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STATE OF MISSOURI
THE PENALTY
This space reserved for the
Assessor
1927
Under the law, failure to file a return
subjects individuals to an indictment, im-
prisonment for one year, and a fine of
$500.00. Any income received within the
INCOME TAX RETURN (Individual)
year and not reported by the taxpayer,
when discovered, is subject to tax at
Assessor must stamp date
See Chapter 119, Article 19, Revised Statutes of Mo., 1919,
DOUBLE THE ORIGINAL RATE.
return was received.
and Laws, 1921, 1925 and 1927.
THESE PENALTIES WILL BE
MAKE YOUR RETURN ON THIS ORIGINAL BLANK.
STRICTLY ENFORCED
NAME
OF
TAXPAYER
(Print
full
name
plainly)
Hurry
8
Truman
(The use of initials causes errors.)
HOME ADDRESS 219 no
(CITY OR TOWN OF)
(Street and number)
Juelop mo
OCCUPATION, PROFESSION OR KIND OF BUSINESS
Pre Judge
This return to be filed with the Assessor for the City, County or Township in which the individual resides-NOT LATER THAN MARCH 15, 1928.
ALL THE FOLLOWING QUESTIONS MUST BE ANSWERED
(a) Did you file a Missouri State Income Tax return for 1926?
(e) If not, and your wife (or husband) filed a separate return, give name and
(b) If no return for 1926 was filed, state reason
address on such return
(f) How many persons (other than husband or wife) were entirely dependent
upon you and were actually supported by you during the entire year?
(c) Are you married?
(d) Is this a joint return you of the income of husband and wife?
(g) What is the relationship to you of the dependent persons for whose support
INCOME
yes
you claim exemption under Question (f)
lh
Amount
Deductions
DOLLARS
CTS.
DOLLARS
CTS.
(1) Salaries, Wages, Commissions, Bonus, etc.
Received
if any
(State and address of person from whom home received.)
name
(attach schedule)
5040
$
$
(2) Income from Business or Profession (From Schedule A)
(3) Other Income (Including income from partnerships and fiduciaries)
(If partnership use schedule A and enter your share of profit in line 3)
State Source:
(4) (a) Interest on all municipal bonds except obligations of the State of Missouri or political sub-divisions
thereof
(b) Interest on all other bonds, bank deposits, notes, mortgages, etc. exceptobligations of the United States
(5) Rents and Royalties (From Schedule B)
(6) Profits from Sale of Real Estate, Stocks, Bonds, etc. (From Schedule C)
(7) Dividends received from all sources, from within and without the State (list in Schedule D, or attach
separate list)
(8)
TOTAL INCOME-Items 1 to 7, inclusive
$ 5090
DEDUCTIONS
(9) Interest-Deduction of interest will be allowed only when explained in Schedule "E"
$
476 20
(10) Taxes paid (City, County and State)
(Federal)
157 30
(11)
Bad debts (Explain in Schedule D) (Do not include here any bad debts included in business Schedule A)
(12) Losses by fire, storm, casualty or theft-not covered by insurance (Explain in Schedule D)
550
(13) Gifts or donations to church or charity (From Schedule D)
150
(14) Dividends received on which Missouri State Income Tax has been paid (see information on page 2)
(15)
TOTAL DEDUCTIONS-Item 9 to 14, inclusive
/ 333 50
(16)
NET INCOME-Item 8 minus Item 15
$ 3 756
(17) Less Personal Exemption and Credit for Dependents (See instructions below)
2
200
(18) Balance (Item 16 minus Item 17)
556
(19)
TOTAL AMOUNT OF STATE TAX AT 1%
15
56
$
INSTRUCTIONS FOR EXEMPTIONS-An unmarried individual or a married individual, not living with a husband or wife, shall be allowed an exemption of
$1,000.00. When husband and wife live together they shall be allowed jointly a total exemption of $2,000.00, plus $200.00 for every dependent child under 18 years of
age or if incapable of self-support. The head of the family shall be allowed an exemption of $2,000.00.
STATE OF MISSOURI-CouNTY OR CITY OF
SS.
I swear (or affirm) that to the best of my knowledge and belief, the statements contained in this return, including the accompanying schedules and statements (if any)
are true, and that this return is a true and complete statement, in accordance with the law, of all income, gains and profits received by or accrued to me (or the person for
whom this return is made) during the taxable year 1927.
Sworn to and subscribed before me this
day of
meh 1928.
Love
(Signature of individual or agent.)
AND
(Signature of officer administering oath.)
(Address of individual or agent.)
File this return with Assessor of your County, City or District by March 15th, 1928.
Taxes under this return are due and payable to the collector in May and become delinquent if not paid on or before the 1st of June next following.
