Business Income And Expenses Form

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BUSINESS INCOME AND EXPENSES
If you keep track of your income and expenses in a computerized accounting system such as
QuickBooks, please provide a year-to-date Profit & Loss Statement.
If you do not have a computerized accounting system, please provide the following information:
INCOME
What is your total income for the year? Please add all of your income for the year, based on your
records, including total bank deposits, 1099-K and 1099-MISC statements:
_______________________
EXPENSES- Please add all of your expenses for the year in the following categories:
Accounting_________
Advertising (website, business cards, flyers, etc. ) __________
Bank Charges/Merchant Account fees/Credit Card processing fees__________
Car and truck expenses (see worksheet) – please provide one worksheet for each vehicle
If you retail products, please total all purchases for the year:__________________________,
What is the cost of products left on hand/in inventory as of 12/31_________________________?
Cell phone monthly service and the cost of new cell phone equipment______________________
Cleaning and janitorial__________
Commissions/Contract Labor/Outside Services (If you pay more than
$600
in a calendar
year
st
you must issue a 1099-MISC to each person/company paid by Jan 31
and to the IRS by Feb
28th) __________________________
Computer expenses, including software, anti-virus programs, etc. __________
Conventions/Trade Shows__________
Delivery/Freight__________________
Dry Cleaning/Laundry__________
Dues/fees/memberships__________
Education/Seminars__________
I verify that I have accurate books, records and documentation to support the income and
expenses listed.
Signed: ___________________________________ Date: _________________________

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