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— we — i Please attach Copy B of Form W-2 to back | Write soc. sec. no. on Check or Money Order. Attach here 7 oP. od 0480 “For the year January 1-Decembar 3i, Department of the Treasury / — Internal Reventi Service: cee Individual income Tax Return vey AOTL, “us 1971. or other taxable year beginning —...... ending . Your social security. number ; Q First name and initial (If joint return, use first names and middie initials of doth: ‘Last name. 2 SAMUEL AND PHYLLIS | | puny. | O°. tae emer nee ee ae ee an anne “ : Present homa address. (Number and street, including apartment number, or rural route) . : JEK Act 6 a! 16250, Bircher Street gs t , —~ 1 7 Sec emweccmvome me ~ . Lo _ rr rr air aia ‘ ¥ Ss , a ig EF rent mi ity, cwn of “port office, Statn and ZIP code ae . | Oceu. > Yours. « mployad a: Granida Wills, Californts a of i Spouse's Housewife |. Filing Status—check only one: Exemptions _Reipular / 65 oF over / lind Enter... | 1 [] Single 7 Yourself i: 2 a Cl number io: 9 + * Ale of boxes - 2 (a Married filing jointly (even if only one had incoms:) 8 Spouse re aoe only it item ie] “ C] checked i or f is checked Pim 9 First names of your: dependent children who. lived with i ! . i q vred, Brian, ! ifsa a Chomas’ number mis 10 Number of other. dependents (from line 33). Lo ih ‘Total exemptions. claimed - , : 13 ([] Married filing separately and Spouse | is also filing. ; Give sp: usa’s social security aumber in . Space ainva and enter first name here > 4 oOo Unmarried Head of Household 5] ‘Surviving widow(er) with dependent child § O Married fing separately a and | spouse | is not ting “you Enter — 12° Weges, salaries, tips, etc. (Attach Forms Ww-2 to back. If unavailable, attach explanation) » 13a Dividends (2% pages 6 13b.Less exclusion $.... 242, 50 ph - (If gross dividends and other distributions are over $100, list in Part | of Schedule 8. » 14 interest. ‘| be ' ad Lo - Balance if $100 or less, enter total without listing in Schedule B ook ee, If over $100, enter total and hst in Part ti of Schedule B ‘ Be _ Income 15 Income other than wages, dividends, and interest. (from line: 40). oe, aE an woo. i6 Total (add lines 12, 13¢, 14 and 15 15). 2 BY Adjustments to income (such as “sick pay,’ ‘ moving expense, ‘ate. fiom line 45). . ee Ct 18. ‘Adjusted gross income (subtract fine 17 from line 16) . — toe © See page 3 of instructions for rules under which the IRS will figure your tax. @ If you do not itemize deductions and line 18 is under $10,000, find tax in Tables and enter on line 19. ® If you itemize deductions or line 18 is $10,000 or more, go to. line 46 to figure tax. 19° Tax (Check if from:. oO Tax Tables 1-13, [] Tax Rate Sch. X, Y, or 2, bd Se Sch. p, Cc Sch. Gor. o Form m 4726) 20 0 Tota credits (from | tine 54) le ee ee ae a a a 21 income tax (subtract line 20 frorn line 19) a _ - cs uy 22 Other taxes (from line 60) 2. ee 23 Total al (add tines 21 and 22) Le ee 24 Total Federal income tax withheld (attach Forms W-2 or W-2P to bac 4) “ 2 I . |.25 1971 Estimated tax payments (include 1 1970 overpayment allowed as a credit) . (25 | a 26. Other payments (from line 64) . |.26 | Tax, Payments and Credits ¢ || 27 Total (add lines 24, 25, and 26) ._ os sata itn = Pay in tutt with return, Make check or money g & 28° W line 23 is larger: than line 27, enter BALANCE DUE onder paysite Ao. Internal Revenue Service a 2 29 If tine 27 is larger than line 23, enter OVERPAYMENT ee ce, b> G& | 30 Line 29 to be: (a) REFUNDED ia AY ! (b) Credited on.1972 estimnated tax . > 31 Did you, at any time during the taxable year, have any interest in or signature or other author: . . ity over a bank, securities, or other financial account in a foreign country fexcept inaU.s. -», military banking facility operated by a U.S. financial institution)? Yes | if “Yes,"’ attach Form 4683. (For definitions, see Form 4683.) | > ny Under penalties of perjury, | declare that | have examined this return, including accompanying “ehedules and statements, and to the best of my knowledge and bediot | it is true, correct, and complete. | | »D “EDWARD L. LAMBERT . Foreign | Accounts h Your 5: signature Date Sgaies of praparerothes Aaatatieren /baPIwGT oe tr ing on.oh re > By ere i all information of wh. ch he, BPR INA Knowle ini SUITE S10 5 D ss Spouse's signature (if filing jointly, BOTH must sign even if only one hail in-ome) Doeld:32245535 Page 92. - oe RE
* BOSS 3 PART H—Income other than Wages, Dividends, and Interest 39 Miscel- ( (a; Fully taxable pensions and-annuities vee wn 42 Moving expense: (attach Form , 3903) 45 Total adjustments (add lines 41, 42, 43, and 44). Enter here and on tine 17. +... : > PART IV, —Tax x Computation (Do not use this part if you use Tax Tables 1-13 to find your tax.) 46 Adjusted gross income (from line. 13) 48 Subtract line 47 from line 46 ee a we LONE 49 Multiply total number of exeniptions claimed..on, | jine 1h, 1 9875. bee 52 investment credit (attach Form 3463) 2. 2 ee LL a - [52 | i Pool d: 32245535 .Page 93. Page 2 Form 1040 (1971) , “Attach Copy g of Form W-2 here. b>. “PART 1.—Additional Exe mptions (Coniplete only for other dependents claimed on line 10) : (e} -Aniount Wl _) fished for depetd . “. support, ff 109-2 » write 5 by OTHERS  inelud-. . ing dependent. - 32 ( (a) HAME - (b) Halationship 33. Total number of dependents disted above. Enter here and on tine 10 "34 Business income or (loss) (attach Scheu! ule. C). re ar 34 34 | “7, 350), 33 . 35 Net gain or (loss) from sale or exchange of capital assets (attach Sel. sdule Do 38) (1,900; 90) a 36 | 36 Net gain or (loss). from Supplemental Schedule of Gains and Losses qatt ach Form 4797) 37 Pensions and annuities, rent s and royalties. partnerships, estates or trusts, etc. (attach Schedule E). 38 Farm income or (loss) (attach Schedule -F) 2 2 6. ee ad aa Schedule E- uctians on page 7 7° laneous (b) 50% of capital gain distributions (not reported on Sches tule Db) income | (cj) State income tax refunds (caution—see instructions on page 7) (d) Alimony. wee : ae (e) Other (state nature and source)... - -- 7 . a at wee. nat re; ; (f) Total miscellaneous income (add lines %9¢a), (b),.(c), (d) and (e)) 40 Total (add fines 34, 35, 36, 37, 38, and 39). Enter here and on line 15 PART Hi.—Adjustments to income 41 “Sick. pay”’ if included in line 12 (attach | Form 2440. or other required statement) 43 Employee business expense (attach Form 2106-or other statement) . 44 Payments as a self- -employed person: to a retirement plan, ete. (attach Form 2950SE). 47 (a) If you iternize deductions, enter total from Schedule A, line 32 and attach Schedule a (b) If you do not iternize deductions, and line 46 is: . ce Oe (1) $10,000 or more but less than $11,538.43, enter 13% of line 46 eo Tg OS pm totes (2) $11,538.43 or more, enter $1,500. Mees Sos Note: deduction under (1) or (2) is limited to 2 $750 if married and filing separately. “2, 518 “20 A 1050/00 50. Taxable income. Subtract line 49 from line 4B ee Dee a 50 ~=0=| (Figure your tax on the amount on line 50 by | usin: Tax Rate Schedule x, Y or Zz, or ‘if applicabie, the ‘alternative. tax from Schedule D, income averaging from Sched: ‘We G, or _maximum tax from Form'4726.) Enter tax on line 19. PART V.—Credits _ 51 Retirement: income credit (attach Schedule R) a 51 _ ee "53 Foreign tax credit (attach Form 1116) 7 53. 54 Total credits (add lines 51, 52, and 53). Enter here and on ‘line. 20 pep 154 | PART. Vi. —Other Taxes a, ; . | ; , 55 Self-employment tax (attach ‘Schedule SE) : a ea ms, ee $5) 56 Tax from recomputing prior: year investment credit (attach Form 4255)" SE 56 -57 Minimum tax (see instructions on page 8). Check here ¢ it, if Form 4625 is attached 57 58 Social security tax on unreported tip income (attach Form 4137) 20.8 ve | 58 | 59 Uncollected employee social security tax on tips (from Forms W-2) 2 be, me 7 toe | 59 | 60 Total (add lines 55, 56, 57, 58, and 59). Enter here and online 22... 2. ooo... mm 1 60 | PART Vil. —Other Payments 61 Excess FICA tax withheld (two or more emplayers—see instructions on page 8) . we ee ad 6le 62 Credit for Ferieral tax on < special fuels, nonhip: hway gasoline and lubricating oil {attach Form 4136) . . 621 _ 53 Regulated investment Company Credit (attach Form °439) 2. 0) ee. vs | 63 i oe _ 64 Total (add lines 61, 62,.and 63). Enter here and online 26 oe See A . Cott os wa db tae he Tin, GHEE Me fa Ab OB, eo / . _ | o4 1146524
