Business Profit & Loss Statement
Tax Year
*
Please Select
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
Owner/Principal Information
Name of Business Owner
*
First Name
Last Name
% of Ownership
*
0-100%
Social Security Number
*
eg, 123-45-6789
Business Basic Information
Legal Business Name
*
DBA (Doing Business As) - If Applicable
Principal Product or Service
*
Business Entity
*
Sole Proprietorship
Single Member LLC
Partnership LLP
Corporation S-Corp
Does this business have an Federal Tax ID (EIN)
*
Yes
No
If yes, enter (EIN) Employer ID Number
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Email Address
*
example@example.com
Business Phone Number
*
Please enter a valid phone number.
Business Income
Accounting Method
*
Cash
Accrual
Other
Business Sale/Income (Other than 1099, 1099-NEC)
*
Please enter your business income - Gross receipts
Business Operation Expenses
Business Vehicle Information
*
If no business vehicle, then enter NA
What is the purchase cost of the vehicle?
*
If no vehicle, then type $0
Approximate start date vehicle use for business?
-
Month
-
Day
Year
Date
Vehicle Mileage Summary
Business
Commuting
Volunteer
Annual Mileage Used
General Admin and Operation Expenses
*
Business Expenses ($)
Advertising
Contract Labor
Commissions and fees
Wages for Employees
Dependent care benefits
Pensions and profit sharing
Other employee benefits
Office expense (Postage, Delivery, Cleaning)
Repairs and maintenance
Supplies (Copy paper, etc.)
Business Insurance (excluding health)
Taxes and insurance
Utilities (Telephone, Cellphone, Light/Water/Gas, Internet)
Vehicle, machinery and equipment rent
Home Office - House rent/mortgage
Travel expenses (airfare, car rental, excluding meals)
Total meals expense
Legal and professional fees
Mortgage interest
Other interest (including vehicle loan)
Gas, Car Insurance, Repairs & Maintenance, Tires, and etc
Parking and Toll for business
Acknowledgements & Signatures
Taxpayer(s) Certifications: MUST SELECT ALL BOXES
*
I (Taxpayer) certify that the Business expenses provided are true and correct to the best of my knowledge.
I (Taxpayer) have provided true and accurate records to my Tax Professional to prepare my taxes.
I (Taxpayer) understand that my tax return will be prepared using the Business expenses that I have provided.
I (Taxpayer) reserve the right to check my tax return to ensure, that the information and expenses reflects the information I have provided.
I (Taxpayer) understand that I am responsible for maintaining my tax records and receipts for any expenses included in my return.
In the event of an IRS Audit or Review, assistance is available with providing responses to the IRS. However, it is my (Taxpayer) sole responsibility to maintain my tax records and respond timely to any request for information from the IRS.
Date
*
-
Month
-
Day
Year
Signature
*
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