial Last Name i Your Social Seeur iy Number : t | i t Your Occupation Thome Adiiress «Ni i ape . i = * to RU EY CARL § MARGE t Spouse's Secial Security Nuaser : 1 H TOorne onaic j ' i : 5 18135 LIVEFRNCIS — i 3 Post s are) 3] ‘ - -~yRAe ty t , ouse’s Occupation oa . i ; : os If none filed, give reason. et ne a rt are an anata 2 4 5 i a. ine neme and. address used on your return for 1972 (If the same as ahove write “Same”. ii tent, indicate date } ¢ , a eee SUL A— EXEMPTION YOURSELF. ww we es ae — SPOUSE } N who lived with you: u : , Enter No 2. Enter first acmes of each of your DEP ENDENT CHILDREN See : - : Sr Vy NAME ; iMonihs iived in | H Enter figure 1 in the last column to H . Reiationship your home duriag . tight for each name listed | H 7 { 9 ! OTHER ” DEPENDENTS i ~ “, Tore! exemptions from tines 1, 2 and 3; enter here and on fine 15 below. oo | ~ 2 INCOME (lf joint return, include ail income of both husband and wife) ! Ms 3. Enier GROSS income from employers for wages, salaries, commissions, tips, etc. — indicate (W) for wife : ae : Total wages reported Detroit Income Tax WAGES, ETC. EARNED Employer's Name Where re employed { pate and sare) on DW-2 or w? | Withheld | ; IN OEVRONT am f Oo TOTALS eee 7, Rental income (or loss) from tangible property in the City of Detroit — from page 2, Schedule B, line 4.0.0... 0000. deceeeeeeeeeteghe &. Cther income (or toss) from partnersnips, etc. — from page 2, Schedule F, line 4....... ee eee eee ae 9, Gain jor foss) from sale or exchange of tangible property in the City of Detroit —from page 3, Schedule E, line 10.0000 000. . pocccscccsecsessesseseseeseesesees possesses “ery 10. Net profit (or loss) from business — from page 3, Schedule C, line 8 Tl. Income (or joss) -TRUSTS AND ESTATES ONLY — from page 4, Schedule G, line 7 (see instructions for exemption fo enter on line 3.} 12, Total (add jines & through 11 of last column), ‘13. Less: Deductions from page 2, Schedule M, line 5 (if none, enter zero) PAYMENTS AND CR EDITS ‘18. a. Tax withheld -by employer — from line 6 above — ATTACH Forms DW-2 or W-2 Payments and credits on 1973 Declaration of Estimated Detroit Income Tox...) eee ccc cece ceeeeee c. Other Credits — explain in attached statement (See Instructions) .....0. 0.000000... 0 cee eee Ree ee eee = - 19. TOTAL — Add Lines 18a, by and © oe ccc cece eee cee bebe bee, 2s oa rane oa 7. TAX DUE OR REFUND | <2 20. if your payments (line 19) ore larger than your tax {line 17), enter amount of OVERPAYMENT Fe ee LOS in 3 23, Check box if you wish overpayment on line 20 to be: (A) (7 Credited on 1974 Estimated Tax or (B) m Refunded, : | eo 22. If your tax (iine 17) is larger than your payments (line 19) enter amount of BALANCE DUE: Pay i in full with this return. .@ s beeecetesesceteteeeesereeseeed hess fake chece payable to: “TREASURER, CITY OF DETROIT.” A balance due of less than-one dollar ($1.00) need not be paid. OES 108A OMEN CET OF DETROIT A balance due of less than one dollar ($1.00) need not be i dectare 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. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge. | SIGN HERE. ccscscccseeesseceeceeeseseeeennsctenssnsssseeseesegeecesereteaeeecettectcccttessecensesseteenssercecteciesocssssiestescsantsstssstsafussuiiuesuptsunsiavisitissavtsnsfasnse eesassesoeseptiestussuisasennsvastesssesseseesesesese | : (Taxpayer’s signature and date) ~ : (Signature of preparer other than Nee oa i . Teh | SEGN ERE ooccccccccsccsssessvessusvssversssonsvenevsnrensnissivessssssestessisvesssivsssipaetsssesuttssecseesade GORDO; 1 (Spouse’s signature and date) (If joint return, BOTH HUSBAND AND WIFE MUST SIGN) CE AAAIL TO: City Treasurer, 104 City-County Building, Detroit tapiemen s st ae oo. 2% ae 3 RETURNS MUST GE FILED BY APRIL S0SOGYAFIELD, } M NCHIGAN “OTE WW 55923 Docld:32245535 Page 229
