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3 A WINTER ISLAND ROAD -.11111 rAP NO. LOT NO. PROPERTY RECORD CITY OF SALEM (WARD &PRECINCT) CARD N . • MEMORANDA RECORD OF OWNERSHIP PHOTO DATE BOOK PAGE Q 1.0„u,iE� /S2„274,.0 /F�aC NUMBER 44 0013 0E103A i INTER ISLAND ROAD 05348 e. gy�f I)" it',7] 07EI HOMiS MARIE E • 67 CA TILL ¢HILI" o. •. 3 iviINT ER I SLA tD RE 315 SALEM MA 0I970 0.00 m fri yt,f C. /AL 5 _93 97 ���]�r (� VERIFICATION OF INSPECTION / G Ah'/q G:4' S'o Q IXJV✓,i �/ ?.�v./a: -' 0 3 G - o y -ri4- /o eS e. '(NE --IfASSESSMENT RECORD 1975 19 19 19 19 19 I 19 19 19 19 APPEAL DATA DWELLING I GARAGE Granted Appeal pea l Denied SWIM POOL Value Land APARTMENTS Change Building CONDO COMM OR IND TOTAL VALUE BUILDINGS TOTAL VALUE LAND TOTAL VALUE LAND &BUILDINGS Phys. Func. CONSTRUCTION Size Area Class Age Remod. Cond. 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 — 54/*tr..1 ' — / 41c A �, A . 000OLr _ , / tA et PHOTOGRAPH - • PERMIT COMP. DATE Total 1,4p a LAND VALUE COMPUTATIONS Square Unit Unit Square Ft. corner Depr.% Footage PriceIntl Total Value 3 9 6 7 10 11 14 15 % 17 18 Price 23 24 25 26 32 33 34 35 41 RENTAL EXPENSE ITEMS 7 PROPERTY INFORMATION VACANCY • LAND COST HEATING BLDG.COST WATER SALE PRICE 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 Water B Dirt Street F Low j Total Value Buildings I Gas C Paved G Level K 66:0TAL FLAT EXPENSES Total Value Land and Buildings 4AlliTOTAL Elec. D No Sidewalk H BUILDING RECORD WHIPPLE,MAGANE AND DARCY CO,NTROL,No. , I MEASURED BY I. I I DATE LISTED BY I I I DATE 15 80 SEMI MOD KIT MOD BATH BLOCK LOT EXEMPT BLOCK LOT CLASS SEMI MOD BATH COMPUTATIONS 1 1 I I I I I I I 1 l I I I I I I I • I I TSTOREFRONT AREA 6-1 7 11 12 16 17 20 FIRE PROOF CONST NO. OR UNIT TOTAL SERIAL II DATE II i BUILT T IL— I SHEET , OF , MILL CONST ITEM OTY COST J U REINF CONC BEAMS&COLS 21 26 27 32 34 STEEL FRAME ' EXTERIOR WALL VARIATIONS STEEL BEAMS&COLS DESIGN STEEL TRUSSES RANCH 1. Common Brick V/F 5. Face Brick V/M STEEL OR BAR JOIST 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 ADDITIONS OR DEDUCTIONS COLONIAL 4. Common Brick V/M SPRINKLER SYS CAPE COD TYPE STORIES LINEAL FEET PASS ELEV CONDO LJ 1 _ ' 1 I FREIGHTELEV CONVENTIONAL 35 36 37 38 40 MODERN FINISHED ATTIC OR SECOND FLOOR FLOORS 5 RAISED RANCH _ B 1 2 3 SINGLE FAMILY Cement FAM. FLAT Fin.Area 43 I I I 146 Hardwood Pine FAM. DUPLEX Fin.Attic% 47 I I I 150 Single Fl. FAM. CONV. Unfinished Yz Story% 51 L I I 153 Asph.Tile COMM. APARTMENTS DORMERS Wood Joist NUMBER SIZE NUMBER SIZE Reinf. Conc.TOTAL No.of Fam. (50) INDUSTRIAL I _II' L1J ' FOUNDATION 54 55 56 57 58 59 60 61 . CONCRETE BASEMENT AREA CEMENT BLOCK Rec.Room%I • I ILL I IWI 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 I I I I39 STORIES WIDTH LENGTH AREA FULL-% STONE No Concrete Floor ❑ 69 I-I I I I I I I I I I I I 1 • I I TOTAL CAP IMPROV $ I I I I I I I 159 40 41 4243 4445 46 49 50 52 ROOFING Dry Wall ❑ 2 Plaster ❑ I • I I I I I I I I I I I 1 • I I COST CONVERSION 2 3 4 5 6 7 8 11 12 14 FACTOR ASPHALT,ASBESTOS Air Cond. 0 4 Percent I ■ I I 1 DATE 621 1 I I I65 REPLACEMENT WOOD SHINGLES 5 6 7 1 ■ II. I I L_LI I I I I I 1 • II VALUE SLATE BATH ROOMS 27 28 29 30 31 32 33 36 37 39 PHYSICAL DEP. TAR &GRAVEL FIXTURES NO. FLOOR WAINS BOTH I • I LL L� I I I I I 1 • I I L_J I I 1 2 3 40 41 42 43 44 45 46 49 50 52 VALUE COMPOSITION 8 9 (10) BUILT IN PORCH PATIOS FUNCTIONAL OR SHED DORMER LF U U 1 2 3 TYPE STORIES WIDTH LENGTH AREA Type Width ILLeenggth Area _ ECON, OBS. , PICTURE DORMER LF 11 12 (13) E 0 G (53) L W I I I I I I I 1 2 CARPORT7 CEMENT yp W 2 3 4 5 6 thI 1 1 8 1 9 EXTERIOR WALL TYPE LI LI 1 2 3 54 55 56 57 58 59 60 61 62 A. FRAME WITH WOOD, 14 15 (16) 3 OTHER L W I i I I I I ASBESTOS,STUCCO, r FIREPLACES WIDTH LENGTH AREA 10 11 12 13 14 15 16 17 SUMMARY OF APPRAISED VALUE ALUM,SIDING (19) I 1 ON 1 L 20N 1 U BUILT IN GARAGE I I I I I I l I I I BAY WINDOWS NO.1 I I STORIES I I I 25-26 27-28— PRINCIPAL BLDG. 18 19 20 21 22 24 B. CONCRETE BLOCK BSMT (No.of Cars) 1 0 2 0 3 0 25 PORCHES MISCELLANEOUS ADDS OR DEDUCTS APPRAISAL $ CODE DOLLAR AMOUNT OTHER PRINCIPAL ON TILE-STUCCO ON HEATING 26 ROOMS B 1 2 3 TYPE STORIES WIDTH LENGTH AREA BLOCK OR TILE (19) E E 0 G (33) I I I W I I I I I I I 43 I I I 146 46 I I I I 149 BLDGS.APPRAISAL $ 0 0 NONE Living ACCESSORY BLDGS. C. BRICK OR STONE34 35 36 37 38 39 40 42 1 OFORCEDHOTAIR Dining E 0 G (50) 1 I I I 11 1-1-1 1-1-1-1 so I I j62 63l I I _I j66 APPRAISAL $ VENEER (19) I— 2 OSTEAM 1 PIPE Bed 51 52 53 54 55 56 57 59 TOTAL BLDG. D.SOLID BRICK OR 3 ❑FLOOR OR WALLI Kitchen E 0 G (2) �J I-I I I I I I I I I 12 I I I 114 161 II I 118 APPRAISAL $ STONE (19) Rec. Rm. Finish 3 4 5 6 7 8 9 11 TOTAL LAND — — — 4 ❑CeilingRadiantElec., Width ATTACHED GARAGE Physical DeprOver . 191 I 120 APPRAISAL OTHER 5 0 Baseboard Electric Apts. 231 I 124 251 I 126 271 I I 129 LJ30 Economic Obs. 211 1 122 $ Office TOTAL APPRAISED 6 ❑Floor Radiant Elec. VALUE $ 7 0Floor Radiant Hot , Stores Other Accessory Bldgs 3I I I I Water 8 0 Gravity-Pipeless 9 0 Steam 2 Pipe Total Land Value 421 I I I I I I 148 _....Ai ,--- - iJi-c / 7 % �/\,07, MAP V` LOT .vim' /-3 APPLICATION FOR REVIEW OF REAL ESTATE ASSESSMENT . Address of Property 3 to..,.11 t 4:.:r-. .. 1.5.. L..% r1,.4. . .. .... • Owner on January 1, 197 4 _..M. .Q441 /. J 1F 3• pv.i.\\.0 , iA. 4 Year Land was Purchased \ck*,,i' Amount Paid _ a O.0,P Q Year Land and Bldgs. Purchased .1.C1.`a y" Amount Paid Is\ Ir.p Q..., Q0 Approximate Age of House _....., .tA Original Cost, if Known Approximate Age of Other Bldgs. if0 Original Cost, if Known Give the approximate cost of any other improvements or alterations not included above: i Year Installed'3\? ...L.....Q.. .....N.CA.I..- " 1° .%... Costt.. . ,5...0....C.1 '41 l; . .;ts of Improvements airdi... .... .....1 11117641 t1 ( /....CV 111" n 1 ... . . -A 6. 6Q O , Qua L. the costs given above include the value of all labor and materials necessary to complete the construction? If not, please explain V\cic.• Were the buildings constructed by a contractor or by he owner? Q..vv,r> - po . • ',c total Fire Insurance coverage on the buildings i .....3..0 ..o..6.o.•• '; rentals received per Month . QV") CA.) \ '4,,, ri .. 1 :::sent Mortgage on the property is Q :H. 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 wish to be considered. +.,... 64Amekk . Asi. -v.@k .,;,.. x.. ,.. . .. .. ....... .. ..11061\c)ttri:mistAiN n Li Signed. .. W 1 .&A .•...��..� �`.'e Date \.:a,,..l..\.k.F\\A l�2 Y!cl )1 70 /J G2/s - Da 57i)rL zs t - /! / a L C .La>,0/ a /2 0� �z i S h c�- �.. - -Low � d -4n 6)voin.use, 0 t Ps A .he 7izor, Used "71D Seton1—Ne f.DX E • p xvhe►1 71ot �►�,Cin� �h�� v Lk.tis RECOM- INTV NO. MENOATIONS NC CM REV INSP INS BY REV. BY NC CM + ♦C JI GZ Oi" uE intiffe 1Department of the Treasury—Internal Revenue Service Individual Income Tax Return /3 _073 For the year January 1—December 31, 1973, or other taxableyear [,e,;,anin.; rr-- / e 1973, enttin5 19 Name (If taint return,give frr,t names and initials of both) List name i— COUNTY OF I Your social security number RESIDENCE -t-+ILIP k Cli iGI 11\11 PI CIxi-ii. I 0 t 185187 • Present home address(Number and street, including apartment number,or rural route) k 5 5�:X Spouse's social security no. - �I UEL FkY RC r, _ City, town or post office, State and Zlf code ' 7 1 4(]tt`3 Occu- Yours ► HGAI SIGR,':,GE • b. Aual r=t- j+f1 MA1,C. :i c ,,i4,1 patron Spouse's ► N11llS[EW1Ft- Filing Status--check only one: Exemptions 1 � Single P Regular/ 65 or over / Blind 6a Yourself 1 Enter 2 .iA Married filing joint return (even if only one had income) b Spouse . . 1 number 6-1 of boxes 3 ❑ Married filing separately. If spouse is also filing give L�J !I checked ► 2 social security is, above arid enter full name here ► c First names of your dependent children C.Hit.I ` {INE 4 1-1 (Unmarried Head of Household —l__ 5 ❑ Widow(er) with dependent child (Year spouse died)► 19 1,d Number of other dependents (from line 27) ► — • 7 Total exemptions claimed ► — 8 Presidential Election Campaign Fund.—Check ❑ if you wish to designate $1 of your taxes for this fund. If joint return, check Li if spouse wishes to designate $1. Note: This will not increase your tax or reduce your refund. See note below. r 9 Wages, salaries, tips, and other employee compensation. unavaila ble, aiimn Wexplanaf tion) 9 I` .o 10a Dividends$ , 10b Exclusion $ Balance ► 10c cl 0 line a S 10d (Gross amount received, if different from l0 _ ) — N 11 Interest income 11 4G 15 E — 12 Income other than wages, dividends, and interest (from line 38) 12 11510 Li. 13 Total (add lines 9, 10c, 11, and 12) 13 15 25 _ . 0 14 Adjustments to income (such as"sick pay,"moving expenses,etc. from line 43) 14 m 15 Subtract line 14 from line 13 (adjusted gross income) 15 aI 15a15 3 • 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. .c 16 Tax, check if from: Tax Tables 1-12 _ Tax Rate Schedule X, Y, or Z ca A :~ Schedule D Schedule G Form 4726 IOR❑Form 4972 16 1 i755 — as 13 17 Total credits (from line 54) 17 Ej 18 Income tax (subtract line 17 from line 16) 18 1 c 55 19 Other taxes (from line 61) 19 5tiE3 R - 20 Total (add lines 18 and 19) 20 2tO3 rn 21a Total Federal income tax withheld (attach Forms %W,,/i /%� '; // // W-2 or W-2P to front) 21a _ /��i�,, ���,; �j� �- E b 1973 estimated tax payments (include amount %%,;W 2% a� oa allowed as credit from 1972, return) b �� % ��� ,= c Amount paid with Form 4868,Application for Automatic %' ' / ; s Extension of Time to File U.S. Individual Income Tax Return /�/ ,•,/ / = c d Other payments (from line 65) d /j/i' <`1 /;- 22 Total (add lines 21a, b, c, and d) I � 1 on I v 22 J1 [1O d fay in full with return. Make check or money order paysble c 23 If line 20 is larger than line 22, enter BALANCE DUE IRS to Internal Revenue Service b. 23 I al, gN,7 (Check here la. ❑ , if Form 2210, Form 2210F, or statement is attached. See instructions on page 8.) U 24 If line 22 is larger than line 20, enter amount OVERPAID lb. o @ `. 25 Amount of line 24 to be REFUNDED TO YOU ► 25 CO 26 Amount of line 24 to be credited on 1974 esti I '/-/ /� mated tax /��j �/ / v ► 26 /,�ii/ "" % c Note: 1972 Presidential Election Campaign Fund Designation.—Check II) if you did not designate $1 of your taxes on your 1972 return, but now wish to do so. If joint return,check❑ if spouse did not designate on 1972 return but now wishes to do so. 0 a Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true,correct,and complete. Declaration of preparer(other than taxpayer)is based on all information of which he has any knowledge. d Sign •f, here i U 0 a Preparer's signature (other than taxpayer) d Your signature Data Date Ji7Hty J JENhINGS 56 CENTRAL AVE LYNN MASS J1901 /i1ile s (husband sl signature(if tiling jointly. Patti mist sign even CC Q V V V U 0 0 it only one had income, L Is- r w - — _.....�� SCHEDUkE A (Form 1040) '' Itemized Deductions f]g73 C,epartment of the Treasury Ir:ern41 Revenue S,rvlce ► Attach to Form 1040. t!aim''sj as shown on Form 1040 Your social security number Pl- 1LIw' Vi CAROLINE b CAii ILL O331t:5182 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 nurses, hospital care, insurance premiums for medical care, 4:70 etc. have receipts, cancelled checks, etc. _ 1 One half (but not more than $150) of b Other cash contributions. List insurance premiums for medical care. 150 donees and amounts. ► (Be sure to include in line 10 below) 2 Medicine and drugs — 3 Enter 1% of line 15, Form 1040 155 4 Subtract line 3 from line 2. Enter dif• 105 ference (if less than zero, enter zero) . — 5 Enter balance of insurance premiums 431 for medical care not entered on line 1 . 6 Enter other medical and dental expenses: a Doctors, dentists, etc. i 941 — 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 etc.) IN. 24 Total contributions (add lines 21a, b, 22, and 23). Enter here and on line 38 ► 400 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 _ 29 Casualty or theft loss(subtract line 28 from 7 Total (add lines 4, 5,6a, b,and c) . . 245 7 line 27). Enter here and on line 39 . ► 8 Enter 3% of line 15, Form 1040. . . 466 Miscellaneous Deductions (See instructions on page 12.) 9 Subtract line 8 from line 7 (if less than 30 Alimony paid zero, enter zero) 1991 _ 31 Union dues 10 Total (add lines 1 and 9). Enter here 32 Expenses for child and dependent care and on line 35 ► , 141 Taxes services (attach Form 2441) 33 Other(Itemize) lo- ll State and local income 344 12 Real estate 9 9 — 13 State and local gasoline(see gas tax tables) --(Jr_ SEE All ACMCD 35 14 General sales (see sales tax tables) . 47 o- 15 Personal property 16 Other (Itemize) ► 34 Total (add lines 30, 31, 32, and 33). Enter here and on line 40. . . . ► 35 17 Total (add lines 11, 12, 13, 14, 15, and Summary of Itemized Deductions A 16). Enter here and on line 36 . . ► 1447 35 Total medical and dental—line 10 . 214I Interest Expense 36 Total taxes—line 17 144T 18 Home mortgage 37 Total interest—line 20 19 Other (Itemize) ► — 38 Total contributions—line 24. . . . 400 39 Casualty or theft loss(es)—line 29. 40 Total miscellaneous—line 34 . . . 3 5 _ 41 Total deductions (add lines 35, 36, 37, 20 Total (add lines 18 and 19). Enter here 38, 39, and 40). Enter here and on and on line 37 ► Form 1040, line 45 ► 4023 *US.GOVERNMENT PRINTING OFFICE I973-0-500-049 16-82343-3 .iYGl _ __ CAHILL PH ILIP In Form 1040 (1973) (a) NAME y+'� Page 2 y. (b) Relationship (c) Months lived in y�.. • (d) Did de- (e) Amount YOU (f) Amount fur- home. If horn or d,, pendent have furnished for de- nished by OTHERS L C during year, write n or income of pendent's sup- including depen- C $750 or more" port. If 100 dent. "' write ALL. E.