Form 1040a - Individual Income Tax Return - 1918 (Page 3 of 6) in pdf

DETACH

Page 1 of Work Sheet

IF YOU NEED

THE RETURN (CON-

ASSISTANCE

Form 1040A.—UNITED STATES INTERNAL REVENUE SERVICE

TAINING AFFIDAVIT)

GO TO A

WORK SHEET FOR INDIVIDUAL INCOME TAX RETURN

AND

DELIVER OR SEND IT

DEPUTY COLLECTOR

FOR NET INCOMES OF NOT MORE THAN $5,000

WITH PAYMENT

OR TO THE

TO COLLECTOR OF

For Calendar Year 1918

COLLECTOR’S OFFICE

INTERNAL REVENUE

BUT FIRST

ON OR BEFORE

MARCH 15, 1919

READ INSTRUCTIONS

AND

KEEP THIS

FILL OUT THIS SHEET

WORK SHEET

(FACE AND BACK)

AND THE

IN PENCIL

INSTRUCTION

SHEET

AS WELL AS YOU CAN

1. Did you

If so, what address

make a re-

did you give on

turn for 1917?

that return?

3. To what col-

4. Give number, if any, assigned to

lector’s office

you for 1917 if it does not appear

was it sent?

in address at head of return

(Give district or city and State.)

5. Were you in 1918

6. If not, were you the head of a

7. How many dependent persons under 18 (or

married and living

family as defined in instructions

mentally or physically defective) received

with wife (or husband)?

under “Personal Exemption?”

their chief support from you during 1918?

8. If you claim any additional exemption on ac-

9. Write “R” if this return shows

count of dependent persons other than your

income received, or “A” if it

children, what was their relationship to you?

shows income accrued

10. Did your wife (or husband) or minor

child make a separate return?

(If so, give name and address thereon.)

11. Did you or your wife (or husband) or

dependent minor children receive any

interest on U.S. Liberty Bonds, or any

salary not reported elsewhere in this

return or in a separate return?

(If so, give sources and amounts.)

12. Enter name and address of each

organization to which you made

contributions claimed as deductions,

and amount paid to each.

13. Enter in this table details concerning repairs, wear and tear, and property losses claimed as deductions in Schedules A, E, and I on page

2 of return (see instructions):

Wear and tear (depreciation) and depletion

Losses not compensated for by

1. Refer

4. Cost of

5. Repairs not

2. Kind of property. (If

3. Year

charged off—

insurance

to “A,”

property (or

offset by claims

buildings, state also material of

ac-

“E,” or

market value

for wear and tear

7. Amount

8. Amount this

10. Amount of

which constructed.)

quired.

9. Cause of loss.

“I.”

March 1, 1913).

or losses.

Rate

previous years.

year.

loss.

CALCULATION OF TAX

M. Net Income shown on page 2, Item J

P. Tax due (6% on amount of Item O)

N. Less personal exemption (see Instruction VI)

Q. Less normal tax of 2% on amount of Item F

O. Balance (Income taxable at 6%)

R. Balance of tax due

NOTE.—If the amount on line O exceeds $4,000, the excess is taxable at 12%,

S. Amount of tax paid on submission of return

and your return should be made on Form 1040.

TAXPAYER’S RECORD OF PAYMENTS

PAYMENT.

AMOUNT.

DATE.

CHECK OR M.O. No.

BANK OR OFFICE OF ISSUE.

First

Second

Third

Fourth

Form 1040a - Individual Income Tax Return - 1918 Page 3

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