Mileage & Office Use Of Home Form
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1MILEAGE & OFFICE USE OF HOME
Total Miles
__________________________
Make __________________________Year____________
Date Place in Service_____________Cost_____________
Business Miles
__________________________
If acquired this year attach copy of sales document
st
st
(January 1
– December 31
)
Used as Employee
Total Commuting Miles__________________________
Used in Business Activity (Explain)________________
Commuting includes from your home to your regular
If Sold, Date ____________Price/Trade-In Value $___________
office, even if you have a home office.
Attach copy of sales document
Gas $__________________ Tags & Inspection $_____________________ Lease Payments $________________________
Insurance $________________ Repairs & Maintenance $________________ Interest Portion of Note $________________
Reimbursement for Use $_________________ Other (Explain) ______________________________ $________________
Make __________________________Year____________
Total Miles
__________________________
Date Place in Service_____________Cost_____________
Business Miles
__________________________
If acquired this year attach copy of sales document
st
st
(January 1
- December 31
)
Used as Employee
Total Commuting Miles__________________________
Used in Business Activity (Explain)________________
Commuting includes from your home to your regular
If Sold, Date ____________Price/Trade-In Value $___________
office, even if you have a home office.
Attach copy of sales document
Gas $__________________ Tags & Inspection $_____________________ Lease Payments $________________________
Insurance $________________ Repairs & Maintenance $________________ Interest Portion of Note $________________
Reimbursement for Use $_________________ Other (Explain) ______________________________ $________________
For the Full Year
Date Residence Acquired_____________ Cost $_______________
Rent Paid
$_______________
If acquired this year, attach a copy of the two-page HUD statement
Mortgage Interest
$_______________
Number of Rooms_____________ Business Rooms ____________
Taxes Paid
$_______________
Do not count Bathrooms, Halls, Closets, Utility Room, Garage, etc.
Insurance
$_______________
Total SqFt ________________ Business SqFt _________________
Utilities
$_______________
Used as Employee
Repairs & Maintenance $_______________
Used in Business Activity (Explain) _______________________
Lawn Care
$_______________
If Sold, Date_________________
Attach a copy of the HUD statement
House Cleaning
$_______________
Improvement/Addition (Explain) ___________________________
Security Service
$_______________
Date Completed__________________ Cost $__________________
Homeowners Assoc.
$_______________
Date Completed__________________ Cost $__________________
Purchased in 2015 for Business Use – Example: Computer, Furniture, Video Camera, etc.
Description _____________________Cost $_____________Date Bought____________ Business Use %__________
Description _____________________Cost $_____________Date Bought____________ Business Use %__________
Description _____________________Cost $_____________Date Bought____________ Business Use %__________
Description _____________________Cost $_____________Date Bought____________ Business Use %__________
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Parent category: Miscellaneous