-; E. 0 $ $ 27 Total number of dependents listed in column (a). Enter here and on line 6d [Man Income other than Wages, Dividends, and Interest 28 Business income or (loss) (attach Schedule C) 28 29 Net gain or (loss) from sale or exchange of capital assets (attach Schedule D) 29 6L49 30 Net gain or (loss) from Supplemental Schedule of Gains and Losses (atLich Form 4797) 30 31 Pensions, annuities, rents, royalties, partnerships, estates or trusts, etc. (attach Schedule E) 31 32 Farm income or (loss) (attach Schedule F) 32 — i 33 Fully taxable pensions and annuities(not reported on Sohedule E—see instructions on page 8) 33 34 50% 46G1 of capital gain distributions (not reported on Schedule D) 34 35 State income tax refunds (sstanda d d duction fueothersfoseee inr structio s Yon tookpage8 the) - 35 36 Alimony received 36 • • 37 Other (state nature and source) ► • 37 — 38 Total (add lines 28, 29, 30, 31, 32, 33, 34,35, 36, and 37). Enter here and on line 12 . . ► 38 — Part II Adjustments to Income 11510 39 "Sick pay." (From Forms W-2 and W-2P. If not shown on Forms W-2 or W-2P,attach Farm 2440 or statement.) 39 40 Moving expense (attach Form 3903) 40 41 Employee business expense (attach Form 2106 or statement) 41 42 Payments as a self-employed person to a retirement plan, etc. (see Form 4848) 42 43 Total adjustments (add lines 39, 40, 41, and 42). Enter here and on line 14 ► 43 Part III Tax Computation (Do not use this part if you use Tax Tables 1-12 to find your tax.) 44 Adjusted gross income (from line 15) 44 15525 45 (a) If you itemize deductions, enter total from Schedule A, line 41 and attach Schedule A 1 — (b) If you do not itemize deductions, enter 15% of line 44, but do NOT enter more than il. 45 4023 $2,000. ($1,000 if line 3 checked) J 46 Subtract line 45 from line 44 46 11502 47 Multiply total number of exemptions claimed on line 7, by $750 47 2250 _ 48 Taxable income. Subtract line 47 from line 46 48 9252 (Figure your tax on the amount on line 48 by using Tax Rate Schedule X, Y, or Z, or if applicable, the alternative tax from Schedule D, income averaging from Schedule G, max- imum tax from Form 4726, or special averaging from Form 4972.) Enter tax on line 16. Part IV Credits 49 Retirement income credit (attach Schedule R) 49 50 Investment credit (attach Form 3468) 50 51 Foreign tax credit (attach Form 1116) 51 52 Credit for contributions to candidates for public office—see instructions on page 9 52 53 Work Incentive (WIN) cr'edit (attach Form 4874) 53 54 Total credits (add lines 49, 50, 51, 52, and 53). Enter here and on line 17 — Part V Other Taxes ► 5a 11 55 Self-employment tax (attach Schedule SE) 55 548 56 Tax from recomputing prior-year investment credit (attach Form 4255) 56 57 Tax from recomputing prior-year Work Incentive (WIN) credit (attach schedule) 57 58 Minimum tax. Check here ► [j, if Form 4625 is attached 58 59 Social security tax on tip income not reported to employer (attach Form 4137) 59 60 Uncollected employee social security tax on tips (from Forms W-2) 60 61 Total (add lines 55, 56, 57, 58, 59,and 60). Enter here and on line 19 ► 61 Part VI Other Payments 548 62 Excess FICA tax withheld (two or more employers—see instructions on page 9) 62 63 Credit for Federal tax on special fuels, nonhighway gasoline and lubricating oil (attach Form 4136) 63 64 Credit from a Regulated Investment Company (attach Form 2439) 64 65 Total (add lines 62, 63, and 64). Enter here and on line 21d ► 65 4 Did you, at any time during the taxable year, have any interest in or signature or other authority over °p = a bank, securities, or other financial account in a foreign country (except in a U.S. military banking c facility operated by a U.S. financial institution) ► Yes No v_ Q If"Yes," attach Form 4683. (For definitions, see Form 4683.) *U.S.GOVERNMENT PRINTING OFFICE:1973—C)500-047 113-83337-1 ' • ACCOUNT NO, 1973 MASS. & FED. 01 2 12 I I I ` 1 . DATA SHEET .1 AT,j,g�1.!, . F "Lit INITIAL 04.7L,NF• VIH•I, NA,1. H NI11Al — _ __—_ .__--- 1 02 „/'f` ,1.. B , J`E PR.,t•.I ....1.1r/I•URE SS IN I�MOCA & STREF ) CITY' TOWN ON n`/ -F yTAT{ -��; VV 1 t "1, COUNTY 03 A ,�, B c ' • /./� C� �4r� �.�ftlj ��f '1 ". ° e.