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8-10 BROADWAY -1111rM.AP NO. • + LOT NO. PROPERTY RECORD - CITY OF SALEM (WARD &PRECINCT) CARD NO. MEMORANDA • kPtIhd I2/6,/'7/ E04 24 0209 1 PHOTO Q4420 / RECORD OF OWNERSHIP NUMBER DATE BOOK PAGE mr;2c "Nicol cor+',r` G101£ BRGAD�JAY 0287 SA iTIS1 AlT1LIO 60 01442D LLIAR1E THOMAS H 37Q 0 �7 18 BROAD►tAY SALEM MA 01970 DUO 6-0 AC. S.F. 36800 VALUE R L D G 4 2f-O— 760/OO a1-134i4061 VERIFICATION OF INSPECTION C 27, --� -7--✓/LJ `U/tiU ..1— ASSESSMENT RECORD 0 1975 19 y- 19 / 19 19 19 19 19 19 19 APPEAL DATA DWELLING II 8 Granted GARAGE 1 Appeal t Denied SWIM POOL Value Land APARTMENTS Change Building CONDO COMM OR IND TOTAL VALUE BUILDINGS —W G TOTAL VALUE LAND TOTAL VALUE LAND &BUILDINGS _ 1 , Cond. Phys, Func. CONSTRUCTION Size Area Class Age Remod. Repl. Value Dep. Phys. Value Dep. Sound Value 11 14 15 18 19 22 23 25 26 29 30 31 32 37 38 39 40 45 46 47 48 53 r PHOTOGRAPH . fr r i iY7' r. s . Zs_ 174' ' 54), c_4) v 9' y .�Jei 7 2 PERMIT COMP. DATE Total LAND VALUE COMPUTATIONS Square Unit Unit Square Ft. Corner Depr.% ,nf1 Total Value 3 Footage 6 7 10 11 Price 14 15 % 17 18 Price 23 24 25 26 32 33 34 35 41 RENTAL EXPENSE ITEMS PROPERTY INFORMATION / Jad r U VACANCY LAND COST HEATING BLDG.COST . eon. -1- co e o !l d" J � z /_ 0 ,u WATER SALE PRICE / S/ ���sssddd���/ J �J ELECTRICITY GROSS ANNUAL INCOME . JANITOR LESS EXPENSES _ _ _ MANAGEMENT NET INCOME — LAND @ %= 42-52 LAND RECORD Total Value Land BLDG. @ %= Sewer A No Street E High I I Water B Dirt Street F Low J Total Value Buildings Gas C Paved G Level K TOTAL FLAT EXPENSES I TOTAL Elec. D No Sidewalk H Total Value Land and Buildings, r BUILDING RECORD WHIPPLE,MAGANE AND DARCY CONTROL No. MEASURED BY I3 I3IDATE C-a-73 LISTED BY 13 13 I DATyE4.-/2`.�r -41119 SEMI MOD KIT /� 75 I r 80 •\!J /3 -- BLOCK LOT MOD BATH 13 4 EXEMPT BLOCK �� LOT II^' CLASS SEMI MOD BATH t3,as c it S.S4, COMPUTATIONS 1 I 10I4210IZI*i J✓ IGI2I�I5► I V' Ir, •dlii Fa?I TSTORE FRONT .47X99f/,,o 4.. .So 6 7 11 12 16 17 20 FIRE PROOF CONST NO. AREA UNIT ! /� ,,. f .zo OR TOTAL SERIALJ ✓�I�}NUMBER DATE BUILT SHEET OF MILL CONST � .7' �v ITEM OTY COST I✓'I✓1 'I / I 2--I I I I I I I 1 REINF CONC BEAMS&COLS 21 26 27 32 34 STEEL FRAME 4.4- . T /.d t? 02 EXTERIOR WALL VARIATIONS STEEL BEAMS&COLS � I ,i7 't- ,3,) S Gr I7ooff� �Z f�u • - DESIGN STEEL TRUSSES = / RANCH 1. Common Brick V/F 5. Face Brick V/M STEEL OR BAR JOIST G! 0 12 ' 2. Face Brick V/F 6. Cut Stone V/M TIMBER BEAMS&COLS SPLIT LEVEL or BY LEVEL 3. Cut Stone V/F 7. Perna Stone WOOD TRUSSES 3?-0 se „..› /7 ADDITIONS OR DEDUCTIONS COLONIAL 4. Common Brick V/M SPRINKLER SYS ,A R rk CAPE COD - PASS ELEV — 3 ���0� V CONDO TYPE STORIES LINEAL FEET L_J �( FREIGHTELEV CONVENTIONAL 35 36 37 38 40 �� 5/ J:G f • MODERN FLOORS -5 FINISHED ATTIC OR SECOND FLOOR i* G,,,Ir-S RAISED RANCH B 1 2 3 f�/f' y_��1 SINGLE FAMILY Cement Hardwood Put ON I I, FAM. FLAT Fin.Area 43 I I I 146 Pine 11:-.6 M Cu DP-1 FAM. DUPLEX Fin.Attic% 47 I I I 150 Single FI. �---/ Vy /•„_.- 3 FAM. CONV. / Unfinished %Story% 51 1 I 153 Asph.Tile t_ ' COMM.13„j,,4 6/ .,,/;; ,,� DORMERS APARTMENTS / Wood Joist TOTAL No.of Fam. (50) NUMBER I SIRE ' NUMBERI I SIRE I Reinf. Conc. ? 7 II I W II W zv ./r/r/..,-..f fJ.i to vHd i s, r r.t 3-...7-4....... INDUSTRIAL 54 55 56 57 58 59 60 61 /.34 I., 2 T'.✓• FOUNDATION _ -- CONCRETE BASEMENT AREA -.CC`' �' "� r ' / CEMENT BLOCK Rec.Room%I • I ILI I I W I I I SALE 27$ I I I I I I I I33 OVERALL DIMENSIONS BASEMENT BRICK 62 63 64 65 66 67 68 DATE 36 J I I I 139 ISTORIES WIDTHI LENGTH AREA FULL-% STONE No Concrete Floor 0 69 • I I I I L I I I I I I I 1 •I I TOTAL CAP IMPROV $J I I I I I I I59 I40 41 42 4344 45 46 49 50 52 rfO��[.w ROOFING 7" Dry Wall 0 2 Plaster ❑ I • I I_II I_I L. I I I I 1 • I I COST CONVER, ON f� '� 2 3 4 5 6 7 8 11 12 14 FACTOR `r /7p i ASPHALT,ASBESTOS Air Cond. 21 4 Percent I ■ I I 1 DATE 62 J I I 1 165 REPLACEMENT WOOD SHINGLES 5 6 7 I • I L. J I_LJ I I I I I 1 • II VALUE345Q4 d :) ,,:,;? .-.', SLATE BATH ROOMS 27 28 29 30 31 132I 33 36 37 39 PHYSICAL DER f FIXTURES NO. FLOOR WAINS BOTH I • I I I I I___LJ I_ I I I I 1 • I I 2/� TAR &GRAVEL � ®� r'' U ►� U 1 2 3 40 41 42 43 44 45 46 49 50 52 VALUE' G y.. 8 9 (10) BUILT IN PORCH COMPOSITION PATIOS FUNCTIONAL OR y� j - SHED DORMER LF LJ LJ 1 2 3 TYPE STORIES WIDTH LENGTH AREA Type Width Length Area ECON.OBS, PICTURE DORMER LF 11 12 (13) E O G (53) LLJ I_J_ I I I I I I I I 1 CEMENT U I— I I I 117 J 8 19 I 22EXTERIOR WALL TYPE LiL I 1 2 3 54 55 56 57 58 59 60 61 62 I I ' A. FRAME WITH WOOD, 14 15 (16) 30THER U L�J I I I I J I I ASBESTOS,STUCCO, r FIREPLACES WIDTH LENGTH AREA 10 11 12 13 14 15 16 17 SUMMARY OF APPRAISED VALUE ALUM,SIDING (19) l 1 ON 1 IJ 2ON 1 I I BUILT IN GARAGE III I I I I I I I BAY WINDOWS NO.1 I I STORIES L_1J PRINCIPAL BLDG. 18 19 20 21 22 24 25-26 27-28— B. CONCRETE BLOCK BSMT (No.of Cars) 1 0 2 0 3 0 25 PORCHES MISCELLANEOUS ADDS OR DEDUCTS APPRAISAL $ yV 7 -II ON TILE STUCCO ON CODE DOLLAR AMOUNT OTHER PRINCIPAL HEATING 26 ROOMS B 1 2 3 TYPE STORIES WIDTH LENGTH AREA BLDGS.APPRAISAL $ •BLACrK-OR-TILE (19) E 0 G (33) I I I I I I LJ J III I I 43 L I I 145 46I I I I I49 0 0 NONE LivingACCESSORY BLDGS. C. BRICK OR 8TONS- 34 35 36 37 38 39 40 42 6066 APPRAISAL $ 1 IZFORCEDHOTAIR Dining E O G (50) I I 1 1 11 I I I I I 11 L I I 162 63[ I I I J VENEER (19) © 2 ❑STEAM 1 PIPE Bed E 0 G (2) 51 52 53 54 55 56 57 59 12 14 15I I I I J18 TOTAL BLDG. $ �� D.SOLID BRICK OR 3 OFLOOR OR WALL Kitchen I--I-- I L_L I I I I I I I I I I I /'/EAU 3 4 5 6 7 8 9 11 TOTAL LAND STONE (19) Rec. Rm. Over OTHER - 4 ❑Ceilin oardiantElec. Width ATTACHED GARAGE Finish Physical Depr. 191 I 120 APPRAISAL 5 ❑Baseboard Electric Apts. 231 J 124 251 1 126 271 I 1 129 LJ30 Economic Obs. 21[ I 122 TOTAL APPRAISED $ 7 7 6 ❑Floor Radiantant Elec. Other Accessory Bldgs 3I I I I I I I $ 3 y 4. v6 7 DFloor Radiant Hot Stores VALUE Water C 8 0 Gravity-Pipeless 9 [3Steam 2 Pipe Total Land Value 42 10I v 13I / I3I 0 I d 14$ , MAP ,-- LOT APPLICATION FOR REVIEW OF REAL ESTATE ASSESSMENT Address of Property ..[. .8�.. ./31e0./T ►:/..w,lT. �i.)94 ''l /iSS •• Owner on January 1;1 7 4 .., Year Land was Purchased ....._. 