Schedule C Worksheet For Self Employed Businesses
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1Schedule C Worksheet
for Self Employed Businesses and/or Independent Contractors
►IRS requires we have on file your own information to support all Schedule C’s
Business Name (if any)__________________________________________ Address (if any) _________________________________________
□
□
Is this your first year in business?
Yes
No
Federal ID # (if any)_________________________
Gross Business Income (not necessarily amount shown on 1099’s)
$____________
Retail Businesses ONLY:
Beginning Inventory
$____________
Merchandise Purchased for Resale
$____________
Labor/Salaries
$____________
Materials & Supplies
$____________
Other Direct Sales Costs
$____________
Ending Inventory
$____________
All Businesses
Advertising
$____________
Repairs and Maintenance
$____________
Commissions and Fees
$____________
Supplies
$____________
Contract Labor (1099’s Issued, if app)
$____________
Real Estate Taxes
$____________
Insurance (other than health)
$____________
Other Taxes/Licenses
$____________
Health Insurance (for you)
$____________
Travel (do not include meals)
$____________
Health Insurance (for your employees) $____________
Meals and Entertainment
$____________
Mortgage Interest
$____________
Utilities
$____________
Other Interest Paid
$____________
Wages (W-2’s Issued)
$____________
Professional Fees
$____________
Bank and CC Charges
$____________
Office Expenses
$____________
Tools and Uniforms
$____________
Rent on Business Property
$____________
Other _________________________
$____________
Equipment Rentals
$____________
Other _________________________
$____________
► Business Mileage __________ (Do not include mileage to and from home unless your office is in your home)
□
□
Question MUST be answered >>
Do you have “evidence” to support your mileage? . . .. .
Yes
No
□
□
and this if applicable >>
If yes, is the “evidence” written? . . . . . . . . . . . . . . . . . . . . . .
Yes
No
“Evidence” includes mileage logs, appointment records, etc. plus IRS could ask for odometer
readings from oil changes, repair invoices, purchase and sale documents.
► Did you purchase any major pieces of equipment?
□
□
Yes
No
► Do you have an Office in Your Home?
□
□
Yes
No
If Yes Sq Ft of Office __________
Sq Ft of Home __________
Real Estate Taxes
$__________
Mortgage Interest / Rent Paid $__________
HO Insurance
$__________
Utilities
$__________
I certify that I have listed all income, all expenses, and I have documentation to back up the figures entered
on this worksheet
Printed Name___________________ ________________________ Signature____________________________________________________________
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Parent category: Financial