vf a 1 -D Business address (number and Wa | a 2 EA a lest ra fn a E Indicate method of accounting: (1) Ac Cash (2) [] Accrual (3) [7] Other > , G Was an Employer's Quarterly Federal Tax Return, Form 94) led | for this business for any quarter in 1973? Income 1 Deductions } i F SCHEDULE” C Profit or r (Loss) From Business or Profession 1973 (Form 1040) (Sole Proprietorship) .”” Department. of the Ti ‘ Y Internal Revenue Service’ f Attach to Form 1040. & Partnerships, joint ventures, etc., must file Form 1065. A Principal business activity (see Schedule C inctru sions) > Sf <1 Foon. e B Business name >.......@ £43. Seer ter... Bs ae aa OO é. coed apegeegececeeuecengeepengerseeteeee C Employer pe a tion number > City, State and ZIP code &......%.. A. ne. May = LC... Oc ceccseavegeseececeeeeees sosseeeeesseeeeaereneenqeepeeteneeseeesacenees F Were you required to file Form W-3 or Form 1096 for 1973? (See Schedule C Instructions.) If “Yes,”” where filed E_____ ee ia RES ¢V.0 noe ne i wanenecuppecneeees H Method of inventory valuation B_.... 0 S74 foc P cc ceveseesvevesensecvivverssescitsnesspeseeeee Was there any substantial change in the manner of determining quantities, costs, or valuations between the opening and closing inventories? (1f.'"Yes,” attach explanation) . = 1 Gross receipts or sales $.........0.0-- Less: returns and allowances $.....00.000.cccceeey Balamee > Foe "2 Less: Cost of goods sold and/or operations (Schedule C~1, line 8) ; __ 3 Gross profit. . . . . . ee ee fT - 4 Other income. (attach schedule) : _ . 5 Total income (add lines 3 and 4) ’ 6 Depreciation (explain in Schedule C-3) woe . ; 7 Taxes on business and business property (explain in Schedule C-2) fr 8 Rent on business property ‘ 9 Repairs (explain in Schedule C-2). . soo 10 Salaries and wages not included on line 3, Schedule c-1 (exclude any paid t to yourself) . 11 Insurance soe ee 12, Legal and professional fees . 13 Commissions : 14 Amortization (attach statement) . 15 (a) Pension and profit- sharing plans (see Schedule c instructions) (b) Employee benefit programs (see Schedule C Instructions) . 16 interest on business indebtedness . 17 Bad ‘debts arising from sales or services 18 Depletion . Other business expenses (specify): (k) Total other business expenses ‘(add lines 19(a) through 190) 20 Total deductions (add lines 6 through 19) . : 21 Net profit or (loss) (subtract line 20 from line 5). Enter here an - enter on Schedule SE, line 5(a) ._. SCHEDULE C—1.—Cost of Goods Sold ‘and/or Operations. Ses Schedule Cc instructions for Line 2) 1 Inventory at beginning of year (if different from last year’s closing inventory, attach explanation) ©. e Jlee eee en "2 Purchases $.......----+------++++--:+++ Less: cost of items withdrawn for personal use Bone peceeeeegeeeeeeeeeeeeneees Balance BY Lace Joneeee “3 Cost of labor (do not include salary paid to yourself) © © 6 6 eee et fete tenneectnerennnnenenecerfineens 4 Materials and supplies © 6 6 we Preteen tenn ern cern c cnn ctane [rnceee 5 Other costs (attach schedule) . 6. 6 - ee ee te ee ee te ee | NN | 6 Total of lines Lthrough 5 2 nn frenecnetnetenntennneznetnn:fennnee 7 Less:. Inventory at end of year . . 8 Cost of goods sold and/or operations. Enter here and on line 2 above : 16—82344-1 DOPTRESIGS SIF PAGS LTD a ee eT
