Form 1040 - Return Of Annual Net Income Of Individuals

GENERAL DEDUCTIONS.

The amount of necessary expenses actually paid in carrying on business, but not including

business expenses of partnerships, and not including personal, living, or family expenses

All interest paid within the year on personal indebtedness of taxpayer

All national, State, county, school, and municipal taxes paid within the year (not including

those assessed against local benefits)

Losses actually sustained during the year incurred in trade or arising from fires, storms, or

shipwreck, and not compensated for by insurance or otherwise

Debts due which have been actually ascertained to be worthless and which have been charged

off within the year

Amount representing a reasonable allowance for the exhaustion, wear, and tear of property

arising out of its use or employment in the business, not to exceed, in the case of mines, 5

per cent of the gross value at the mine of the output for the year for which the computation

is made, but no deduction shall be made for any amount of expense of restoring property or

making good the exhaustion thereof, for which an allowance is or has been made

Total “G

” (to be entered on line 2 of first page)

ENERAL

EDUCTIONS

AFFIDAVIT TO BE EXECUTED BY INDIVIDUAL MAKING HIS OWN RETURN.

I solemnly swear (or affirm) that the foregoing return, to the best of my knowledge and belief, contains a true and complete statement of

all gains, profits, and income received by or accrued to me during the year for which the return is made, and that I am entitled to all the deductions

and exemptions entered or claimed therein, under the Federal Income-tax Law of October 3, 1913.

Sworn to and subscribed before me this

(Signature of individual.)

day of

, 191

SEAL OF

OFFICER

TAKING

AFFIDAVIT.

(Official capacity.)

AFFIDAVIT TO BE EXECUTED BY DULY AUTHORIZED AGENT MAKING RETURN FOR INDIVIDUAL.

I solemnly swear (or affirm) that I have sufficient knowledge of the affairs and property of

to enable me to make a full and complete return thereof, and that the foregoing return, to the best of my knowledge and belief, contains a true

and complete statement of all gains, profits, and income received by or accrued to said individual during the year for which the return is made,

and that the said individual is entitled, under the Federal Income-tax Law of October 3, 1913, to all the deductions and exemptions entered or

claimed therein.

Sworn to and subscribed before me this

(Signature of agent.)

day of

, 191

ADDRESS

IN FULL

SEAL OF

OFFICER

TAKING

AFFIDAVIT.

(Official capacity.)

[SEE INSTRUCTIONS ON BACK OF THIS PAGE.]

Form 1040 - Return Of Annual Net Income Of Individuals - 1913 Page 3

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