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DEDUCTIONS

Except the items numbered 12, 15, 17 and 18, the value of every item to be deducted must be the sum at which it is included in the above statement of assets.

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Goods imported by above corpo-
ration from foreign countries on
hand in unbroken original packages. $.....

11. Value at which patent rights, copyrights, trademarks, goodwill and franchises were taken in payment for capital stock.....

12. So much of the surplus, if any, as shall not exceed ten per centum of the par value of the shares of stock issued

13. Shares of stock of other corporations actually owned by the above corporation which are taxable upon their capital stock......

14. Tangible personal property having a permanent situs outside of this State, specifying its nature and location. (This does not include bonds, notes, evidences of debt of any kind, currency, deposits in banks, bills receivable, or any other intangible property)....

15. The assessed value of the corporation's real estate in this State, including its special franchises. Give Section or Ward and Lot Numbers if in The City of New York

.....

16. Real estate outside of this State, specifying its location

17. Indebtedness secured by the corporation's bond and mortgage on real property to which corporation now holds title.

$

........

$.....

$.

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18. All other indebtedness of the corporation not contracted or incurred in the purchase of non-taxable property or securities, or for the purpose of evading taxation. (The amount owing for goods imported by above corporation from foreign countries on hand in unbroken original packages and the capital stock of the corporation must not be included.) Itemize as follows:

Bonds not secured
by mortgage of
real estate,
Notes,

$..

Open Accounts, $.

19. The aggregate of the items set down in answer to questions 10 to 18 inclusive.....

ADDITIONAL INFORMATION REQUIRED

a. Total par value of capital stock issued $......

b. Rate of last dividend...

c. Amount of surplus, if any, as shown

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Date......

$.

Gross assets as shown by answer to question 9...... Aggregate of deductions from gross assets as shown by answer to question 19.

Subtract the deductions from the above assets..... Add "secured debts" upon which no registration tax has been paid.....

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The result is the CAPITAL STOCK LIABLE TO TAXATION $. The principal office or the place of transacting the Financial Business of the said corporation is situated in the Borough of Manhattan, in The City of New York, at No.....

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Street.

of the said corporation, being duly sworn, do hereby certify that the foregoing is in all respects a just and true statement of the property and

debts of the corporation on the first day of October, 1913.

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STATEMENT OR REPORT OF FOREIGN CORPORATION TO BE FILED WITH BOARD OF TAXES AND ASSESSMENTS OF NEW YORK CITY.

The

a corporation

organized under the laws of the State of...... claiming to be aggrieved by the assessed valuation of its personal property for the year 1914 makes application to have the same revised and corrected.

Dated October 1, 1913.

....

STATEMENT FOR PURPOSE OF REVISION:

The company has an office at......

in The City of New York, Borough of Manhattan.

The business of the corporation proposed to be carried on within the State, stated in its application under the provisions of The General Corporation Law, was...

ASSETS IN THE STATE OF NEW YORK

1. Machinery and plant other than real estate....

$.

2. Goods, wares and merchandise.....

3. All other tangible personal property. (This does

not include mortgages or credits)...

4. Cash on hand and on deposit.

$. $.

5. Debts due from solvent debtors, wherever located, on account of goods sold or business transacted in New York State. (This includes bonds and all credits, also "secured

debts.")

6. All other intangible personal property exclusive of patent rights, copyrights, trade-marks, goodwill and franchises

7. The aggregate of the above assets.

DEDUCTIONS

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Except items Nos. 10 and 11, no item can be deducted unless included in the assets, and the value of every item to be deducted, except Nos. 10 and 11, must be the sum at which it is included in the above statement of gross assets.

8.

Property exempt by law, which includes

U. S. Bonds.....

N. Y. State and Municipal
Bonds

N. Y. Mortgages recorded on or
after July 1, 1906, and mort-
gages on which a registration tax
has been paid since May 13, 1907.
(This includes only mortgages
owned by the corporation, also "se-
cured debts") ...

Goods imported by above corporation from foreign countries on hand in unbroken original packages Any other property exempt by law, specifying its nature....

.......

9. Shares of stock in other corporations, actually owned by the above corporation, which are taxable upon their capital stock.....

10. The aggregate indebtedness of the corporation incurred for items included in the above enumerated assets and not contracted or incurred in the purchase of non-taxable property or securities or for the purpose of evading taxation. (The amount owing for goods imported by above corporation from foreign countries on hand in unbroken original packages must not be included.)........

11. Debts incurred for the purchase of real estate in the State of New York. State the location and value of such real estate (...

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...)

12. The aggregate of the above deductions.

a. Amount of capital for which company

is organized....

$......

Gross assets in the State of New York exclusive of real estate, copyrights, patent rights, trade-marks, goodwill and franchises as shown by answer to question No. 7

.....

Aggregate of deductions from gross assets as shown by answer to question No. 12.....

Subtract the deductions from the above assets..

$.

Add "Secured Debts" upon which no registration tax has been paid....

THE RESULT IS CAPITAL INVESTED IN BUSINESS LIABLE

TO TAXATION

......

The company is assessed by the State Comptroller for $.....

THE CITY OF NEW YORK,
COUNTY OF NEW YORK,

I,.......

88.

the

of

the said corporation, being duly sworn, do hereby certify that the foregoing is in all respects a just and true statement of the property invested in business in the State of New York and of the debts of the corporation arising out of such business on the first day of October, 1913.

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II. FORMS FOR SPECIAL FRANCHISE TAX. PETITION FOR WRIT-SPECIAL FRANCHISE TAX.

NEW YORK SUPREME COURT-ALBANY COUNTY,

People, ex rel.

Company,

Relator,

against

State Board of Tax Commissioners,

Defendant.

To the Supreme Court of the State of New York:

The petition of the

shows to this court:

Company, respectfully

FIRST: That your petitioner is a domestic corporation, engaged in the business of supplying (water for fire, sanitary and other public

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