Income And Expense Statement (Aka Profit And Loss Statement) Page 4

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Section Four - Vehicle Expenses
List Only Vehicle Expenses Here - Nothing Else!
If I have vehicle on file from a prior year, you may skip lines 3 and 4.
Print out additional forms if you have more than three vehicles. Round
dollar amounts to the nearest 5 and mileage figures to the nearest 100.
Vehicle 1
Vehicle 2
Vehicle 3
1) Manufacturer
___________ ___________ ___________
2) Model / Year
___________ ___________ ___________
3) Purchased / Leased
___________ ___________ ___________
4) Purchase Price (or)
$__________ $__________ $__________
5) Lease Payment
$__________ $__________ $__________
6) Miles Driven Last Year
___________ ___________ ___________
7) Percentage Business Use
_______ %
_______ %
_______ %
8) Gasoline
$__________ $__________ $__________
9) Insurance
$__________ $__________ $__________
10) Maintenance & Repair
$__________ $__________ $__________
11) Parking and Tolls
$__________ $__________ $__________

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