For Calendar Year 1935

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1 Form 1040 TREASUKY DEPARTMENT INTERNAL KEVENUE SERVICE (Audtor's Stamp) RETURN FORM MARKED "DUPLICATE" MUST BE FILED WITH THIS ORIGINAL INDIVIDUAL INCOME TAX RETURN FOR NET INCOMES FROM SALARIES OR WAGES OF MORE THAN 5,000 AND INCOMES FROM BUSINESS, PROFESSION, RENTS, OR SALE OF PROPERTY For Calendar Year 1935 or fscal year begun, 1935, and ended Fle Ths Return Not Later Than the 15th Day of the Thrd Month Followng the Close of the Taxable Year PRINT NAME AND ADDRESS PLAKNLY BELOW, 1936 RETURN Fle Do Not Wrte n These Spaces Seral Number (Caahlcr'a Stamp) (Name) (Both husband and \rfe, f ths s a jont return) (Street and number, or rural route) Cash Check M. O. Cert, of Ind. Frst Payment I. State whether you are (c) a ctzen ot tlo Unted States, or (b) a resdent alen... "2. II yonfleda return lor the precedng year, to whch Collector's offce was t sent? 3. Were you marred and lvng wth husband or wle durng your taxable year?. Is ths a Jont return of husband and wfe? 5. State name of husband or wfe f a separate naurn was made and tho Collector's oflco to whch t was sent 0. It not marred, were you durng your taxable year supportng n your household one or more persons closely related to you? 7. How many dependent persons (other than husband or wfe) under IS years of age or ncapable of selfsup.lort receved ther chef supjort from you durng your taxable year?. Item anl Instructon No. - (Post offce) (County) (State) INCOME 1. Salares, Wages, Commssons, Fees, etc. (State name and address of employer) If your status n respect to queston 3, e, or 7 changed durng the year', statu date and nature of change State whether your books are kept en cash or accrual bass State prncpal occupaton or professon accountng for salares, wages, commssons, fees, etc., n Item 1. Dd you transfer to or receve from any one person money or property n excess of 5,000, durng the calendar year 1935, wthout an adequate and full consderaton n money or money's worth?.. (Answer "ye*" cr"ao"> If so, dd you fle a gft tax return on Form 709 or an nformaton return on Form 710? (Answer "yes" or "no") Amount receved Expenses pad (Explan, n Sel^dulc?*) 12. Dd any person or persons advse you n respect of any queston or matter affectng any tem or schedule of ths return, or assst or advse you n the preparaton of ths return, or actually prepare ths return for you?.. If so, gve the (Aa»or"y"or"o"> name and address of such person or persons and state the nature and extent of the assstance or advce receved by you and the Items or schedules n respect of whch the assstance or advce was receved; f ths return was actually prepared by any person or persons other than yourself, state the source of tho nformaton reported n ths return and the manner n whch t was furnshed to or obtaned by such person or per- 13. Dd you make a return of nformaton on Forms 1096 anl 1099 (see Instructon SI) for the calendar year 19:1.1? (Answer "yes" or "no") (4 ««a o * a < 2. Net proft (or Loss) from Busness or Professon. (From Schedule A) (State knd of busness) 3. Interest on Bank Deposts, Notes, Corporaton Bonds, ete. (except nterest on tax-free covenant bonds). 4. Interest on Tax-free Covenant Bonds Upon Whch a Tax was Pad at Source 5. Income (or Loss) from Partnershps, Syndcates, Pools, etc. (Furnsh name, address, and knd of busness) 6. Income from Fducares. (Furnsh name and address) 7. Rents and Royaltes. (From Schedule B). 8. Captal Gan (or Loss). (From Schedule C) 9. Taxable Interest on Lberty Bonds, etc. (From Schedule D, Lne (g)) 10. Dvdends on Stock of: (a) Domestc Corporatons subject to taxaton under Ttle I of 1934 Act. (b) Domestc Corporatons not subject to taxaton under Ttle I of 1934 Act - (c) Foregn Corporatons.. ll. Other Income. (Stato nature) (Use separate schedule, If necessary) 12. TOTAL INCOME w ITBMS 1 TO 11 DEDUCTIONS.13. Interest Pad. (Explan n Schedule F).14. Taxes Pad. (Explan n Schedule F) 15. Losses by Fre, Storm, etc. (Explan n table at foot of page 2) 16. Bad Debts (ncludng bonds determned to be worthes; durng taxable year). (Explan n Schedule F) 17. Cont:'buttons. (Explan n Schedule F) 18. Other Deductons Authorzed by Law (ncludng stock determned to be worthless durng taxable year). (E;pr.m n Schedule F)., 19. TOTAL DEDUCTIONS IN ITEMS 13 TO 18.. '.30. NET INCOME (Item 12 mnus Item 19) COMPUTATION OF TAX (See Instructon 23) '21. Net ncome (Item 20 above). '22. less: Personal exempton 23. Credt for Dependents (Explan n Schedule F) '24. Balance (Surtax net ncome). 29. Normal tax (4% of Item 28) Surtax on Item 24. (See Instructon 23). 31. Total tax (Item 29 plus Item 30) 32. Less: Income tax pad at source (2% of Item 4) 25. Less: Interest on Lberty bonds, etc. (Item 9). 26. '27. Dvdends. (Item 10 (a))-. Earned ncome credt. (See Instructon 22) '28. Baance subject to normal tax Income tax pad to a foregn country or U. S. possesson. 34. Balance of Tax. (Item 31 mnus Items 32 and 33). AFFIDAVIT (See Instructon 27) I/we swear (or affrm) that ths return (ncludng ts accompanyng schedules and statements, f any) has been examned by me/us, and to the best of my/our.knowledge and belef s a true, correct, and completo return, made n good fath, for the taxable year stated, pursuant to the Revenue Act of 1934 and the Regulatons ssued thereunder. Sworn to and subscrbed by before - (Sgnature) (See Inslructou 27) me ths day of. 193 (^tna-ttre uuj tnt) t.f o.l^er admnsterng octbj (Sgn& tare) A RETURN MADE BY AN AGENT MUST BE ACCOMPANIED BY POWER OF ATTORNEY (Seelnstr. 27) AFFIDAVIT (See Instructon 27) I/we swear (or affrm) that I/we prepared ths return for the person or persons named heren and that the return (ncludng ts accompanyng schedules and statements, f any) s a true, correct, and complete statement of all the nformaton respectng the ncome tax lablty of the person or persons for whom tha return has been prepared of whch I/we have any knowledge. Sworn to and subscrbed before mo ths day of, 193. o of purnja promnu the return}

2 SCHEDULE A PROFIT (OR LOSS) FROM BUSINESS OR PROFESSION (See Instructon 2) 1. Total recepts from busness or professon (state knd of busness) COST OF GOODS SOLD 2. Labor, 3. Materal and supples Merchandse bought for sale 5. Other costs (temze below or on separate sheet). 6. Plus nventory at begnnng of year TOTAL (Lnes 2 to 6) 8. Less nventory at end of year 9. NET COST OP GOODS SOLD (Lne 7 mnus Lne 8). Enter "C", or "C or M", on Lnes 6 and 8 to ndcate whether nventores are valued at cost, or cost or market, whchever s lower. Explanaton of deductons clamed on Lnes 5 and 16.. OTHER BUSINESS DEDUCTIONS 10. Salares not ncluded as "Labor" n Lne 2 (do not deduct compensaton for your servces) Interest on busness ndebtedness to others 12. Taxes on busness and busness property 13. Losses (explan n table at foot of page) 14. Bad debts arsng from sales or servces 15. Deprecaton, obsolescence, and depleton (explan n table provded at foot of page) 16. Rent, repars, and other expenses (temze below or on separate sheet) TOTAL (Lnes 10 to 16) 18. TOTAL DEDUCTIONS (Lne 9 plus Lne 17) 19. NET PROFIT (OK Loss) (Lne 1 mnus Lne 18) (Enter as Item 2). SCHEDULE B INCOME FROM RENTS AND ROYALTIES (See Instructon 7) 1. KIND OF PROPERTY 2. AMOUNT RECEIVED 3. COST OR VALUE AS or MARCH 1,1913, WHICHEVER GREATER 4. DEPRECIATION (Explan n table at foot of page) 5. REPAIRS 6. OTHER EXPENSES (Itemze below) 7. NIT PRorrr (Enter as Item ").. s Explanaton of deductons clamed n Column 6 SCHEDULE C CAPITAL GAINS AND LOSSES (From Sales or Exchanges Only) (See Instructon 8) 1. DESCRIPTION or PROPERTY AND PERIOD HELD *(a) 1 year or less: *(*) Over 1 year bat not over 2 years: *(e) Over 2 years but not over 6 years: {*) Over 5 years but not over 10 years: (e) Over 10 years: 3. DATE SOLD OR EXCHANGED Mo. Day Year Mo. Day Year 4. GROSS SALES PRICE (Contract prce) 5. COST OR MARCH 1, 1913, VALUE IT AC QUIRED BEFORE THAT DATE. (Indcate bass) * 6. COST OF IM PROVEMENTS SUBSEQUENT TO ACQUISITION OR MARCH l, DEPRECIATION ALLOWED (OR ALLOWABLE) SINCE ACQUISI TION OR MARCH 1, 1913 (Furnsh detals) (/) TOTAL GAI [N8 AND LOS SES (Enter l et atnonnt as Ttcm 8 ) (Oaptallossesare allowable only t o the extent of! 12,000 plus