First name Last name
Business Name
Profession/Product
Employer ID#
Email
Address
City
State
Zip
BUSINESS INCOME
BUSINESS EXPENSES 1. Advertising
2. Car and truck expense
3. Commission and fees
4. Contract labor
5. Depletion
6. Depreciation and sec 179 expense
7. Employee benefit program
8. Insurance expense
9. Interest expense
10. Mortgage interest expense
11. Other interest expense
21. Meals & entertainment
22. Utilities
23. Wages
Other expenses: please itemize below
Totals expenses (add 1 thru 23) (before provision for mileage expenses)
Total profit(loss) (B-D)
BUSINESS VEHICLE INFORMATION
Date placed in service
Business Miles
Commuting miles
Other miles
Business inventory information Charge in method Yes/No Beginning inventory
Purchase personal
Cost of labor
Materials and supplies
Other costs
Ending inventory
12. Legal and professional service
13. Office expenses
14. Pension and profit sharing expense
15. Rent and lease expense (Veh, Mech & equipment)
16. Rent (other)
17. Repair and maintenance
18. Supplies
19. Taxes and licenses
20. Travel
Federal estimated taxes paid(must attach proof)
State estimated taxes paid(must attach proof)
Please upload your files here
I certify that the above information is true and correct. It is being furnished to A&R Tax for purposes of preparing my income tax returns
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