Business Income & Expense

Please complete the form below based on your business or rental records.

Use the Tab key to go to the next field. An asterisk ( * ) indicates a required field. You must fill in the required fields, then only fill in the fields that apply to you.

*Your Name:

*Your email Address:

*Business or Rental Property Name, Address, City, State, ZIP code

Federal Identification Number: Example: 12-3456789
*Social Security Number: Example: 111-22-3333

*Brief description of business/rental activity and product provided

*What type of activity are your reporting?

*Accounting Method: ; If "Other" please specify:

If this form is for Rental Property, please indicate:
Number Days used for Personal Purposes
Number Days Rented at fair market value

Do you have a Home Office?:

Did you "materially participate" in this business during the course of the year?:

Do you maintain an Inventory in your business?:
If you answered YES, indicated method used to value closing inventory:

INCOME
Gross Receipts or Sales
Returns and Allowances
Cost of Goods Sold
Other Income
Rental Income
Royalty Income

INVENTORY INFORMATION (if applicable)
Inventory at the beginning of the year
Purchases less cost of items withdrawn for own use
Cost of Labor. Do not include any amounts paid to yourself
Materials and Supplies
Other Costs
Inventory at the close of the year

EXPENSES

Advertising
Newspaper Advertising
TV, Radio, Internet Advertising
Business Cards
Other Advertising

Bad Debts
Uncollected Accounts Receivable
Other Debts

Car / Vehicle Expenses (Complete the Vehicle Worksheet Form)
Gas and Oil
Maintenance and Repairs
Insurance
License Tags

Commissions and Fees
Sub-contractors

Employee Benefit Programs
Accident and Health Plans (for employees only)
Group Term Life Insurance (for employees only)
Dependent Care Assistance Programs (for employees only)
Self-Employed Health Insurance (amount paid for yourself)

Insurance
Property
Fire/Theft/Flood
Workmen's Compensation
Merchandise and inventory
Credit Insurance
Business Interruption
Errors and Omissions
Disability (not employees)

Interest Expense
Mortgage (paid to banks)
Other Interest Expense

Legal and Professional Fees
Attorney Fees
Accounting Fees

Office Expense
Supplies
Typewriters
Computers and Printers
Calculators
Copy Machines
Cash Registers
Postage, UPS, Register Mail
Accounting Records, Receipt Books
Other Office Expenses

Pension and Profit Sharing Plans
Pension, Profit Sharing, Annuity Plan Contributions (for employees only)
Pension, Profit Sharing, Annuity Plan Contributions (for you only)

Rent or Lease
Vehicles, Machinery and Equipment
Other Business Property

Repairs and Maintenance
Labor
Supplies / Parts
Other (Items that do not add to the value or increase of the life of the property)

Supplies (Cleaning)
Janitorial Supplies
Other Cleaning Supplies

Taxes and Licenses
Real Estate
Personal Property Tax on Business Assets
Sales Taxes (If collected from buyer, also include in gross receipts or sales)
Social Security & Medicare Taxes (Employer's half matching employee's half)
Federal Unemployment Tax
State Unemployment Tax
Federal Highway Use Tax
Licenses
Regulatory Fees Other Taxes

Travel Expenses
Lodging (Hotels/Motels)
Meal (only 50% of this total will be deductible)
Entertainment Expenses
Parking Fees, Tolls
Airline Tickets
Car Rental

Utilities
Electric
Gas/Propane/Fuel Oil
Telephone (If a home phone do not include base rate for 1st line)
Water

Wages
Salaries (Officers only if a Corporation or S Corporation)
Salaries (Non-officers or regular employees of the business)
Wages (Hourly employees)

Other Expenses
Amortization (such as Business Startup costs)
Bank Service Charges
Business Publications
Laundry/Cleaning (Trash & snow removal, window/carpet cleaning, etc.)
Trade Organization Dues
Miscellaneous Expenses
Describe:
Describe:
Describe:
Describe:

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