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  • Business Income

  • Depletion Repairs/Maint. Depreciation Employee Benefits Insurance Legal/Pro Services Other Expenses

  • Machinery/Equip Other Property Supplies Taxes/License

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  • I certify I am self employed or have a 1099 income. I will be having a Schedule C prepared for income purposes. If I am ever audited by the IRS, I will need provide proof of both income and expenses. I attest to the ledger that is provided and its accuracy. I understand that if EIC is being received and IRS determine any fraud was involved, I may lose my right to claim Earned Income Credit for up to 10 years. By signing this application, I agree that I will be held responsible for any misleading information that I provide to my tax specialist and its ERO. This application shall serve as evidence for further references.

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