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

Employer ID#

Email

Address

State

Business Vehicle info

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