The herald., 1895-01-13

81, "a and 81, act OF August 49, 1894
Return to be made to the collector of the
district where the principal Office or place of
business is located on or before the first Mon
day of March, 1895 and the tax to be paid to
the collector on or before the l st day of July,
1895.
The - of -, in the county of ----- and -
district OF the state OF makes and renders
the following return OF all gains, profits or in
come received by or accrued to said - from
the list day of january 1874, to the 3lst day
of December 1894, both days inclusive, pur-
suant to the provisions OF the internal revenue
laws
l. Gross profits OF any trade, occupation or
business or business from which income was
actually derived, Or any interest therein,
wherever carried on s.
. From interest or coupons, due or paid on
| bonds, or other evidences OF Indebtedness
OF any corporation, company or association
g. From dividends or lntere.t on the stock
capital or deposits of any corporation, com
, pany or association, s.
| A. From undivided profits of any corpora
| ton, company association, s.
| 5. From premium on bonds, stocks, notes or
8. From commission or percentages, S..
Z. From interest on notes, bonds or other
! securities of the United States, except such
| bonds OF the United States the principal and
| interest OF which are exempt from federal
8. From interest received or accrued on all
| notes, bonds, mortgages or other forms OF in
debtecness not included in the foregoing items,
9. From profits realized within the year from
| sales OF real estate purchased since December
| 81, 1892, s.
| 10. From rents, e..
IL. From all sources not above enumerated,
| viz. (specifying same). s..
| Toal gross profits, s..
| II. Operating and business expenses:
| One-lnterest paid or accrued within the
| year on bonded or other Indebtedness, s..
/ - IA n "a Inn mo- N
| year, s.
Three-state, county, municipal or town
taxes accrued during the year 1894 and actu-
Four-saiari. s. compensation or pay OF Of
Ulcers or other persons employed during the
| Five-Rents or necessary repairs, but not in .
| Guiding amount used for construction or en-
| basement of plant, r.
chased since December 81, 1882, 3.
seyen-other expenses not above enumer-
at TED VIZ }, 81.
10: Net profits or income over operating
and business expenses, s.
II. Dividends heretofore included in the
| estimate of gross profits under paragraph 3,
| received from corporations, companies or as
soclaiions, on which the tax OF per centum
has once been paid, by such corporations, etc.
s.
Amount OF net profits or income liable to tax.
Tax at 2 per mum, s.
10. Amount paid in salaries or other C m
pensation or pay of officers or other persons
employed, not including salaries OF more than
IL. Amount paid in salaries or other com.
pensation, or pay OF officers or other persons
employed, including only salaries of more than
Total sa aries etc, paid, s..
II. Name and addresses OF each perso to
whom salary of more than $4,000 was paid
and the amount paid to such person J.
| Total, -.
Statement OF all interest. annuites and diyi-
dends declared due or paid to shareholde s,
stockholders, policy holders or depositors by
the - from the list day of January. 1891, to
the 31st day OF December, 1894, both days in
| elusive, and of all undivided profits of said
- on hand or add ed to any fund, and amount
OF net annual profits or income OF SAID - us g
for construction. enlargement of plant or any
other expenditure or investment, paid from
| the net annual profits OF said - for said year
| pursuant to the provisions of the int srnal rev.
enue laws:
l; Dividends declared or paid on stock, cap
ital or deposits ETC., s.
2. Annuities declared or paid on bonds
| capital or policies, s..
J. Interest paid on shares stocks capital o:
! deposits, s.
Total interest, annuities and dividends 4 ---.
A. Undivided profits, over dividends declared
or paid on hand or carried to the account OF
surplus or other fund, s..
D. Amount of net profits or income used for
construction, 3.
g. Amount OF net profits or income used for
enlargement. betterment or pc manent i'm
| proyement of plant, 3.
z. Amount of net profit or income used fol
other expenditures or inv< stment, s.
Total net profits, s..
The following questions must be answered
l. Has the corporation, company or associa-
ton for which this return is made kept fall,
regular and accurate books of account, upon
which all its transactions were entered from
day to day for the full period covered by his
return?
q Is this return made exclusively from said
books?
g. Have the full amounts set forth in this
return as salaries of officers and pay to en-
ployees been actually paid within the year
covered by this return to bona tde officers and
employees of this corporation, company. or as
ISOLATION for services actually rendered?
4. What are the peculiar items of losses in
cluded in the amount set opposite paragraph
Q. under Operating and business expenses, -
on page of this return, and when did each
occur?
And the following affidavit must be sub.
scribed to:
State of County of...... .ss.
I,"-..: of the. ........". do swear Tor
aflirm) that the foregoing return contains a
true, full, regular and accurate account of all
the gains. profits and income received by or
accrued to said. from the LIST day OF
January, 1894, to the 3lst day of December,
1894 both days inclusive and true and com.
plete statement of the net profits or income OF
said ........... for said year, and the true
amount and kind of operating and business
expenses thereof; and OF all dividends inter-
est or annuities declared due or paid by said
.........., and of all undivided profits Thereof,
and the amount of net profits or income used
for construction, enlargement of plant or in
vestment, as therein specified; and that the
avove questions have been fully and truthfully
answered.
sworn to and subscribed before me this
............ of........,..., 1898
...s.....s.....,-'
The $4,000 exempted from taxation, it should
be remembered, is supposed to cover expenses
for medical attendance, store accounts and
family supplies.
Although incomes of less than $4,000 are not
subject to the tax all persons having incomes
exceeding $500 must make returns as per