Forms C-1, C-2 And C-3 - Business Income And Cost Of Goods Sold - 2016 Page 4

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Business Expenses
6C
2016
Name of Business:
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Principal Business or Profession:
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Enter all expenses at 100 percent
Business Expenses:
If these expenses are to be divided between two or more businesses, please enter the percentage to apply to this business
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%
2016 Amount
2015 Amount
Parking fees and tolls
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Local transportation
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Travel expenses
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Meals and entertainment
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Other Business Expenses:
Description
2016 Amount
2015 Amount
Reimbursements:
List only reimbursements NOT reported in
2016 Amount
2015 Amount
Box 1 of your Form W-2
Amount received for other expenses
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Amount received for meals and entertainment
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If you are a statutory employee, does your employer's reimbursement plan for meals
and entertainment allow for offset of other reimbursements?
]]]]]]]]]]]]]]]]]]
Yes
No
Vehicle:
If these vehicle expenses are to be divided between two or more businesses, please enter
the percentage to apply to this business
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%
Description of vehicle
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
(Mo/Da/Yr)
Date vehicle was placed in service
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]]]]]]]]]
Yes
No
Do you (or your spouse) have another vehicle available for personal purposes?
Was your vehicle available for personal use during off-duty hours?
]]]]]]]]]]]]]]]]]
Yes
No
2016
2015
Total miles
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Total business miles
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]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Average daily commuting miles
Total commuting miles for the year
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Gasoline and oil
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Repairs
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Insurance
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Interest
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Taxes
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Value of employer provided vehicle
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Temporary vehicle rentals
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Fair market value of leased vehicle
]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
Vehicle leases
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Other Vehicle Expenses:
Description
2016 Amount
2015 Amount
Worksheet: Employee Business Expense
600164 04-01-16
Forms A-10 and DP-1

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