One Cent Financial Self-Employed/Schedule C Worksheet 2022

Self-Employed/Schedule C Worksheet
To be completed by ALL Self Employed Businesses and/or Independent Contractors

IRS requires we have on file your own information to support all Schedule C's.
Business Name (if any)
Address (if any)
Is this your first year in business?

YesNo
Federal ID #/Employer Identification Number (EIN) (if any)
Did you make payments requiring a Form 1099?

YesNo If ‘YES’ did you file required Form 1099?
Total Gross Business Income (not necessarily amount shown on 1099’s)
Business Income/Earnings
Retail Businesses ONLY:
Merchandise Purchased for Resale
Cost of labor (Do not include money paid to yourself)
Materials & Supplies
Other Direct Sales Costs
All Businesses:
Advertising
Repairs and Maintenance
Commissions and Fees
Supplies (not included above)
Contract Labor (1099's Issued)
Real Estate Taxes (If paid for business)
Insurance (other than health)
Other Taxes (Payroll)
Health Insurance (for you)
Travel (do not include meals)
Health Insurance (for your employees)
Meals and Entertainment
Mortgage Interest (If paid for Business)
Utilities
Other Interest Paid
Wages (W 2's Issued)
Professional Fees
Bank and Credit Card Charges
Office Expenses
Rent on Business Property
Uniforms
Equipment Rentals
Telephone used for business
Other
Business Mileage
Make and Model of Vehicle
Question MUST be answered >> Do you have “evidence” to support your mileage?

YesNo
If yes, is the “evidence” written?

YesNo
Evidence” includes mileage logs, appointment records, calendars, etc. plus IRS could ask for odometer readings from oil changes, repair invoices, purchase and sale documents.
Did you purchase any major pieces of equipment? If yes, list below:

YesNo
Equipment
Amount
Equipment
Date

MonthDayYear
Date
□ Yes

No IF YES Complete questions below
Do you have an Office in Your Home? If yes, complete questions below in order to see if you may qualify for home office deduction.

YesNo
Sq. Ft of Office
Sq. Ft of Home
Real Estate Taxes
Mortgage Interest / Rent Paid
Home Owners Insurance
Utilities (Lights, Water and Gas)
I certify that I have listed all income, all expenses, and I have documentation to back up the figures entered on this worksheet.
For Tax Year

202020192018Other
Printed Name
Signature

Clear
Should be Empty:

Self-Employed/Schedule C Worksheet

Retail Businesses ONLY:

All Businesses: