Form 1040 - Return Of Annual Net Income Of Individuals - 1913 Page 2

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2
GROSS INCOME.
This statement must show in the proper spaces the entire amount of gains, profits, and income received by or accrued to the individual
from all sources during the year specified on page 1.
A.
B.
DESCRIPTION OF INCOME.
Amount of income on which tax has been
Amount of income on which tax has NOT
deducted and withheld at the source.
been deducted and withheld at the source.
1.
Total amount derived from salaries, wages, or compensation for
personal service of whatever kind and in whatever form paid
$
$
2.
Total amount derived from professions, vocations, businesses,
trade, commerce, or sales or dealings in property, whether real
or personal, growing out of the ownership or use of interest
in real or personal property, including bonds, stocks, etc.
3.
Total amount derived from rents and from interest on notes,
mortgages, and securities (other than reported on lines 5
and 6)
4.
Total amount of gains and profits derived from partnership
business, whether the same be divided and distributed or not
5.
Total amount of fixed and determinable annual gains, profits,
and income derived from interest upon bonds and mortgages
or deeds of trust, or other similar obligations of corporations,
joint-stock companies or associations, and insurance compa-
nies, whether payable annually or at shorter or longer periods
6.
Total amount of income derived from coupons, checks, or bills
of exchange for or in payment of interest upon bonds issued
in foreign countries and upon foreign mortgages or like obli-
gations (not payable in the United States), and also from
coupons, checks, or bills of exchange for or in payment of any
dividends upon the stock or interest upon the obligations of
foreign corporations, associations, and insurance companies
engaged in business in foreign countries
7.
Total amount of income received from fiduciaries
8.
Total amount of income derived from any source whatever, not
specified or entered elsewhere on this page
9.
T
OTALS
NOTES.—Enter total of Column A on line 5 of first page.
10.
A
T
C
A
B
$
GGREGATE
OTALS OF
OLUMNS
AND
11.
Total amount of income derived from dividends on the stock or from the net earnings of
corporations, joint-stock companies, associations, or insurance companies subject to like tax
$
(To be entered on line 4 of first page.)
12.
T
“Gross Income” (to be entered on line 1 of first page)
$
OTAL

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