X-Tax 2016 Information Sheet - Self-Employment Income

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X-Tax 2016 Information Sheet
Self-Employment Income
Your First Name
M.I.
Last Name
Social Security Number
Gross Income for 2016:
$___________________
Miles related to self-employment for 2016:
Business miles _____________
Commuting miles ________________
Other miles ______________
Yes
No
* Do you have WRITTEN evidence to support the miles claimed?
*In order to expense miles you must have written evidence or the IRS will not allow the deduction.
Business Expenses:
Advertising
__________________
Taxes and licenses
__________________
Worker wages (not W2)
__________________
Travel costs (not mileage) __________________
Insurance
__________________
Meals and entertainment
__________________
Interest--mortgage
__________________
Utilities
__________________
Interest--other
__________________
Other expenses (list type and amount):
Legal/Professional fees
__________________
_____________________ ______________
Office Expense
__________________
_____________________ ______________
Rent--equipment
__________________
_____________________ ______________
Rent--building
__________________
_____________________ ______________
Repairs and maintenance
__________________
_____________________ ______________
Supplies
__________________
_____________________ ______________
Yes
No
Did you purchase any equipment over $250 for your business in 2016?
If yes, please list the items below:
Description of Equipment
Date acquired
Cost (basis)
Business use
New property
Take all the cost
%
(yes or no)
this year (yes/no)
1
2
3
4
Signature __________________________________________
Date ________________________

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