Please list actual expenses paid each month. Leave blank if not applicable.

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I certify that the information provided in this Self-Employed Income & Expense Ledger is true, accurate, and complete to the best of my knowledge.

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• All information provided will be used by Tax Cash, Inc. solely for the purpose of preparing and filing my tax return.
• I am responsible for the accuracy and completeness of all income and expense information submitted.
• Tax Cash, Inc. does not audit or verify documentation unless otherwise stated in writing.
• Providing false or incomplete information may result in IRS penalties, interest, or audits for which I am solely responsible.
• I authorize Tax Cash, Inc. and its authorized representatives to use this information to prepare and electronically file my federal and state tax returns.
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