Self-Employment Worksheet

Self-Employment Worksheet
Statement of Business or Professional Activities

Use this form to calculate your self-employment business and professional income. For each business or profession, fill in a separate Form T2125
Your name
Business name
GST Number (if applicable)
QST Number (if applicable)
Address

Business address

Street Address Line 2

CityState / Province

Postal / Zip Code
Province
Country
Postal code
From Date YYYYMMDD (For a business started in this fiscal year please choose the first day of activities)

MonthDayYear
Date
To Date YYYYMMDD

MonthDayYear
Date
Description of Business
Business Income
Cost of Goods Sold (if applicable)
Expenses

Please fill out the expenses that apply to your business
Advertising
Meals & Entertainment
Insurance
Interest & Bank Charges
Business Taxes, Licenses & Permits
Office Expenses
Professional Fees (Legal & Accounting Fees)
Management & Administrative Fees
Rent
Repairs & Maintenance
Salaries, Wages & Benefits
Travel Expenses
Utilities
Delivery, Freight & Express
Motor Vehicle Expenses (Not including CCA) - Fuel, Insurance, Maintenance
Other (specify)
Work From Home

If a portion of your home is being used for your business please fill out the information below
Total square footage of home
Square footage of workspace
Rent (if you pay rent for your home) or Mortgage Interest (for homeowners)
Utilities (electricity, heating, water)
Internet
Maintenance and Repairs
Property Taxes (for homeowners)
Home Insurance
Partnership

If you have a partner(s) please fill out the following information - if not just skip this section
Name of partner #1
Address
Province
Postal code
Social Insurance Number (SIN)
Name of partner #2
Address
Province
Postal code
Social Insurance Number (SIN)
Name of partner #3
Address
Province
Postal code
Social Insurance Number (SIN)
Name of partner #4
Address
Province
Postal code
Social Insurance Number (SIN)

Self-Employment Worksheet

Expenses

Work From Home

Partnership