captal gans).. In reportng sales or exchanges of captal assets attach separate schedule, f necessary, for transactons comng wthn each of the 6 perods, and transfer gans and losses for each pertedtocolumn 10 above. "Cost of property must be entered n Column 6 t a loss s clamed n Column 8. State (1) how property was acqured ; (2) Personal or busness relatonshp, f any, of purchaser., Every sale or exohange of stock should be reported n detal, ncludng name and address of corporaton, class of stock, number of shares, captal changes affectng bass (stock dvdends, other nontaxable dvdends, stock rghts, etc.). SCHEDULE D INTEREST ON LIBERTY BONDS AND OTHER OBLIGATIONS OR SECURITIES (See Instructon 9) 8. GAIN OR LOSS 9. PER CENTAGE OF GAIN OR Loss TO BE TAKEN INTO AC COUNT GAIN OR LOSS TO BE TAKEN INTO ACCOUNT... a. Gans - b. Losses 1. OBLIOATTONS OR SECURITIES 2. AMOUNT OWNED AT END or YEAR 3. INTEREST RECEIVED on ACCRUED DURING THE YEAH 4. PRINCIPAL AMOUNT EXEMPT FROM TAXATION 6. AMOUNT OWNED IN EXCESS OF EXEMPTION 6. INTEREST ON AMOUNT IN EXCESS OF EXEMPTION (o) Oblgatons of a State, Terrtory, or poltcal subdvson thereof, or the Dstrct of Columba, or Unted States possessons (6) Oblgatons ssued under Federal Farm Loan Act, or under such Act as amended (c) Lberty Vfy.% Bonds and other oblgatons of Unted States ssued on or before September 1, (d) Treasury Notes, Treasury Blls, and Treasury Certfcates of Indebtedness... (e) Lberty 4% and 4J4% Bonds; U. S. Savngs Bonds; Treasury Bonds. (/) Oblgatons of nstrumentaltes of the Unted States (other than oblgatons to be reported n (6) above)..... AIL AIL. 5,000.. None. s. (g) TOTAL (enter total of column 6 as Item 9) SCHEDULE E INCOME FROM DIVIDENDS Itemze all dvdends receved durng the year, statng amounts and names and addresses of corporatons declarng the dvdends: SCHEDULE F EXPLANATION OF DEDUCTIONS CLAIMED IN ITEMS 1, 13, 14, 16, 17, AND 18, AND CREDIT CLAIMED IN ITEM 23 EXPLANATION OF DEDUCTION FOR DEPRECIATION CLAIMED IN SCHEDULES A AND B 1. EJKD OF PROPERTY (If buldngs, state materal of whch constructed) 3. COST OR MARCH 1,1913, VALUE IF PRIOR TO THAT DATE (Indcate bass) 4. ASSETS FULLY DEPRECIATED IN USE AT ENB OF YEAR 5. DEPRECIATION ALLOWED (OR ALLOW ABLE) IN PRIOB YEARS 6. REMAINING COST OR OTHER BASIS TO BE RECOVERED 7. LIFE USED IN ACCUMU LATING DEPRECIA TION 8. ESTIMATED REMAINING LIFE FROM BEGIN NINO OF YEAR 9. DEPRECIATION ALLOWABLE THIS YEAR EXPLANATION OF DEDUCTION FOR LOSSES BY FIRE, STORM, ETC., CLAIMED IN SCHEDULE A AND IN ITEM BtND or PROPERTY 3. COST 4. SUBSEQUENT IMPROVEMENTS 5. DEPRECIATION ALLOWABLE SINCE ACQUISITION 6. INSURANCE AND SALVAGE VALUE 7. DEDUCTIBLE LOSS

3 Form 1010 TREASURY DEPARTMENT INTERNAL RXVINUB SBBVICB THIS COPY MUST BE FILED WITH ORIGINAL RETURN INDIVIDUAL INCOME TAX RETURN FOR NET INCOMES FROM SALARIES OR WAGES OF MORE THAN 5,000 AND INCOMES FROM BUSINESS, PROFESSION, RENTS. OR SALE OF PROPERTY For Calendar Year 1935 or f*, 1936 Fle Tbb Return Net Later Tku the 15th Dar ef the Thrd Month FaDawoj the Close «f the TuaUe Yen PRINT NAME AND ADDRESS PLAINLY BELOW DIMM (Name) (Both husband and wfe, f ths la a jont return) (Street and number, or rural route) 1. State whether you are (a) a ctzen of the Unted States, or (6) a resdent alen 2. If you fled a return for the preoedng year, to whch Collector's offce was t sent? 3. Were you marred and lvng wth husband or wfe durng your taxable year? 4. Is ths a jont return of husband and wfe? 6. State name of husband or wfe f a separate return was made and the Collector's offce to whch t was sent 8. If not marred, were you durng your taxable year supportng n your household one or more persons closely related to you? 7. Eow many dependent persons (other than husband or wfe) under 18 years of age or ncapable of selfsupport receved ther chef support from you durng your taxable year? tjsfh INCOME 1. Salares, Wages, Commssons. Fees, etc. (State name and address of employer) (Post offce) (County) (State) 8. If your status n respect to queston 3,6, or 7 changed darng the year, state date and nature of change State whether your books are kept on cash or accrual bass 10. State prncpal occupaton or professon accountng for salares, wages, commssons, fees, etc., n Item 1 Dd you transfer to or receve from any one person money or property n excess of 5,000. durng the calendar year 1935, wthout an adequate and full consderaton n money or money's worth? If so, dd you fle a gft tax return on Form 709 or an nformaton return on Form 710? < Answer *>M"O Amount receved Expenses pad (Explan la Bofaedale T) 12. Bd any person or persons advse you n respect of any queston or matter affectng any tem or schedule of ths return, or assst or advse you In the preparaton of ths return, or actually prepare tks return for you? If so, gve the (AlMww ";* " or "no") name and address of such person or persons and state the nature and extent of the assstance or advce receved by you and the tems or schedules n respect of whch the assstance or advce was receved; f ths return was actually prepared by any person or persons other than yourself, state the source of the nformaton reported n ths return and the manner n whch t was furnshed to or obtaned by such person or per- 13. Dd you make a return of nformaton on Forms 1096 and 1099 (see Instructon 31) for the calendar year 1935? (Answer "yes" or "no") 2. Net proft (or Loss) from Busness or Professon. (From Schedule A) (State knd of busness) 3. Interest on Bank Deposts, Notes, Corporaton Bonds, etc. (except nterest on tax-free covenant bonds) Interest on Tax-free Covenant Bonds Upon Whch a Tax was Pad at Source Income (or Loss) from Partnershps, Syndcates, Pools, etc. (Furnsh name, address, and knd of busness) Income from Fducares. (Furnsh name and address) - Rents and Royaltes. (From Schedule B) Captal Gan (or Loss). (From ScheduleC) Taxable Interest on Lberty Bonds, etc. (From Schedule D, Una (g)) Dvdends on Stock of: (a) Domesto Corporatons subject to taxaton under Ttle I of 1934 Act (6) Domestc Corporatons not subject to taxaton under Ttle I of 1934 Act (c) Foregn Corporatons Other Income. (State nature) (Use separate schedule, f necessary) TOTAL INCOME IN ITEMS 1 TO 11 Interest Pad. (Explan n Schedule F) DEDUCTIONS Taxes Pad. (Explan n Schedule F) Losses by Fre, Storm, etc. (Explan n table at foot of page 2) - Bad Debts (ncludng bonds determned to be worthless durng taxable year). (Explan n Schedule F) Contrbutons. (Explan In Schedule F) Other Deductons Authorzed by Law (ncludng stock determned to be worthless durng taxable year). (Explan n Schedule F) - TOTAL DEDUCTIONS IN ITEMS 13 TO 18.. NET INCOMF. (Item 12 mnus Item 19) 21. Net ncome (Item 20 above) Less: Personal exempton 23. Credt for Dependents (Explan n Schedule F) 24. Balance (Surtax net ncome). 25. Less: Interest on Lberty bonds, etc. (Item 9) Dvdends. (Item 10 (a)) Earned ncome credt. (See Instructon 22) COMPUTATION OF TAX (See Instructon 23) 29. Normal tax (4% of Item 28). 30. Surtax on Item 24. (See Instructon 23). 31. Total tax (Item 29 plus Item 30) 32. Less: Income tax pad at source (2% of Item 4) 33. Income tax pad to a foregn country or U. S. possesson. 34. Balance of Tax. (Item 31 mnus Items 32 and 33) Balance subject to normal tax.. AFFIDAVIT (See Instructon 27) I/we swear (or affrm) that ths return (ncludng ts accompanyng schedules and statements, f any) has been examned by me/us, and to the best of my/our knowledge and belef s a true, correct, and complete return, made n good fath, for the taxable year stated, pursuant to the Revenue Act of 1934 and the Regulatons ssued thereunder. Sworn to and subscrbed by - before (SfnaluH) (&M luftnmton 37) me ths day of 193 NOTARIAL I (Bfsutura) ( SEAL J A RETURN MADE BY AN AGENT MOST BE ACCOMPANIED BY POWER OF ATTORNEY (See lush. 27) (BJfonttr* "d ttk of offou admsjjt«ras o*tk) AFFIDAVIT (See Instructon 27) I/we swear (or affrm) that I/we prepared ths return for the person or persons named heren and that the return (ncludng ts accompanyng schedules and statements, f any) s a true, correct, and complete statement of all the nformaton respectng the ncome tax lablty of the person or persons for whom ths teturn has been prepared of whch I/we have any knowledge. Sworn to and subscrbed before me ths day of, (Sgnature of psraon preparng ta«retura) { (SguAture of offcer ad mnuter tat oath) NOTARIAL I U.S. GOVERNMENT PR1HTIHG OFFICE (Sguktu* ot person ptep*rta* th* return) (N*»«of frm or employer, f WU)

