Declaration of Self-Employment Income

Declaration of Self-Employment Income (Schedule c Due Diligence)

Taxpayer/Owner Name

Business Name

Business Phone

Format: (000) 000-0000.

What type of business do you have?

Do you have a business license?

If so what is the number?

Does your business require a certification or license?

When did you start your business?

Do you have a TAX ID/EIN?

If so, what is it?

Is your business structured?

Do you have an operating agreement?

Do you keep records of your business income and expenses?

Do you have bookkeeper? If so, please name.

Phone

Format: (000) 000-0000.

Company

10. Do you have a business bank account? If so, please provide the following:

Bank Name

Routing #

Account #

Did you receive 1099-NEC forms?

If so, how?

13. By law, you are required to keep adequate records. Please submit copies of records. If you have other forms of documentation to support your business, please explain and submit copies of the documents.

(Taxpayer/Owner) have provided on this client data

form is true and accurate to the best of my knowledge.