11 Amount Paid /.. A. v /• �` ,..! ' Year Land and Bldgs. Purchased ././..J(I Amount Paid Approximate Age of hV 1, pal Original Cost, if Known �/ ©� d .J Approximate Age of Other Bldgs.s._-7,, Original Cost, if Known Give the approximate cost of any other improvements or alterations not included above: Year Installed "------71-1-11-<_ Cost Details of Improvements -�14, -- Do the costs given above include the value of all labor and materials necessary to complete the construction? If not, please explain \r C9- Were the buildings constructed by a contractor or by ie owner? Le'= W,. 1L The total Fire Insurance coverage on the buildings is . y 0 0 G Total rentals received per Month . . The present Mortgage on the property i 0,7J� Q� 1r ' If you were to sell the property at the present time, what would you expect the Sale Price to be? List any other factors that you «ish to be considered. ... .. ,.. . .. .. , -774fit jebia-)2- .Z' -"(---e- Afr — J.Al/eW14-1/VaAd"----*d4-a'(A-d- .eied--. - ---1,- 2 -41-0-r-e- - - ram. . ' ' Signed :itece-, . . ... Date .02.e L3--c / ,/f.7,V NrG (cr c e S S vo L ' e aL -.rI 1 cornP -a-�5• -244 1..7 moo(' - CLT FJLAcJ@, 34)04 L O oe m5, -4Ip� 00J )V RE-com. 1 INTV NO. MENDATIONS NC CM `�^I REV 1NSP INS BY REV. BY NC CM I • D64 ( 4/, en l ah t , C c' F ' r` Ui Department of the Treasury—Internal Revenue Service 0 /� 1Mr� pit individual Income Tax Return For the year January 1—December 31, 1973, or other taxable year beginning , 1973, ending , 19 ra e f joint return,give first names and initials of both) Last name COUNTY OF Your social security number d/� y� ttl,, RESIDENCE 4�%� ti . rrNY ! 'I7��1r�-��• �� I� Go.za ! i� , l.; L.ti ent home address(Number and street,including apartment number,or rural route) Spouse's social security no._ i13 ' p.,1,� ' K, CtRCI " Q.17 it 4 '''• es ,tonor postFo=ffice,Statte and ZIP coda OCCU- Yours ► f �! �'t.i «' -p= t i rZw! !) ,'`�►�a pation Spouse's ►;'.: �a '' ' u Filing Status--check only era: Exemptions Regular/ 65 or over/ Blind 1 ❑ Single 6a Yourself . ❑ 0 number 2 1X'Married filingjoint return (even if onlyone had income) b Spouse . . . 0 ❑ of boxes► '-, checked —r5r 3 ❑ Married filing separately. If spoase is also filing give c First names of your de endent children who lived with r' spouse's social security number in designated space above you " 7i4S ' Enter and enter frill name here ► — number low , 4 ❑ Unmarried Head of Household d Number of other dependents (from line 27) . . ► 5 ❑ Widow(er) with dependent child (Year spouse died► 19 ) 7 Total exemptions claimed ► 3 8 Presidential Election Campaign Fund.—Check ❑ if you wish to designate $1 of your taxes for this fund. If joint return, w _r, El - .. 'L_I �� 7N:,usC w)aliea i0 ues)gnate $1. Note: This will not increase your tax or reduce your refund. See note below. (Attach Forms W-2. If 9 Ii 9 Wages, salaries,tips,and other employee compensation, unavailable, attach explanation) It 10a Dividends/Seoninagee6. ) a'� 42 a 10C page 6. /$---� '�=ti_2___, lOb Less exclusion $__,!.__�_�,�B lance ► —...,1 —'• _ cp i E 10d (Gross amount received, if different from line 10a $ ) 3 0 it Interest income 11 "? f 6 ` E - 12 Income other than wages,dividends, and interest(from line 38) 12 — -,,, St ,; 13 Total (add lines 9, 10c, 11, and 12) 13 l✓, ! Z I C 6 14 Adjustments to income(such as"sick pay,"moving expenses,etc.from line 43) , 14 n 15 Subtract line 14 from line 13 (adjusted gross income) 15 • - - a 0 If you do not itemize deductions and line 15 is under$10,000, find tax in Tables and enter on line 16. cj fA If you itemize deductions or line 13 is$10,000 or more, go to line 44 to figure tax. r 0 CAUTION. If you have unearned income and can be claimed as a dependent on your parent's return,check here►❑and see instructions on page 7. u di 16 Tax, check if from: Tax Tables 1-12 Tax Rate Schedule X, Y, or Z o In 0 Schedule D I Schedule G Form 4726 ORD Form 4972 16 j '. ' Lam- -" t.:' - _d) -0 17 Total credits (from line 54) " 17 s-:. !N a) a 618 Income tax (subtract line 17 from line 16) 18 `� 19 Other taxes (from line 61) 19 _ R 20 Total (add lines 18 and 19) 20 I �,f '' ��> v) 21a Total Federal income tax withheld attach Forms /� �� "0/,/,/i ( j j j�ij%/�„; W-2 or W-2P to front) 21a /� /'� i jj/0/ I` payments (include amount /�/jai% a) b 1973 estimated tax p y ( d //�,,,, ,200 .) .):. ii _c allowed as credit from 1972 return) _�_. jjj�j/ ,� ( Li' c Amount paid with Form 4868,Application for Automatic j� �' /i% / : �/, i a Extension of Time to File U.S. Individual Income Tax Return c / �/�(� //i� d Other payments (from line 65) d % /i//;,.:> ;,,,. %>, %://i: L I 22 Total (add lines 21a, b, c, and d) I 22 1 O >, Pay in full with return. Make d d) than linecheck or money order payable 23 A t3 23 If line 20 is larger 22, enter BALANCE. DUE IRS to Internal Revenue Service ► — ,� • (Check here ► ❑ , if Form 2210, Form 2210F, or statement is attached. See instructions on page 8.) • Y L fY 24 If line 22 is larger than line 20, enter amount OVERPAID ► 24 i, '� ii to 25 _ , 25 Amount of line 24 to be REFUNDED TO YOU ! v - 0 26 Amount of line 24 to be credited on 1974 esti- 1 c mated tax ► 26 I :;c `) Y% 1____ _ _ o Note: 1972 Presidential Election Campaign Fund Designation.—Check ❑ if you did not designate $1 of your taxes on your °e 1972 return, but now wish to do so. If joint return,check 7 if spouse did not designate on 1972 return but now wishes to do soy ✓ Under penalties of perjury, I declaie that I have examined this return, including accompanying schedules and statements.and to the best of my knowlesi;e and belief 0) it is true,correct,and complete.Declaration of preparer(other than taxpayer)is based on all information of i i,ich he has any knowledge. Sign ,. :I here ® `� '; 1 Yon signature Der, / p•e2arer's s,gr3turn r,.rhar than tavnavar) !?ate 3I Spouse's signature (if filing jointly, BOTH must sign even if only one had income) Address(and ZIP Code) Preparer'a Emp.Ident,or Soc.Sec.No. L Coca utation of investment Credit Form •: i' .. Attach to your tax return. apartmeet of the T ..miry For calendar,year 1973 or other taxable year beginning u C7 y y Internal Nrvenue:ervirt 1973, and ending .., . k,, • Ir.i.