Schedule C - Business Income and Expense Detail
This form is to be completed by Self-Employed Individuals, Sole Proprietors, and/or Small Business Owners.
Business Name
*
Business Address (if different from home address)
Federal Tax ID Number (if any)
Did you receive a 1099-NEC, 1099-K, and/or 1099-MISC tax form?
*
Yes
No
Gross Business Income
List the total revenue earned from your products or services.
Gross Business Income $
Business Expenses
List the TOTAL expense for EACH category.
Advertising $
Contract Labor $
Depreciation $
Insurance $
Interest - Mortgage $
Interest - Other $
Legal and Professional Services $
Meals $
Office Expense $
Rent - Office $
Rent - Machinery $
Repairs/Maintenance $
Supplies $
Taxes and Licenses $
Travel $
Utilities (Phone, Internet, etc.) $
Other Expense $ - List any other business expenses that don't fit the categories above. Be sure to include a description and amount for each expense.
Do you have evidence to support your business expenses?
*
Yes
No
Car/Truck Expenses
Only complete this section if you utilize a vehicle for your business. Expenses listed should reflect business use of the vehicle only.
Business Miles #
Car Insurance $
Gas $
Parking Fees $
Repairs $
Tires $
Tolls $
Other Expense $ - List any other expenses related to the business use of your car/truck. Be sure to include a description and amount for each expense.
Do you have evidence to support your car/truck expenses?
Yes
No
Home Office Expenses
Only complete this section if you operate your business out of your home.
What is the square footage of your entire home?
What is the square footage of your office/workspace?
Other Expense $ - List all of your home office/workspace expenses. Be sure to include a description and amount for each expense.
Do you have evidence to support your home office/workspace expenses?
Yes
No
Acknowledgement
I declare and affirm under penalty of perjury that the information provided in this form is true and correct to the best of my knowledge and belief. I understand that in the event of an audit by the IRS or Department of Revenue of my resident state, it is my responsibility to provide additional support to that respective department to validate the information reported above.
*
Click here to agree to the preceding statement.
Taxpayer Name
*
Signature
*
Date
*
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Month
-
Day
Year
Date
Submit
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