Page“@ Form 1049 (1970) 7 a po Attach Copy B of Form W—2 here. > Did you, at any time during the taxable year, have any interest ‘in or signature or other authority over a bank:. securities, or other financial account in a foreign country (except in a U.S. military banking facility operated by a U.S. financial institution)? . ws. . . C3 Yes [) Noa. lf “Yes,” attach Form 4683. (For definitions, see Form 4683.) ; Foreign Accounts (check. . appropriate, box) PART |.—Additional Exemptions (Complete only for other dependents claimed on line 10) ) “Amount YOU furnished | © Amount furnished 33 ®) NAME a . j (b) Relation- “| (c) ‘Months lived in your | @d) “Did “depend. Cf rst . 4 ship home. If born or died | ent have income : for dependent’ s support, if | by OTHERS includ- ‘ ee _ JS ; during year write ‘"B' | of $625 or more? | 100% write ‘‘ALL’’ ing dependent. . ; { tet - . » for ‘ : t oh Pweargicds ¢ co! ! $ | -} — eee fe ee eee cee nie es gs 2 Roe a eerie ge | eens ame etna | te arte = ay Total number of dependents listed above. Enter here and on line 10. ‘ t PART Ii. —Income other than Wages, Dividends, ‘and Interest mons es SB BBE 97 35 Business income (or loss) (attach ‘Schedule Che ce . 2 36 Sale or exchange of property (attach Schedule D):. 36 __(1,000!00) 37 Pensions and annuities, rents and royalties, partnerships, estates or trusts, etc. (attach Schedule 5). 37, ee 38 Farm income (or toss) (attach Schedule F) . ¢ . 2 6 2 ee 387; __ 39 Miscellaneous income (state nature and source) aoboceneescetes sees scenenmnetneeece tay tnieatecseausna cones ctseeenancossantecs my a . . 39 40 Total add lines 35, 36, 37, 38, and 39). Enter here and on line 15 PART Ill. —-Adjustments to Income Sceiaatay Bi ne eta oe mn mat ee ae eee Senta enum oe a oh ec mF nF be te ~ NL mG ee tt imma ri Ae me em Lae ete a es ce nae -41 “Sick pay" if included in line 12 (attach Form 2440 or other required statement) . 42, Moving. expense (attach Form 3903) . : 43 Employeb business expense (attach Form 2106 or other statement) . . 44 Payments as a self-employed person to a retirement plan, etc. (attach Form 2950SE) 45 Total adjustments (add lines 41, 42, 43, and 44). Enter here and on line 17 . PART 1V:—Tax Computation 46 Adjusted gross income (from: line: 18) : Loe ote eee ee eee [46 7284 | 97. 47 (a) Af you itemize deductions, enter total from Schedule A, line 522 ; . . | (b) ‘If you do not itemize deductions, and line 46 is $10,000 or more, enter Coe ee ee [AT 2 745/44 $1,000 ($500 if married and filing séparately) | , | - 48 Subtract line 47 from line 46... Ce eee ee | 48) he 5391 53 49 Multiply total number of exemptions claimed on line 11, by $625 . Loe 50 Taxable income. Subtract line 49 from line 48. (Figure your tax on this amount t by using Tax Rate i Schedule X, Y; or Z-unless the alternative tax or income averaging is applicable.) Enter tax online 51 |_50_ ___ 839 | 53 51 Tax. Enter here and on line 19. Ce ee ee ee I | PART VY. —Credits 52 Retirement i income credit (attach Schedule R) . ee ee ee E52 53 Investment credit (attach Form 3468). . . 2.0... ee ee ee | 53 | 54 Foreign tax credit (attach Form 1116). . . ee 2 55 Total credits (add lines 52, 53, and 54). Enter here ‘and on n line 22. oe ee eee > 1 8 PART Vi —Other Taxes . . . 