Chase Sample Profit & Loss Statement Template

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SAMPLE PROFIT & LOSS STATEMENT
Any borrower(s) who is/are self-employed or an independent contractor should
complete this form if they do not already have their own profit and loss form.
Company Name: _________________________________________________ Percent of Ownership _________%
Company Address: ______________________________________________________________________________
Type of Business: _______________________________________________________________________________
Borrower Name(s): _____________________________________________________________________________
Loan Number: _________________________________________________________________________________
Dates Reported (MM/DD/YY - MM/DD/YY) _______________________________________________________
(Must be minimum of 3 full months)
Please fill in the fields that apply to your business
GROSS INCOME
Gross Sales
$
(Total amount of income from sales or service before subtracting expenses)
Other Income
$
(Any other additional funds earned through the company such as payments
from people leasing space or payments from investors)
Total GROSS INCOME BEFORE TAXES
$
EXPENSES
Cost of Goods Sold
$
(Direct costs to produce or obtain the goods sold by the company)
Accounting and Legal Fees
$
Advertising
$
Insurance
$
(Do not include homeowner insurance)
Maintenance and Repairs
$
Supplies
$
Payroll Expenses
$
(Salaries and wages for borrower(s) on the mortgage loan)
Payroll Expenses
$
(Salaries and wages for employees who are not borrower(s)
on the mortgage loan)
Postage
$
(Over, please)

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