4 SCHEDULE A PROFIT (OR LOSS) FROM BUSINESS OR PROFESSION (See Instructon 2) 1. Total recepts from busness or professon (state knd of busness) COST OF GOODS SOLD 2. Labor Materal and supples 4. Merchandse bought for sale.. 5. Other costs (temze below or on separate sheet). 6. Plus nventory at begnnng of year 7. TOTAL (Lnes 2 to 6) 8. Less nventory at end of year 9. NET COST OF GOODS SOLD (Lne 7 mnus Lne 8). Enter "C", or "C or M", on Lnes 6 and 8 to ndcate whether nventores are valued at cost, or cost or market, whchever s lower. Explanaton of deductons clamed on Lnes 5 and 16. OTHER BUSINESS DEDUCTIONS 10. Salares not ncluded as "Labor" n Lne 2 (do not deduct compensaton for your servces) Interest on busness ndebtedness to others 12. Taxes on busness and busness property 13. Losses (explan n table at foot of page) 14. Bad debts arsng from sales or servces 15. Deprecaton, obsolescence, and depleton (explan n table provded at foot of page) 16. Rent, repars, and other expenses (temze below or on separate sheet).; TOTAL (Lnes 10 to 16) W 18. TOTAL DEDUCTION'S (Lne 9 plus Lne 17) NET PROFIT (OR LOSS) (Lne 1 mnus Lne 18) (Enter as Item 2). SCHEDULE B INCOME FROM RENTS AND ROYALTIES (See Instructon 7) I. KIND or PROPERTY 2. AMOUNT RECEIVED 3. COST OR VALUE AS or MARCH 1,1913, WHICHEVER GREATER 4. DEPRECIATION (Explan n table at foot of page) r>. REPAIRS f. OTHER EXPENSES (Itemze below) 7. NET PROFIT (Enter as Item 7) Explanaton of deductons clamed n Column 6 1. DESCRIPTION OP PROPERTY AND PERIOD HELD (a) 1 year or less: *(6) Over 1 year but not over 2 years: (c) Over 2 years but not over 6 years: *(-) Over S years but not over 18 years: (e) Over 10 years: SCHEDULE C CAPITAL GAINS AND LOSSES (From Sales or Exchanges Only) (See Instructon 8) 3. DATE SOLD OR EXCHANGED Mo. Day Year Mo. Day Year 4. GROSS SALES PRICE (Contract prce) 5. COST OR MARCH 1, 1913, VALUE IT AC QUIRED BEFORE THAT DATE. (Indcate bass)** COST OF IM PROVEMENTS SUBSEQUENT TO ACQUISITION OR MARCII 1, DEPRECUTION ALLOWED (OR ALLOWABLE) SINCE ACQUISI TION OR MARCH 1,1913 (Furnsh detals). S 8. GAIN OR LOSS (/) TOTAL GAINS AND LOSSES (Enter net amount as Item 8) (Captal losses are allowable only to the extent of 2,000 pns captal In reportng sales or exchanges of captal assets attach separato schedule, f necessary, for transactons comng wthn each of the 5 perods, and transfer gans and losses for each perod to Column 10 above. Cost of property must be entered n Column 6 f a loss s clamed n Column 8. State (1) how property was acqured ; (2) Personal or busness relatonshp, f any, of purchaser Every sale or exchange of stock should be reported n detal, ncludng name and address of corporaton, class of stock, number of shares, captal changes affectng bass (stock dvdends, other nontaxable dvdends, stock rghts, etc.). SCHEDULE D INTEREST ON LIBERTY BONDS AND OTHER OBLIGATIONS OR SECURITIES (See Instructon 9) 9. PER CENTAGE OF GAIN OR Loss TO BE TAKEN INTO AC COUNT gans) ~ 10. GAIN OR LOSS TO BE TAKEN INTO ACCOUNT a. Gans b. Losses 1. OBLIGATIONS OR SECURITIES 2. AMOUNT OWNED AT END OF YEAR 3. INTEREST RECEIVED OR ACCRUED DURING THE YJSAM 4. PRINCIPAL AMOUNT EXEMPT FROM TAXATION 6. AMOUNT OWNED IN EXCESS OF EXEMPTION 6. INTEREST ON AMOUNT IN EXCESS OF EXEMPTION (a) Oblgatons of a State, Terrtory, or poltcal subdvson thereof, or the Dstrct of Columba, or Unted States possessons (6) Oblgatons ssued under Federal Farm Loan Act, or under such Act as amended. (c) Lberty 3H % Bonds and other oblgatons of Unted States ssued on or before September 1, (d) Treasury Notes, Treasury Blls, and Treasury Certfcates of Indebtedness (e) Lberty 4% and 4J4% Bonds; U. S. Savngs Bonds; Treasury Bonds. (/) Oblgatons of nstrumentaltes of the Unted States (other than SCHEDULE E INCOME FROM DIVIDENDS S AIL.... 5,000 None x x Itemze all dvdends receved durng the year, statng amounts and names and addresses of corporatons declarng the dvdends: SCHEDULE F EXPLANATION OF DEDUCTIONS CLAIMED IN ITEMS 1, 13, 14, 16, 17, AND 18, AND CREDIT CLAIMED IN ITEM 23 EXPLANATION OF DEDUCTION FOR DEPRECIATION CLAIMED IN SCHEDULES A AND B 1. KIND OF PROPERTT (If buldngs, state materal of whch constructed) 3. COST OR MARCII 1, 1913, VALUE IF PRIOR TO THAT DATE (Indcate bass) 4. ASSETS FULLY DEPRECIATED IN USE AT END OF YEAR 5. DEPRECUTION ALLOWED (OR ALLOW ABLE) IN PRIOR YEARS 6. REMAINING COST OP. OTHER BASIS TO BE RECOVERED 7. LIFE USED IN ACCUMU LATING DEPRECIA TION 8. ESTIMATED REMAINING LLFE FROM BEGINNING OF YEAR 9. DEPRECIATION ALLOWABLE THIS YEAR EXPLANATION OF DEDUCTION FOR LOSSES BY FIRE, STORM, ETC., CLAIMED IN SCHEDULE A AND IN ITEM 15 l. KIND OF PROPERTY 3. COST 4. SUBSEQUENT IMPROVEMENTS B. DEPRECUTION ALLOWABLE SINCE ACQUISITION 6. INSURANCE AND SALVAGE VALUE 7. DEDUCTIBLE LOSS

5 COPY TO BE RETAINED BY TAXPAYER INDIVIDUAL INCOME TAX RETURN FOR NET INCOMES FROM SALARIES OR WAGES OF MORE THAN 5,000 AND INCOMES FROM BUSINESS, PROFESSION, RENTS, OR SALE OF PROPERTY For Calendar Year 1935 or fscal year begun., 193S, and ended, 1936 Fle Ths Return Not Later Than the 15th Day of the Thrd Month Followng the Close of the Taxable Year PRINT NAME AND ADDRESS PLAINLY BELOW (Name) (Both husband and wfe, f ths s a jont return) IF YOU NEED ASSISTANCE IN PREPARING THIS RETURN, GO TO A DEPUTY COLLECTOR OR TO THE COLLECTOR'S OFFICE (Street and number, or rural route) 1. State whether you are (a) a ctzen of the Unted States, or (t>) a resdent alen 2. If you fled a return for the precedng year, to whch Collector's offce was t sent? 5. Were you marred and lvng wth husband or wfe durng your taxable year? 4. Is ths a jont return of husband and wfe?. 6. State name of husband or wfe f a separate return was made and the Collector's offce to whch t was sent 8. If not marred, were you durng your taxable year supportng n your household one or more persons closely related to you? 7. How many dependent persons (other than husband or wfe) under 18 years of age or ncapable of selfsupport receved ther chef support from yoo durng your taxable year? It uclon No. Insb f (Post offce) (County) (State) 8. If your status n respect to queston 3, 6, or 7 changed durng the year, state date and nature of change 9. State whether your books are kept on cash or accrual bass 10. State prncpal occupaton or professon accountng for salares, wages, commssons, fees, etc., n Item Dd you transfer to or receve from any one person money or property n excess of 5,000, durng the calendar year 1035, wthout an adequate and lull consderaton n money or money's worth?. (Aua%cr "y«" or "no") If so, dd you fle a gft tax return on Form 709 or an nformaton return on Form 710? (Answer "ye" or" "no") INCOME Amount receved Expenses pad Salares, Wages, Commssons, Fees, etc. (State name and address of employer)...?, Net proft (or Loss) from Busness or Professon. (From Schedule A) (State knd of busness) 3. Interest on Bank Deposts, Notes, Corporaton Bonds, etc. (except nterest on tax-free covenant bonds)... Interest on Tax-free Covenant Bonds Upon Whch a Tax was Pad at Source Income (or Loss) from Partnershps, Syndcates, Pools, etc. (Furnsh name, address, and knd of busness). Income from Fducares. (Furnsh name and address! Captal Gan (or Loss). (From Schedule C).... Taxable Interest on Lberty Bonds, etc. (From Schedule D, Lne (<?)) Dvdends on Stock of: (a) Domestc Corporatons subject to taxaton under Ttle I of 1934 Act (b) Domestc Corporatons not subject to taxaton under Ttle I of 1934 Act 12. Dd any person or persons advse you n respect of any queston or matter affectng any tem or schedule of ths return, or assst or advse you n the preparaton of ths return, or actually prepare ths return for you? If so, gve the (Ant-er"y*M" or "no") name and address of such person or persons and state the nature and extent of the assstance or advce receved by you and the tems or schedules n respect of whch the assstance or advce was receved; f ths return was actually prepared by any person or persons other than yourself, state the source ot the nformaton reported n ths return and the manner ID whch t was furnshed to or obtaned by such person or perl. Dd you make a return of nformaton on Forms 1006 and 1009 (see Instructon 31) for the calendar year 1034? (Answer "yes" or "no")... 