15-line INVOICE
Request Form
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
YOUR DETAILS
Company Name
*
This will show on the invoice as the business name.
Company Email
*
example@example.com. This is where this form receipt will be sent to, along with an invoice number.
Company Phone
*
Format: (000) 000-0000.
JOB CUSTOMER DETAILS
Customer Display Name
QuickBook required, leave as is.
First Name
*
Last Name
*
Email
*
example@example.com
Phone
*
Customer phone number
Format: (000) 000-0000.
Country
JOB DETAILS
PROJECT DETAILS
This area is for any relevant job details. This will appear on the invoice.
Contractor Services
Quickbooks requirement, ignore & leave here.
ITEMIZED CHARGES
List all services/products to be invoiced. NOTE: Every item needs a Yes or No answer on whether tax is to be applied.
Line Item #1
1a. Service / Item Description
*
1b. Should this item be taxed?
*
Please Select
Yes
No
1c. Price
*
1d. Quantity
*
1e. Line Total $
Line Item #2
2a. Service / Item Description
2b. Should this item be taxed?
Please Select
Yes
No
2c. Price
2d. Quantity
2e. Line Total $
Line Item #3
3a. Service / Item Description
3b. Should this item be taxed?
Please Select
Yes
No
3c. Price
3d. Quantity
3e. Line Total $
Line Item #4
4a. Service / Item Description
4b. Should this item be taxed?
Please Select
Yes
No
4c. Price
4d. Quantity
4e. Line Total $
Line Item #5
5a. Service / Item Description
5b. Should this item be taxed?
Please Select
Yes
No
5c. Price
5d. Quantity
5e. Line Total $
Line Item #6
6a. Service / Item Description
6b. Should this item be taxed?
Please Select
Yes
No
6c. Price
6d. Quantity
6e. Line Total $
Line Item #7
7a. Service / Item Description
7b. Should this item be taxed?
Please Select
Yes
No
7c. Price
7d. Quantity
7e. Line Total $
Line Item #8
8a. Service / Item Description
8b. Should this item be taxed?
Please Select
Yes
No
8c. Price
8d. Quantity
8e. Line Total $
Line Item #9
9a. Service / Item Description
9b. Should this item be taxed?
Please Select
Yes
No
9c. Price
9d. Quantity
9e. Line Total $
Line Item #10
10a. Service / Item Description
10b. Should this item be taxed?
Please Select
Yes
No
10c. Price
10d. Quantity
10e. Line Total $
Line Item #11
11a. Service / Item Description
11b. Should this item be taxed?
Please Select
Yes
No
11c. Price
11d. Quantity
11e. Line Total $
Line Item #12
12a. Service / Item Description
12b. Should this item be taxed?
Please Select
Yes
No
12c. Price
12d. Quantity
12e. Line Total $
Line Item #13
13a. Service / Item Description
13b. Should this item be taxed?
Please Select
Yes
No
13c. Price
13d. Quantity
13e. Line Total $
Line Item #14
14a. Service / Item Description
14b. Should this item be taxed?
Please Select
Yes
No
14c. Price
14d. Quantity
14e. Line Total $
Line Item #15
15a. Service / Item Description
15b. Should this item be taxed?
Please Select
Yes
No
15c. Price
15d. Quantity
15e. Line Total $
SUBTOTAL
SUBTOTAL
DISCOUNTS / CREDIT - Enter either option below (NOT BOTH):
Discounts are applied to the subtotal before taxes and allocated proportionally between taxable and non-taxable amounts to keep taxes accurate.
A. Enter dollar amount
Do NOT include the "$" sign.
B. Percentage amount
Do NOT include the "%" sign.
C. Percentage Amt Adjust
209: Converts to a $ amount off based on the subtotal. Total*(%/100)
TOTALS
Taxable Subtotal before discounts
173 (173-211: FIGURES TAX AMT that is proportionally discounted) This field: Add all line totals(x0 for no tax)(1x for taxed)
Non-tax subtotal before discounts
210. Subtotal of all line items minus Taxed Subtotal (the difference = non-taxed items subtotal)
Taxable % discount
195: [calculate the 2 above fields] Taxable subtotal / subtotal = percentage that makes up the taxed
Dollar disc amt applied to taxable subtotal
207. Changes above field into a dollar value (not a %) Math: Discount A * field 195
Percent discount amt applied to taxable subtotal
214: Changes above field into a dollar value (not a %) Math: Discount C * field 195
Dollar non-tax disc amt
215: This field is to subtract the rest of the $ discount that is for non-tax portion of the total
Percentage non-tax disc amt
216: This field is to subtract the rest of the % discount that is for non-tax portion of the total
Taxable SUBTOTAL after discounts
211: (Taxable subtotal before disc field 173) minus (taxable disc field 214). This number x 0.06% = below field.
TAX
TOTAL
TERMS
Customer Payment Terms:
Due upon receipt
Net 15
Net 30
Other: Net ___
APPROVAL
PICK ONE:
*
This is 1.) accurate and 2.) ready to be sent to my customer.
I would like to review and approve this invoice before sending it to my customer.
Provide any additional comments or instructions for Jackrabbit Billing.
If needed, I can also be reached at info@jrbilling.com; always include the invoice number.
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