General Business Information
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1Profit & Loss from Business
scheduLe c data sheet
This form is to assist you in gathering your business-related tax information. Please provide all relevant information.
General Business Information
Business name _________________________________________
Gross receipts __________________________________________
SS No. ________________________________________________
Inventory at beginning of the year $ _________________________
EIN No. _______________________________________________
Inventory at end of the year $ ______________________________
Business owner _________________________________________
Total expenses $ ________________________________________
Business phone _________________ Cell ____________________
Net income $ ___________________________________________
Address _______________________________________________
Did you purchase equipment?
Yes
No
n
n
City _____________________________ ST _____ Zip __________
Specify ______________________________________________
Accounting method
Cash
Accrual
Other (specify) ________
First time filing a Schedule C?
Yes
No
n
n
n
n
n
______________________________________________________
Did you use your home in connection with this business?
Yes
No
n
n
General Expenses
Amount
Have
Have check,
Amount
Have
Have check,
receipts
credit card
receipts
credit card
(initial)
statement or
(initial)
statement or
documentation
documentation
Advertising
Vehicle, machinery & equipment
Commission
Maintenance
Employee benefits program
Supplies
Insurance
Taxes—real estate
Mortgage interest
Taxes—other
Other interest (except vehicle)
Travel
Legal and professional
Total meals and entertainment
Office expenses
Sub-contract labor
Phone
Wages
Pension and profit sharing plans
Other expenses
Vehicle Expenses
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
Tires, repairs $ _________________________________________
miles driven?
Yes
No
Insurance $ ____________________________________________
n
n
Total miles driven _______________________________________
License plate fees/property tax $ ___________________________
Business miles driven ____________________________________
Interest (car loan) $ ______________________________________
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 ______________________________Spouse Signature _______________________________Date ________________________
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