THOSE WHOSE INCOME IS SOLELY FROM SALARIES MAY DISREGARD THIS PAGE Schedule A.—INTEREST AND OWNERSHIP OF TAXABLE GOVERNMENT OBLIGATIONS, oe a 1. Obligations or securities Fe? (See Instruction 4) 2. Amount owned at end of year (par value except for United States savings bonds) A. Subject to surtax only: (1) United States savings bonds (cost price) and Treasury bonds issued prior to March 1, 194] (2) ETC. 3. Interest $ Less: Wholly tax-exempt portion, principal amount not in excess of $5,000 XXXXXXXXXKXX (3) Net taxable interest _(4) Obligations of instrumentalities of the United States issued prior to March I, 1941 (other than Federal land banks, Federal intermediate credit banks, or joint stock land banks) (5) Dividends on share accounts in Federal savings and loan associations in case of shares issued prior to March 28, 1942 (6) Subtotal for interest (total of lines 3, 4, and 5) (7) Less: Amortizable bond premium. (See Instruction 16) 3 (8) Balance of interest. (Enter as item 4 (a), column J, page I) B. Subject to normal tax, surtax, and Victory Tax: (1) United States savings bonds issued on or after March I, 1941 (cost price) (2) Other obligations issued on or after March 1, 1941, by the United States or any instrumentality thereof XXXXXXXXXXX $ XXXXX XK RX OX XXXXXXXXXXX Oo Oe OS ee oo XXXXXXXXXXX $ (include also Treasury notes issued on or after December 1, 1940) (3) Subtotal for interest (total of lines | and 2). (Enter as item 4 (2), column 2, page 1) (4). Less: Amortizable bond premium. (See Instruction 16) wx XXX XX XK XX XX XE REX KX (5) Balance of interest. XXXXXXXXXXX (Enter as item 4 (4), column I, page 1) Schedule B.—Schedule B (Form 1040) is a separate sheet and should be used in reporting gains and losses exchanges of capital assets and property other than capital assets, and filed with and as a part of this return. Schedule C(1).—INCOME 1. Kind of property (OR RENTS AND 3. Depreciation or depletion (explain below) 2. Amount Schedule C(2).—PROFIT FROM LOSS) FROM ROYALTIES. (See Instruction 7) 4. Repairs (explain below) 5. Other expenses (itemize elow) BUSINESS OR (State (1) nature of business PROFESSION. from sales 6. Net profit (column 2 less | sum of columns 3, 4, and 5) (enter as item 7, page 1) (See Instruction 8) ; (2) business name 1. Total receipts OTHER BUSINESS DEDUCTIONS . Salaries and wages not included as “Labor” (do not deduct compensation for yourself) : : . Interest on business’ indebtedness COST OF GOODS SOLD se eee rors oi be D6 determining factor) te ne ee (Enter the letters “C,” or “C or M,” on lines 2 and 8 if inventories are valued at either cost, or cost or market, whichever is lower) 2. Inventory at beginning of year 3. Merchandise bought for sale 4, Labor 5. Material and supplies : . Taxes on business and business property . Losses (explain below) . Bad debts arising from sales or services . Depreciation, obsolescence, and depletion (explain below) 6. Other costs (explain below) . Rent, repairs, and other expenses (explain below) . Amortization of emergency facilities (attach statement) Total of lines 11 to 18 : Total of lines 2 to 6 7. 8. Less inventory at end of year $ : 10. Gross profit (line | less line 9) $ . Net profit (or loss) (line 1 less line 20). EXPLANATION ; Total of lines 9 and 19 9. Net cost of goods sold (line 7 less line 8)__| 1. Kind of property (If buildings, state material of which constructed) OF ie a3 ore ee 2 y lea DT a eae A Senondepre< | orpee : acquired other ciable property) EXPLANATION I. soe ee DEDUCTION OF DEDUCTIONS 2. Explanation FOR DEPRECIATION CLAIMED 3. Amount Name and address of partnership, syndicate, etc , Name and address of fiduciary Other income (state nature) Total (enter as item 9, page 1) 16—37129-1 IN COLUMNS 4 AND ie oem 3 AND |6. Remaining cost or other basis to be recovered 5, AND ed FIDUCIARIES, | @ COLUMN (Enter as item 8, page 1) LINE 16, ABOVE fie ein accumulating depre- Ae Aas life from beginning 9. Depreciation allowable this year ciation PARTNERSHIPS, C(3).—INCOME. IN 4, Assets fully depre- | 5. Depreciation alciated in use at end | lowed (or allowable) in prior years FROM. Schedule CLAIMED LINES 6, 14, AND 17, ABOVE 2. Explanation AND OTHER SOURCES. or (See Amount, Amount, Instruction 9)