� ��4 E y"F..1.5• �j• :AIPAYEP'ti SOC.SEC. NO. TAXPAYERS OCCUPATION 4 —J - --. SPOUSES SOCIAI SECURI IY NUMBER 5,0/SE ,CC.JPAI ION • DEPENDENT 7) 1 11r�� OC CHILDREN iFIRST A�, �'if 1/�-� B C D E TOTAL J ` CHILD.( NAME/ F G H I J 1 1 NAME RELATIONSHIP MONTHS I u'IC.QF- AMo,NT of su P. By / 06TOTAL OTHER - ---_ IN HOME '�otii7R vo,l nTr.FR OTHER DEPEND.'S.I —{ B C D E F DEPEND IGI H I J KI rL T2 UNMARRIED EXTRA EXEMPT FILING A❑ SINGLE C❑ HEAD OFIONS OVER 65 BLIND MARRIED _ 07 - HOUSEHOLD G I STATUS B�IMAFILRRI D D❑ WIIDH OEP. E ❑ FILINSEPARATELY SELF F ❑ H ❑ JOINTLY CHILDREN SPOUSE G 0 I 0 A❑ NO MASS. RETURN DESIRED OTHER E❑ ADDRESS CHANGED, NO RETURN FILED, OR CHANGE OF MD TAXPAYER HAD AN INTEREST OR FILING STATUS UO np DATA SIGNATURE AUTH. IN FOREIGN COUNTRY F❑ YOU WISH TO DESIGNATE $1.00 ($2 FOR JOINT) FOR PRESIDENT- 1C❑ TAXPAYER IS DEPEND. OF ANOTHER TAXPAYER IAL ELECTION CAMPAIGN FUND ENTER X IF, DO SPOUSE IS DEPENDENT OF ANOTHER TAXPAYER G❑ INCOME AVERAGING DATA STORED 110 O1111 ! OF EARNED NCOME OTHER THAN WAGES [ F TAXPAYER IS A DEPENDENT OF ANOTHER TAXPAYER, ENTER AM( AND SELF-EMPLOYMENT INCOME ® WAGE DATA 1 NAME OF EMPLOYER H'W FED. WITH. GROSS EARNINGS, F,I.C.A. MASS. WITH. • SELF - - ------------ 21 1 23 -- 20l 1 I 1 SPOUSE `25� 127I 124 I MISC. INC. DATA )(STATE SOURCE AND NATURE) AMOUNT TOTALS 1 FED. 30 • MASS. IS ) �29 )IVIDEND DATA I PAYER N;W AMOUNT INTEREST DATA I PAYER AMOUNT_ kt_iv . • , -5-zz ie-cri_ ,..._". .4 ,,, a k TOTALS TOTAL SELF-QUAL 32 [FED.SPOUSE-QUAL 34 ) /...r�rMASS S 444), INT �41I 41 , JOINT-QUAL 36 i NON-QUAL DIV. 37 CAP. GAIN DIV. 3g NON-TAX DIST. 38 ONLY 9B v� 92 0 FOR CTA USE — c — . r,r,r rl l 2 2 I /f 1973 INDIVIDUAL J 1 _''__ .-- ' TAXPAYf_R'S NA DATA SHEET 3 n 12 JMEDCALE9ENSES AMOUNT INTEREST EXPENSE AMOUNT -- -� O' HER DR DR _ -. — — — OR — ---- TOTAL "OTHER"INTEREST 'ABOXIE,11ED 32 DR HOME MORTGAGE INTEREST 59 DR TOTAL INTEREST EXPENSE (OPTIONAL) DR DR CONTRIBUTIONS AMOUNT DR CHURCH DR CHURCH DR TEMPLE DR - RED CROSS DR DR UNITED FUND /� 1` MARCH OF DIMES TOTAL DOCTORS 97 / yell HEART FUND HOSP t f CANCER FUND HOSP BOY SCOUTS HOSP MIS.. ORGANIZED CHARITIES HOSP - OTHER - HOSP HOSP HOSP • TOTAL HOSPITALS 96 J MEDICAL TRAVEL CLASSES, HEARING AIDS, ETC. ,LABS & X-RAYS _ .__-_-_ -------- bTHER - - TOTAL CASH CONTRIBUTIONS IWITN REC EI,„51 24 ar'(--„,3 TOTAL"OTHER"CONTRIBUTIONS 150E) 05 TOTAL"OTHER' CONTRIBUTIONS 120'01 52 TOTAL "OTHER'CONTRIBUTIONS (30,,) 26 TOTAL PRIOR YEAR CARRYOVERS (50 0) 2e TOTAL CONTRIBUTIONS (OPTIONAL) , TOTAL OTH. MED. (EXCL.DRUGS 6 INS.) 21 I DRUGS IN FULL 22 4140 CASUALTY LOSNES) AMOUNT HEALTH INS. IN FULL 23 s8 L/ AMOUNT OF LOSS(ES)BEFORE INS. REIMBURSEMENT 65 TOTAL MEDICAL (OPTIQNAL) AMOUNT OF INSURANCE REIMBURSEMENT(S) 66 NO. OF OCCURENCES, IF MORE THAN ONE 67 AXES PAID OTHER NET CASUALTY LOSSES (OPTIONAL) ASOLINE ALES THER MISC, DEDUCTIONS AMOUNT TAX SERVICE FEE 4�� I SAFE DEPOSIT BOX .•i WORK TOOLS, ETC. OTHER r TOTAL "OTHER" DEDUCTIONS 34 . �r - t ALIMONY PAID 95 A9(LI8TED`"'"" TOTAL "OTHER"TAXES Alloy() 29 UNION DUES 94 _; STATE AND LOCAL INCOME TAXES 57 3 cAL CHILD CARE EXPENSES (FORM 2441) 93 REAL ESTATE TAXES 56 !ay v �r TOTAL STATE 95 MILES DRIVEN 63 l�3 7Q TOTAL MISC. DEDUCTIONS (OPTIONAL) IF YOU DO NOT WANT CIA TO ADO GENERAL - SALES TAX - ENTER x 64 PERSONAL PROPERTY TAXES 58 TOTAL TAXES (OPTIONAL) r FOR CTA USE ONLY 9e / yy� /4,7¢ V N. (4 .te:�.— 4.: .i1ti ii34! 3d21 v.+ MASSACHUSETTS DEPARTMENT OF CORPORATIONS AND TAXATION Form 1 RESIDENT INDIVIDUAL INCOME TAX RETURN 1973 For the year January 1 - December 31, 1973, or other taxable year beginning 1973, ending 19 First name and initial (If joint return,use first names and middle initials of both) Last name social W CAROLINE U Your soal security31number CAHILL ' 033185182 Present home address(Number and street, including apartment number,or rural route) 8 L U E B ER R Y MO Spouse's social security number 021140873 City, town or post office,State and ZIP code Occu• Yours U CA I S TOR AG I f�p!t rV L E�f E A y MASS 01945 oat,pn Spouse's HCUSEIIFE - .„.J . CHECK BOX: (a) If name or address are NOT THE SAME as used on your 1972 return; or (b) IF NO RETURN FILED LAST YEAR (also give reason); or (c) IF CHANGING from separate to joint or joint to separate returns. FILING STATUS. Check only one: DEPENDENTS AND 65 OR OVER EXEMPTIONS CLAIMED ' 1 I I Single* 4 Dependent children (enter number.from U.S. tax return, Line 6c) �.. 2`7C Married filing joint return (even if only one had 5 Other dependents (enter number from U.S. tax return, Line 6d) .income). Both must sign. 6 Total dependents claimed (add Items 4 and 5. Enter in Item 74) . 