Self Employed - Schedule C

Self Employed - Schedule C

,the taxpayer, hereby certify under penalty of perjury that the income and expenses reported for my self-employment business for tax year 2025 are true, correct, and complete to the best of my knowledge, in support of my Schedule C (Form 1040) filed with the Internal Revenue Service (IRS).
Full Name*

First NameLast Name
Business Name (If any) *
If you do not have a registered business name or LLC, enter your legal first and last name.Example: Jane Smith — Babysitting Services
Business Type*
EIN Number- (If Applicable)
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number used for Business
Please enter a valid phone number.
Were you self-employed in 2025 ?

YesNo
How many years have you been in business?*
How often do you provide services?
Do you travel for business?*
How do you track your milage?
Who maintain the business records?*
Do you maintain a separate bank account for business and personal?*

YesNo
Did you work a job & do anything to make money on the side? What type of work?
Total Income for Tax Year 2025*
Expenses:
Article of State if available

Cancelof
Bank statements

Cancelof
Cash App, Zelle, Venmo, PayPal

Cancelof
Invoice copies or receipts from customers

Cancelof
Other:

Cancelof
Name*

First NameLast Name
Signature*

Clear
Self-Employed Client Certification, Disclosure & Indemnification Agreement

By completing and submitting this form, I acknowledge and agree to the following:

1. Self-Employment Status

I certify that I am self-employed and earn income through a trade, business, or service, including but not limited to: barbering, cosmetology, landscaping, painting, cleaning or janitorial services, childcare, entertainment, auto detailing, promotion, event planning, or similar activities.

2. Accuracy of Information

I certify under penalty of perjury that all information provided to Central Florida Tax Pros is true, correct, and complete to the best of my knowledge. I affirm that I have maintained and/or have access to documentation to substantiate all income, expenses, deductions, credits, and business activities reported.

3. Documentation Responsibility

I understand that the IRS or state taxing authorities may request supporting documentation as part of an audit, examination, or review.

I acknowledge that I am solely responsible for providing such documentation upon request and that Central Florida Tax Pros does not create, verify, audit, or guarantee the accuracy of records supplied by me.

4. Income Reporting Certification

I confirm that the income reported for the applicable tax year:

Represents all income received from my self-employment activities
Includes all sales, services, cash payments, electronic payments, tips, and other earnings
Has not been omitted, underreported, or misrepresented

5. No IRS Representation or Guarantee

I understand and agree that:

Central Florida Tax Pros prepares tax returns based solely on information provided by the client
Central Florida Tax Pros does not guarantee refunds, audit outcomes, or IRS acceptance
Tax return preparation does not include audit defense, legal representation, or correspondence with the IRS unless separately contracted in writing

6. Limitation of Liability

I agree that Central Florida Tax Pros shall not be held liable for:

Penalties, interest, audits, assessments, or adjustments resulting from false, incomplete, or inaccurate information provided by me
Failure to maintain or provide documentation required by the IRS or state agencies
Any consequences arising from income omissions, misclassification, or unsupported deductions

7. Indemnification

I agree to indemnify and hold harmless Central Florida Tax Pros, its owners, employees, and affiliates from any and all claims, penalties, liabilities, losses, or expenses (including reasonable attorney’s fees) arising from:

Misstatements or omissions made by me
IRS or state tax authority actions related to information I supplied

8. Acknowledgment

By signing and submitting this form, I acknowledge that I have read, understand, and agree to all terms above and that I am voluntarily certifying the accuracy of my tax information.
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