Sole Proprietor Step 1 of 4 25% Name of Sole Proprietor* First Last Business or profession, including product or service*Business name. If no separate name, leave blank.Employer ID number (EIN) if anyBusiness address (if different) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Accounting method Cash Accrual Other / Not sure Was the business started this year? Yes No What year was the business started?For state purposes, is this business an LLC?* Yes No Do you have inventory?* Yes No Gross receipts or sales*Returns and allowancesOther incomeInventory at the beginning of the yearPurchases (less cost of items withdrawn for personal use)Cost of labor (do not include any amounts paid to yourself)Materials and suppliesOther costsInventory at end of yearDid you pay for your own health insurance? Yes No Did you contribute to a self-employed retirement plan? Yes No Did you pay anyone $600 or more for contract labor? Yes No Did you pay any family members for services? Yes No Did you use an area of your home for business? Yes No Has your business reported any losses in prior years? Yes No Did you manufacture items for resale? Yes No AdvertisingCommission and feesContract laborEmployee benefit programInsurance (other than health)Interest - MortgageInterest - OtherLegal and professional feesOffice expensePension and profit-sharing plansRent or lease - Vehicles, machinery, and equipmentRent or lease - Other business propertyRepairs and maintenaceSupplies (not included in inventory cost)Taxes and licensesUtilitiesWagesOther expensesTypeAmount Auto expenses? Yes No Business milesTravel, lodging, or meals? Yes No Travel & LodgingMeals & EntertainmentBusiness us of the home? Yes No Equipment Purchases. Enter the following information for depreciable assest purchased that have a life greater that one year.AssetDate purchasedCostDate placed in serviceNew or used? Equipment Sold During YearAssetDate out of serviceDate soldSelling priceTrade-in? Please Upload Documents Drop files here or Please upload any supplemental documents you have.Comments Δ
