COST OF GOODS SOLD WORKSHEET
This is NOT the GAAP figure. Do NOT include labor or manufacturing overhead.
Most Recent 12 Month Period
Income and Expenses
Estimated 12 Month Policy Period
Ending: __________________
Beginning: __________________
Beginning inventory of raw material and stock in process, but not finished
$
stock manufactured by you.
$
ADD:
Cost of raw stock purchased during the year (including
+
$
transportation charges).
+
$
+
$
ADD:
Cost of processing and other supplies consumed during the
+
$
year
ADD:
Cost of merchandise sold, which were not manufactured by
+
$
you (including transportation charges).
+
$
=
$
EQUALS:
Cost of goods available for sale.
=
$
DEDUCT:
Ending inventory, of raw material and stock in process, but
-
$
not finished stock manufactured by you.
-
$
$
TOTAL COST OF GOODS SOLD - put in Line I. of page 1.
$
EXTRA EXPENSE WORKSHEET
(Expenses in Addition to Normal Expenses to Continue Business)
ADDITIONAL EXPENSES AT
1st Month
2nd Month
3rd Month
Additional
TOTAL
TEMPORARY PREMISES
Months
Expense of Moving Equipment to and from
$
$
$
$
$
Former Premises
Insurance Expense
$
$
$
$
$
Labor, Altering and Equipping
$
$
$
$
$
Light, Power, Heat, Telephone/Data Lines
$
$
$
$
$
Rent
$
$
$
$
$
OTHER ADDITIONAL EXPENSES
Transportation Costs
$
$
$
$
$
Advertising / Postage Expense
$
$
$
$
$
Bonus for Quick Services
$
$
$
$
$
Greater Processing or Manufacturing Cost
$
$
$
$
$
by Others Compared to Your Own
Janitorial and Security
$
$
$
$
$
Legal and Other Professional Fees
$
$
$
$
$
Overtime Labor of Employees or Additional
$
$
$
$
$
Staff or Temporary Labor
Purchases of Goods and Materials
$
$
$
$
$
Rent or Leasing of Machinery and
$
$
$
$
$
Equipment
Travel Expenses
$
$
$
$
$
______________________________
$
$
$
$
$
Other
______________________________
TOTAL EXTRA EXPENSES
$
$
$
$
$
TO BE INSURED
CP-4962 (Rev. 5-06)
3