56 Self-employment tax (attach Schedule SE). . . . . Co ee | SBI 7 538 20 a _ 57 Tax from recomputing prior-year investment credit (attach Form 4255) . toe eee ee SFT _ ee 58 Minimum tax. See instructions on page 7. Check here [1], if Form 4625 is attached. . . . . . 58 een ee ; 59 Social security taxon unreported tip income (attach Form 4137). - 6 6 - + ee es ee 59. | - 60 Uncollected employee social security tax on tips (from Forms W-2) . 60 __ 61 Total (add lines 56, 57, 58, 59, and 60). Enter here and on line 24 20 PART Vile—-Other Payments ne cence ce _ 62 Excess F.1.C.A. tax withheld (two or more employers—see instructions on page 7) . . . . . 62 | ot 63 Credit for Federal tax on gasoline, special fuels, and lubricating oil (attach Form 4136)... . 63) = i 64 Regulated Investment Company Credit (attach Form 2439). 0. 6 ee 64 65 Total (add line$.62, 63, and S). Enter here and online 28 . . . toe wm GES . SKA US, GOVERNMENT PRINTING OFFICE :1970—\>-370-040 94-1149G24 : "16—S11BS-1 MW 55923 Docid: 32245535 Page i135
se oF “FR os on line 17, below)...» . . D> 150/00 NW, 55323 ’ hospital care, insurance premiums for medical care, etc. Schedules Aa8—Itemized Deductions AND (Form 1040) -  - Dividend and interest Income internal Revenue Service ° &> Attach to Form 1040. Name(s) as shown on Form 1040 la __» Samuel and Phyllis Ruby cee Schedule A—Itemized Deductions ‘(Schedule B on back) Medical and ¢ dental expenses (not compensated by insurance or otherwise) for medicine and drugs, doctors, dentists, nurses, | (ttemize—see instructions on page 8 for examples) . Contributions. —Cash—including checks, money orders, etc. i ‘1 One half (but not more than $150) of In- | | ee _ : surance premiums for medical care. . . nn a 2 Medicine ‘and drugs 2.66 fee ene mee meee cee ce cae ern ete et nee Pen eters fe 3 Enter 1% of line 18, Form 1040... jw . nn .. a |. 4 Subtract line 3 from line 2. Enter differ- | i ence (if less than zero, enter zero). . [0 —— _. 5 Itemize other. medical and dental ex: | . | -‘penses. Include hearing aids, dentures, ‘ | eyeglasses, transportation, balance of in- surance premiums for medical care not 11 Totai cash contributions . -12 Other than cash (see instructions on page 8 for required statement). Enter | total for such items here . 13 Carryover from prior years (see in- structions on page 8). . . . «© + [iw 14 Total contributions (Add lines 11, 12, and 13. Enter here and on line | 19, below. See instructions on page 8 entered on line 1, ete. Miscellaneous deductions for child care, alimony, union dues, casualty losses, etc. ! (see instructions on page 8). Taxes.—Real estate. . . . soe State and local gasoline (see gas tax tables) General sales (see sales tax tables) . ee ee for limitation) . °°. 2 2... 280! 00 et a ___| Interest expense—Home mortgage ee ee |__| installment purchases. . . . oa | ther (Htemizey ; | 6 Total (addlines4and5).°.°. 6 YL _ 7 Enter 3% of line 18, Form 1040. . . a oe : _ | '. 8 Subtract line 7 from line 6. Enter differ- _— _ ence (if less than zero, enter zero)... (__EE ce _9 Total deductible medical and dental ex- | 15 ‘Total interest expense (Enter here and “” penses (Add lines 1 and 8. Enter here and online 20, below.). . . . . .. D> ‘1, 552|_18 State and local income . Personal property. . . . . . 