6 3 n Married filing separate return. Enter first name 7 65 or over before 1974: You. Your spouse if filing jointly. �4 of spouse even if she(he)is not filing a return. 8 Enter number of 65 or over boxes checked . 9 Total for $600 exemptions (add Items 6 and 8. Enter in Item 49). . 1 10 Wages, salaries, tips, and other employee compensation* (from U.S. Form 1040 or 1040A, Line 9) . 11 Pensions and annuities* (from U.S. Form 1040, Line 33 plus U.S.Schedule E, Part I, Line 5) . 4661 12 Net profit or (loss) from business or profession (from Schedule C, Item 21) . 6849 Et w 13 Income or (loss) from all partnerships and non-Mass. estates and trusts* (Massachusetts Schedule E, Part III, Item 2) , i 14 Interest after exemption* from savings in Massachusetts banks (from Page 2, Item 56) . . . 3815 3 15 Rent and royalty income (from Massachusetts Schedule E, Part II, Item 2) . c 16 Other* 5% income (state sources and amounts)_ o u. 17 Total 5% income (add Items 10 through 16) 17 15325 • 0 18 Total deductions (from Page 2, Item 44) 548 0 19 Total 5% income before exemptions (subtract Item 18 from Item 17. If Item 18 is larger, enter "0") . 18 14771 O 20 Total exemptions (from Page 2, Item 52) 5341 20 a 21 Taxable 5% income (subtract Item 20 from Item 19. If Item 20 is larger, enter "0") . 9436 i 22 Tax on 5% income (multiply Item 21 by .05) . . 47Z a • a 23 Adjusted gross dividends and 9% interest* (from Massachusetts Schedule B, Part I, Item 14) 23 10 24 Adjusted gross capital gain (from Massachusetts Schedule D, Item 15, if loss, enter "0") . . 24 5 25 Total 9% income before exemption (add Items 23 and 24) .a 26 Exemption from 9% income, if any* . ...... . ..... . .. (subtract Item 19 from Item 20. If married, file jointly) 27 Taxable 9% income (subtract Item 26 from Item 25. If Item 26 is larger, enter "0") . NONE 28 Tax on 9% income (multiply Item 27 by .09) . . . . 29 Total tax before any credits(add Items 22 and 28)But if Item 40 No Tax Status applies, enter"0" 4 72 _ (I zW 30 Massachusetts income tax withheld. Attach Wage and Tax Statements to front* . .,W 31 1973 Massachusetts estimated tax payments (Acct. No. . 30 x ) . 31 376 xx 32 Credit if total income subject to taxation is $5,000 or Tess* (from Page 2, Item 75) . . 32 c 33 Other jurisdiction income tax and/or limited income credit* (from Schedules F and/or G) 33 o 34 Total payments and credits (add Items 30 through 33) . 376 w 35 If Item 29 is larger than Item 34, enter BALANCE DUE. Pay in full with this return 35 96 36 If Item 34 is larger than Item 29, enter amount OVERPAID )( 0 37 Amount of Item 36 to be REFUNDED TO YOU • • • • 3 7 • x 38 Amount of Item 36 to be credited on 1974 estimated tax . 38 ( j I X* •r, ,= 39 • z z 40 NO TM STATUS if Totalsingle • $ .* Use only Income is$3,000 or less if or 5,000 or less if married and filin F• ► ❑ My Total Income as reported on Page 2, Item 67 was $ � g jointly. o , and therefore I have entered "0" in Item 29. a u Id Under penalties of perjury. I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and CO ' beliet it is true correct and complete J Sign Your Signature Date Signature of preparer other than taxpayer,based on Date all information of which he has any knowledge. here 'Spouse's signature(If fling jointly, BOTH must sign even if only one had income) J QM N J J E N N 1 NG S 56 CtNTRAL AVE LYNN MASS 01901 000000000 I r; s:�l�.r v»1a71OL .7CL1 •••- Form 1 (Massachusetts) 1973 *See Instructions. **See Instructions and Attach Schedule or Statement. Page 2 PART I. DEDUCTIONS FROM 5% INCOME I PART III. INTEREST INCOME FROM SAVINGS DEPOSITS 41 Payments to Social Security, Railroad, U.S. IN MASSACHUSETTS BANKS* and Massachusetts retirement systems* 41 548 Enter on . interest credited on savings deposits, savings accounts, shares or ` 42 Adjustments to income from U.S. Form 1040, share savings accounts in any savings, cooperative or national bank or trust 42 company. savings and loan association, credit union or similar organization located in Massachusetts. This interest is taxed at 5%. List payers and amounts. Report all other interest income and dividends in Schedule B. ' 43 Alimony paid from U.S. Form 1040, Schedule 43 53 SEE ATTACHED 4015 44 Total deductions from 5% income (add Items 41 42 and 43. Enter on Page 1, Item 18) PART II. EXEMPTIONS __ 45 Personal exemption for spouse with smaller earned income*: Use Items 45, 46 and 47 only if married and filing a joint reLwn and if EACH spouse had some earned income reported in Items 10, 11, 12 or 13. Include Massachusetts trust 5% income also. 54 40 54 54 Total interest income listed above . EARNED INCOME COMPUTATION: v) Income Reported From Column A Column B 55 Exemption. If married and filing jointly,enter z on Page 1 Item Husband's Wife's $200. If filing separately or if single, enter 0 — — $100 55 200 Wages, salaries, etc. . 