Business Income and Expenses 
            Gross Income 
            Gross receipts or sales 
            Returns, allowances & Chargebacks 
            Cost of goods sold 
            Beginning Inventory 
            Purchases 
            Cost of labor 
            Materials and supplies 
            Other costs - Please List 
            Ending Inventory (enter as a negative) 
            Expenses 
            Advertising 
            Bank & Credit Card Fees 
            Charity 
            Cleaning & Maintenance 
            Commissions 
            Computer 
            Consulting 
            Continuing education 
            Contract labor  
            Dues & subscriptions 
            Health Insurance (Owners) 
            Insurance (property/liability/general) 
            Interest  
            Licenses and Permits 
            Management Fees 
            Legal and professional services 
            Office expense  
            Postage & Shipping 
            Property Taxes 
            Rent or lease: 
                     Car 
                     Office 
          Net Income                                                 -   
          Information on Your Vehicle 
          Please provide the following:  
                Year 
                Make 
                Model 
          When did you place your vehicle in service for 
         business purposes? (month/day/year) 
          Of the total number of miles you drove your 
         vehicle during 2021, enter the number of miles 
         you used your vehicle for: 
                     Business 
                     Commuting 
                     Other 
          Do you (or your spouse) have another vehicle 
         available for personal use? 
 Business Income and Expenses 
       Repairs 
       Samples 
       Software 
       Supplies 
       Telephone & Internet 
       Travel 
       Meals  
       Utilities 
               Water 
               Electricity 
               Gas 
       Wages 
               Payroll taxes 
       Other expenses - Please List