The Washington herald., 1913-11-01
Clown or Cfty.) (state1

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CStreet and Number.)
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(Town or City) (State)
1 hereby solemnly declare that the fol-
lowing is Il true and correct return of
my gains, profits, and income from all
other sources for the calendar year end
ed December 81, 81 tFrom March l
to December 81, for the year 1879 and a
true and correct return of deductions
asked for under Paragraph of Section
II of the Act of October g. 1913, and i
hereby claim deduction as shown below.
Amount of gains, profits, interest, rents,
royalties, profits from copartnerships,
and income from all other sources
whatsoever .......................,,
DEDUCTIONS.
l. The amount of necessary expenses
actually paid in carrying on business,
not including personal, living, or fam
lily expenses. .......................,.
q All interest paid within the year on
personal Indebtedness of tax payer
''.'''.-.-''-'...'-...--.. --........................
j. All national, State, county, school,
and municipal taxes paid within the
year mot including those assessed
against local benefits its).........
AOSSSS
year incurred in trade or arising
from fires, storms, or shipwreck and
not compensated for by insurance
or otherwise. ...................,.
.. Debts due, actually ascertained to be
worthless and charged Off within
the yedr.'--.-........-...- Observation-Disclosures.
6. Amount representing a reasonable
allowance for the exhaustion. wear
and fear of Drnrart,- o,,s
its use or employment in the busi-
ness, not to exceed in the case of
mines per cent of the gross value
of the output for the year for which
the computation in made but not in
cluding the expense of restoring prop
erty or making good the exhaustion
thereof for which an allowance is or
has been made S...............,..
:. The amount received as dividends upon
the stock or from the net earnings of
any corporation, joint stock COM
pany, association, or insurance COM
pany which is taxable upon its net
income. ACKNOWLEDGEMENTS.
S. The amount of income, the tax upon
which has been paid or withheld for
payment at the source OF income
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Total deductions ............ S............
Note: Money or other things of value,
of by gift, donation or endow-
ment, shall not be deducted or be made
the basis for a deduction from the in
come Of persons or corporations in their
tax returns under the income tax law.
Date..................
SlSneu. '.......s'.sssssssss.
ADDRESS.
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Money or other things of value. dis
posed of by gift. donation, or endow-
ment, shall not be deducted OF be made
the basis for a deduction from the in
come of persons or corporations in their
tax returns under the income tax law.
For the present year of 1913 (from
March l to December 81 the deductions
allowed under Paragraph B shall be five
sixths of the deductions allowable for a
year, as specified in Paragraph
d of this law.
Amount to BE withheld.
The Withholding agent is not required
to deduct and withhold prior TO Novem-
ber l, 1915, the normal tax OF l per cent
for which an individual is liable
Whenever the total amount of income
paid to any person by n Withholding
agent, after October 81, 1913 shall be in
excess of 5000. then, in that event, the
agent shall be liable for and
shall deduct and withhold the tax on
such amounts, unless such person shall
dle claim for an exemption as allowed
in Paragraph D of this act, the amount
of exemption allowable being $500. IL
the annual exemption is 5000. or g, ,333s. %.
if the annual exemption is $1,000, as the
case may be-
If person subject to said tax, part
If whose income is withheld, or is TO
be withheld, is a minor or insane per-
son, or is absent from the United
states, or unable to make the appli- |
.ation or return because of serious ill |
ness, the application or return may be |
made by the Withholding agent, who |
shall make the following oath under |
he penalties of this act:
Form of oath required of a with |
holding agent when acting for another |
n fling return and making applica- !
lion for deductions allowable under /!
B, as provided in Paragraph !;
2, section 2, of the Federal income tax |
aw of October 3. 1918:
Il hereby swear Cor afirm) that |