v2136-845

I or Return

SCHEDULE A (8ei InitnictloM a ond 5)

..COTOflAm(WHMIHVPmiIMAMAmHCO.DTMllWOrA:rOM

Other ooi1-

(BBIMWlwini(c))

. r^ UT.OH (WHMUl TMU AM NOT KO.DrMDa.C CT.

8lulM nd wgM

Other coats.

^djU4L 4A;L--tLM-i*--

(XDlnMluin 9}

^PROFIT FBOM SALE OF STO^iiirBONDS. REAL ESTATE. ETC. (3, Inrtruottoo 10)

State how property wm acquired

aCHEPULE G BAD DEBTS (See Imtructlon 20)

1. Bad Dbbm

grilEnill.R H DIVIDENDS DEDUCTIBLE (See Imtructlon 21)

AMOtJTTt or DmDlMD*

srHEDtlLirr-EXPLANATION OF DEDUCTION FOR DEPRECIATION (See Initruction 22)

1. ywro or PkoruTT

2. DaTI ACQCIBID

d^..^....4J...'.s

, DkFBBCUTION ALW)WD

. DRFBtnATtON

'^^^^ ~ " AFFIDAVIT

We. the uoderei^ed, pre.id.nt (or vice pri..d.t, or ot^r P^Hnolpa. om,0 and trcu^^^^

?&2Tu"tto &l?ioJ^l I^duHrW R^covy Act and thi Regulation. iiued thereunder.

thia day of '3- (p,iidi"nVVr"oii'prtioipiiofflWr"(8uu"utiiV

CORPORATE I

SEAL I

^_.. i^m^^tm^^J

See lutracUon 62. Attach a .eparate aheet If any of the abore achedulea do not provide anOclent apace.

Sworn to and .ubscribed before i

'"(Treaauror orAliljUiit Treuunr) (8UU tItU)

J

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archive.org Volume Name: govuscourtsca9briefs2136

Volume: http://archive.org/stream/govuscourtsca9briefs2136

Document Link: http://archive.org/stream/govuscourtsca9briefs2136#page/n844/mode/1up

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Top Key Phrases (auto-generated):

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Document Status: UGLY