"Schedule © (Form 1040) 1973 r Page 2 ~ SCHEDULE C-2.—Explanation of Lines 7 and 9 Line No. Explanation Amount “" Line No. 7 Explanation - “Amount ‘ SCHEDULE C-—3.—Depreciation (See Schedule C instructions for Line 6) If you need more space, you may use Form 4562. Note: If depreciation is computed by using the Class Life (ADR) System for assets placed in service after December 31, 1970, or the Guideline Class Life System for assets placed in service before January 1, 1971, you must file Form 4832 (Class Life (ADR) System) or Form 5006 (Guideline Class Life System). Except as otherwise expressly provided in income tax regulations sections 1.167(a)—1 1(b)(5)(vi) and 1.167 (a)-12, the provisions of Revenue Procedures 62-21 and 65—13 are not applicable for taxable years ending after December 31, 1970. Check box if you made an election this taxable year to use ["] Class Life (ADR) System and/or [~] Guideline Class Life System. - a. Group and guideline class b. Date c. Cost or : athe ereeiation arene f. Life or g. Depreciation for or description of property acquired other basis in prior years depreciation rate this year -1 Total additional first-year depreciation (do not include in items LOW) cere et : —_— 2 Depreciation from Form 4832 -/ see note \ + Gy Yj Yj Yj an 3 Depreciation from Form 5006 .¥ ove ) Yi) Gy Ze __ 4 Other depreciation: . , ‘Buildings. Furniture. and fixtures . . Transportation, equipment m . Machinery and other equipment . |... | eee eee ef eee occ ce cece cee on ec ceecesnctectice: |eceee, : Other (specify) . 6 Less amount of depreciation claimed in Schedule C-1, pagel. - 2 7 ew ee eee ee _ —— ' > *. 7 Balance—Enter here and on page l,line6. . . 1. we ee en , ‘. ' SUMMARY. OF DEPREGIATION (Other Than Additional First-Year. Depreciation) ron RE ffl | a "2 Depreciation from Form 5006 . . seeeggencnncenece nee ny (nn Lene ence eee een nnn | LLL WL POLL ULE CHILL 0 ag pg oo 3 Other - - a Fao _ SCHEDULE C-—4.—Expense Account Information (See Schedule C Instructions for Schedule C—4) oe! . Enter information with regard to yourself and your five highest paid Name Expense account Salaries and Wages ‘<1. employees. In determining the five highest paid employees, expense | Qwner .- . 0. eg ef ocececee cece. UMMM account allowances must be added to their salaries and wages. How- | 4 “ever, the information need not be submitted for any employee for whom the combined amount is less than $10,000, or for yourself if Donen cap cence penne eeenece fnsenntenenensesessensen | anneecoratenacesened etetes . your expense account allowance plus line 21, page 1, is less than 5 es ne ican ae $10,000. . ¥ a soa caacaeeneneeeeeecees lone cnenepienesees poefencee . _ Did you claim a deduction for expenses connected with: i. ()y Entertainment facility (boat, resort, ranch, etc.)?. . .( Yes Wt No (3) Employees’ families at conventions or meetings? . . . ( Yes i No ; (2). Living accommodations (except employees on business)? [] Yes No (4) Employee or family vacations not reported on Form W-2? (] Yes - ‘ ) a ~ . tr U.S. GOVERNMENT PRINTING OFFICE : 1973—-O-500-050 . 16—82344-1 = Degids3224553 50 Page LESe eh gy oo
. ; SCHEDULE D. Capital Gains and Losses * (Form 1040) | > Attach to Form 1040. p> Examples of property to be reported on this Schedule are 14973 : ‘/: Department of the Treasury | | gains and losses on stocks, bonds, and similar investments, and gains (but not losses) ““"). Internal Revenue Service on ‘personal assets such as a home or jewelry. - Name(s) as shown on Form 1040 SAMUEL Fat y bbe Kue Short-term Capital Gains x Losses—Assets H d Not More Than 6 Months b. How Mo., day po, ‘ acquired. (Put date sate a @. Cost or other basis, . : Coo Kind of property and description Enter letter dotted line and date d. Gross sales price as adjusted (see f. Gain or (loss) mony : ‘Gamo, 100'shares of *‘2'' Co.) symbol (see acquired below ps p instruction E) and (d less e) : instruction dotted line) expense of sale 7 3Br./8 | 3729 (s1\ | 28) 2777. BYP | b6PAS | 7292 | /9eF a ER VATIOW “yon Levit. ton Barrer Ivor LoD Essek wT 2 Enter your share of net short- term gain or (loss), from partnerships and fiduciaries 3 , Enter net gain or (loss), combine lines 1 and 2 . 