1 j! ) n. 12 s (c) Foregn Corporatons TOTAL INCOME IN ITEMS 1 TO 11. DEDUCTIONS a s Taxes Pad. (Explan n Schedule F)! If Bad Debts (ncludng bonds determned to be worthless durng taxable year). (Explan n ScheduleF) 17 Contrbutons. (Explan n Schedule F) 18. Other Deductons Authorzed by Law (ncludng stock determned to be worthless durng taxable year). If) 20. NET INCOME (Item 12 mnus Item 19) -. COMPUTATION OF TAX (See Instructon 23) Net ncome (Item 20 above) Less: Personal exempton Credt for Dependents (Explan n Schedule F) Balance (Surtax net ncome). Less: Interest on Lberty bonds, etc. (Item 9) Dvdends. (Item 10 (a))~ Earned ncome credt. (See Instructon 22) 28. Balance subject to normal tax. 29. Normal tax (4% of Item 28) 30. Surtax on Item 24. (See Instructon 23). 31. Total tax (Item 29 plus Item 30) 32. Less: Income tax pad at source (2% of Item 4) Income tax pad to a foregn country or U. S. possesson. 34. Balance of Tax. (Item 31 mnus Items 32 and 33). PAYMENT AMOUNT TAXPAYER'S RECORD OF PAYMENTS DATE CHECK OK M. O. No. BANK OR OFFICE OF ISSUE Fourth. An amended return must be marked "Amended" at top of return. Checks and drafts wll be accepted only f payable at par.

6 SCHEDULE A PROFIT (OR LOSS) FROM BUSINESS OR PROFESSION (See Instructon 2) 1. Total recepts from busness or professon (state knd of busness) COST OF GOODS SOLD 2. Labor 3. Materal and supples 4. Merchandse bought for sale 5. Other costs (temze below or on separate sheet). 6. Plus nventory at begnnng of year. 7. TOTAL (Lnes 2 to 6). 8. Less nventory at end of year 9. NET COST OF GOODS SOLD (Lne 7 mnus Lne 8). Enter "C", or "C or M", on Lnes 6 and 8 to ndcate whether nventores are valued at cost, or cost or market, whchever s lower. Explanaton of deductons clamed on Lnes 5 and 16. OTHER BUSINESS DEDUCTIONS 10. Salares not ncluded as "Labor" n Lne 2 (do not deduct compensaton for your servces) Interest en busness ndebtedness to others 12. Taxes on busness and busness property 13. Losses (explan n table at foot of page) 14. Bad debts arsng from sales or servces 15. Deprecaton, obsolescence, and depleton (explan n table provded at foot of page) 16. Kent, repars, and other expenses (temze below or on separate sheet) 17. TOTAL (Lnes 10 to 16) 18. TOTAL DEDUCTIONS (Lne 9 plus Lne 17) 19. NET PROFIT (OR LOSS) (Lne 1 mnus Lne 18) (Enter as Item 2).. SCHEDULE B INCOME FROM RENTS AND ROYALTIES (See Instructon 7) 1. KINO OF PROPERTY 2. AMOUNT RECEIVED 3. COST OR VALUE AS OF MARCH 1,1913, WHICHEVER GREATER 4. DEPRECIATION (Explan n table at foot of page) 5. REPAIRS 6. OTHER EXPENSES (Itemze below) 7. NET PROFIT (Enter as Item 7).. Explanaton of deductons clamed n Column 0 1. DESCRIPTION OF PROPERTY AND PERIOD HELD *(o) 1 year or less: *(6) Ovor 1 year but not over 2 years: *(c) Over 2 years but not over 5 years: *(<0 Over 6 years but not over 10 years: (e) Over 10 years: SCHEDULE C CAPITAL GAINS AND LOSSES (From Sales or Exchanges Only) (See Instructon 8) 3. DATE SOLD OR EXCHANGED Mo. Day Year Mo. Day Year 4. GROSS SALES PRICE (Contract prce) 5. COST OR MARCH 1, 1913, VALUE rr AC QUIRED BEFORE THAT DATE. (Indcate bass)** G. COST OF IM PROVEMENTS SUBSEQUENT TO ACQUISITION OR MARCH 1, DEPRECIATION ALLOWED (OR ALLOWABLE) SINCE ACQUISI TION OR MARCH 1, 1913 (Furnsh dotals).. 8. GAIN OR Loss (/) TOTAL GAINS AND LOSSES (Enter net amount a3 Item 8) (Captal losses are allowable cr.ly to the extent of 2,000 plus captal gans)..... *In reportng sales or exchanges of captal assets attach separate schedule, f necessary, for transactons comng wthn each of the 5 perods, and transfer gans and lossesforeach perod to Column 10 above. "Cost of property must be entered n Column 5 f a loss s clamed n Column 8. State (l) how property was acqured ; (2) Personal or busness relatonshp, f any, of purchaser Every sale or exchange of stock should be reported ll detal, ndadng name and address of corporaton, class of stock, number of shares, captal changes affectng bass (stock dvdends, other nontaxable dvdends, stock rghts, etc.). 9. PER CENTAGE OF GAIN OR LOSS TO BE TAKEN INTO AC COUNT SCHEDULE D INTEREST ON LIBERTY BONDS AND OTHER OBLIGATIONS OR SECURITIES (See Instructon 9) GAIN OR LOSS TO BE TAKEN INTO ACCOUNT. a. Gans. b. Losses 1. OBLIGATIONS OR SECURITIES 2. AMOUNT OWNED AT END OF YEAR 3. INTEREST RECEIVED OR ACCRUED DURING THE YEAR 4. PRINCIPAL AMOUNT EXEMPT FROM TAXATION B. AMOUNT OWNED IN EXCESS OF EXEMPTION 0. INTEREST ON AMOUNT IN EXCESS OF EXEMPTION (a) Oblgatons of a State, Terrtory, or poltcal subdvson thereof, or the Dstrct of Columba, or Unted States possessons (&) Oblgatons ssued under Federal Farm Loan Act, or under such Act an amended (c) Lberty 3# % Bonds and other oblgatons of Unted States ssued on or before September 1, 1917 (d) Treasury Notes, Treasury Blls, and Treasury Certfcates of Indebtedness. (e) Lberty 4% and 4J4% Bondsj TJ. S. Savngs Bonds; Treasury Bonds. (/) Oblgatons of nstrumentaltes of the Unted States (other than oblgatons to be reported n (6) above) AIL... 5,000 None xxxxxx -xxxxxx xxxxxx xxxxxx - SCHEDULE E INCOME FROM DIVIDENDS -.. Itemze all dvdends receved durng the year, statng amounts and names and addresses of corporatons declarng the dvdends: SCHEDULE F EXPLANATION OF DEDUCTIONS CLAIMED IN ITEMS 1, 13, 14, IS, 17, AND 18, AND CREDIT CLAIMED IN ITEM 23 EXPLANATION OF DEDUCTION FOR DEPRECIATION CLAIMED IN SCHEDULES A AND B 1. KIND OF PROPERTY (If buldngs, state materal of whch constructed) 3. COST OR MARCH 1,1913, VALUE IF PRIOR TO THAT DATE (Indcate bnss) 4. ASSETS FULLY DEPRECIATED IN USE AT END OF YEAR 6. DEPRECIATION ALLOWED (OR ALLOW ABLE) IN PRIOR YEARS 6. REMAINING COST OR OTHER BASIS TO ' BE RECOVERED 7. LIFE USED IN ACCUMU LATING DEPRECIA TION 8. ESTIMATED REMAINING LIFE FROM BEGINNING OF YEAR 9. DEPRECIATION ALLOWABLE THIS YEAR - EXPLANATION OF DEDUCTION FOR LOSSES BY FIRE, STORM, ETC., CLAIMED IN SCHEDULE A AND IN ITEM KIND OF PROPERTY 3. COST 4. SUBSEQUENT IMPROVEMENTS 6. DEPRECIATION ALLOWABLE SINCE ACQUISITION 6. INSURANCE AND SALVAGE VALUE 7. DEDUCTIBLE LOSS s

7 INSTRUCTIONS The Instructons Numbered 1 to 20 Correspond wth the Item Numbers on the Frst Page of the Return 1. INCOME FROM SALARIES, WAGES, COMMISSIONS, ETC. Enter as Item 1 on page 1 of the return, all salares or other compensaton credted by or receved from outsde sources. Use a separate lne for each entry, gvng the nformaton requested. Any amount clamed as a deducton for necessary expenses aganst salares, etc., such as travelng expenses, whle away from home n the pursut of a trade or busness, should be fully explaned n Schedule F on page 2 of the return, or on an attached statement. Travelng expenses ordnarly nclude expendtures for ralroad fares, meals, and lodgng. 2. PROFIT (OR LOSS) FROM BUSINESS OR PROFESSION If you owned a busness, or practced a professon on your own account, fll n Schedule A on page 2 of the return, and enter the net proft (or loss) as Item 2 on page 1 of the return. Ths schedule should nclude ncome from: (a) Sale of merchandse or products of manufacturng, mnng, constructon, and agrculture; (6) Busness servce, such as hotel, restaurant, and garage servce, amusements, launderng, storage, transportaton, etc.; and (c) Professonal servce, such as dentstry, law, or medcne. In general, report any ncome n the earnng of whch you ncurred expenses for materal, labor, supples, etc. Farmer's ncome schedule. If you are a farmer and keep no books of account, or keep books on a cash bass, obtan from the Collector, and attach to ths return, Form 1040F, Schedule of Farm Income and Expenses, and enter the net farm ncome as Item 2 on page 1 of ths return. If your farm books of account are kept on an accrual bass, the flng of Form 1040F s optonal. Installment sales. If the nstallment method s used, attach to the return a schedule showng separately for the years 1932, 1933,1934, and 1935 the followng: (a) Gross sales; (b) Cost of goods sold; (c) Gross profts; (<f) Percentage of profts to gross sales; (e) Amount