--i ? A \' , . \ ,U i ;., !,":;:'. i 1, '.'t ; ,,, 7--, , I 3'.:! 4*. i ; .:: ,_ , e. ...., 19........ ill Name ' identifying number as shown an ' page 1 of your tax return to a 1 Qualified investment in new and used property(See instructions C and D for eligible property) NOTE: Include your share of investment property by a partnership, estate, trust, small business corporation, or lessor. (1) (2) (3) (4) Tprope of erty Line I Life years Cost or basis i Applicable Qualified investment • (See instruction G) percentage (Column 2 x column 3) L (a) 3 or more but less than 5 331/3 New (b) 5 or more but less than 7 66 3 Property (c) 7 or more 4- t,. lop ..... � y- ,r r j (d) 3 or more but less than 5 , 331/ Used — Property (e) 5 cr more but less than 7 652/3 (See instructions for — dollar limitation) (f) 7 or more 100 2 Total qualified investment—Add lines 1(a) through 1(f) ., 4 3 Tentative investment credit--7% of line 2 (4% for public utility property) `' `_1•a 4 Carryback and carryover of unused credit(s). (See instruction F and instruction for line 4--attach computation.) 5 Total—Add lines 3 and 4 - ' ' d, Limitation 6 (a) Individuals—Enter amount from line 16, page 1, Form 1040 , L e,� (b) Estates and trusts—Enter amount from line 24 or 25, page 1, Form 1041. . . . . 1 ',,. Ln, . µ (c) Corporations—Enter amount from line 5, Schedule J, Form 1120 • 7 Less: (a) Foreign tax credit . (b) Retirement income credit(individuals only) 8 Total—Add lines 7(a)and(b) 9 tine 6 less line 8 I , 10 (a) Enter amount on line 9 or$25,000, whichever is lesser. (Married persons filing separately, con- trolled corporate groups, estates, and trusts, see instruction for line 10.) 7.3_ 32•_L' (b) If line 9 exceeds$25,000,enter 50%of the excess 1.3. Total—Add lines 10(a)and(b) 1:3 4 , ('., 'estment credit—Enter amount from line 5 or line 11. whichever is lesser 171=O 9 ,7I) Schedule A your investment in 1 above was made by a partnership, estate, trust, small business corporation, or lessor, complete the following: Property Name Address - -ah,p, estate, trust, etc.) New Used Life years 4L. >,,3 I i 04lvj�.,, YE n SA L $ s- 1' 9.' $ i.a f `or to the life years used in computing the investment credit, see instruction E. • Schedules E&R--Supplemental Income Schedule AND (F11in 1040) Retirement Income Credit Computation ififf73 Department of the Treasury (From pensions and annuities, rents and royalties, partnerships, estates and trusts, etc.) - Internal Revenue Service ► Attach to Form 1040. Nam (s) as shown on Form 1040 ' Your social security numeer 'Schedule E—SupplementalIncome Schedule (Schedule R on back) Part; ` Pension and Annuity Income. If fully taxable, do not complete this part. Enter amount on Form 1040, line 33. I" For each pension or annuity not fully taxable, attach a separate Part I and enter combined total of taxable portions on line 5. 1 Name of payer 2 Did your employer'contribute part of the cost? El Yes Cl No If "Yes," is your contribution recoverable within 3 years of the annuity starting date? El Yes El No If "Yes," show: Your contribution $ , Contribution recovered in prior years . $ 3 Amount received this year 4 Amount excludable this year 5 Taxable portion (subtract line 4 from line 3) 'partiwk Rent and Royalty income. If you need more space,you may use Form 4831. Note: If you are reporting farm rental income here,see Schedule E Instructions to determine if you should also file r Form 4835. If at least two-thirds of your gross income is from farming or fishing, check this box 0• (a)Kind and location of property (b) Total amount (c) Total amount (d)Depreciation (explain (e)Other expenses if residential,also write"R" ` of rents of royalties below)or depletion (Repairs, etc.— (attach computation) explain below) 1 Totals - 2 Net income or (loss) from rents and royalties (column (b) plus column (c) less columns (d) and-(e)) ] Income or Losses from Partnerships, Estates or Trusts, Small Business Corporations. If any of the partnership, estate or trust income reported below is from farming or fishing,see Schedule E Instructions to determine if you should also file Form 4835. If at least two-thirds of your gross income is from farming or fishing, check this box 0. (h)Check applicable box (a) Additional 1st year (a) Name and address (c) Employer (d) Income or (loss) depreciation (applicable Partner• Estate Small Bus. identification number ship or Trust Corp. only to partnerships) 1 Totals ; e., .�i r 2 Income or (loss). Total of column (d) less total of column (e) )4 ,t Z.',r TOTAL OF PARTS I, II, AND III (Enter here and on Form 1040, line 31) Explanation of Column (e), Part II 11 Item Amount Item Amount Item I Amount -- -�— -^ ---_� ' edule for Depreciation Claimed in Part II Above. If you need more space,you may use Form 4562. If depreciation is computed by using the Class Life (ADR) System for assets placed in service after December 31, 1970,or the Guideline Class '`e System for assets placed in service before January 1, 1971, you must file Form 4832 (Class Life (ADR) System) or Form 5006 (Guidelire s Life System).Except as otherwise expressly provided in income tax regulations sections 1.167(a)-11(b)(5)(vi)and 1.167(a)-12,the provisions avenue Procedures 62-21 and 65-13 are not applicable for taxable years ending after December 31, 1970. • you made an election this taxable year to use ❑ Class Life (ADR) System and/or E Guideline Class Life System. 3 and guideline class (b) Data I (c) Cost or (d) Depreciation (e)Method of I allowed or allowable computing I (f) Life or (gf Depreciation riatian of property acquired other basis n prior years depreciation rate for this year `l -• nal first-year depreciation(do not include in items below) > v/v/0, hill //i // /%///m//::-/ /. 4 /� --im Form 4332 - /See Note ` above / 'i&�ii ;, // i ar Than Additional First-Year Depreciation) nr. ti,l,.ce .... the, -_ - -. - .c.: ,,;her (sp: ;y; i ,a,,., r///;!