27. Net farm income to be reported in Schedule A, line 21, of Form 1040 A or Form 1040 (Item 13 minus Item 26) OTHER INCOME TO BE REPORTED ON RETURN (Form 1040 A or Form 1040) 25. year (Item 19 plus Item 25) (19) THIS FORM WITH ONE-FOURTH OF ESTIMATED TAX MUST REACH THE COLLECTOR'S OFFICE ON OR BEFORE MARCH 15, 1919. TENTATIVE RETURN AND ESTIMATE OF INDIVIDUAL INCOME TAX FOR 1918 AND REQUEST FOR EXTENSION OF TIME FOR FILING RETURN PRINT BELOW TAXPAYER'S NAME AND ADDRESS AMOUNT PAID (Cashier's Stamp) Check or draft Money order. Currency or coin. Certificate of indebtedness Collector of Internal Revenue, Date... No. (To be entered by taxpayer.) (To be entered by Collector.) The amount stated below is remitted herewith in payment of not less than one-fourth of the estimated amount of the income tax for 1918 of the individual whose name and address appear at the head of this form. An extension of days in the time allowed for filing a completed return is requested. It is not possible to file a completed return on or before March 15, 1919, for the following reasons: I SWEAR (or affirm) that the foregoing is a fair estimate of the total amount of the income tax for 1918 of the individual whose name and address appear at the head of this form, and that the above-stated reasons why a completed return can not be filed on or before March 15, 1919, are true. The amount stated below is remitted herewith in payment of not less than one-fourth of the estimated amount of the income tax for 1918 of the individual whose name and address appear at the head of this form. An extension of............... days in the time allowed for filing a completed return is requested. It is not possible to file a completed return on or before March 15, 1919, for the following reasons: In consideration of the filing of this tentative return and the payment of not less than one-fourth of the estimated amount of the tax, and for the reasons stated above, the time for filing the completed return of the taxpayer whose name and address appear at the head of this form is hereby extended, by authority of the Commissioner of Internal Revenue, until............... If the remittance accompanying this tentative return exceeds one-fourth of the tax as computed on the completed return, the excess will be credited against the balance remaining to be paid. If the remittance is less than one-fourth of the tax, the balance due, with interest at the rate of six per cent per annum from March 15, 1919, must accompany the completed return. If the amount paid exceeds the total tax as shown by the completed return, the excess will be refunded. Date.. 2-8501 Collector of Internal Revenue. District of.................... |