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Income from Business
Name
*
First
Last
Business Name
*
Business Activity
*
Bsuiness Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business Income & Expenses
Sales
*
Do Not Include Sales Tax Collected and Paid
Purchases of Product/Material for Resale
Advertising
Commissions
Insurance
Professional Liability. Do not include insurance related to your car or home office or health insurance
Health Insurance
Out of Pocket Medical Expenses
Dr Visits; Prescriptions; Vision; Dental
Interest
Credit Card; Vendor charged interest; LOC
Legal and Professional Fees
Office Supplies
Paper, Pens, Copy Paper. Nothing over $2,500
Postage and Shipping
Repairs Less Than $2,500 Each
Minor Repairs directly related to your business operations
Supplies
Licenses & Fees
Professional Licenses
Supplies
General Supplies
Travel away From Home
Hotels, Plane Tickets, Rental Cars
Telephone/Fax
Business Phone (Must be in Business Name, Not Your Home Phone) Cell Phone
Utilities
Electric, Water, Gas Related to property that you use in your business (Not your home office)
Wages Paid
Wages paid to Employees (Not money you took out personally or pay to you)
Payroll Taxes
Paid Related to Wages Paid to Employees
Bank Fees
Dues/HOA/Publications
Miscellaneous
Do You Purchase Any Office Equipment/Equipment?
*
No
Yes
Computers, Cell Phones, Ipads, etc
Type of Equipment
Date of Purchase
MM slash DD slash YYYY
Purchase Price
Do You Have Any Equipment Purchases This Year?
*
No
Yes
Type of Equipment
Date of Purchase
MM slash DD slash YYYY
Purchase Price
Auto Usage
Do You Use Any Personal Vehicles in Your Business?
*
No
Yes
Vehicle Description
*
Year, Make, Model
Date in Service
*
MM slash DD slash YYYY
Business Miles Driven
*
Total Miles
*
Do You Have a Second Personal Vehicle You in Your Your Business?
*
No
Yes
Second Vehicle Description
*
Year, Make, Model
Date Placed in Service
*
MM slash DD slash YYYY
Business Miles Driven
*
Total Miles Driven
*
Home Office
Your home office will qualify as your principal place of business for deducting expenses for its use if: you use it exclusively and regularly for administrative or management activities of your business. AND you have no other fixed location where you conduct substantial administrative or management activities of your business
Based on the Explanation above, Do you qualify for home office expense?
*
No
Yes
How Would You Like Us to Compute Your Home Office Deduction?
*
Please use the Simplified Method
I will submit my qualified expenses below
We can use the simplified method of $5 per square foot, up to 300 feet OR You can Provide Actual Expenses at 100% (We will do the math!)
How Many Square Feet is Your Office Space
*
Include Office Space and Storage used 100% for Business
How Many Square Feet is Your Home?
*
Utilities
*
Provide 100% of Electric and Gas
Internet
*
Insurance
*
Include Homeowners and Umbrella Policy if Applicable
Maintenance
Include Lawn and Pool Services; Housekeeper
Repairs I Made to My Entire House
Example: Replace Your Roof
Repairs/Upgrades I Made Just to My Home Office
Example: Paint and New Carpet Provide 100% of Expense
Δ
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