/%//i%� %%.. A%i%/% /;✓ ; / SCHEDULE SE Computation of Social Security Self-Employment Tax (Form :04-0) Each self-employed person must file a Schedule SE. �--, 41 De`.i'nent of the Treavrry ` Attach to Form 1040. In;,;rnal Revenue Service • If you had wages, including tips, of$10,800 or more that were subject to social security taxes, do not fill in this form. • If you had more than one business,combine profits and losses from all your businesses and farms on this Schedule SE. Important.—The self-employment income reported below will be credited to your social security record and used in figuring social security benefits. NAME OF SELF-EMPLOYED PERSON (AS SHOWN ON SOCIAL SECURITY CARD) Social security number of self-employed person Business activities subject to self-employment tax (grocery store, restaurant, farm, etc.) S • If you have only farm income complete Parts I and III. • If you have only nonfarm income complete Parts II and III. • If you have both farm and nonfarm income complete Parts I, II,and III. isM6 Computation of Net Earnings from FARM Self-Employment ICE A farmer may elect to compute net farm earnings using the OPTIONAL METHOD, line 3, instead of using the Regular Method, line 2, if his gross profits are: (1) $2,400 or less, or (2) more than $2,400 and net profits are less than $1,600. However, lines 1 and 2 must be completed even if you elect to use the FARM OPTIONAL METHOD. j ///j// U 1 REGULAR MENofrom:Schedule (accrual method) . . (b) Farmpartnerships i i/////////.' 2 Net earnings from farm self-employment (add lines 1(a) and 1(b)) 3 FARM OPTIONAL METHOD—If gross profits from farming are:' • (a) Not more than $2,400, enter two-thirds of the gross profits (b) More than $2,400 and the net farm profit is less than$1,600, enter$1,600 J • (f/JrJ 7/ a Gross profits from farming are the total gross profits from Schedule F, line 28 (cash method), // 4 Enter here and on line 12(a), the amount on line 2,or line 3 if you elect the farm optional method . Paitait Computation of Net Earnings from NONFARM Self-Employment 5 REGULAR METHOD—Net profit or(loss) from: (a) Schedule C, line 21. (Enter combined amount if more than one business) (b) Partnerships, joint ventures, etc. (other than farming) (c) Service as a minister, member of a religious order, or a Christian Science practitioner. (Include rental value of parsonage or rental allowance furnished.) If you filed Form 4361, check here El and enter zero on this line (d) Service with a foreign government or international organization (e) Other (director's fees, etc.). Specify 0. • 6 Total (add lines 5(a), 5(b), 5(c), 5(d), and 5(e)) 7 Enter other adjustments (attach statement) 8 Adjusted net earnings or (loss) from nonfarm self-employment(line 6, as adjusted by line 7).. . )• ) ` If line 8 is$1,600 or more OR if you do not elect to use the Nonfarm Optional Method,omit lines 9 through 11 and enter amount from line 8 on line 12(b),Part III. • Note: You may use the nonfarm optional method (line 9 through line 11) only if line 8 is less than . $1,600 and less than two-thirds of your gross nonfarm profits,' and you had actual net earn- ings from self-employment of$400 or more for at least 2`of the 3 following years: 1970, 1971, and 1972. The nonfarm optional method can only be used for 5 taxable years. 'Gross profits from nonfarm business are the total of the gross profits from Schedule C, line 3, plus the distributive share of gross profits from nonfarm partnerships (Schedule K-1 (Form 1065), line 15) as explained in instructions for Schedule SE. Also, include gross profits from services reported on lines 5(c),5(d),and 5(e),as adjusted by line 7. 9 NONFARM OPTIONAL METHOD: (a) Maximum amount reportable, under both optional methods combined (farm and nonfarm) . . $1,600 00 ;b) Enter amount from line 3. (If you did not elect to use the farm optional method,enter zero.) (c) Balance (subtract line 9(b) from line 9(a)) 10 Enter two-thirds of gross nonfarm profits or $1,600, whichever is smaller 11 Eru,r Here arrd Orr nue 12(b), the amount on line 9(c) or line 10, whichever is smaller Schedule SE (Form 1040) 1973 Page 2 • g ! . Computation of Social Security Self-Employment Tax 12 Net earnings or(loss): (a) From farming (from line 4) (b) From nonfarm (from line 8, or line 11 if you elect to use the Nonfarm Optional Method) . . 13 Total net earnings or (loss) from self-employment reported on line 12. (If line 13 is less than $400, _ you are not subject to self-employment tax. Do not fill in rest of form.) i,7 14 The largest amount of combined wages and self-employment earnings sub- �jjj� ject to social security tax for 1973 is $10,800 00 /�� j�/� 15 (a) Total "FICA"wages as indicated on Forms W-2 j j /// jj (b) Unreported tips,if any,subject to FICA tax from / / '>� � / Form 4137, line 9 / / / ,/�/ - /7 j/////� j Total of lines 15(a) and1 ///(c) e 5(b) //16 Balance (subtract line 15(c) from line 14) 1 o Pb //01/ • 17 Self-employment income—line 13 or 16,whichever is smaller IC) 18 If line 17 is $10,800, enter $854.00; if less, multiply the amount on line 17 by .08 '.') 4t 19 Railroad employee's and railroad employee representative's adjustment for hospital insurance bene- fits tax'from Form 4469 20 Self-employment tax (subtract line 19 from line 18). Enter here and on Form 1040, line 55 . . -- You may use this space to make any needed computations • • I ' *U.S.GOVERNMENT PRINTING OFFICE:1973--0-300-282 EI. 13-2GST29D �" 1 SCHEDULE A (Form 1040) Itemized Deductions t gi3'."Internal-Re of the Treasury ► Attach to Form 1040. Internal-Revenue Service Name(s) as shown on Form 1040 Your social security number ' ',�--,Y°rA _`' % O klI/Gk/4_ Mi 1.e ) Trr A- ,CI: 09 ' -.'}M to Medical and Dental Expenses(not compensated by insurance Contributions (See instructions on page 11 for examples.) or otherwise) for medicine and drugs, doctors, dentists, 21 a Cash contributions for which you L • nurses, hospital care, insurance premiums for medical care, have receipts, cancelled checks, etc. 1+ ✓ ; etc. h b Other cash contributions. List 1 One half (but not more than $150) of donees and amounts. ► „insurance premiums for medica: care. 'SO _.• - (Be sure to include in line 10 below) . _ 2 Medicine and drugs 3 Enter 1% of line 15, Form 1040 . — 4 Subtract line 3 from line 2. Enter dif- — ference (if less than zero, enter zero) . 