SELF EMPLOYMENT INCOME AND EXPENSES

Please complete this form if you or your spouse (if married filing jointly) are self employed taxpayer(s), if you operate more than one business a form must be completed for each business. *Please note that you may be required by a taxing authority to prove the legality of your business, please keep any and all documentation pertaining to all income and expenses you are claiming. in the event of an audit, you will have to prove every item you have listed on this form. You hereby certify that the information on this form is accurate and true (please refer to your Client Engagement Letter between you and SJ&J Tax Services. If you are unsure of the accuracy of your calculations and would like for us to provide you with bookkeeping services at a rate of $60.00 per hour indicating your waiver of our bookkeeping services* let us know, if not, please initial here

First Name: Please list spouse info below if married filing jointly:

Occupation

First Name

Middle Intial

Last Name

When did you start this business?

Date

Do you have documentation to support the information listed on this form? Please type yes or no in the box below

If so, did you bring documentation with you to assist in the preparation of your tax return? Please type yes or no in the box below

If you operate your business out of your home, what percentage of your home out of 100% is being used or was used for business purposes ex: out of a total of 8 rooms in your home, how many rooms are or were being used for business purposes?

Total number of rooms in home?

How many rooms are used for business purposes?

Please list your business expenses below, expenses must be itemized.

Advertising

Contract Labor:$

Travel and Meals

Utilities

Supplies

Other: $

Meals: $

Business apparel: $ Business Equipment: $

Taxpayer Signature

Spouse Signature: (if business is operated by both spouses)

*If you are married filing jointly and husband & wife are both self employed and their businesses are separate, you must complete another form.*

SELF EMPLOYMENT INCOME AND EXPENSES

TOTAL BUSINESS EXPENSES