1... ee Gee 16 Total miscellaneous deductions (Enter | here and on line 21, below.) . : >| 10 Total taxes (Enter here and on line 18, below.). . Summary of Itemized Deductions 17 Total deductible medical and dental expenses (from line 9) . 18 Total taxes (from line 10) : 19 Total contributions (from line 14). 20 Total interest expense (from line 15). 2. 21 Total miscellaneous deductions (from line 16). 2 2... ee \ 22 TOTAL ITEMIZED DEDUCTIONS. (Add lines 17 through 21. Enter here and on Form 1040, line 47)3/ A > Docld: 32245535 Page i136 24745 Ub 16—81169-i
. NAME____ Samuel and Phyllis Ruby. _ __ IDENTIFICATION NO..]  JEK Act 6 (3) ee ADDRESS 162 50 Bircher _ Granada Hills. California “SCHEDULE No AC SCHEDULE OF DEDUCTIONS YEAR ENDED..1979 MEDICAL FEDERAL | STATE oo NS | FEDERAL & STATE | “1, ONE HALF OF MEDICAL INSURANCE ___ CHURCHES ; L150 |O0} (NOT OVER $150.00) _t 2 _130]00,2 150 oo __ tf | 2, "DRUGS AND MEDICINES | a __COMMUNITY CHEST/UNITED CRUSADE | __ od 3. LESS: 1% OF ADJ. GROSS INCOME . __ SALVATION V ARMY/GOODWILL INDUSTRIES ee _ 4. NET DRUGS AND MEDICINES __REDCROSS __ _ - a 5. DOCTORS/DENTISTS —__ __XMAS & EASTER SEALS _ : | OR, - HEART FUND/CANCER FUND A _ OR: PARTNERSHIP RETURN _ a __DR. PAYROLL DEDUCTION i | DR. | OTHER ORGANIZED CHARITIES: «| «LOO [00 "pr. Boy Scouts — 15 (001 DR. Girl Scouts 15 00) , DR. _ _ | TOTAL CONTRIBUTIONS! 280 00 "INTEREST. (TO WHOM PAID) __ _MORTGAGE LOAN | | FEDERAL & STATE. ene . arenes oo eee Colonial tes Co. 1,133 i10' INSTALLMENT LOAN _ _ : I Goodbody Co. 120 132 = oo che Co. | 119 72. _ MEDICARE | — 1 iFirst Thrift 4__89 110 HOSPITAL | |. ‘answorld. _-§1 144 |. — — {__|- [Bevolving.. Charges. (39 110. LABORATORY | 4 * BALANCE OF MEDICAL INSURANCE i 7 7 | [ __NOT DEDUCTIBLE ON TOP LINE ~. oe | ee __ TOTAL INTEREST ils 2 118 | TRAVEL FOR MEDICAL __ db. wf: ‘MISCELLANEOUS DEDUCTIONS | ae oan ‘ AMBULANCE _ALIMONY (EXPLAIN) - _ . _ i. : —SLASSES _ “SAFE DEPOSIT BOX FEE _ _ HEARING. AID. | 1 UNION DUES "PROSTHETIC APPLIANCES MEDICAL EXPENSES - SMALL TOOLS (GOOD 1 YEAR) TOOLS DEPRECIATION | _LESS: REIMBURSED BY surance 6. TOTAL _ “| 2 LESS: 1 3% 0 OF ADJ. GROSS | INCOME a . BALANCE (NOT LESS THAN ZERO) 9. s TOTAL MEDICAL ‘DEDUCTIONS| (LINE 1 PLUS LINE 8) (TAXES cee _ AUTO LICENSE (LESS REG. FEE) ee nd SALES TAX Large Ttems| 170] “FEDERAL | S$ “42100! 42 SAFETY EQUIPMENT __UNIFORMS (NOT GEN. WEAR) __ __ LAUNDRY & CLEANING AUTO MILEAGE @ _TELEPHONE EXPI'NSE (NOT REIMB.) 1. _—+ _EMPLOYMENT AG ENCY FEES ___DUES & “SUBSCRIPTIONS. __INCOME TAX PREPARATION OTHERS s Financ ial Pi Publ. SALES TAX AUTO , REAL ESTATE TAX or 50. | PERSONAL PROPERTY TAX STATE INCOME TAX 707 cca,| 140) GAS TAX 2.000cat. @. pisaBiuity W INSURANCE _ _ ; _ ‘MISC. TAX __ | x x OTHERS “MW. 55923 Doold: 322345535 i inane ij 1 Page 137 SUB TOTAL | pe LESS REIMBURSED BY INS. | SUB TOTAL | LESS $100.00 F FOR EACH CASUALTY | LAMBERT-MARKELL + 16633 VENTURA BLVD. 29 (05 _ TOTAL CASUALTY LOSSES FS at cee vacate oO OT STATE 2 aT ae rf * ENCINO, CALIF. 98140
