Schedule C – Form 1040 This form is to assist you in gathering your business-related tax information. All income must be reported, including cash and bartering. General Business Information Business name: Business email: EIN Number: Social Security Number: Business owner: Business phone: Business Cell: Address: State: Zip Code: Accounting method: CashAccrual Gross receipts: Inventory at beginning of the year $ Inventory at end of the year $ Total expenses $ Net income $ Did you purchase equipment? YesNo Specify: First time filing a Schedule C? YesNo Did you use your home in connection with this business? YesNo General Expenses Amount Have receipts (initial) Have check, credit card statement or documentation Advertising: Commission: Employee benefits program: Insurance: Mortgage interest: Other interest (except vehicle): Legal and professional: Office expenses: Phone: Pension and profit-sharing plans: Vehicle, machinery & equipment: Maintenance: Supplies: Taxes—real estate: Taxes—other: Travel: Total meals and entertainment: Sub-contract labor: Wages: Other expenses: Vehicle Expense Taxpayer/Business Name: Description of vehicle: Commuting Miles: Cost of vehicle $ Parking fees and tolls $ Date placed in service: Gasoline, lube, oil $ Do you have a mileage log or other written records to support your miles driven? YesNo Tires, repairs $ Total miles driven: Insurance $ Business miles driven : License plate fees/property tax $ Interest (car loan) $ Based on the tax law, you are required to claim all expenses for self-employment income. If there are no expenses for the Schedule C, explain why: We prepare the returns from information you furnished us, without verification. Upon examination of the returns by taxing authorities, request may be made for underlying data. We therefore recommend that you preserve all records, which you may be called upon to produce in connection with such an examination. I certify that the information on this and any other form submitted is complete and correct. Client Signature Secondary Signature Date