4(a) Short-term capital loss component carryover from years beginning before 1970 (see Instruction H) 4a) Be 5) Short-term capital loss carryover attributable to years beginning after 1969 (see Instruction H) =. |_4(b) “ ; Net short-term gain or (loss), combine lines 3, 4(a) and 4(b) . «wt. - oo. 5 Seagal Long- ‘term Capital Gains and Losses—Assets Held More Than 6 Months - 7 Capital gain distributions . Loe 7 Se 8 Enter gain, if applicable, from line 4(a)(2), Form 4797 (see Instruction A) woe kp 8 | : ‘9 *. Enter your share of net long: ‘term gain or (loss) from partnerships and fiduciaries . 9 ; _ 10 Enter your share of net long- -term gain from small business corporations (Subchapter S). . . 10_ _ a ne / 41 Net ‘gain or (loss), combine lines 6 through 10. . eee ee 11 : : , , 12(a) Long-term capital loss component carryover from years beginning before 1970 (see Instruction H) |12(@) Gas 12(b) Long- -term capital loss carryover attributable to years beginning after 1969 (see Instruction H) . . 12(b) a Net long-term gain or (loss), combine lines 11, 12(a) and 12(b) . ww ww ee 13 Tia Summary of Parts | and Il ce 14 Combine the amounts shown on lines 5 and 13, and enter the net gain or loss here. . . . 14 (6022) _) a . - ~ a 15 If line-14 shows a gain— : (a) Enter 50% of line 13 or 50% of line 14, whichever is smaller (see Part VI for r computation of alternative tax). Enter zero if there is a loss or no entry on line 13. 4 : (b) Subtract line 15(a) from line 14. Enter here and on line 29,Form1040. ..... . 15(b) | / - 16 If line 14 shows a loss— " & Omit lines 16(a) and 16(b) and go to Part IV if losses are shown on BOTH lines 12(a) and 13. a See Instruction |. - & Otherwise, (a) Enter one of the following amounts: (i) If amount on line 5 is zero or a net gain, enter 50% of amount on line 14; (ii) If amount on line 13 is zero or a net gain, enter amount on line 14; or, (iii) tf amounts on line 5 and line 13 are net losses, enter amount on line 5 added to 50% of amount on fine 13. an se ete (b) Enter here and enter as a (loss) on line 29, Form 1040, the smallest of: - (i) The amount on line 16(a); (ii) $1,000 ($500 if married and filing a separate return—if a loss is shown on line 4(a) or 12(a), see instruction M for a higher limit not to exceed 1 $1, 000); oF, . : (ili) Taxable income, as adjusted (see Instruction L) . . .. .. |16(b) ery : _ Dog: 32245535" Page a
Rr lt t Se : Be i ee perry oe —. Teun ea 17 Enter loss from fine 5; if line 5 is zero or a gain, enter a zero . , . °18 Enter loss from line 13. . | Co ee ee 19 Enter gain, if any, from line 5; if line 5 is zero or a loss, enter a ‘zero . 20 Reduce loss on line 18 to the extent of the gain, if any, on line 19 . 21 Combine lines 3 and 11 and if gain, enter gain; if zero or a loss, enter a zero| 21 eee NOTE: If the entry on line 21 is zero, OMIT lines 22 through 28, and enter on line 29 the loss shown on line 12(a). 22 Enter gain, if any, fromlinel] . 2. . .. ee - 23 Enter smaller of amount on line 21 or line 22 Co ee ee BBL '’ 24 Enter excess of gain on line 21 over amount on line 23 . 