5 Enter balance of insurance premiums — for medical care not entered on line 1 . �7z, 9/ 6 Enter other medical and dental expenses: a Doctors, dentists, etc. b Hospitals 22 Other than cash (see instructions on . c Other(Itemize—include hearing aids, page 12 for required statement) . . dentures, eyeglasses, transportation, 23 Carryover from prior years . . . . —_ 24 Total contributions (add lines 21a, b, etc.) ► 22, and 23). Enter here and on line 38 ► -al S- D 0 Casualty or Theft Loss(es) (See instructions on page 12.) _ Note: If you had more than one loss, omit lines 25 through 28 and see instructions on page 12 for guidance. — 25 Loss before insurance reimbursement . _ 26 Insurance reimbursement _ 27 Subtract line 26 from line 25. Enter difference (if less than zero, enter zero) 28 Enter $100 or amount on line 27, whichever is smaller 7 Total (add lines 4, 5, 6a, h,and c) . 29 Casualty or theft loss(subtract line 28 from ,I.....-7 '° line 21). Enter here and on line 39 . ► 8 Enter 30/0of line 15, Form 1040. . / 9 Subtract line 8 from line 7 (if less than zero, enter zero) Miscellaneous Deductions (See instructions on page 12.) 30 Alimony paid en 31 Union dues 10 Total (add lines 1 and 9). Enter here 32 Expenses for child and dependent care — • and on line 35 ► services (attach Form 2441) . . . Taxes 33 Other (Itemize) lol- 1 11 State and local income I 5 `".` a' f,.°R_ i ti d ""' 12 Real estate 1 1 a e °, C.i4s1-4o:i,ly t c 13 State and local gasoline(see gas tax tables) ) ) b • 14 General sales (see sales tax tables) ,j D 15 Personal property 16 Other (Itemize) ►.-1t':.Ar. ....;..c rtA.::. 7,9 1 ,. 34 Total (add lines 30, 31, 32, and 33). Enter here and on line 40. . . . ► .... .. --- Summary of Itemized Deductions 17 Total (add lines 11, 12. 13, 14, 15, and ^ 16). Enter here and on line 36 ► .t f 1 35 Total medical and dental--line 10 . . 4 3 I ' j Interest Expense 36 Total taxes—line 17 - . ? ! 7) 3 18 Home mortgage I -� __ �Nr__ 37 Total interest—line 20 -15 '' %:i' 19 Other (Itemize) ► — 38 Total contributions—line 24 . . . . 39 Casualty or theft loss(es)—line 29 . . 40 Total miscellaneous—line 34 . !Hi.'"). 41 Total deductions (add lines 35, 36, 37, 20 Total (add lines 18 and 19). Enter here I 38, 39, and 40). Enter here and on , ,,, _ and on line 37 ► � e �x.:�A Form 1040. line 45 ► :-7�" t,l '- -i IJ .:U 5.GUVER^.VE,T YRIVT!1U,,VF ICE '571 0 500_.74 23- 116750 wi & sii %// ivicimir' f�. May 20, 1974 Mr. Attilo P. Santisi Candlepin Lanes 18 Broadway Salem, Massachusetts A Dear Mantisi : Thank you very much for the time that you spent with me on Tuesday, May 14, 1974. In reviewing your policies I noticed that you carried only $125,000 insurance on the, building. This amount of insurance appears to be inadequate. If you had a fire at your`premises, you would only re- cover a per centage of your actual loss. Your existing rolicies contain a coinsurance clause. This clause requires that you carry insurance equal to 80% of the actual cash value of the property. We would anticipate that you property is worth somewhere around $450,000. We will obtain a quotation for you under the Bowling Program Insurance Package. Sincerely, MARSH & McLENNAN, INC. 212-7)11,, James H. Doyle Assistant Vice President JHD/sdc Marsh & McLennan Incorporated 2500 Prudential Center, Boston, Massachusetts 02199 617/536-8110 1 a0 1) \/ . „,.., ri i U.S. Partnership Return of $ncorne 11a1 FC.' CAL-"- SEA". .thr taxable ycor bc6.rr B uC:1J 6. •:,,,,,:,the T easury F.�-- i.~. . ativity Name D Employer in,'tification rio. I J i4_221y?do Cjc DEC 31 , 1973 004 L f: _ �,; KC, -1,. -_; e _ r\ S H' 1 I �I €. L ET AO T F - E 'c'r CL) e I,o.(See.,i ' -.e b of�cslructlonsi :A .'J_ L DIN LANES of instructions) .`� _, - - , ' SALEhi MA 01071 F County in which located V C Enter total assets from line r ^ C +a..a:....v i. • 13•column(Cm Schedule L -— -- - -- - G Date.business commenced r 1MPORTANT—Ali applicable lines and schedules must be filled in. If the lines on the schedules are not St.!ii .lath, s_c h,.;irl.ction P. •la Gross receipts or sales $ lb Less returns and allowance: $ . Balance► lc 2 Less: Cost of goods sold and/or operations (line 34, Schedule A) 2 3 Gross profit 3 ' - i-- Y 4 Ordinary income (loss) from other partnerships, syndicates, etc. (attach statement) I_1 _—,- . 5 Non ualif in dividends (attach list—see Instruction 5 5-I u q Y g ) 1 .t i is i::.ii 6 U . v 17 Rents (Schedule H) 7 — 8 Royalties (attach schedule) $ • 9 Net farm profit (loss) (attach Schedule F (Form 1040)) 9 10 Net ordinary gain (loss) (line 9, Form 4797) 10 ! 11 Other income (attach schedule) 11 12 TOTAL income (lines 3 through 11) 12_ ;� 13 Salaries and wages (other than to partners) 13 —7;=-7::l 14 Payments to partners—Salaries and interest 14 15 Rent . V< e.15 <d=- Ou 16 Interest (attach schedule) 16 . " 73. r,, 17 Taxes (attach schedule) 17_ 74 v 6- a+'" y- 'f) 18 Bad debts (Schedule I if reserve method is used) 18 e 19 Repairs 19 U 20 Depreciation (Schedule J) 20 7 If C) 17 L • 21 Amortization (attach schedule) 21 G 22 Depletion (attach schedule) 22 I 23a Retirement plans, etc. (other than contributions made on partners' behalf—see Instruction 2a) 23a • i 23b Employee benefit programs (see Instruction 23b) 23b ( 24 Other deductions (attach schedule) 24 ':47,. ;!s f :) 21 ! 25 TOTAL deductions (lines 13 through 24) 125 (. "'-7� MS ; .�' 26 Ordinary income (loss) (line 12 less line 25) (see General Instruction G) 126 ! "`=2, ,r,, C) t.• J4: Schscuie A—COST OF GOODS SOLD AND/OR OPERATIONS (Sec 'nstru;t;an 2) 27 Inventory at beginning of year (if different from last year's closing inventory, attach explanation) . . . 27 28a Purchases $ 28b Less cost of items withdrawn for personal use $ Balance ► 28c 29 Cost of Tabor Z9 30 Material and supplies 30 31 Other costs (attach schedule) 31 32 Total of lines 27 through 31 32 33 Less: Inventory at end of year 33 -.t Cost of goods sold. Enter here and on line 2, above i34 Method cf inventory valuation ► Was there any substantial change in the manner of determining quantities, costs or valuations between the open- ing and closing inventories? 0 Yes y No If"Yes."attach explanation. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my 1;nowi,dge and belief it is true. correct. and complete. If preoared by a person other than partner or member, his declaration is based on all information of which he has any knowledge. Frr Signature of partner or member g,! �? Py Date il 3 Signature of[re,arer other than partner or member Prepares's address ,� ,.� Emp. (dent. cr Soc. Sec. No. Date Form 1065 (1973) Page 2 Note: Any items vpecially allocated to the partners should be entered in line 16 of Schedule K instead of being reflected in the numbered lines of _ page 1 or Schedules D through J. (See General Instruction 0) Schedule D—CAPITAL GAINS AND LOSSES (See Instructions for Schedule D) EPTVTA Short-term capital gains and_ losses—assets held 6 months or less a. Kind of property and description b. Date acquired c. Data sold d. Gross sales price • e. Cost or other basis I I. Gain or(loss) (Example,100 shares of"Z"Co.) (mo.,day,yr.) I (mo.,day,yr.) and expense of sale (d less e) 1 I— i 2 Partnership's share of net short-term gain or(loss),including specially allocated items,from other partnerships and from fiduciaries • 3 Net short-term gain or (loss) frorrl lines 1 and 2. Enter here and on line 4, Schedule K of Form 1065 . ;r. flra Long-term capital gains and losses—assets held more than 6 months 4 I I I 5 Partnership's share of net long-term gain or(loss),including specially allocated items,from other partnerships and from fiduciaries - 6 Capital gain distributions 7 Net long-term gain or (loss) from lines 4, 5, and 6, Enter here and on line 5, Schedule K of Form 1065 . I Schedule H—INCOME FROM RENTS (If more space is needed Form 4831 may be used) __ . c. Depreciation ' d. Repairs e. Other expenses a. Kind and location of property b.Amount of rent (explain in (attach (attach Schedule 1) schedule) schedule) 1 Totals 2 Net income (loss) (column b less sum of columns c, d, and e). Enter here and on page 1, line 7 . . Schedule I—BAD DEBTS (See Instruction 18) b.Trade notes and accounts re- Amount added to reserve f.Amount charged g. Reserve for bad debts a.Yearc. sales on account ceivable outstanding at end of year d.Current year's e. Recoveries against reserve at end of year provision — 1968. 1969. 1970. 1971, 1972. 1973. Schedule J—DEPRECIATION (See Instruction 20) If more space is needed use Form 4562. Note: If depreciation is computed by using the Class Life (ADR) System for assets placed in service after December 31, 1970, or the Guideline Class Life System for assets placed in service before January 1, 1971, file Form 4832(Class Life(ADR) System or Form 5006(Guidelines Class Life System)). Except as otherwise expressly provided in income tax regulations sections 1.167(a)-11(b)(5)(vi) . and 1.167(a)-12, the provisions of Revenue Procedures 62-21 and 65-13 are not applicable for taxable years ending after December 31, 1970. Check box if partnership made an election this taxable year to use n Class Life (ADR) System and/or ❑ Guideline Class Life System. a. Group and guideline class 1 b. Date e. Cost or 1d. Depreciation e. Method of f•Life or g.Depreciation for p or description of property acquired other basis allowed or allowable I in prior years depreciation computing rate this year 1 Total additional first-year depreciation (do not include in items below). (Enter here and on line 2 of Sch K) ' I I 2 Depreciation from Form 4832 ' 3 Depreciation from Form 5006 !-_-_-__x__:_:____ ,, -// 4 Other depreciation: ...1,-;-,-r,y y'. , F ) .,,.y i.•a r' - -� Buildings 1y=Y r Ja a 1! ' \j A, •? I ' r 'r '-f r x Furniture and fixtures w'( `•-:) i .'' .. s�� -�-- -'s, ='-f=• Transportation equipment - , . x • � ,• -. a Machinery and other equipment ,, 1. 1 1 :"' ' �` r Other (specify) •• .; I ,. ) 5 Totals 6 Less amount of depreciation claimed in Schedules A and H 7 Balance—Enter here and on page 1, line 20 ' ' ' SUMMARY OF DEPRECIATION (Other than Additional First-Year Depreciation) gum of the Units of Straight line Declining `tner(specify) Total balance years•drgits production 1 Depreciation from Form 4832 _ I _. 2 Depreciation from l , Form 5006 I. 3 Other . . I I Form 1065 (19731 Page 3 Schedule R—PARTNER'S SHARES OF INCOME, CREDITS, DEDUCTIONS, ETC. Enter the total distributive amount for each applicable item listed below. Note: Each partner's distributive share of partnership items will be entered on Schedule K-1. List the number of partners in the partnership Partnership's distributive share items Total 1 Salary, interest, and ordinary income (loss) (total of lines 14 and 26, page 1) =3C S—,16 • 2 Additional first-year depreciation (line 1, Schedule J) 3 Dividends qualifying for exclusion (attach list) 4 Net short-term capital gain (loss) (line 3, Schedule D) 5 Net long-term capital gain (loss) (line 7, Schedule D)C 6 Net gain (loss) from involuntary conversions due to casualty and theft under section 1231 (line 2, Form 4797) 7 Net gain (loss) from sale or exchange of property used in trade or business and certain involuntary con- versions under section 1231 (line 4, Form 4797) 8 Net earnings from self-employment (line 9, Schedule N) 9 Contributions (attach list) 10 Expense account allowance 11 Foreign taxes (attach schedule) 12 Taxes paid by regulated investment companies on undistributed capital gains (attach schedule) 13 Payments by partnership to retirement plan on behalf of partners 14 Investment in property: Property Life years (a) 3 or more but less than 5 New property (b) 5 or more but less than 7 (enter basis) r (c) 7 or more l--f<;` ice.