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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
STRICTLY ENFORCED
HOME ADDRESS 219 no (Street and Hurry number) (The (CITY use of initials OR TOWN causes OF) errors.) Indep mo
MAKE YOUR RETURN ON THIS S ORIGINAL BLANK.
Truman
NAME
OF
TAXPAYER
(Print
full
name
plainly)
OCCUPATION, PROFESSION OR KIND OF BUSINESS
bine 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) (d) (1) Is Are this you a married? joint Wages, return yes Commissions, of the income Bonus, of husband and INCOME wife? you
(g) What is the relationship to you of the dependent Oh persons for whose support
you claim exemption under Question (f)
Amount
Deductions
DOLLARS
CTS.
DOLLARS
CTS.
Salaries,
etc.
Received
if any
(attach schedule)
Jackson (State name address of person from whom Co received.)
$5090
90
$
$
(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 other bonds, bank deposits, notes, mortgages, etc. tobligations 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
$
$ 5
090
DEDUCTIONS
(9) Interest-Deduction of interest will be allowed only when explained in Schedule "E"
$
47620
(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-Items 9 to 14, inclusive
$
/
333
50
(16)
NET INCOME-Item 8 minus Item 15
$ 3
3
756
(17) Less Personal Exemption and Credit for Dependents (See instructions below)
2
200
(18) Balance (Item 16 minus Item 17)
/
556
TOTAL AMOUNT OF STATE TAX AT 1%
$
15
56
(19)
INSTRUCTIONS FOR EXEMPTIONS-Ar 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 mch with 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
1928.
NARA
(Signature of individual or agent.)
(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.
to
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.
SCHEDULE A-INCOME FROM BUSINESS OR PROFESSION
(1) Total income from business or profession
rser
$
COST OF GOODS SOLD:
OTHER BUSINESS DEDUCTIONS:
(10) Salaries and wages not reported as "Labor"
(2) Labor
$
on line 2
$
(11) Rent on business property in which Tax-
(3) Material and supplies
payer has no equity
(4) Merchandise bought for sale
(12) Interest on business indebtedness to others.
(5) Other costs (list principal items and amounts
below, or on a separate sheet)
(13) Taxes on business and business property
(14) Repairs, wear and tear, obsolescence, deple-
(6) Plus inventory at beginning of year
tion and property loss (explain below)
(15) Other expenses, including bad debts (list
(7) TOTAL
$
items and amounts below or on separatesheet)
(8) Less inventory at end of year
(16) TOTAL (Lines 10 to 15, inclusive)
$
(9) NET COST OF GOODS SOLD
$
(17) TOTAL DEDUCTIONS (Line 9 plus line 16)
$
State amount of salary to self included in
line 10
$
(18) NET INCOME (Line 1 minus line 17) (Enter as item 2, page 1) $
Explanation of deductions
claimed on lines 5, 14 and 15
SCHEDULE B-INCOME FROM RENTS AND ROYALTIES
Amountspaid in 1927 for
Net
Value
Total
Depre-
Total
income
Location, Street and Number.
of
rent
ciation
deduc-
(enter as
building.
received.
Insur-
Repairs.
if any.
tions.
item 5).
ance.
SCHEDULE C-PROFIT FROM SALE OF REAL ESTATE, STOCKS, BONDS, ETC.
Depreciation to
Kind of property
Date
Amount
be added to
Cost or value
Subsequent
Net profit
acquired
received
sale price
Jan. 1, 1917
improvement
(enter as item 6)
$
$
$
$
$
SCHEDULE D.
SCHEDULE E-INTEREST-Deduction of interest will be allowed only when the following information is furnished:
Payee
Address
Amount
sd
INFORMATION
Dividends-All dividends received from foreign or domestic corporations are to be listed as income. Credit can be taken for that part of dividends or income on which
the corporation paid a tax during the preceding taxable year. (In order to secure the proper credit the tax payer should procure from the issuing corporation, the amount
of dividends upon which taxes were paid for him by the corporation.)