collected; and (/) Gross proft on amount collected. See Secton 44 of the Revenue Act of Knd of busness. Descrbe the busness or professon n the space provded n Item 2, page 1, as "grocery," "retal clothng," "drug store," "laundry," "doctor,",r lawyer," "farmer," etc. Total recepts. Enter on Lne 1 of Schedule A the total recepts, less any dscounts or allowances from the sale prce or servce charge. Inventores. If engaged n a trade or busness n whch the producton, purchase, or sale of merchandse s an ncome-producng factor, nventores of merchandse on hand should be taken at the begnnng and end of the taxable year, whch may be valued at cost, or cost or market, whchever s lower. Salares. Enter on Lne 10 all salares not ncluded as "Labor" on Lne 2, except compensaton for servces of yourself, your dependent mnor chldren, or of husband or wfe f a jont return s fled, whch s not deductble. Interest. Enter on Lne 11 nterest on busness ndebtedness. Do not nclude nterest to yourself on captal nvested n or advanced to the busness. Taxes. Enter on Lne 12 taxes on busness property or for carryng on busness. Do not nclude taxes assessed aganst local benefts of a knd tendng to ncrease the value of the property assessed, nor Federal neome taxes, nor estate, nhertance, legacy, successon, and gft taxes. Losses. Enter on Lne 13 losses ncurred n the trade or busness, f not compensated for by nsurance or otherwse and not made good by repars clamed as a deducton. Losses of busness property arsng from fre, storm, etc., should be explaned n the table at the foot of page 2 of the return. Bad debts. Enter on Lne 14 debts, or portons thereof, arsng from sales or servces that have been reflected n ncome, whch have been defntely ascertaned to be worthless and charged off wthn the year, or such reasonable amount as has been added to a reserve for bad debts wthn the year. A debt prevously charged on* as bad, f subsequently collected, must be returned as ncome for the year n whch collected. Deprecaton. Enter on Lne 15 the amount clamed as deprecaton by reason of exhauston, wear and tear of property used n the trade or busness, or as obsolescence or depleton, and explan n the table at the foot of page 2 how ths amount was determned. If obsolescence s clamed, explan why the useful lfe s less than the actual lfe. The amount of deprecaton on property acqured by purchase should be determned upon the bass of the orgnal cost (not replacement cost) of the property and the probable number of years remanng of ts expected useful lfe, except f the property was purchased pror to March 1,1913, t wll be computed on the far market value of such property as of that date or ts orgnal cost (less deprecaton actually sustaned before that date), whchever s greater. If the property was acqured n any other manner than by purchase, see Sectons 23 (1), 23 (n), and 114 of the Kevenue Act of In case a deducton s clamed on account of depleton of mnes, ol or gas wells, or tmber, see Sectons 23 (m), 23 (n), and 114 of the Revenue Act of Do not clam any deducton for deprecaton n the value of a buldng occuped by you as a dwellng, or property held for personal use, nor for land (exclusve of mprovements thereon), nor on stocks, bonds, and securtes. Rent, repars, and other expenses. Enter on Lne 16 rent on busness property n whch you have no equty, ordnary repars to keep the property n a usable condton, and other necessary busness expenses not classfed above, such as heat, lght, and fre nsurance. Do not nclude rent for a dwellng occuped by you for resdental purposes, the cost of busness equpment or furnture, expendtures for replacements or permanent mprovements to property, nor personal, lvng, or famly expenses. 3. INTEREST ON BANK DEPOSITS, ETC. Enter as Item 3 all nterest receved or credted to your account durng the taxable year on bank deposts, notes, mortgages, and corporaton bonds, except nterest on bonds upon whch a tax was pad at the source. Interest on bonds s consdered ncome when due and payable. 4. INTEREST ON TAX-FREE COVENANT BONDS Enter as Item 4 bond nterest upon whch a tax was pad at source. Such tax (2 percent of the nterest entered n Item 4) may be clamed as a credt n Item 32 of the return. 5 AND 6. INCOME FROM PARTNERSHIPS, SYNDICATES, POOLS, ETC., AND FIDUCIARIES Enter as Item 5 your share of the profts (whether receved or not) (or of the losses) of a partnershp, syndcate, pool, etc., and as Item 6 ncome from an estate or trust, except that the share of (a) taxable nterest on oblgatons of the Unted States, etc., shall be ncluded n Schedule D, and (6) profts whch conssted of dvdends on stock of domestc corporatons whch are subject to ncome tax shall be ncluded n Item 10 (a) on the return. Include n Items 32 and 33, respectvely, credts clamed for ncome tax pad at source, and foregn ncome taxes. If the taxable year on the bass of whch you fle your return does not concde wth the annual accountng perod of the partnershp or fducary, then you should nclude n your return your dstrbutve share of the net profts (or losses) for such accountng perod endng wthn your taxable year. 7. INCOME FROM RENTS AND ROYALTIES Fll n Schedule B, gvng the nformaton requested. If you receved property or crops n leu of cash rent, report the ncome as though the rent had been receved n cash. Crops receved as rent on a cropshare bass should be reported as ncome for the year n whch dsposed of (unless your return shows ncome accrued). Enter as deprecaton the amount of exhauston, wear and tear, or depleton sustaned durng the taxable year and explan n the table at the foot of page 2. Other expenses, such as nterest, taxes, fre nsurance, fuel, lght, labor, and other necessary expenses of ths character should be temzed. 8. CAPITAL GAINS AND LOSSES Report sales or exchanges of captal assets n Schedule C and enter the net amount of gan or loss to be taken nto account n computng net ncome as Item 8. (CAPITAL LOSSES ARE ALLOWABLE ONLY TO THE EX TENT OF 2,000 PLUS CAPITAL GAINS.) Descrbe the property brefly, and state the prce receved or the far market value of the property receved n exchange. Expenses connected wth the sale or exchange may be deducted n computng the proft or loss. If the property sold or exchanged was acqured pror to March 1, 1913, the bass for determnng GAIN s the cost or the far market value as of March 1, 1913, adjusted as provded n Secton 113 (b) of the Revenue Act of 1934, whchever s greater, but n determnng LOSS the bass s cost so adjusted. (See Secton 113 of the Revenue Act of 1934.) If the amount shown as cost s other than actual cash cost of the property sold or exchanged, full detals must be furnshed regardng the acquston of the property. 2 o964 Enter as deprecaton the amount of exhauston, wear and tear, obsolescence, or depleton whch has been allowed (but not less, than the amount allowable) n respect of such property snce date of acquston, or snce March 1, 1913, f the property was acqured before that date. In addton, f the property was acqured before March 1, 1913, the cost shall be reduced by the deprecaton actually sustaned before that date. Subsequent mprovements nclude expendtures for addtons, mprovements, and repars made to restore the property or prolong ts useful lfe. Do not deduct ordnary repars, nterest, or taxes n computng gan or loss. No loss shall be recognzed n any sale or other dsposton of shares of stock or securtes where you have acqured substantally dentcal stock or securtes wthn 30 days before or after the date of such sale or dsposton, unless you are engaged n the trade or busness of buyng and sellng stocks and securtes. No deducton shall be allowed n respect of losses from sales or exchanges of property, drectly or ndrectly, (A) between members of a famly, or (B) except n the case of dstrbutons n lqudaton, between an ndvdual and a corporaton n whch such ndvdual owns, drectly or ndrectly, more than 50 per centum n value of the outstandng stock. For the purpose of ths paragraph (C) an ndvdual shall be consdered as ownng the stock owned, drectly or ndrectly, by hs famly: and (D) the famly of an ndvdual shall nclude only hs brothers and ssters (whether by the whole or half blood), spouse, ancestors, and lneal descendants. The provsons of