Estado Resultados Empresariales

Employer's Identification Number (EIN) or Social Security Number

Federal ID or SSN

Tax Year Return You Are Filling This Form For:

Name of Business / DBA

Business Owner's Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Email

example@example.com

Today's Date:

Date

Did you received a 1099-NEC or 1099-MISC for the income you earned?

Did you pay out any labor, that need to issue any 1099-NEC?

Does your business has any Assets? Select all that apply

Did you get payments from your clients to ZELLE?

Under What Account you received the moneys received from ZELLE?

Annual Income For Tax Year you are filling

Rows	Amount
Annual Income in your Business Checking Account?

Business Expenses (Do not leave empty cell, just write the #0)

Rows	Payment
Rent/Lease
Supplies/Materials
Rental Equipment
Employees' Salary
Insurance: General Liability
Insurance: Workers Comp
Insurance: Truck/Auto
Attorney's Fees
Professional Fees
Business License Fee
Payroll Taxes Paid
Utility: Gas
Utility: Electric
Utility: Water
Office Rental Payment
Advertisement/Marketing
Travel Expenses (Business only)
Business Meals
Vehicle Expense: Interests Paid
Vehicle Expense: Repairs & Maintenance
Vehicle Expense: Gasoline
Vehicle Expense: Tolls
Vehicle Expense: parking
Postage/Delivery
Office Equipment Purchase

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DISCLOSURE

I do hereby state, the information list on this form with regards to my Business is true and accurate to the best of my ability. I further understand, the submitted information on this form will be submitted to LEGACY ACCOUNTING LLC and ACS FINANCIAL SERVICES INC., to be used on my 1040 Return for the Tax Year showing above on this form. Should the IRS request documentation pertaining to the information listed on this form; I do hereby state, I will submit any and all receipts, invoices, bill etc; to the IRS upon request, as it relates to my Business listed on my 1040 Return for the Tax Year showing above on this form. I agree to hold LEGACY ACCOUNTING LLC and ACS FINANCIAL SERVICES INC., harmless, should an audit arise from the information pertaining to my Business and my 1040 Return. My signature at the end of this form shall serve as my agreement to the information listed on this Tax Return Year, showing above on this form.

Signature

Business Profit & Loss Statement

Business Info

INCOME & EXPENSES