Items Not Deductible (1) Personal, living, or family expenses (the specific exemption allowed covers such expenses). (2) Any amounts paid out for new buildings
or for permanent improvements or betterments made to increase the value of any property or estate. (3) Premiums paid on any life insurance policy. (4) Taxes of any
kind assessed against local benefits.
Non-Taxable Income-(1) Compensation received from the United States for services rendered. (2) Interest received upon the bonds or obligations of the United
States, or its possessions, or upon those of this State or any political subdivision thereof. (3) Gifts and money and property acquired under a will or by inheritance (but
the income derived therefrom must be included in gross income).
Head of Family-Is a person who actually supports and maintains in one household one or more individuals who are sole dependents and who are closely connected
with him by blood, marriage or adoption, and whose right to exercise family control and provide for these dependents is based upon some moral or legal obligation.
If the changes in the law, which became effective July 3, 1927, apply to your income you may make two returns or attach schedule explaining.
Page data
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Document data
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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\nSTRICTLY ENFORCED\nHOME ADDRESS 219 no (Street and Hurry number) (The (CITY use of initials OR TOWN causes OF) errors.) Indep mo\nMAKE YOUR RETURN ON THIS S ORIGINAL BLANK.\nTruman\nNAME\nOF\nTAXPAYER\n(Print\nfull\nname\nplainly)\nOCCUPATION, PROFESSION OR KIND OF BUSINESS\nbine Pre. 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) (d) (1) Is Are this you a married? joint Wages, return yes Commissions, of the income Bonus, of husband and INCOME wife? you\n(g) What is the relationship to you of the dependent Oh persons for whose support\nyou claim exemption under Question (f)\nAmount\nDeductions\nDOLLARS\nCTS.\nDOLLARS\nCTS.\nSalaries,\netc.\nReceived\nif any\n(attach schedule)\nJackson (State name address of person from whom Co received.)\n$5090\n90\n$\n$\n(2) Income from Business or Profession (From Schedule A)\n(3) Other Income (Including income from partnerships and fiduciaries)\n(If partnership use schedule A and enter your share of profit in line 3)\nState Source:\n(4) (a) Interest on all municipal bonds except obligations of the State of Missouri or political sub-divisions\nthereof\n(b) Interest on other bonds, bank deposits, notes, mortgages, etc. tobligations of the United States\n(5) Rents and Royalties (From Schedule B)\n(6) Profits from Sale of Real Estate, Stocks, Bonds, etc. (From Schedule C)\n(7) Dividends received from all sources, from within and without the State (list in Schedule D, or attach\nseparate list)\n(8)\nTOTAL INCOME-Items 1 to 7, inclusive\n$\n$ 5\n090\nDEDUCTIONS\n(9) Interest-Deduction of interest will be allowed only when explained in Schedule \"E\"\n$\n47620\n(10) Taxes paid (City, County and State)\n(Federal)\n157\n30\n(11) Bad debts (Explain in Schedule D) (Do not include here any bad debts included in business Schedule A)\n(12) Losses by fire, storm, casualty or theft-not covered by insurance (Explain in Schedule D)\n550\n(13) Gifts or donations to church or charity (From Schedule D)\n150\n(14) Dividends received on which Missouri State Income Tax has been paid (see information on page 2)\n(15)\nTOTAL DEDUCTIONS-Items 9 to 14, inclusive\n$\n/\n333\n50\n(16)\nNET INCOME-Item 8 minus Item 15\n$ 3\n3\n756\n(17) Less Personal Exemption and Credit for Dependents (See instructions below)\n2\n200\n(18) Balance (Item 16 minus Item 17)\n/\n556\nTOTAL AMOUNT OF STATE TAX AT 1%\n$\n15\n56\n(19)\nINSTRUCTIONS FOR EXEMPTIONS-Ar 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 $2,000.00.\nSTATE OF MISSOURI-COUNTY OR CITY OF\nSS.