SCHEDULE C (Form’ 1040)’ Department of the Treasury Internat Revonuo Service ‘Profit (or Loss) From Business or Profession ty (Sole Proprietorship) 1970 D> Partnerships, joint ventures, etc., must file on Form 1065. > Attach to Form 1040. . Name as shown on Form 1040 vee ___Samuel-and Phyllis Ruby | ee A Principal business activity aD Ao) °° nn ; product (See: separate instructions) . (For exomple: retaii—hardware; wholesala—tobacco: services—legal; manufacturing furniture etc.) B Business name..onack Bar. vr eecesueessseresueesesuesetsseesessee “ey : D Business. address 5418 Van. Nuy BLAM MAS NAS Meee V. Se A MS reli nete ecole cesses: La leeseeeeeneees . E Indicate method of accounting: (1) cash; ' (2) [J accrual; (3) [] other. Oo (21P code) . 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. So G Were you required to file Forms 1096 and 1099 or 1087 for the calendar year 1970? (See ‘Item G'" in separate instructions for Schedule C.) C) YES fis NO. If “Yes,” where were they filed? ........ eesecescevessueuasecsnssutssecsscuraneenteasensanesuesicenseanessesucanecsstanse tesusetesussesesteeneeneesessesieeensaesateseteass 1 Gross receipts or gross sales $..00......ccsceessscesseeseses Less: Returns and allowances $........--...-..-----------0-. [ae rane 2 Inventory at beginning of year ;(if different from last year’s closing inventory attach explanation) 6. 6 en feet teeter ee enti ee 3 - Merchandise purchased $.............. deccecsangeZacccusscecssereneacseeess , less cost of any items " withdrawn from business for personal USO Boon... eee cece eee cece ce eteeeeee nee Tn enn Da . 4 Cost of labor (do not include salary paid to yourself) a anne ieee " 5 Material -and supplies see ee ‘. 6 Other costs (explain in Schedule 6-1) ewe ee bk o . a 7 Total of lines 2 through 6 6. ee facenteenteatee crete tedfeeeen: SCHEDU E 8 Inventory atend ofthis year 2... 1 ee ee . ATTAC D 9 Cost of goods sold and/or operations (subtract fine 8 from line 7) © 6 ew we ee ee 10 Gross profit (subtract line 9 from line 1). ee ee eee an OTHER BUSINESS DEDUCTIONS me as 11 Depreciation (explain in Schedule C-2) . woe ee a ” 12 Taxes on business and business property (explain in Schedule 1) Ce ee eee fee 13 Rent on business ‘property a cn Sa Ls : 14 Repairs (explain in Schedule C-1) a a oe we OS . : 15 Salaries and wages net included on line 4 (exclude any paid to yourself) a an , 16 Insurance 17 Legal and professional fees ge 18 Commissions : Pn ve _ 19 Amortization (attach ciatemant) a eee eee venetes ete beatae : “20 Retirement plans, etc. (other than contributions: made on your behalf—see separate instructions) ° oe a he 21 Interest on business indebtedness © / 6 et fetter neee eee te ee tenseee feeeees "22 Bad debts ‘arising from sales‘or services... kk i ee ten (ec ccccceteceeebeeeneeditene: "23 Depletion . «0. se. oo Co ee ee | eeeececcecnecseecenaeebesee- 24 Other business expenses Cexpiain in Schedule 6-1) a _ 25° ‘Total of lines 1 through 24... . . a oe , en 26 Net profit (or loss) (subtract line 25 from line 10), Enter here and on line 35, Form 1040. ALSO enter on . - Schedule SE, Part |, line 2 9,284) 97, a - SCHEDULE c-1. EXPLANATION | OF LINES 6, 12, 14, AND 24 Line No. Explanation Amount _line No. . ‘Explanation Do Amount. [3 186--81171-1 : HW 35923 Docid:32245535 FPage 136