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"ocrText": "STATE OF MISSOURI\nTHE PENALTY\nThis space reserved for the\nAssessor\n1927\nUnder the law, failure to file a return\nsubjects individuals to an indictment, im-\nprisonment for one year, and a fine of\n$500.00. Any income received within the\nINCOME TAX RETURN (Individual)\nyear and not reported by the taxpayer,\nwhen discovered, is subject to tax at\nAssessor must stamp date\nSee Chapter 119, Article 19, Revised Statutes of Mo., 1919,\nDOUBLE THE ORIGINAL RATE.\nreturn was received.\nand Laws, 1921, 1925 and 1927.\nTHESE PENALTIES WILL BE\nMAKE YOUR RETURN ON THIS ORIGINAL BLANK.\nSTRICTLY ENFORCED\nNAME\nOF\nTAXPAYER\n(Print\nfull\nname\nplainly)\nHurry\n8\nTruman\n(The use of initials causes errors.)\nHOME ADDRESS 219 no\n(CITY OR TOWN OF)\n(Street and number)\nJuelop mo\nOCCUPATION, PROFESSION OR KIND OF BUSINESS\nPre Judge\nThis return to be filed with the Assessor for the City, County or Township in which the individual resides-NOT LATER THAN MARCH 15, 1928.\nALL THE FOLLOWING QUESTIONS MUST BE ANSWERED\n(a) Did you file a Missouri State Income Tax return for 1926?\n(e) If not, and your wife (or husband) filed a separate return, give name and\n(b) If no return for 1926 was filed, state reason\naddress on such return\n(f) How many persons (other than husband or wife) were entirely dependent\nupon you and were actually supported by you during the entire year?\n(c) Are you married?\n(d) Is this a joint return you of the income of husband and wife?\n(g) What is the relationship to you of the dependent persons for whose support\nINCOME\nyes\nyou claim exemption under Question (f)\nlh\nAmount\nDeductions\nDOLLARS\nCTS.\nDOLLARS\nCTS.\n(1) Salaries, Wages, Commissions, Bonus, etc.\nReceived\nif any\n(State and address of person from whom home received.)\nname\n(attach schedule)\n5040\n$\n$\n(2) Income from Business or Profession (From Schedule A)\n(3) Other Income (Including income from partnerships and fiduciaries)\n(If partnership use schedule A and enter your share of profit in line 3)\nState Source:\n(4) (a) Interest on all municipal bonds except obligations of the State of Missouri or political sub-divisions\nthereof\n(b) Interest on all other bonds, bank deposits, notes, mortgages, etc. exceptobligations of the United States\n(5) Rents and Royalties (From Schedule B)\n(6) Profits from Sale of Real Estate, Stocks, Bonds, etc. (From Schedule C)\n(7) Dividends received from all sources, from within and without the State (list in Schedule D, or attach\nseparate list)\n(8)\nTOTAL INCOME-Items 1 to 7, inclusive\n$ 5090\nDEDUCTIONS\n(9) Interest-Deduction of interest will be allowed only when explained in Schedule \"E\"\n$\n476 20\n(10) Taxes paid (City, County and State)\n(Federal)\n157 30\n(11)\nBad debts (Explain in Schedule D) (Do not include here any bad debts included in business Schedule A)\n(12) Losses by fire, storm, casualty or theft-not covered by insurance (Explain in Schedule D)\n550\n(13) Gifts or donations to church or charity (From Schedule D)\n150\n(14) Dividends received on which Missouri State Income Tax has been paid (see information on page 2)\n(15)\nTOTAL DEDUCTIONS-Item 9 to 14, inclusive\n/ 333 50\n(16)\nNET INCOME-Item 8 minus Item 15\n$ 3 756\n(17) Less Personal Exemption and Credit for Dependents (See instructions below)\n2\n200\n(18) Balance (Item 16 minus Item 17)\n556\n(19)\nTOTAL AMOUNT OF STATE TAX AT 1%\n15\n56\n$\nINSTRUCTIONS FOR EXEMPTIONS-An unmarried individual or a married individual, not living with a husband or wife, shall be allowed an exemption of\n$1,000.00. When husband and wife live together they shall be allowed jointly a total exemption of $2,000.00, plus $200.00 for every dependent child under 18 years of\nage or if incapable of self-support. The head of the family shall be allowed an exemption of $2,000.00.\nSTATE OF MISSOURI-CouNTY OR CITY OF\nSS.\nI swear (or affirm) that to the best of my knowledge and belief, the statements contained in this return, including the accompanying schedules and statements (if any)\nare true, and that this return is a true and complete statement, in accordance with the law, of all income, gains and profits received by or accrued to me (or the person for\nwhom this return is made) during the taxable year 1927.\nSworn to and subscribed before me this\nday of\nmeh 1928.\nLove\n(Signature of individual or agent.)\nAND\n(Signature of officer administering oath.)\n(Address of individual or agent.)\nFile this return with Assessor of your County, City or District by March 15th, 1928.\nTaxes under this return are due and payable to the collector in May and become delinquent if not paid on or before the 1st of June next following."
}