=' (d) 3 or more but less than 5 Used property (e) 5 or more but less than 7 (enter cost) • (f) 7 or more • 15 Other (specify) 16 Specially allocated items (attach schedule): (a) Short-term capital gain (loss) (b) Long-term capital gain (loss) (c) Ordinary gain (loss) • (d) Other 17 Tax preference items: (a) Accelerated depreciation on real property (1) Low-income rental housing (section 167(k)) (2) Other real property (b) Accelerated depreciation on personal property subject to a net lease (c) Amortization of certified pollution control facilities (d) Amortization of railroad rolling stock (e) Amortization of on-the-job training facilities (f) Amortization of child care facilities (g) Reserves for losses on bad debts of financial institutions (h) Depletion (i) Capital gains (losses): (1) Short-term (total of lines 4 and 16(a)) (2) Long-term (total of lines 5 and 16(b)) '`Each partner must be notified as to the amount of his distributive share of long-term capital gains that may qualify as "subsec- tion (d) gains," see section 1201(d). . Form 1065 (1973) Page 4 Schedule L-BALi;NCE SHEETS (See General Instruction J) i Beginning of taxable year I End',of taxable year ASSETS (A) Amount T - — -- mount (B) Total (C) Amount ! (D) Total: 1 Cash 3 r J _ 3_ _3�-'�21__ 2 Trade notes and accounts receivable . . i • i r (a) Less allowance for bad debts . . . - i ^C7 Ub 7 .-) 3 Inventories , 4 Gov't obligations: (a) U.S.and instrumentalities i 1 (b) State, subdivisions thereof, etc. . . . 5 Other current assets'(attach schedule) . . L 6 Mortgage and real estate loans i 7 Other investments (attach schedule) . . . . t ' • 8 Buildings and other fixed depreciable assets . __�;:r_/ ;•5 ! - ''_""` Si !, (a) Less accumulated depreciation . . . . 1 1 7• `" w,' -_ t't;1`'7 Z. 'X'`" .77; 3_1955.:_ 9 Depletable assets (a) Less accumulated depletion _f 10 Land (net of any amortization) j _ ?:.3. ,,:1 L •j I �"•`- -� 11 Intangible assets (amortizable only) . -__. ' 1 -. (a) Less accumulated amortization . . i 12 Other assets (attach schedule) »; 7: .a 9 !7 _ d`''' / 13 Total assets / eW "'w" 4." ih., 1--:"'. LIABILITIES AND CAPITAL G. _` 14 Accounts payable �y_ •--- - 15 Mortgages, notes, and bonds payable in less than 1 year . rl, .`a ti `-'.?. ,. ` 16 Other current liabilities (attach schedule) . . - .- `-'' :7'k 3 '? -^,.. 17 Mortgages, notes, and bonds payable in 1 year or more 18 Other liabilities (attach schedule) 19 Partners' capital accounts ci•',"7 ? 1_ ' 20 Total liabilities and capital !.1 e) =: '4-1 Schedule M—RECONCILIATION OF PARTNERS' CAPITAL ACCOUNTS (See Instruction for Schedule M) (Show reconciliation of each partner's capital account on Schedule K-1) Number a. Capital account at b. Capital contributed C.Ordinary income d. Income not included e.Losses not included f Withdrawals and g. Capital account of p (loss)from line 26, in column c plus non- in column c, plus partners beginning of year during year . page 1 taxable income unallowable deductions distributions at end of year — rt-,n- , ---_- Schedule N—COMPUTATION OF NET EARNINGS FROM SELF-EMPLOYMENT (See Instruction for Schedule N) 1 Ordinary income (line 26, page 1) d 0'S 1,„' 2 Add: Payments to partners—salaries and interest (line 14, page 1) 3 Net ordinary loss (line 10, page 1) 4 Total - `_" ; 5 Less: Nonqualifying dividends (line 5, page 1) 6 Interest (see instruction for Schedule N) . 7 Net rentals from real estate (see instruction for Schedule N) 8 Net ordinary gain (line 10, page 1) . 9 Net earnings from self-employment. Enter on line 8, Schedule K I Yes No Yes too H Did the partnership, at any time during the taxable year, 1 K Is any member of the partnership a trust for the benefit of have any interest in or signature or other authority over a any person related by blood or marriage to any other mem- bank, securities or other financial account in a foreign ber? country? . . . . . . . . . . L Did the partnership, during the taxable year, have any con- If "Yes," attach Form 4683. (For definitions see Form tracts or subcontracts subject to the Renegotiation Act of 4683.) x 1951? If"Yes,"enter the aggregate gross dollar amount billed dur- 4' I Was the partnership liable for filing Form 1096 for 1973? . —irrg the year rib -_$ ► If "Yes," where filed? - M Did the partnership claim a deduction for expenses con- -— —.- nected with: . (1) Employee or family vacations not reported on Form W-2? ---H-- (2) Entertainment facility (boat, resort, ranch, etc.)? . . I • Is any member or the partnersnlp related by Dionor mar- i< ---1-= riage to 2r•y other member? (4) living arrnmmodhtionc(except employees on business)? ( i;., *us.GOVERNMENT PRINTING OFFICE:1973—O-500-_70 1 SCHEDULE K-1 Partner's Share of Income, Credits, Deductions, etc.-1973 Copy A -(Form 1065)` For calendar year 1973 or fiscal year 1 (File with Form Department of the Treasury beginning 1973, ending 19 1065) w Internal Revenue Service (Complete for each partner—See instructions on back of Copy C) I c. Form 1040 filers enter col. b amount as indicated below. All utter a. Distributive share item b. Amount filers (1041, 1120, etc.) enter col. b amount in corresponding line of that form. 1 Salary, interest, and ordinary income (loss) = r_____2�.tJ:�_!�"!_;1_- r Sch. E,Part III 2 Additional first-year depreciation ( Sch. E,Part III 3 Dividends qualifying for exclusion Line l0a 4 Short-term capital gain (loss) Sch. D, line 2 5 Long-term capital gain(loss) Sch. D,line 9 6 Involuntary conversions gain (loss)—casualty and theft Form 4797,line 1 7 Other gain (loss)—from property under section 1231 _ Form 4797,line 3 ` 8 Net earnings from self-employment 1 �� "y-�i•--•> ! Sch. SE, Part I or Part II 9 Contributions Sch. A, line 21 or 22 10 Expense account allowance ' % /i'/,'4 11 Foreign taxes (attach schedule) Form 1116, or Sch. A, line 16 12 Taxes paid by regulated investment c^mpany Line 54,add words"irom 1065" 13 Partnership payments to retirement plan for partners Line 42(See Form 4848) 14 Basis of (a) 3 or more but less than 5 years Form 3468, line 1(a) new investment (b) 5 or more but less than 7 years Form 3468,line 1(b) property (c) 7 or more years l r _ 5..E. �-j- h__. Form 3468, line 1(c) Cost of (d) 3 or more but less than 5 years Form 3468,line 1(d) used investment (e) 5 or more but less than 7 years - Form 3468,line 1(e) property (f) 7 or more years Form 3468,line 1(f) 15 Other (specify) Enter on applicable lines of your return 16 Specially allocated items: (a) Short-term capital gain (loss) . . . . Sch. D,line 2 (b) Long-term capital gain (loss) . . Sch. D,line 9 (c) Ordinary gain (loss) Form 4797, line 8 (d) Other Sch.E,Part III 17 Tax preference items: �jjjj' j��;�j% ,,��////////%���//X (a) Accelerated depreciation real property: (1) Low income rental housing . Form 