a cate De ee ee press qo i TiS NUMBER WHEN SUBMITTING PAYMENT, OR IN COZ! Yo UNUSIGLES TAK REYOGRN _—-, a ” <7 See eee ards t | { Wee ee 2 CT iGuide i i { hee pe Mm oO Parteership— Micaigan Corporatio MI : —. 48221 Foreign Corporation _ | PosTED | FiLED Fiduciary ; Y oF TRIS REY “UN 15 FOR AN . ; ESTATE GIVE PROBATE eo 30: 732 | 698855 OO? | 82 | Lt 73 12 site No. RETROACTIVE DATE ACCOUNT NO. TYPE county | city | K | c | FILE DATE Date of Death Cormpuicaiio rd ue AX i, Accounts and Notes Receivable (non-income producing a a a ee ae ae Va 2. Less Accounts and Notes a a 2. ——____________- } 3. Balance Taxable @ i/i0:h of 1% Ia | : - ! 4, Accounts and Notes Receivable {income producing ony 44 5. less Accounts and Notes Paysbie (use only that portion, if any, net used in-line rr a a a 4 ‘ . t . Salance Taxable eee 7. income applicable to balance - : i ron 5 6 7 «Tax @ 3Y2% of Income (Line 7) or 1/10 of 1% of Balance (Line 5), whichever is greater, 8. ; 9 0 3 | . ect aé te ; : _— , ~ p ofS Y, Stocks and Bonds----- Schedule A, Column 9, eee A ean if : 10. Mortgages and Land Contracts---- + Schedule B, Column 8. 1} — Tl. Annuities +--+ Schedule C, Column 9, Vp 12. Beneficiary Retunn {attach capy hereto) em ee II “ ‘ . 1% ’ bay : A ee em ern geen en aseee ane deere nie eine ea ar srapenegnene sues en cesan cnet ee nen de ee ee eee . yairé ' “woe yay Luss Statutory duduction ($175.00 or $350.00 by husbands and wives filing joint ruturn} — 15. . BALANCE DUE 16. Cash on Hand or in Transit as of retroactive date {include cash in safery deposit boxes) 17, Bank Deposits in Banks Located Outside of Michigan. [ or Withdrawn from Mich. Banks or Ass’ns. after H RETROACTIVE DATE. 16. Savings in Building and Loan Ass‘ns. Located Outside of Michigan. 19. TOTAL | : ; 20. TAX @ 40€ ger $1060.00 of Line 19 : i 20.4 i | 21, TOTAL TAX DUE (Line 15 plus Line 20) . a Pee LS 22. ‘ , less Advance Payment of Tax - ‘ : 122.1 23. TOTAL Tax pugs | Boa ne 24, Penalties &, Interest; Penalty %, $ _ ; Interest_ _% Months, $ . H 24 TOTAL AMOUNT DUE _ de fishin ae Lo nea REMITTANCE PAYABLE TO STATE OF MICHIGAN oS in Please forward Remittance for Amount Shown Here on or before April 30. To: MICHIGAN DEPARTMENT OF TREASURY, LANSING, MICH, 42922 ’ (or four months aiter end of authorized Uscal yeaz) IMPORTANT—Be Sure to Answer the following Question When Applicable. SALES: ; . cies i. Business or Profession of Taxpayer. Phone No.=i2 = cay $2 Give year of last return filed. LUI. __ address of Last ee vay how beng Check here if return is computed on a Retroactive Date Method le Monthly Average Method if taxpayer is a corporation give State and Date of Incorporation. Federal Employers Identification Number lf this is the return of a Trustee attach list of names and addresses of beneficiaries and date of creation of trust. if this is a Business Return a copy of the Balance Sheet as of the close of the Tax Year must be attached. ce he N | declare under the penalties imposed by Act No. 301 P. A. of 1939, as Amended, that this return, including any accompanying bes been examined by . and to the best of my knowledge and belief is a true, correct and complete return. Social Security Number GGRBON L HOLLANDER, PC. Sones | Return Prepared by_. GER IED-PUBLIC-ACEOUNTANT Signed . : : 37350 TEN MILE ROAD -- Add sn {DM N—-48075 Titl . cores UTHFIE IGHIGA _ St ate whether Individual Owner, M NW 559293 Docld:32245588:0. Rage eB3ike sive “Administeator, Trustee, arc. or tive tea