Self-Employment Reconstruction
To help accurately prepare your tax return, we need to estimate your income from self-employment activities. This worksheet will guide you in listing out all the different ways you’ve received payments over the year, like bank deposits, cash sales, and app transfers (e.g., Cash App or PayPal). Even if you don’t have all the receipts or records, this tool will help us create a reasonable estimate of your income based on your usual business activities. This helps ensure we capture everything and avoid any issues with the IRS.
Taxpayer Name
*
First Name
Last Name
Business Name
Business Phone Number
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Industry/Type
How long have you been in business?
Where did you operate your business?
Home was used as Day Care Facility?
Total Square Feet of your home
Part of Your Home Used for Business
Area used for business, for day care, or for storage of inventoryRemaining square feet for business use: 300
Cost Of Goods Sold
Description
Total Estimated Income ($)
Inventory at the beginning of the year
Purchases less cost of items withdrawn for personal use
Cost of labor (not salary paid to self)
Materials and supplies
Other costs
Inventory at the end of the year
Estimate Your Monthly Income -
*
Frequency (Daily/Weekly/Monthly)
Total Estimated Income ($)
1099
Cash App/PayPal/Venmo Transfers
Zelle Payments
Cash Sales
Invoices
Checks Received
Estimate Your Yearly Expenses
*
Description
Amount
Advertising Costs
Costs for Supplies
Commission and Fees
Contract Labor
insurance other than Health
Legal and Professional Fees
Office Expenses
Equipment Rental
Property Rental (Flea Market or Salon Booth)
Travel
Deductible Meals
Other
Other
Other
Other
Attestation:
I affirm that the information provided is true and correct to the best of my knowledge.
I understand that this affidavit may be used to support my tax filings and that any false statements may result in penalties.
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: