Business Name & EIN #
*
Date of Incorporation
*
Business Start Date
*
New Ownership Acquisition Date (If Applicable)
Business Address
*
Business Address 2
Business Address 3
Partner Name
*
Percentage Of Ownership
*
Partner Name 2
Percentage Of Ownership 2
Partner Name 3
Percentage Of Ownership 3
GROSS INCOME RECEIVED
GROSS RECEIPTS
Advertising
Car & Truck Expenses
Legal & Professional Services
Employee Salary and Other Compensation
Accounting
Office Expenses
Rent & Lease Payments
Utilities/Telephone
Business Miles
Repair Maintenance
Supplies
Taxes & Licenses
Travel, Meals, and Entertainment
Software
Educational Expenses (Must Be Business Related)
Interest on Business Purchases
Postage and Logistics
Charitable Contributions
Casualty and Theft Losses
Bad Debts (deductible if the business sells goods instead of providing services)
OTHER
TOTAL MILES
Business Document 1
Business Document 2
Business Document 3
Expense 1
Expense 2
Expense 3
Full Legal Name
*
Email
*
Taxpayer Signature
*
Clear
Date
*
Joint Taxpayer Signature
Clear
Date
Clear
Rent / Office
Submit