the Revenue Act of 1934 relatng to captal gans and losses are: Sec (a) General rule. In the case of a taxpayer, other than a corporaton, only the followng percentages of the gan or loss recognzed upon the sale or exchange of a captal asset shall be taken nto account n computng net ncome: 100 per centum f the captal asset has been held for not more than 1 year; 80 per centum f the captal asset has been held for more than l year but not for more than 2 years- 60 per centum f the captal asset has been held for more than 2 years but not for more than 5 years' 40 per centum f the captal asset has been held for more than 6 years but cot for more than 10 years' 30 per centum f the captal asset has been held for more than 10 years. ' (b) Defnton of captal assets. For the purposes of ths ttle, "captal assets" means property held by the taxpayer (whether or not connected wth hs trade or busness), bat does not nclude stock In trade of the taxpayer or other property of a knd whch would properly be Included n the nventory of the taxpayer f on hand at the close of the taxable year, or property held by the taxpayer prmarly for sale to customers n the ordnary course of hs trade or busness. (c) Determnaton of perod for whch held. For the purpose of subsecton (a) (1) In determnng the perod for whch the taxpayer has held property receved on an exchange there shall be ncluded the perod for whch he held the property exchanged f under the provsons ofsecton 113 the property receved has, for the purpose of determnng gan or loss from a sale or exchange, tbe same bass n whole or n part n hs hands as the property exchanged. (2) In determnng the perod for whch the taxpayer has held property however acqured there shall be ncluded the perod for whch such property was held by any other person, f under the provsons of secton 113, such property has, for the purpose of determnng gan or loss from a sale or exchange; the same bass n whole or n part n hs hands as t would have n the hands of such other person. (3) In determnng the perod for whch the taxpayer has held stock or securtes receved upon a dstrbuton where no gan was recognzed to the dstrbutee under the provsons of secton 112 (g) of tbo Revenue Act of 1028 or the Revenue Act of 1932, there shall be ncluded the perod for whch ho held tn; stock or securtes n the dstrbutng corporaton pror to the recept of the stock or securtes upon such dstrbuton. (4) In determnng the perod for whch the taxpayer has held stock or securtes the acquston of whch (or the contract or opton to acqure whch) resulted n the nondeduetblty (under secton 118 of ths Act or secton 118 of the Revenue Act of 1928 or the Revenue Act of 1932, relatng to wash sales) of the loss from the sale or other dsposton of substantally dentcal stock or securtes, there shall be ncluded the perod for whch he bold the stock or securtes the loss from the sale or other dsposton of whch was not deductble. (d) Lmtaton on captal losses. Lossesfromsales or exchanges of captal assets shall be allowed only to the extent of 2,000 plus the gans from such sales or exchanges. * * * (e) (Jans and losses from short sales, etc. For tbe purpose of ths ttle (1) gans or losses from short sales of property shall be consdered as gans or losses from sales or exchanges of captal assets; and (2) gans or losses attrbutable to the falure to exercse prvleges or optons to buy or sell property shall be consdered as gans or losses from sales or exchanges of captal assets held for one year or less. (f) Retre-mem of bonds, etc. For the purposes of ths ttle, amounts receved by the holder upon tbe retrement of bonds, debentures, notes, or certfcates or other evdences of ndebtedness ssued by any corporaton (ncludng those ssued by a government or poltcal subdvson thereof), wth nterest coupons or n regstered form, shall be consdered as amounts receved n exchange therefor. Notwthstandng the provsons of Secton 117 (a) above, 100 percent of the gan resultng to the dstrbutee from dstrbutons n lqudaton of a corporaton shall be taken nto account n computng net ncome. (See Secton 115 (c) of the Revenue Act of 1934.) Secton 117 apples only to gans and losses upon the sale or exchange of captal assets and, therefore, has no applcaton to loss of useful value upon the permanent abandonment of the use of property or loss sustaned as the result of corporate stock or debts becomng worthless. In the applcaton of Secton 117 a husband and wfe, regardless of whether a jont return or separate returns are made, are consdered to be separate taxpayers. Accordngly, the lmtaton under Secton 117 (d) on the allowance of losses of one spouse from sales or exchanges of captal assets s In all cases to be computed wthout regard to gans and losses of the other spouse upon sales or exchanges of captal assets. 9. INTEREST ON LIBERTY BONDS, ETC. Schedule D should be flled n f you own any of the oblgatons or securtes enumerated n Column 1. Enter n Column 2 the prncpal amounts of tho varous oblgatons owned at the end of the year and enter n Column 3 all nterest receved or credted to your account durng the year on these oblgatons, ncludng your share of such nterest receved from a partnershp, or an estate or trust. Interest on all coupons fallng due wthn the taxable year wll be consdered as ncome for the year, where the books are kept on a cash recepts and dsbursements bass. If the books are kept on an accrual bass, report the actual amount of nterest accrued on the oblgatons owned durng the taxable year. If the oblgatons enumerated on Lne (e) are owned n excess of the exempton of 5,000, or any on Lne (/) are owned n any amount, Columns 5 and 6 should be flled n, and the total of the nterest reported on Lne (g) should be entered as Item 9 on page 1 of the return. (See also Instructon 24, paragraph (d).) 10. DIVIDENDS Enter as Item 10 (a) dvdends from a domestc corporaton whch s subject to taxaton under Ttle I of the Revenue Act of 1934 (other than a corporaton enttled to the benefts of Secton 251 of the Revenue Act of 1934 and other than a corporaton organzed under the Chna Trade Act, 1922), ncludng your share of such dvdends receved on stock owned by a partnershp, or an estate or trust. Enter as Item 10 (b) dvdends from a domestc corporaton whch s not subject to taxaton under Ttle I of the Revenue Act of 1934 (such as a buldng and loan assocaton, etc.). Enter as Item 10 (c) dvdends from a foregn corporaton and dvdends from a corporaton enttled to the benefts of Secton 251 of the Revenue Act of 1934 and a corporaton organzed under the Chna Trade Act, OTHER INCOME Enter as Item 11 all other taxable ncome for whch no space s provded on the return. 12. TOTAL INCOME Enter as Item 12 the net amount of Items 1 to 11, nclusve, after deductng any expenses reported n Item 1, and losses n Items 2, 5, 7, and INTEREST PAID Enter as Item 13 nterest pad on personal ndebtedness as dstngushed from busness ndebtedness (whch should be deducted under Schedule A or B). Do not nclude nterest on ndebtedness ncurred or contnued to purchase, or carry oblgatons (other than oblgatons of the Unted States ssued after September 24, 1917, and orgnally subscrbed for by the taxpayer) the nterest upon whch s wholly exempt from taxaton. 14. TAXES PAID Enter as Item 14 personal taxes and taxes pad on property not used n your busness or professon, not ncludng those assessed aganst local benefts of a knd tendng to ncrease the value of the property assessed. Do not nclude Federal ncome taxes, nor estate, nhertance, legacy, successon, and gft taxes, nor taxes mposed upon your nterest as shareholder of a corporaton whch are pad by the corporaton wthout rembursement from you, nor ncome taxes clamed as a credt n Item 33. No deducton s allowable for any porton of foregn ncome and profts taxes f a credt s clamed n Item 33. Any deducton on account of taxes should be explaned n Schedule F. 15. LOSSES BY FIRE, STORM, ETC. Enter as Item 15 losses of property not connected wth your busness or professon, sustaned durng the year f arsng from fre, storm, shpwreck, or other casualty, or from theft, and f not compensated for by nsurance or otherwse. See Secton 23 (e) of the Revenue Act of Explan losses clamed n the table provded on page 2 of the return.

