Profit & 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 $ ___________________________________________
Did you purchase equipment?
City _____________________________ ST _____ Zip __________
Other (specify) ________
First time filing a Schedule C?
Did you use your home in connection with this business?
Vehicle, machinery & equipment
Employee benefits program
Other interest (except vehicle)
Legal and professional
Total meals and entertainment
Pension and profit sharing plans
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 $ _________________________________________
Insurance $ ____________________________________________
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 ________________________