BUSINESS INTAKE FORM

INCOME & EXPENSES

BUSINESS INTAKE FORM
I First Name Last Name Confirm that I have been Managed the Business for the year of 2025, the business location is in the following address: Street Address City State Zip
Business Information:*

Name of Business (If any):EIN/SS#
Income Questions:
Sales/Services: $
1099 Income: $
Total Incomes: $
General Expenses:
Office Expense:
Rent or Lease:
Utilities:
Insurance:
Supplies:
Advertising:
Car expenses:
Repairs:
Other Expenses:
Total Income – Total Expenses = $ Net Income
I declare that under penalty of perjury that the foregoing statements and above information are true and correct to the best of my knowledge.*
Should be Empty:

INCOME & EXPENSES