8 16. BAD DEBTS Enter as Item 16 all bad debts other than those clamed as a deducton n Schedule A. State n Schedule F, (a) of what the debts conssted, (6) when they were created, (c) when they became due, (</") what efforts were made to collect, and (e) how they were actually determned to be worthless. 17. CONTRIBUTIONS Enter as Item 17 contrbutons^ gfts made wthn the taxable year to any corporaton, or trust, or communty chest, fund, or foundaton, organzed and operated exclusvely for relgous, chartable, scentfc, lterary, or educatonal purposes, or for the preventon of cruelty to chldren or anmals, no part of the net earnngs of whch nures to the beneft of any prvate shareholder or ndvdual, and no substantal part of the actvtes of whch s carryng on propaganda, or otherwse attemptng, to nfluence legslaton. The amount clamed shall not exceed 15 percent of your net ncome computed wthout the beneft of ths deducton. A fducary flng the return for an estate may clam, n leu of ths deducton, that provded n Secton 162 of the Revenue Act of Lst organzatons and amounts contrbuted to each n Schedule F. 18. OTHER DEDUCTIONS Enter as Item 18 any other authorzed deductons for whch no space s provded on the return. Do not deduct losses ncurred n transactons whch wete nether connected wth your trade or busness nor entered nto for proft. If the return s fled for an estate n process of admnstraton, there should be deducted the amount of any ncome pad or credted to a benefcary. Any deducton clamed should be explaned n Schedule F. No deducton a allowable for the amount of any tem or part thereof allocable to a class of exempt ncome, other than nterest. Items drectly attrbutable to such exempt ncome shall be allocated thereto, and tems drectly attrbutable to any class of taxable ncome shall be allocated to such taxable ncome. A taxpayer recevng any exempt ncome, other than nterest, or holdng any property or engagng n any actvty the ncome from whch s exempt shall submt wth hs return as a part thereof an temzed statement, n detal, showng (1) the amount of each class of exempt ncome, and (2) the amount of tems allocated to each such class (the amount allocated by apportonment beng 8hown separately). 19. TOTAL DEDUCTIONS IN ITEMS 13 TO 18 Enter as Item 19 the total of Items 13 to 18, nclusve. Ths amount should not nclude any deducton clamed n Schedule A or B. 20. NET INCOME Enter as Item 20 the net ncome, whch s obtaned by deductng Item 19 from Item 12. The net ncome shall be computed upon the bass of the taxable year n accordance wth the method of accountng Tegulary employed n keepng your books, unless such method does not clearly reflect your ncome. 21. PERSONS REQUIRED TO MAKE A RETURN OF INCOME An ncome tax return must be fled by every ctzen of the Unted States whether resdng at home or abroad, and every person resdng n the Unted States though not a ctzen thereof, whose gross ncome for the taxable year amounted to 5,000, or whose net ncome amounted to (a) 1,000 f sngle or f marred and not lvng wth husband or wfe; (6) 2,500 f marred and lvng wth husband or wfe; or (c) More than the personal exempton f status of taxpayer changed. If an ndvdual s sngle and the net ncome, ncludng that of dependent mnors, f any, s 1,000 or over, or f the gross ncome s 5,000 or over, a return must be fled. If the combned net ncome of husband and wfe, and dependent mnor chldren, f any, s 2,500 or over, or f ther combned gross ncome s 5,000 or over, all such ncome must be reported on a jont return, or on separate returns of husband and wfe. In case the husband and wfe elect to fle separate returns and ther combned net ncome s 5,000 or over, each shall make a return on Form If the net ncome of a decedent to the date of hs death was 1,000 or over, f unmarred, or n excess of the credt allowed hm by Secton 25 (b) (1) and (3) of the Revenue Act of 1934 (computed wthout regard to hs status as the head of a famly), f marred and lvng wth spouse, or f hs gross ncome for the perod was 5,000 or over, the executor or admnstrator shall make a return for hm on Form 1040 or 1040A. Income cf (a) estates c decedents before fnal settlement, (6) trusts, whether created by wll or deed, for unascertaned persons or persons wth contngent nterests; or ncome held under the terms of the wll or trust for future dstrbuton, s taxed to the fducary as a sngle person, except that from the ncome of a decedent's estate there should be deducted any amount properly pad or credted to a benefcary. 22. EARNED INCOME CREDIT, PERSONAL EXEMPTION, AND CREDIT FOR DEPENDENTS For the purpose of the normal tax, but not for the surtax, there may be clamed a credt aganst not ncome of 10 percent of the amount of the earned net ncome, but not n excess of 10 percent of the amount of the entre net ncome. "Earned ncome" means wages, salares, professonal fees, and other amounts receved as compensaton for personal servces actually rendered, but does not nclude any amount not ncluded n gross ncome, nor that part of the compensaton derved by the taxpayer for personal servces rendered by hm to a corporaton whch represents a dstrbuton of earnngs or profts rathsr than a reasonable allowance as compensaton for the personal servces actually rendered. In the case of a taxpayer engaged n a trade or busness n whch both personal servces and captal are materal ncome producng factors, a reasonable allowance as compensaton for the personal servces actually rendered by the taxpayer, not n excess of 20 percent of hs share of the net profts of such trade or busness, shall be consdered as earned ncome. "Earned ncome deductons" means such deductons as are allowed by Secton 23 of the Revenue Act of 1034 for the purpose of computng net ncome, and are properly allocable to or chargeable aganst earned ncome. "Earned net ncome' means the excess of the amount of the earned ncome over the sum of the earned ncomo deductons. If the taxpayer's net ncome s not more than 3,000, hs entre net ncomo shall be consdered to be earned net ncome, and f hs net ncome s more than 3,000, hs earned net ncome shall not be consdered to be less than 3,000. In no case shall the earned net ncome be consdered to be more than 14,000. A sngle person, or a marred person not lvng wth husband or wfo, may clam an exempton of 1,000. A person who was the bead of a famly or was marred and lvng wth husband or wfe durng the entre taxable year, may clam an exempton of 2,500. If husband and wfe fle separate returns, the exempton may be taken by cther or dvded between thoa. A "head of a famly" s an ndvdual who actually supports and mantans n one household one or more ndvduals who are closely connected wth hm by blood relatonshp, relatonshp by marrage, or by adopton, and whose rght to exercse famly control and provde for these dependent Indvduals s based upon some moral or legal oblgaton. In addton to the personal exempton, a credt of -100 may be clamed for each person (other than husband or wfe) under 18 years of age, or ncapable of self-support because mentally or physcally defectve, who receved hs or her chef support from the taxpayer durng the taxable year. Ths credt can be clamed only by the person who furnshes the chef support, and cannot be dvded between two ndvduals. Explan such credt n Schedule F, furnshng the name of each dependent, the relatonshp between taxpayer and dependent, and the reason for support f the dependent s not under 18 years of age. If the status of the taxpayer, nsofar as t affects the personal exempton or credt for dependents, changed durng the taxable year, the personal exempton and credt shall be apportoned n accordance wth the number of months before and after such change. For the purpose of such apportonment a fractonal part of e month shall be dsregarded unless t amounts to more than half a month, n whch case t shall be consdered as a month. Where a return s fled on ths form for an estate n process of admnstraton, or for a trust, an exempton of 1,000 may be clamed. 23. COMPUTATION OF TAX Surtax. The surtax on any amount of surtax net ncome not shown n the table below s computed by addng to the surtax for the largest amount shown whch s less than the ncome, the surtax upon the excess over that amount at the rate ndcated n the table. Amount of surtax not Income A 0 to 4,000 4,000 to 6,000 6,000 to 8,000 8,000 to 10, ,000 to 12,000 12,000 to 14,000 14,000 to 16,000-16,010 to 18, ,000 to 20,000-20,000 to ,000 to 28,000 20,000 to 32,000 ' to 38,000 K,O0O to 44, to 60,000.. Rate percent B SURTAX RATES Total surtax C ,000 1,260 1,560 2,240 3,380 4,640 6,080 7,700 Amount of surtax net ncome A 56,000 to 62,000 Rate percent B Total surtax O 9,600 11,480 13,640 15,980 18,500 23,000 28,000 54,000 8ft , , , ,000 Income from a partnershp or fducary havng a dfferent taxable rear. If the taxable year of a benefcaty s dfferent from that of the estate or trust, the part of the estate or trust ncome to be ncluded n computng hs net ncome shall be based upon the net ncome of the estate or trust for any taxable year of the estate or trust endng wthn hs taxable year. If the taxable year of a partner s dfferent from that of the partnershp, the dstrbutve share of the net ncome of the partnershp to be ncluded n computng the net ncome of the partner for hs taxable year shall be based upon the net ncome of the partnershp for any taxable year of the partnershp endng wthn the taxable year of the partner. Income tax pad to a foregn country or U. S. possesson. If, n accordance wth Secton 131 (a) of the Revenue Act of 1934, a credt s clamed n Item 33 for ncome tax pad to a foregn country or a possesson of the Unted States, submt Form 1116 wth your return wth the recepts for such payments. In case credt s sought for taxes accrued, the form must have attached to t a certfed copy of the return on whch the tax was based, and the Commssoner may requre a bond on Form 1117 for the payment of any tax found due f the tax when pad dffers from the credt clamed. 