\nI swear (or affirm) that to the best of my knowledge and belief, the statements contained in this return, including the accompanying schedules and statements (if any)\nare true, and that this return is a true and complete statement, in accordance mch with law, of all income, gains and profits received by or accrued to me (or the person for\nwhom this return is made) during the taxable year 1927.\nSworn to and subscribed before me this\nday of\n1928.\nNARA\n(Signature of individual or agent.)\n(Signature of officer administering oath.)\n(Address of individual or agent.)\nFile this return with Assessor of your County, City or District by March 15th, 1928.\nto\nTaxes under this return are due and payable to the collector in May and become delinquent if not paid on or before the 1st of June next following.\nSCHEDULE A-INCOME FROM BUSINESS OR PROFESSION\n(1) Total income from business or profession\nrser\n$\nCOST OF GOODS SOLD:\nOTHER BUSINESS DEDUCTIONS:\n(10) Salaries and wages not reported as \"Labor\"\n(2) Labor\n$\non line 2\n$\n(11) Rent on business property in which Tax-\n(3) Material and supplies\npayer has no equity\n(4) Merchandise bought for sale\n(12) Interest on business indebtedness to others.\n(5) Other costs (list principal items and amounts\nbelow, or on a separate sheet)\n(13) Taxes on business and business property\n(14) Repairs, wear and tear, obsolescence, deple-\n(6) Plus inventory at beginning of year\ntion and property loss (explain below)\n(15) Other expenses, including bad debts (list\n(7) TOTAL\n$\nitems and amounts below or on separatesheet)\n(8) Less inventory at end of year\n(16) TOTAL (Lines 10 to 15, inclusive)\n$\n(9) NET COST OF GOODS SOLD\n$\n(17) TOTAL DEDUCTIONS (Line 9 plus line 16)\n$\nState amount of salary to self included in\nline 10\n$\n(18) NET INCOME (Line 1 minus line 17) (Enter as item 2, page 1) $\nExplanation of deductions\nclaimed on lines 5, 14 and 15\nSCHEDULE B-INCOME FROM RENTS AND ROYALTIES\nAmountspaid in 1927 for\nNet\nValue\nTotal\nDepre-\nTotal\nincome\nLocation, Street and Number.\nof\nrent\nciation\ndeduc-\n(enter as\nbuilding.\nreceived.\nInsur-\nRepairs.\nif any.\ntions.\nitem 5).\nance.\nSCHEDULE C-PROFIT FROM SALE OF REAL ESTATE, STOCKS, BONDS, ETC.\nDepreciation to\nKind of property\nDate\nAmount\nbe added to\nCost or value\nSubsequent\nNet profit\nacquired\nreceived\nsale price\nJan. 1, 1917\nimprovement\n(enter as item 6)\n$\n$\n$\n$\n$\nSCHEDULE D.\nSCHEDULE E-INTEREST-Deduction of interest will be allowed only when the following information is furnished:\nPayee\nAddress\nAmount\nsd\nINFORMATION\nDividends-All dividends received from foreign or domestic corporations are to be listed as income. Credit can be taken for that part of dividends or income on which\nthe corporation paid a tax during the preceding taxable year. (In order to secure the proper credit the tax payer should procure from the issuing corporation, the amount\nof dividends upon which taxes were paid for him by the corporation.)\nItems Not Deductible (1) Personal, living, or family expenses (the specific exemption allowed covers such expenses). (2) Any amounts paid out for new buildings\nor for permanent improvements or betterments made to increase the value of any property or estate. (3) Premiums paid on any life insurance policy. (4) Taxes of any\nkind assessed against local benefits.\nNon-Taxable Income-(1) Compensation received from the United States for services rendered. (2) Interest received upon the bonds or obligations of the United\nStates, or its possessions, or upon those of this State or any political subdivision thereof. (3) Gifts and money and property acquired under a will or by inheritance (but\nthe income derived therefrom must be included in gross income).\nHead of Family-Is a person who actually supports and maintains in one household one or more individuals who are sole dependents and who are closely connected\nwith him by blood, marriage or adoption, and whose right to exercise family control and provide for these dependents is based upon some moral or legal obligation.\nIf the changes in the law, which became effective July 3, 1927, apply to your income you may make two returns or attach schedule explaining."
}