Self Employed Form

WILDER TAX-N-GO

Self-Employed Form
Type of Business
Business Name
Business Address:
City
State
Zip
What year did you start your business?
Business EIN
Do you have inventory?
Beginning Inventory Amount
Ending Inventory Amount
Gross receipts or sales
Income Reported on 1099 Misc
Expenses
Advertising
Office Expense
Supplies
Meals
Utilities
Contact Labor
Taxes
Accounting services
Wages
Phone
Rent
Laundry and cleaning
Bank Fees
Professional Fees
Insurance
Office Expensed
Repairs
Parking and tolls
Legal Fees
Office Expensed: Parking and tolls:
Pension contributions
Licenses
Postage;
Travel:(not list anywhere else).
Printing
Bad Debt
Repairs
Dues and Subscriptions
Security
Sales Taxes
Payroll Taxes
Telephone
Tools
Uniforms
Deliver and freight
Utilities
Wages
Other Expenses: Other Expenses:
Other Expenses
Commissions
Other Expenses
Car and Truck expenses
Do you have a home office?

YesNo
If yes, what is the square foot of the home and square of the space that is used. (Space must be used exclusively for work to get credit).
Primary Taxpayer
Date

MonthDayYear
Date
Spouse
Date

MonthDayYear
Date
Was the Vehicle depreciated in a prior year? Yes
Yes
No
Is Car Owned (or financed) YesNo
Yes
No
Vehicle Year
Make
Model
Date Placed in Service

MonthDayYear
Date
Business Miles
Commuting Miles
Total Miles
Gas
Oil changes
Repairs & Maintenance
Tires
Insurance
Towing
Car Tag
Personal property tax
Interest
Towing: Personal property tax:
Lease Payments
Auto club
Warranty
Other
Other
Travel & Entertainment Expense
Airfare, train
Car rental & gas
Taxi, bus, shuttles
Parking, tolls
Lodging
Car rental & gas: Parking, tolls: Meals:
Meals
Tips
Entertainment
Telephone
Dry Cleaning
Other
Other Information
Primary Taxpayer
Date

MonthDayYear
Date
Spouse
Date

MonthDayYear
Date
Should be Empty:

WILDER TAX-N-GO