24. ITEMS EXEMPT FROM TAX The followng tems are exempt from Federal ncome tax, except where otherwse ndcated, and should not be ncluded n gross ncome: (n) Amounts receved under alfe nsurance contract pad by reason of the death of the nsured, whether n a sngle sum or n nstallments (but f such amounts are held by the nsurer under an agreement to pay nterest thereon, the nterest payments shall be ncluded n gross ncome); (5) Amounts receved (other than amounts pad by reason of the death of the nsured and nterest payments on such amounts and other than amounts receved as annutes) under a lfe nsurance or endowment contract, but f such amounts (when added to amounts receved before the taxable year under such contract) exceed the aggregate premums or consderaton pad (whether or not pad durng the taxable year) then the excess shall be ncluded n gross ncome. Amounts receved as an annuty under an annuty or endowment contract shall be ncluded n gross ncome; except that there shall be excluded from gross ncome the excess of the amount receved n the taxable year over an amount equal to 3 percent of the aggregate premums or consderaton pad for such annuty (whether or not pad durng such year), untl the aggregate amount excluded from gross ncome equals the aggregate premums or consderaton pad for such annuty. In the case of a transfor for a valuable consderaton, by assgnment or otherwse, of a lfe Insurance, endowment, or annuty contract, or any nterest theren, only the actual value of such consderaton and the amount of the premums and other sums subsequently pad by the transferee shall be exempt from taxaton under paragraph (a) above or ths paragraph; (c) Gfts (not made as a consderaton for servce rendered) and money and property acqured by bequest, devse, or nhertance (but the ncome derved from such property s taxable and must be reported); (d) Interest upon (1) the oblgatons of a State, Terrtory, or any poltcal subdvson thereof, or the Dstrct of Columba, or Unted States possessons; or (2) oblgatons ssued under the provsons of the Federal Farm Loan Act or under such act as amended; or (3) the oblgatons of the Unted States; or (4) oblgatons of nstrumentaltes of the Unted States (other than oblgatons ssued under Federal Farm Loan Act or under such act as amended), such as Federal Farm Mortgage Corporaton bonds, Home Owners' Loan Corporaton bonds, etc. The nterest on 4 percent and 'A percent Lberty Bonds, Unted States Savngs Bonds, and Treasury bonds, owned n excess of 5,000, and on oblgatons of nstrumentaltes of the Unted States (other than oblgatons ssued under Federal Farm Loan Act or under such act as amended) s subject to surtax If the surtax net ncome Is over 4,000. Such nterest should be reported n Schedule D and as Item 9 (see Instructon 9); (e) Amounts receved through accdent or health nsurance or under workmen's compensaton acts, as compensaton for personal njures or sckness, plus the amount of any damages receved, whether by sut or agreement, on account of such njures or sckness; If) The rental value of a dwellng house and appurtenances thereof furnshed to a mnster of the gospel as part of hs compensaton; (?) Compensaton pad by a State or poltcal subdvson thereof to ts offleors or employees for servces rendered n connecton wth the exercse of an essental governmental functon; and (ft) Amounts receved as earned Income from sources wthout the Unted States (except amounts pad by the Unted States or any agency thereof) by an ndvdual ctzen of the Unted States who s a bona fde nonresdent for more than 6 months durng the taxable year. The taxpayer n such a case may not deduct from hs gross ncomo any amount properly allocable to or chargeable aganst the amount so excluded from hs gross ncome, 25. ACCRUED OR RECEIVED INCOME If your books of account are kept on the accrual bass, report all ncome accrued, even though t has not been actually receved or entered on the books, and expenses ncurred nstead of expenses pad. If yourjbooks are not kept on the accrual bass, report all ncome receved or constructvely receved, such as bank nterest credted to your account, and expenses pad. The return for a decedent shall nclude all tems of ncome and deductons accrued up to the date of death regardless of the fact that the decedent may have kept hs books on a cash bass. 2G. PERIOD TO BE COVERED BY RETURN The return must be fled on ths form for the calendar year 1935 or for a fscal year begun n 1935 and ended n The accountng perod establshed must be adhered to for subsequent years, unless permsson s receved from the Commssoner to make a change. An applcaton for a change n the accountng perod shall be made on Form 1128 and forwarded to the collector pror to the expraton of 30 days from the close of the proposed taxable vear. 27. AFFIDAVITS Taxpayer or agent The affdavt must be executed by the person whose ncome s reported or by hs legal representatve or agent. The return may be made by an agent (1) f, by reason of llness, the person lable for the makng of the return s unable to make t, or (2) f the taxpayer s unable to make the return by reason of contnuous absence from the Unted States for a perod of at least 60 days pror to the date prescrbed by law for makng the return. Whenever a return s made by an agent t must be accompaned by a power of attorney on Form 935, or, n the case of husband and wfe, on Form 936 (copes of whch may be obtaned from the collector of nternal revenue). Jont return. The jont return of husband and wfe must be sgned by both spouses and sworn to by the spouse preparng fllng n the return. If the return s prepared by both spouses, or s prepared by nether spouse, then both spouses must swear to the return, except where one spouse acts for the other spouse under a power of attorney submtted on Form 936. Where return s prepared by someone other than taxpayer. Queston 12 on page 1 of the return should be answered fully, and where the return s actually prepared by some person or persons, other than the taxpayer, such person or persons must execute the affdavt at the foot of page 1 of the return. The oath wll be admnstered wthout charge by any collector, deputy collector, or nternal revenue agent. If an nternal revenue offcer s not avalable, the return should be sworn to before a notary publc, justce of the peace, or other person authorzed to admnster oaths, except an attorney or agent employed to represent the taxpayer before the Department n connecton wth hs tax lablty. 28. WHEN AND WHERE THE RETURN MUST BE FILED The return must be sent to the collector of nternal revenue for the dstrct n whch you lve or have your prncpal place of busness, so as to reach the collector's offce on or before the ffteenth day of the thrd month followng the close of your taxable year. In case you have no legal resdence or place of busness n the Unted States, the return should be forwarded to the Collector of Internal Revenue, Baltmore, Maryland. 29. WHEN AND TO WHOM THE TAX MUST BE PAID The tax should be pad, f possble, by sendng or brngng wth the return a check or money order drawn to the order of "Collector of Internal Revenue at (nsert cty and State)." Do not send cash by mal, nor pay t n person except at the Collector's offce. The tax may be pad when the return s fled, or n four equal nstallments, as follows: The frst nstallment shall be pad on or before the ffteenth day of the thrd month followng the close of the taxable year, the second nstallment shall be pad on or before the ffteenth day of the thrd month, the thrd nstallment on or before the ffteenth day of the sxth month, and the fourth nstallment on or before the ffteenth day of the nnth month after the latest date prescrbed for payng the frst nstallment. If any nstallment s not pad on the date fxed for payment, the whole amount of tax unpad shall be pad upon notce and demand by the collector. 30. PENALTIES For wllful falure to make and fle a return on tme. Not more than 10,000 or mprsonment for not more than 1 year, or both, together wth the costs of prosecuton, and, n addton, 5 percent to 25 percent of the amount of the tax. For wllfully makng a false or fraudulent return. Not more than 10,000 or mprsonment for not more than 5 years, or both, together wth the costs of prosecuton. For defcency n tax. 5 percent of the amount of the defcency f due to neglgence or ntentonal dsregard of rules and regulatons wthout ntent to defraud, or 50 percent of amount of the defcency f due to fraud. 31. INFORMATION AT SOURCE Every person makng payments of salares, wages, nterest, rents, commssons, or other fxed or determnable ncome of 1,000 or more durng the calendar year, to a sngle person, a partnershp, or a fducary, or 2,500 or more to a marred person, s requred to make a return on Forms 1096 and 1099 showng the amount of such payments and the name and address of each recpent. These forms wll be furnshed by any collector of nternal revenue upon request. Such returns coverng the calendar year 1935 must be forwarded to the Commssoner of Internal Revenue, Sortng Secton, Washngton, D. C, n tme to be receved not later than February 15,

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This tax document is provided courtesy of efile.com. Visit our homepage: Ths tax document s provded courtesy of efle.com. Vst our homepage: http://www.efle.com Dscover the benefts of eflng: http://www.efle.com/efle-tax-return-drect-depost-statstcs/ Learn more about ncome taxes

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