Small Business - Self Employed - 1099 Income-Schedule C Worksheet
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1Small Business – Self Employed - 1099 Income-Schedule C Worksheet
Send last year’s Schedule C or tax return if you operated the business previously and we did not prepare the previous tax
return for you.
Name of Business:
Type of Business:
Does this business belong to you or your spouse?
Address of Business:
Gross Income (provide any 1099’s)
$
Materials and Supplies
$
Cost of Inventory at Beginning of Year
$
Other Costs
$
Cost of Inventory Purchased
Cost of Inventory at End of Year
$
$
Cost of Labor
Returns and Refunds
$
$
Advertising
$
Travel
$
Car and Truck
$
Meals and Entertainment
$
Commission and Fees
$
Utilities – Outside of Home
$
Contract Labor
$
Wages and Salaries Paid to Employees
$
Employee Benefit Programs not pensions
$
Other Expenses: Dues & Publications
$
Insurance: List Type
$
Other Expenses: Postage & Shipping
$
Self Employed Health Insurance
$
Other Expenses: Telephone
$
Mortgage Interest
$
Other Expenses: Bank Charges
$
Other Interest
$
Other (Specify)
$
Legal & Professional Fees
$
Other (Specify):
$
Office Expense
$
Other (Specify):
$
Pension and Profit Sharing Plans
$
Depreciable Items: Such as Equipment, Furniture, Computer and Land
Improvements – Provide list with cost and date purchased.
Rent or Lease – Outside of Home
$
Repairs/Maintenance
$
Item:
Date:
Cost:
Supplies
$
Item:
Date:
Cost:
Taxes and Licenses
$
Item:
Date:
Cost:
Vehicle Expense
Mileage rate for 2011 is 51.0 cents per mile.
Year & Make and Model Vehicle
Do you have evidence to support the deduction?
Y
N
Date First Used for Business:
Is this evidence written?
Y
N
Type of Vehicle: Car, Van, Truck
Is another vehicle available for personal use?
Y
N
Total Mileage
Was the vehicle available for personal use during off duty hours?
Y
N
Business Mileage
Was the vehicle leased?
Y
N
Actual Expenses: Gas, Oil, Repairs, Insurance, etc. $
Was the vehicle used for hire?
Y
N
Home Office
Area Used for Business - Square Footage/Room
Sq/ft
Mortgage Interest
$
Total Area - Square Footage of Home
Sq/ft
Real Estate Taxes
$
Number of Days in Year Office was in Home
Insurance – Homeowners/Renters
$
Date of Using Room as Home Office
$
Repair and Maintenance
$
Fair Market Value of Home with Home Office
$
Utilities Except Water per Month
$
Cost of Home with Home Office
$
Rent Paid for Year
$
Improvement to Home Office
$
Other Specify:
$
Land Value on Property Tax Statement
$
Other Specify:
$
Building Value on Property Tax Statement
$
Other Specify:
$
Small Business Comments and Other Expenses:
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Parent category: Financial