Business Expenses

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Name of Sole Proprietor

Business or profession, including product or service

Business name. If no separate name, leave blank.

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Last four of SSN

NAICS code

Employer ID number (EIN) if any

Entity Structure:

Was the business started this year?

Yes
No

Accounting Method

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Did your business do any of the following:

Manufacture items for resale?
Buy or sell any business assets?
Pay for your own health insurance?
Contribute to a self-employed retirement plan?
Pay anyone $600 or more for contract labor?
Pay any family members for services?

Business Income

Gross receipts or sales

Returns and allowances

Other income

Cost of Goods Sold

Inventory at the beginning of the year

Purchases (less cost of items withdrawn for personal use)

Cost of labor (do not include any amounts paid to yourself)

Materials and supplies

Other costs

Inventory at end of year

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Advertising

Commission and fees

Contract labor

Employee benefit program

Insurance (other than health)

Interest - Mortgage

Interest - Other

Legal and professional fees

Meals & Entertainment

Other Expenses (list):

Do you use your vehicle for work activities?

Yes
No

Office Expense

Rent or lease - Vehicles, machinery, and equipment

Rent or lease - Other business property

Repairs and maintenace

Supplies (not included in inventory cost)

Taxes and licenses

Travel & Lodging

Utilities

Wages

Amount (total):

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Do you have a dedicated home office space?

Yes
No

Equipment Purchases

Equipment Purchases. Enter the following information for depreciable assest purchased that have a life greater that one year:

Equipment Sold

Equipment Sold During Year:

Please upload supporting documents:

Click or drag a file to this area to upload.

Comments: