(state source, whether rents, salary or other belonging to... sources) (give name of person to whom income is due) (address) and that the tax amounting to $...... which said person is subject, has been withheld at the source of said income by.... (name of person withholding) EXEMPTIONS WHICH MAY BE CLAIMED BY INDIVIDUALS Any person, subject to the normal tax of 1 per cent., the amount of which is withheld or is to be withheld at the source, wishing to avail himself or herself of the exemption provided in paragraph C, section 2, of this act ($3,000 or $4,000 as the case may be) must file with the withholding agent not less than thirty days prior to the day on which the return on his income is due, a notice in the following form: FORM FOR CLAIMING EXEMPTION AT THE SOURCE AS PROVIDED IN PARAGRAPH C, SECTION 2, OF THE LAW OF OCTOBER 3, 1913 To. (give name of withholding agent) (post office address) I hereby serve you with notice that I am single (married) and living with my wife (husband) (strike out to show status correctly) and now claim the benefit of the exemption of $.... as allowed in paragraph C and D of section 2 of the Federal income tax law of October 3, 1913. (My total exemption under said paragraphs being $......) (Signed). (street and number) Date... (City and State) BY WHOM EXEMPTIONS UNDER PARAGRAPH C, SECTION 2, OF THIS ACT MAY BE CLAIMED Every single person, or every married person not living with wife or husband, who is liable for the normal income tax under this law may claim a total deduction of $3,000 from net income, on which deduction he or she is exempt from normal tax of 1 per cent. Where a husband and a wife live together and only one of them has an annual income liable for the normal tax of 1 per cent., then the husband or wife who has the income shall make the return and pay the said tax and may claim and deduct an exemption of $4,000. But if a husband and wife live together and each has an annual income liable for the normal tax of 1 per cent., then in that event they shall make a separate return and the $4,000 exemption allowed to a husband and a wife when living together may be claimed and deducted by either the husband or wife as they may mutually agree (but not by both separately or the said exemption shall be prorated between them in proportion to their net income). AMOUNT OF EXEMPTION ALLOWABLE FOR 1913 UNDER PARAGRAPH C, SECTION 2, OF THE FEDERAL INCOME TAX LAW For the present year of 1913 (from March 1 to December 31) exemptions allowed under paragraph C of this law will be five-sixths of those of the calendar year, as specified in paragraph D, namely, $2,500 if the exemption is $3,000, or $3,333.33 if the exemption is $4,000, as the case may be. WHEN AND ON WHAT AMOUNT THE NORMAL TAX OF 1 PER CENT. SHALL BE WITHHELD A withholding agent who pays monthly or periodically during the year interest (except income derived from interest upon bonds and mortgages, or deeds of trust, or other similar obligations of corporations, &c., upon which the normal tax of 1 per cent. has been withheld at the source, as provided by these regulations), rents, salaries, wages, &c., shall not withhold the said tax until such time as the rents, salary, wages, &c., shall have reached an aggregate amount in excess of $3,000 for said period. When such amount has been reached, he, she or it shall withhold the tax on the whole $3,000 and excess thereof, unless the person to whom the income is due files with him, her or it the notice herein provided, claiming exemption under paragraph C of section 2 of this act, in which case the withholding agent shall withhold only the tax on the income in excess of said exemption of $3,000 or $4,000 (as the case may be) and the tax so withheld shall be returned and paid as required by law. DEDUCTIONS TO BE MADE IN COMPUTING NET INCOME Any person subject to the normal income tax of 1 per cent. a part of whose income is withheld or is to be withheld at the source, who may wish to avail himself of the deductions authorized in subsection B, section 2, of this act, may file either with the collector of internal revenue for the district in which return is made for him, or with the withholding agent, not less than thirty days prior to March 1, a return and notice in substantially the following form: RETURN AND APPLICATION FOR DEDUCTIONS To.... (name of withholding agent) (street and number) (State) (town or city) |