ScheduleC Affidavit&Certification

Business Income

Inventory and Merchandise Expenses (If Applicable; Typically for Retail Sales)

Business Expenses

Payroll

Utilities (Enter Home Utilities Elsewhere)

Telephone

Retirement Account Contributions

Business Meals and Entertainment

For business meals and entertainment, you must also document that (1) you discussed business during the meal, or (2) you had a substantial and bonafide business discussion or activity before or after the meal/entertainment, or (3) you ate alone while out of town. You must record the name and business relationship of each person entertained.

Business Gifts

Gifts are limited to $25 per person per year. You may not deduct these expenses unless they are documented.

Business Equipment Purchased During This Year

	Date Purchased	Description	Cost
1
2
3
4

Home Office Expenses

	#/$
Total Square Feet of Home
Square Feet of Office
Square Feet of Storage
Rent*
Utilities
Management/Condo Fees
General Home Maintenance & Repairs
Other1
Other2

To qualify, a home office must be used exclusively and on a regular basis (a) as your principle place of business, or (b) by patients, clients, or customers in meetings or dealing with you in the normal course of business.

*If you own your home, provide purchase settlement statement and list improvements to office.

Business Automobile Expenses

	Vehicle 1	Vehicle 2	Vehicle 3	Vehicle 4
Vehicle Description (Make & Model)
Date Originally Purchased
Cost of Vehicle (Year Purchased Only)
Parking
Total Miles Driven THIS YEAR for Business Purposes

*Do not complete this section if your personal automobile is for
commuting to and from work and for personal travel.

Business Miles Driven

	Miles	Miles	Miles	Miles	Days
To Professional Meetings
Between 1st & 2nd Job
From Job to School
Job Seeking
For Investment & Tax Preparation
Rental Activities
Self Employed Business
Temporary Job Site
Average Distance Round Trip to Work

Business Automobile Expenses-Actual Expenses

	Vehicle 1	Vehicle 2	Vehicle 3	Vehicle 4
Gas, Oil, Lubrication
Repairs & Maintenance
Tire, Batteries, Etc
Insurance
License & Taxes
Interest
Wash & Wax
Lease Payments
Other

Travel Expenses

	Your Expenses	Spouse's Expenses
Airfare, Train, Bus
Auto Rental, Tax, Uber, Lyft, Shuttle, Etc
Meals & Tips
Lodging-Hotel/Airbnb
Laundry
Tips
Other1
Other2

Profit and Loss Statement, Income and Expense Summary, Deduction Worksheet, Typed Spreadsheet, Handwritten Declaration:

Receipts, Invoices, Bank & Credit Card statements for business only:

Miscellaneous Supporting Documents, Etc:

Final Certification*

I understand providing false or incomplete information may result in penalties, audits, or denial of credits.

Schedule C Affidavit

Taxpayer Info

Business Income & Expenses Certification

Supporting Documentation