   345
TOBEHLEDBYCOOECTOR FORM 1040INCOME TAX	^ FileIN A$!> ; PugNUE.OF INDIVIOctober3, 1913.)EAR ENDED DEC DECEMBER 31.)	TO BE FILLED IN BY MUMOPM. COUHTf afVo............................................	L[:RK
UstNo.........................  THE PENAL	TV fHIS RETURN OLLECTORO NORBEFOR 011,000 ON PAGE 4) WALREVECOMEpporovedRING THEY RCH1.TO		essme e.......	ntLlSt...............................	
................... Dislrictof..................................... FORFAIIURETOHAVET THE HANDS OF THE CC Date received.................................................. INTERNAL REVENUE 0				.......... Line ........................
MARCH US $20 (SEE INSTRUCTIONS UNITED STATES INTERRETURN OF ANNUAL NET IN(As provided by Act of Congress, aRETURN OF NET INCOME RECEIVED OR ACCRUED DU (FOR THE YEAR 1913. FROM MA			DUALS.EMBER31. 191....
(Full name of induidual) (Steel and No.)
(Fill in page 2 and 3 before making entries below.)	
1. GROSS INCOME (see page 2, line 12) ------ ----------------------------	<f			
	Q.			
Deductions and exemplions ollowed in computing income subject to the normal tax of 1 percent.				
4. Dividends and net earnings received or accrued, of corpora-								
5. Amount of income on which the normal tax has been deducted								
6. Specific exemptions of $3,000 or $4,000, as the case may be.								
Total deductions and exemptions. (Items 4,5 7. TAXABLE INCOME on which the normal tax of 1 per cent is to be calculated (See	and 6) nstructic		a.			
		3).				
						
8. When the net income shown above on line 3 exceeds $20,000, the additional tax thereon must be 	alculated as per schedule below:
	INCOME	TAX
					$-----			
2 " " $50.000 " " $75,000								
Total additional or super tax Total normal tax (1 per ceni								
								--
	of amount entered on fin		.			
		e7) -				
. 13.3.  1040     1913 .