BUSINESS INCOME TAX WORKSHEET Name of Business: ________________________________________________________ Business Street Address: ___________________________________________________ City, State, Zip: __________________________________________________________ PART 1: INCOME Gross Receipts & Sales: ________________ Returns & Allowances: _______________ Other Income: ___________________________________________________________ *Please bring in all 1099 forms you receive and copies of ones you issue. PART II: EXPENSES Advertising: $____________ Commissions & Fees: $_____________ Car & Truck Expenses: Beginning Mileage: _____________ Ending Mileage: _______________ Business Miles for the year: __________ % of Business Use: ________ Gasoline & Oil: $___________ Repairs: $______________ Insurance: $____________ Vehicle Registration & License: $________ Contract Labor: $____________________ Worker’s Comp. $____________________ Insurance: $_______________ Self-Employed Health Insurance: $_____________ nterest: $______________ Bank/Mortgage: $______________ Other: $________ Legal/Professional Services: $_____________ Office Expenses: $______________ Rent or Leasing Fees, vehicle, machinery: $___________ Other, land, etc: $_________ Repairs/Maintenance: $_____________ Supplies: $__________ Utilities: $_________ Travel, Meals: $____________ Tags, Licenses: $____________ Postage: $__________ PLEASE COMPLETE THIS WORKSHEET AND BRING TO THE OFFICE T LEAST 3 DAYS BEFORE YOUR APPOINTMENT.