10 Pensions,annuities. 11 56 Intrrest after exemption from savings in Z Massachusetts banks (subtract Item 55 from a Business or profession 12 Item 54. Enter here and on Page I, Item z Partnership, estate, trust 13 14; but not less than "0") W Other earnings, if any 16 _ PART IV. TOTAL INCOME FOR NO TAX STATUS z 46 EARNED INCOME (add each col.) W AND FOR CREDIT PURPOSES* 47 If earned income of each was MORE THAN $2,000, enter $1,400 in U. Item 47 ($600 more is allowed in Item 48 below); or If earned income ENTER A LOSS FOR ANY ITEM AS "0". m of spouse with SMALLER AMOUNT was $2,000 or less, enter the amount 57 Total 5% income (from Page 1, Item 17) 57 15325 of her or his earned income in Item 47; or If dither earned income was "0", enter "0". 47 58 Adjustments to income (from Item 42) 58 7 59 Subtract Item 58 from Item 57 . 59 15325 it 48 Personal exemption for taxpayer and addi- ct tional exemption if married and filing a N joint return: If married filing60 Interest exemption used. Enter Item 55 or 200 jointly, enter Item 54, whichever is smaller ' 60 z $2.600; or If married filing separately, enter $1,000; or If single, enter $2,000 48 2600 61 Dividends and 9% interest (Schedule B, Item 14) 61 Y 49 Total number of dependents and 65 or over 62 Capital gain (Mass. Schedule D, Item 15) 62 exemptions (from Page I, Item 9) 63 Interest on U.S. obligations* . 63 1 multiplied by $600 . 49 6QQ z 64 Interest from bonds, etc., of Massachusetts 50 Medical and dental expenses only if itemized or its political subdivisions* . 64 on your U.S. Form 1040. Enter amount from 65 Income taxed directly to trusts or estates* 65 i 1973 U.S. Form 1040, Schedule A, Line 10* 50 2141 66 Total income while a non-resident* . 66 51 Blindness or adoption fee exemption(s) for 67 Total Income (add Items 59 through 66). 3 you and/or your spouse if filing jointly; . 51 _ If $3,000 or less and if single or if $5,000 ' or less and if married filing jointly, enter 15525 1. 52 Total exemptions (add Items 47 through 51. on Page 1, Item 40 and check box . 67 Enter total here. Also enter on Page I, Item If total income is $5,000 or less, complete Items 68 through 75. 20 unless the followingapply) p I ) 5341 _ i Exclude any part of total exemptions used on Forms 2 or 1-NR** If you were a legal resident for part of the year only, reduce total PART V. CREDIT INFORMATION. Answer only if claiming credit. See instructions and check each box if it applies. exemptions to an amount based on the ratio of days*: 68 n Total income in Item 67 above is $5,000 or less. Days as Item 52 69 n I was a Massachusetts legal resident for at least six months a resident x $ _ $ during 1973. 365 Enter the result on Page 1, Item 20. 70 n I was not the dependent of another taxpayer, ' This return,together with payment in full, is due on or before April 15, 1974. 71 n If married, I am filing a joint return. (both must sign). - 72 Make check or money order payable to the Commonwealth of Massachusetts. My spouse was not the dependent of another taxpayer. Write Social Security number on check or money order. If boxes 68, 69, 70, and if married 71, are checked, claim a credit. If making PAYMENT, mail to: P.O. Box 7003, Boston, Massachusetts 02204. If box 72 is not checked, do not claim $4 If claiming REFUND, mail to: P.O. Box 7000, Boston, Massachusetts 02204. for your spouse. __Number Per Amount If claiming a CREDIT on your 1974 ESTIMATED INCOME TAX, mail this 13 For you (and your spouse if qualified). $4 return to: P.O. Box 7007, Boston, Massachusetts 02204. 