Profit and Loss Statement
I understand that the Profit and Loss form I am completing is based solely on the income earned and the business expenses (deductions) I actually incurred during the tax year. I certify that the information provided is true, accurate, and complete to the best of my knowledge. I acknowledge that Hynacee Tax & Business Services, LLC will prepare my tax return using the information I have provided
Tax Year Period
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Company Name / or name if no company name
Business EIN#
Business Email / or your email if no business
example@example.com
Business Address / or home address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Income
Rows
Amount
Sales
Refunds
Other Income
Gross Income
Expenses
Rows
Amount
Advertising
Car or Truck
Commissions
Contract Labor
Entertainment
Equipment rent or lease
Insurance
Interest Paid
Legal and professional services
Travel
Materials & Supplies
Business Meals
Office Expenses
Supplies
Rent or Lease of property
Repairs and Maintenance
Taxes and Licenses
Communications
Utilities
Non Recurring Expenses
Rows
Amount
Furniture
Gifts
Others
Total Expenses
BUSINESS OWNER HOME ADDRESS
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Phone Number
-
Area Code
Phone Number
Signature
Submit
Should be Empty: