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BUSINESS INCOME & EXPENSE WORKSHEET

Name of business:

Form IE-01 Entity type & method: (circle one)


( Sole Proprietorship, Partnership, Corporation, Religious, Not-for-Profit ) Cash basis? Yes / No

Year ending/ Period ending (circle one): Batch control #

Revenue:
Gross receipts or sales - Sales return or allowances (1) = Total Revenue $ $ $

Cost of Inventory Sold:


Inventory at beginning of the (year / period) + Cost of merchandise Purchased =Total Inventory available for sale (d+e) - Ending Inventory for (year / period) (2) = Cost of Inventory Sold $ $ $ $ $

Labor, Materials & Contractors:


Cost of labor + Materials and supplies (not inventory) + Contractors + Other direct (3) = Total Labor, Materials & Contractors (4) Cost of Sales (line 2 + line 3) $ $ $ $ $ $
Business use of automobile
Total miles Business miles Commute miles Personal miles Percentage used for business Gas, Repairs & Mtnce. Automobile Insurance Tolls & Parking Expense $ $ $ % $ $ $ Y / N % Vehicle #1 Vehicle #2

Selling, General & Admin. Expenses


Advertising + Bank Charge $ $ + Car and Truck (not tolls, not parking, not Insurance) $ + Commissions + Dues and Subscriptions + Employee Benefit Programs + Insurance (not health) - Business Liab. + Insurance - Automobile + Insurance - Health + Interest (not home-office mortgage) + Legal and Accounting + Meals and Entertainment + Office, & Office Supplies + Rent or lease: Machinery/Equipment + Rent or lease: Building $ $ $ $ $ $ $ $ $ $ $ $

Do you have written evidence to support your business use claim?

Home Office Expense


Sq. ft. of office space in home Total sq. ft. of home Homeowners Insurance Internet Service Provider Business Long Dist. Telephone Mortgage Interest or Rent Utilities: Oil, Sewer, Electric Repairs and Maintenance Real Estate Tax Other: __________________ Other: __________________ Other: __________________ Adjusted Basis of Home Home Improvements this Yr Date first started using home for business $ $ $ $ $ $ $ $ $ $ $ $

Total allocation percentage _____ %

notes, or specific allocation

+ Repairs and Mtnce. (not car or truck., not home) $ + Taxes and Licenses + Telephone (not home-office telephone) + Tolls and Parking + Trade Shows, and Promotional + Travel (overnight - lodging, and transportation) + Utilities: (not home-office utilities) + Wages & Salaries + + + + (5) = Total Selling, Gen. & Admin. Expenses (6) Profit before depreciation, home office, & taxes = (line 1 - line 4 - line 5)
Fixed Assets: Equipment, Furniture, Automobile - Purchases: Description Date purchased

$ $ $ $ $ $ $ $ $ $ $

$ $
Did you trade in or retire Was this financed? If yes, any fixed assets Y / N amount financed

Cost

/ / / / /

$ $ $

$ $ $ __________________ Date

X________________________________________________________________ Presented by: Authorized signature and name

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