24 P _ 25 Enter loss from line 4(a); if line 4(a) is blank, enter azero . | 25 . #26 Reduce gain, if any, on line 24 to the extent of loss, if any, on ‘line 25 (see | Instruction )). _26_ ' 97 Enter toss from line 12(a) , arn an ", 28 Add the gain(s) on line(s) 23 and 26. 28 ‘29 Reduce the loss on line 27 to the extent of the gain, it any, on n tine 28 (see ‘Instruction K) . “\' 30 Enter smaller of amount on line 29 or ‘line 20 (if line 29 is‘zero, enter a zero) . 31 Subtract amount on line 30 from the lossonline20. 2. 1. ee ee uy 32 Enter 50% of the amount on line 31 ee ee ee ee ee ep es . 33 Add lines 17, 30, and 32. . an ; ‘34 Enter here and enter as a (loss) on line 29, Form ‘1040, ‘the | smallest of: _ fa Amount on line 33; . (b) $1,000 ($500 if married and filing a separate return—see Instruction M for a higher limit not to.exceed $1,000); or, — Taxable Income, as adjusted (see instruction L) . wo Complete Part V if You are Married Filing a Separate Return and Losses are Shown on Lines A(a) and 14. (See Instruction M). oe 35 Combine lines 3 and 11 and if gain, enter gain; if zero or a loss, enter a zero . _35_ a NOTE: If the entry on line 35 is zero, OMIT lines 36 through 42, and enter on line 43 the loss shown on tine ta). “4. 36 Enter gain, ‘if any, from line3 . . . re _36_ ‘ 37 Enter smaller of amount on line 35 or line 36 . : _37_ . 38 Enter excess of gain on line 35 over amount on line B70 ce ee toe ee es _38 | _° 39 Enter joss from line 12(a); if line 12(a) is blank, enter a zero... soe ee . 8 _39_ : 3 40 Reduce the gain, if any, on line 38 to the extent of the loss, if any, on line 39 (see Instruction J). _40— { ’ .. 41 Enter loss from line 4(a) we ee te Al ‘ 42 Add the gain(s) on line(s) 37 and 40. . J (42 43 . . 43 Reduce the loss on line 41 to the extent of the gain, if any, on n line 42 (see Instruction K). oe . . oe me Pantie Computation of Alternative Tax (See Instruction V to See if the Alternative Tax Will Benefit You) -- .. 44, Enter amount from fine 48, Form 1040 . 44 45 Enter amount from line 15(a) tonto Doe eee 45 46 Subtract amount on line 45 from amount on line 44 (but not less ‘than zero) « toe ee ee | 46 fo 47 Enter smaller of amount on line 13 or line 4.0.4.0. woe ee ew | AF If line 47 .does not exceed $50,000 ($25,000 if married fing separately), “check here > [1] and omit lines 48 through 54. 48 Enter long-term gains from certain contracts and installment sales referred to as “certain subsec- tion (d) gains” (see Instruction V) . . | 48, 49 Enter amount from line 48 or $50,000 ($25,000 if ‘married {filing separately), whichever { is larger . | 49 50 poe - If line 49 is equal to or greater than line 47, check here > O and omit lines 50 through 54. : 50 Multiply amount on line 49 by 50% a ‘, 51 Add amounts on ‘lines 46 and 50... . . Y woe ee ew ee | A 52 Tax on line 44 or 45, whichever is greater (use Tax Rate Schedule it in instructions) . woe ee [82 '.53 Tax on the amount on line 51 (use Tax Rate Schedule in instructions) 54 Subtract amount on line 53 from amount on line 52 . «6 1 gw ee ee . 55 Tax on the. -amount on line 46 (use Tax Rate Schedule in instructions) . ' 56 If the block on line 47 or 49 is checked, enter 50% of line 45; otherwise enter 250%, of line 49. 57 Alternative Tax—add amounts on lines 54 (if applicable), 55, and 56. If smaller than the tax figured on the amount on line 48, Form 1040, enter this alternative tax on line 16, Form 1040 oe a ; , , . tv U.S. GOVERNMENT PRINTING OFFICE: 1973—O-500-051 te ‘ 16-82339-1 “NW 55923 Docld: S2245535 Page 115 a we ee wee ope mag oe gee (rene openness one 1