Scheduies AaB—ltemized Deductions AND- ol. ~ (Form 1040) | Dividend and Interest Income oo. on : Oepartment of the Treasury: . “{ntarnal Revenua Service - > Attach to Form 1040. . Name(s) as shown on Form 1040 . Lo “TT ., Your social security number “Schedule A—lItemized Deductions (Schedule Bon back) oe ; a ; Medical and dental ¢ expenses ; (not compensated by insurance | Contributions. —Cash—including checks, money ‘orders, ete. "or otherwise) for medicine and drugs, doctors, dentists, Nurses, | (ltemize—see instructions on page 10 for rn : hospital care, insurance premiums for medical care, etc. - examples) oo 7 Z os i ee a i One half (but not more than $150) of ine | es | _ re SE, Ro, surance premiums for medica} care. (Be | Be, oe oo ans eee ‘sure to include in line 10 below)’. . «| eee 7 STE aca 2 Medicine and drugs... ww ef an TT rn ; _— 3 Enter 1% of line 18, Form 1040... Po ec ee - 4 Subtract line 3 from line 2. Enter differ- | ee ee fo "ence (if less than zero, enter zero). : ot i oe oa a | oo. , 5 Enter balance of insurance premiums for [oo os oo a 7 _ . _ : _ . medical care not entered on line 1 .. 2.) 0. | ee . if 6 Itemize other .medical and dental ex- ~ ee te fo | - penses. Include hearing aids, dentures, |. a ee oo eyeglasses, transportation, etc. jo. | a ae ~ de a , a oot | ee 7 cee 18 Total cash contributions es , a : w| nae | 19 Other. than cash (see instructions on |... | ot. a : -. . oe oo —-- | _|.- page. 10 for required statement). Enter foo en Ss ve ve , a he fet | total for such, items here.) . «> joe ee nee eee penance we Pet eee ene ae, 20 Carryover from prior years a = : . i ef} } 21 Total ‘contributions: (Add “fines 181 fe —- re | eee ef | 19, and 20. Enter here and on line 23, [on a an ane oe aa fit Interest expense. Ct a oy cee —_ _. ot : _.|.22 Home mortgage. >. ees Z ve Lee a ————|—- 23 Instaliment purchases. .. 4 0.” Doe ce sae oo. |} | 24 ther (itemize) 7 Total (add lines 4,5, and6) - 2. 2 ef “yo et i. 8 Enter 3% of line 18, Form 1040 . ee ae ce ee tet ee cae (Ce . 9 Subtract line 8 from line 7. Enter differ} sf ee -” ence (if less than zero, enter zero) . ee a a ee oo J! . 10 Total deductible medical and dentaiex-| | ee _ penses (Add lines 1 and 9. Enter here | ; 25 Total interest expense (Add lines 22, | fos os ; , , and on tine 27, below.) .. . > - 150/00 . 23, and 24. Enter here and on line 30,. cee , ‘ - . Taxes. ao a 7 below.) -._- an a mi. 2,617 68 7 11 Real estate: Coe yop Les} «Miscellaneous. deductions for child care, | re 12 State and local gasoline (see gas tax tables) a> _ alimony, union dues, -casualty losses, etc. Le - 4 po . (see instructions on page 10). ws rat a 13 General sales (see sales tax tables) . : on eee ; / fe . 14 State and localincome... . . . . |" _ - ee oe a 15 Personal property , soe Glee a a — re ae ees . ‘ 16 Other Saeencaed a On SO |. oe oe ee : sper n canara a _ | oo 17 Total taxes (Add lines 11 through 16. ui 26 Tota! miscellaneous deductions (Enter me : toa ; ‘Enter here and on line 28, below.) . > 743. 31 here and on tine 31, below.). 50. oy re ene en enter acest acre einer enepete apis precnantlnnomen, - : Summary of Itemized Deductions =: oo , 27 Total deductible medical and dental expenses (from line 10) ot _ iI 50) 00° 28 Total taxes (from line 17) Se Solo ae a oy eae 74351 29 Total contributions (from line 21) . Le a St - i - 30 Total interest expense (from line 25). 6 2. ee a ae - a -2 i 68 _31 Total miscellaneous deductions (from line 26) « . Po. - . ., by me 00 °- Doold: 32245535 Page 94