74 For each dependent(from page 1, Item 6) 1 $8 Mail other returns to: Massachusetts Income Tax Bureau, 100 Cambridge 75 Add 73 and 74 amounts. If qualified to claim Street, Boston, Massachusetts 02204._ _ _ this credit, enter total amount on Page 1, Item 32. THE CARD FORM lA AND THE $20,000 TAX TABLE MAY BE USED FOR SALARIES OR WAGES, MASSACHUSETTS SAVINGS DEPOSIT INTEREST, 4,790M 10.73-083074 PENSIONS AND ANNUITIES, 65 OR OVER, AND NC TAX STATUS. SEE INSTRUCTIONS. is a-j L. 3.7LC71CL .:,'ioz1 - �. ... CHECK TYPE OF RETURN.FILED: INCOME TAX THE COMMONWEALTH OF MASSACHUSETTS ❑ FORM1 I J FORM DEPARTMENT OF CORPORATIONS AND TAXATION SCHEDULE B DIVIDENDS AND 9% INTEREST SCHEDULE 0 CAPITAL GAINS AND LOSSES -1973 ,. Name(s) as shown on Page 1 of return Social Security Number PHILIP In CAttJLINE 8 0Artit.t. +J331b51d2 SCHEDULE B. PART I. DIVIDEND AND 9% INTEREST INCOME* ' 1 Gross dividends (from U.S. Form 1040, Line 10d or Line l0a if not different, or from U.S. Form 1040A, Line 10a) . 1 2 Total interest income (from U.S. tax return, Line 11) . . . . . . . . 2 4015 3 Other* dividends and interest not included above (state sources and amounts) 3 4 Total (add Items 1, 2 and 3) . . . • 5 Capital gain distributions, 100%* (from U.S. 1040, Schedule D, Line 7) See Schedule D. Item 2 below . . 5 6 Interest on U.S. obligations* included in Item 2 above . 6 1 Total interest on savings in Massachusetts banks (from Form 1, Page 2, Item 54) . 7 tiQ l 8 Dividends and interest taxed directly to Massachusetts trusts and estates* . 8 9 Other dividends and interest to be excluded. See Instructions. Attach Schedule 9 10 Excess deductions from your trade or business, if any* (from Massachusetts Schedule B, Part II, Item 1, Item 2 or Item 5, whichever is smallest) 10 11 Add Items 5 through 10 . . . . . . • • 4015 12 Subtract Item 11 from Item 4 n 13 Capital loss reduction (if any), $1,000 maximum but not more than amount in Item 12 above: Use 1973 loss from Schedule 0, Item 7 first (a) ; Use 1971 unused loss* second (b) Use 1972 unused loss* third (c) _ . Total 13 1 14 Adjusted gross dividends and 9% interest (subtract Item 13 from Item 12). Enter here and on Form 1, Page 1, Item 23. _ SCHEDULE B. PART II. EXCESS TRADE OR BUSINESS DEDUCTIONS* Use only: (1) if you file a Massachusetts Schedule C showing a net loss in Item 21; AND, (2) if you have 9% interest income included on your U.S. Schedule C, Lines 1 and/or 4 and on Massachusetts Schedule C, Item 22; AND, (3) if your Total 5% income on Form 1, Page 1, Item 17 is a loss. 1 9% interest from your trade or business (from Schedule C, Item 22 and as included in Part I, Item 3 above) . 2 Excess trade or business deductions (as positive number from Schedule C, Item 21) _ 3 Total 5% loss (as positive number from Form 1, Page 1, Item 17) . . . 4 5% interest exemption used (from Form I, Page 2, Item 54 or Item 55, whichever is smaller) . 5 Subtract Item 4 from Item 3 . . . . . . . . . . . . . . . SCHEDULE D. CAPITAL GAINS AND LOSSES* (Attach Copy of U.S. Schedule D) 1 Enter net gain or (loss) from U.S. Schedule D, Line 3 .2 1 Enter net gain or(loss)from U.S. Schedule D, Line 11 (If not filing U.S. Schedule D, report 100% of capital gain distributions) 2 1 3 Add Items 1 and 2 . . . . . . . . 4 Enter net gain or (loss) from Massachusetts fiduciaries included above . . . . . 4 5 Exclude* Item 4 from Item 3 . . . . 6 Adjustment of gain or (loss) resulting from differences in Massachusetts basis of property** 6 7 Massachusetts 1973 gain or (loss) (combine Item 5 with Item 6). If a loss, omit Items 8 — 15 and enter up to $1,000 of such loss in Schedule B, Part I, Item 13 (a). Also if a loss, enter "0" on Form 1, Page 1, Item 24 . 8 If Item 7 is a net gain, enter any net gains from intangibles included in Item 7* 8 9 Unused intangible loss carryover from 1970 9 10 Intangible loss carryover used in 1973 (enter Item 8 or 9, whichever is smaller) . 11 1973 capital gain after intangible loss carryover (subtract Item 10 from Item 7) . 12 Enter 1971 unused loss, if any (from 1972 Massachusetts Schedule D, Item 15) but not more than Item 11 above . . 12 13 1973 capital gain after 1971 unused loss (subtract Item 12 from Item 11) 14 Enter 1972 unused loss, if any (from 1972 Massachusetts Schedule D, Item 14) but not more than Item 13 above . . 14 __ 15 1973 adjusted gross capital gain (subtract Item 14 from Item 13). Enter gain here and on Form 1, Page 1, Item 24 16 1973 unused loss available for 1974-1978 (exclude Schedule B, Item 13(a) from Schedule D, Item 7 loss) 17 1972 unused loss available for 1974.1977* 18 1971 unused loss available for 1974-1976* . Report net ordinary gain or (loss) shown on U.S. Form 1040, Page 2, Line 30 only as Other 5% income or (loss) on Form 1, Page 1, Item 16. Losses claimed as itemized deductions on Schedule A of U.S Form 1040 are not allowable. 1.050M.10.73-083074 *See Instructions. **See Instructions and Attach Schedule or Statement.