FORM 1040 SCHEDULE C PROFIT AND LOSS QUESTIONNAIRE

Profession/Product

Name

Business Name

City

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)
First name
Last name

I certify that the above information is true an correct. It is being furnished to A&R Tax for purposes of preparing my income tax returns
Signature