Expense Form
Self Employed Income
Date
*
-
Month
-
Day
Year
Date
Filing Year
*
Please Select
2020
2021
2022
2023
Business Name
*
EIN
*
*
First Name
Last Name
Total Income
Total Expenses
Expenses
Total for the year
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Contract Labor
Commision & Fees
Depletion
Employee Benefit programs
Health Insurance
Insurance (other than health)
Mortgage Interest
Other Interest
Legal and professional services
Office Expense
Pension and Profit sharing
Rent or lease of property
Repairs and Maintenance
Supplies
Tax and Licenses
Travel
Meal 50% (enter 100% of all expenses)
Meals 80% (enter 80% of all expenses)
Meals ( 100%)
Utilities
Wages (less employment credits)
Other expenses
Other expenses
Other expenses
Other expenses
Other expenses
Other expenses
*
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Signature
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