4625,line 1(a)(1) (2) Other real property Form 4625,line 1(a)(2) (b) Accelerated depreciation personal property subject to net lease . . Form 4625,line 1(b) (c) Amortization of pollution control facilities Form 4625, line 1(c) (d) Amortization of railroad rolling stock _ Form 4625,line 1(d) (e) Amortization of on-the-1eb-training facilities - Form 4625, line 1(e) (f) Amortization of child care facilities Form 4625,line 1(f) • (g) Reserves for losses on bad debts of financial institutions - Form 4625,line 1(h) (h) Depletion - Form 4625,line 1(i) r) Capital gains (losses) (1) Short-term // %i j � � (2) Long-term /� �� i RECONCILIATION OF PARTNER'S CAPITAL ACCOUNT a. Capital account at b. Capital contributed c. Ordinary income d. Income not included e. Losses not included f. Withdrawals and g. Capital account beginning of year during year (loci from line 26, in column c plus non- inl column plusdistributions at and of year g page 1 taxable income unallowable deductions ducctitions i Partner's social security or Partnership's identifying number .. - .., .. ''_ s employer identification number► --_ -'.,_7' .� '^ Partnership's name, address, and ZIP code , • Partner's name, address, and ZIP code ` ,Ar`v"Is! 4 RI C -', • 1--,-,) " :„ ,•, J\,)it'to CtF�c'• 1 : C• , t,� fir .. . r� ^r `fit} r r 1 A 19d Li., , Enter partner's ' Profit Time aevoted percentage of: I sharicig ► �;. % to business ► ' "}% Internal Revenue Service Center where t;,.: ;artners'rtip files its Is partner a nonresident alien? . . . . 1 1 Yes h',.1 No return . • . L — w-- 1 SCHEDULE K-1 Partner's Share of Income, Credits, Deductions, etc.-1973 "(Form 1069 . ,. For calendar year 1973 or fiscal year Copy A • (File with Form Department of the Treasury beginning , 1973, ending , 19 1065) Internal Revenue Service (Complete for each partner—See instructions on back of Copy C) f c. Form 1040 filers enter col. b amount as indicated below. All other a. Distributive share item b. Amount filers(1041, 1120, etc.) enter col. b 1 amount in corresponding line of that form. 1 Salary, interest, and ordinary income (loss) __)_,__,.4..;.-_,._ Sch.E, Part III 2 Additional first-year depreciation Sch. E,Part III 1 3 Dividends qualifying for exclusion Line 10a 4 Short-term capital gain (loss) Sch. D,line 2 5 Long-term capital gain(loss) . Sch. D,line 9 1 6 Involuntary conversions gain (loss)—casualty and theft . Form 4797,line 1 7 Other gain (loss)—from property under section 1231 . Form 4797,line 3 8 Net earnings from self-employment 0� i, , ;! Sch. SE, Part I or Part II 9 Contributions Sch. A, line 21 or 22 10 Expense account allowance %-//7j „ .// 11 Foreign taxes (attach schedule) Form 1116, or Sch. A, line 16 12 Taxes paid by regulated investment company Line 64,add words"from 1065" 13 Partnership payments to retirement plan for partners Line 42(See Form 4848) 14 Basis of (a) 3 or more but less than 5 years Form 3468, line 1(a) new investment (b) 5 or more but less than 7 years Form 3468,line 1(b) property c) 7 or more years � ' Ca '" ( ;,t _ '?:___4_ Form 3468, line 1(c) Cost of (d) 3 or more but less than 5 years . Form 3468,line 1(d) used investment (e) 5 or more but less than 7 years • Form 3468, line 1(e) property (f) 7 or more years Form 3468,line 1(f) 15 Other (specify) , Enter on • applicable lines of your return 16 Specially allocated items: (a) Short-term capital gain (loss) . . . . Sch. D,line 2 (b) Long-term capital gain (loss) - . . . Sch. D,line 9 (c) Ordinary gain (loss) Form 4797, line 8 (d) Other Sch.E,Part III 17 Tax preference items: (a) Accelerated depreciation real property: (1) Low income rental housing - Form 4625,line 1(a)(1) (2) Other real property - Form 4625,line 1(a)(2) (b) Accelerated depreciation personal property subject to net lease . . Form 4625,line 1(b) (c) Amortization of pollution control facilities - Form 4625, line 1(c) (d) Amortization of railroad rolling stock Form 4625,line 1(d) (e) Amortization of on-the-job-training facilities . Form 4625, line 1(e) (f) Amortization of child care facilities Form 4625, line 1(f) (g) Reserves for losses on bad debts of financial institutions - - Form 4625,line 1(h) (h) Depletion - Form 4625,line 1(i) (i) Capital gains (losses) (1) Short-term i ;;.;'4; - '% (2) Long-term % %i > / ,! RECONCILIATION OF PARTNER'S CAPITAL ACCOUNT c. Ordinary income d. Income not included e. Losses not included a. Capital account at b. Capital contributed (loss) from line 26, in column c plus non. in column c, plus f. Withdrawals and g. Capital account beginning of year during year page 1 taxable income unallowable deductions distributions at end of year c r.' r v 1 ) f -) . r, ,. t ,. r Partner's social security or Partnership's identifying number It. —•__ . •.. ` -, • employer identification number► 0),0— 11— .. 2 Partnership's name, address, and ZIP code s • Partner's name, address, and ZIP code ;�';"j a: `f" 't i &T"•t`-- 1-,.,* ,;: '-- Al.E1' j.. a " 4 0I '.D Enter partncr's I o...ft I Ti,.,,, ricvct„a • r I A'=:,a I i percentage of:V I sharing d►,y i, % I to business r►,'r % Internal Revenue Service Center where the partnership files its Is partner a nonresident alien? . . . . I I Yes I'-J No return P A t,( ,:g= c_-!: ;;47 1. i • ,. . .. . . cAND LEV I/4 , Su PPriNc- Sci4e6uLr Li77; , > - Av- c; I I 1 -Re-4 L E sTATE- _2 iiii• •rol --11,- i 1 EN El 3 PERZOH4 * : el ' 4:.‘ 1 IMMIIIM i ce) Ill I Mill 4 Nommunsi t2!,57 oi• Inman.' Or I.4 .C.-f OF0*I r77N-kr 11111111111. I MEM III _Re_i.t., A II 1 7 WITEIL_ 1 _12.1 _77.4 ---i-- 8 13.414_K_Seltv..ClictEVV V /t 1 1 9 Ps____)ST4 V o IVI 1 t C EL L p,i ED tg EX 0 eNcit- 1 1111i5t li Egttittvms IZENT4L • 2 DF_Fictr" X?C'7,1,sc-k• k 4.(trisextyg4r- _ ‘i31 3 7 1[1, 3 LEG4L+ACC.0 4 orri ri. - i 11.4S-"— 1 , 4 **Rd ET:R_oot-t St4PpLifkr 1?.7 0? -4 I 5 IY I C:ETiti6--1- Coif./\kx-irke.fri 58,?4- , 6 '1;LEP;Div e- x page- 54. 6.1 , 17 ?RIZ Cs A ht JVVP,41P.,rV . i VVcb7 1 8 L I CE-NSIS+-Pvityi rAn __ ris0 ' DL4EiZ. + S 4135C1UFT/ota tiro* 1 1 , i 9 7530 2 :I _..... LE\s% 1)/zorior7or, 11 ?) ik3 I VVV .2 .2 - kIRA Nc-C EXPN r _ Z42 S 70 - VVVn : 1 -134aLix/S-- SLOPi - *3 414tAs .. 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