Business Report Of Income And Expenses - Business Expenses Only

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Business Report of Income (Cash) and Expenses
Month ___________________ Year _________
Business Expenses Only (DO NOT INCLUDE PERSONAL HOUSEHOLD EXPENSES)
Name: _________________________
Chapter 13 Case Number: ______________
Business Name: _________________________________________________
(Complete all lines that apply to you)
1.
Business/Self-Employment Cash/Income Received
$____________
2.
Other Source of Income
$____________
Source of Other Income:____________________________
Source of Other Income:____________________________
Total Income/Cash
$___________
Expenses (Cash Used)
3.
Cost of Goods Sold (From Page 2)
$____________
4.
Advertising
$____________
5.
Automobile Expenses
$____________
6.
Bank Charges
$____________
7.
Contract Labor (Non-Owners)
$____________
8.
Insurance
$____________
9.
Rent – Bldg (Business Only)
$____________
10.
Rent – Business Equipment
$____________
11.
Repairs and Maintenance
$____________
12.
Travel, Meals, Entertainment (Business Only)
$____________
13.
Utilities
$____________
14.
Supplies
$____________
15.
Salary/Wages (Non-Owners Only)
$____________
16.
Salary/Wages/Draws (Owners)
$____________
17.
Accounting and Legal
$____________
18.
Commissions
$____________
19.
Employee Heath Insurance/Benefits
$____________
20.
Interest Expense
$____________
21.
Office Expense
$____________
22.
Federal Income Taxes Paid
$____________
23.
State Income Taxes Paid
$____________
24.
Payroll Taxes (Employer Portion)
$____________
25.
Other (List)
$____________
__________________________
$____________
__________________________
$____________
__________________________
$____________
Total Expenses
$___________
Net Income/Cash
$___________
1

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