SELF EMPLOYED INCOME AND EXPENSE WORKSHEET

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date

Will Need prior year Form 4562 and worksheet to see depreciation if not done by Jr's Notary.

I certify that the information provided in this Income and Expense Worksheet is true, accurate, and complete to the best of my knowledge. I have disclosed all sources of income and expenses. I understand that I am solely responsible for the accuracy of this information and any consequences that may arise from errors or omissions. I acknowledge that I am required to maintain documentation to support the information provided in the event of an IRS audit. I further understand that Jr’s Notary and its staff are not responsible for verifying the accuracy of this information and bear no liability for any misstatements or omissions.

Date

SELF EMPLOYED INCOME/EXPENSE SHEET

List only ORDINARY AND NECESSARY expenses paid for the business