Form 482.0 R - Individual Income Tax Return - 2001 Page 22
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28Schedule M Individual
Rev. 05.01
PROFESSIONS AND COMMISSIONS
200__
INCOME
Taxable year beginning on ______________, _____ and ending on _____________, _____
Taxpayer's name
Social Security Number
Part I
Part I
Part I
Part I
Part I
Questionnaire
Questionnaire
Questionnaire
Questionnaire
Questionnaire
(You must fill out one schedule for each source of income)
67
Income from (check one):
Check here if this is your principal industry or business
G
G
Spouse
3 3 3 3 3
Taxpayer
G
Check one:
Professions
Commissions
4 4 4 4 4
G
G
1 1 1 1 1
2 2 2 2 2
Employer's Identification Number
Location of Principal Office - Number, Street and City
Date operations began:
Day____ / Month____ / Year____
Industrial Code
Code
Nature of profession (i.e. lawyer, accountant, commission agent, etc.)
Number of employees
Part II
Part II
Part II
Determination of Gain or Loss
Determination of Gain or Loss
Determination of Gain or Loss
Part II
Part II
Determination of Gain or Loss
Determination of Gain or Loss
75
75
75
75
75
Income ...............................................................................................................................
1.
(01)
Less: Operating expenses and other costs (Detail in Part III) .....................................................
2.
(10)
Net income ..........................................................................................................................
3.
(11)
Less: Net operating loss from previous years (Submit schedule, see instructions) .....................
4.
(12)
Gain (or loss) (If it is a gain, transfer to page 1, Part 2, line 2M of the return. If it is a loss,
5.
see instructions) .....................................................................................................................................
(20)
Part III
Part III
Part III
Operating Expenses and Other Costs
Operating Expenses and Other Costs
Operating Expenses and Other Costs
Part III
Part III
Operating Expenses and Other Costs
Operating Expenses and Other Costs
85
85
85
85
85
Salaries, commissions and allowances to employees ....................................................................
1.
(01)
Commissions to businesses .................................................................................................
2.
(02)
Payroll expenses .................................................................................................................
3.
(03)
Contributions to pension plans ..............................................................................................
4.
(04)
Contributions to deferred income plans ...................................................................................
5.
(05)
Medical or hospitalization insurance .......................................................................................
6.
(06)
Interest on business debts .....................................................................................................
7.
(07)
Rent paid ............................................................................................................................
8.
(08)
Property taxes .....................................................................................................................
9.
(09)
Other taxes, patents and licenses ...........................................................................................
10.
(10)
Repairs ...............................................................................................................................
11.
(11)
Motor vehicles expenses .......................................................................................................
12.
(12)
Utilities ...............................................................................................................................
13.
(13)
Insurance ...........................................................................................................................
14.
(14)
Advertising .........................................................................................................................
15.
(15)
Travel expenses ...................................................................................................................
16.
(16)
Meal and entertainment expenses (Total expenses $________________) (See instructions) .......
17.
(17)
Professional services .....................................................................................................................
18.
(18)
Materials and supplies ...................................................................................................................
19.
(19)
Depreciation and amortization (Submit Schedule E) ................................................................
20.
(20)
Bad debts ...........................................................................................................................
21.
(21)
Other expenses (Submit detailed schedule) ............................................................................
22.
(22)
Total (Transfer to Part II, line 2 of this Schedule) .......................................................................
23.
(30)
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