Publication 517 - Social Security And Other Information For Members Of The Clergy And Religious Workers - 2011 Page 18

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Net Profit From Business
SCHEDULE C-EZ
OMB No. 1545-0074
(Form 1040)
2011
(Sole Proprietorship)
Partnerships, joint ventures, etc., generally must file Form 1065 or 1065-B.
Department of the Treasury
Attachment
09A
Attach to Form 1040, 1040NR, or 1041.
See instructions on page 2.
Internal Revenue Service (99)
Sequence No.
Name of proprietor
Social security number (SSN)
John E. White
011-00-2222
General Information
Part I
• Had business expenses of $5,000 or
• Had no employees during the year.
less.
• Are not required to file Form 4562,
• Use the cash method of accounting.
You May Use
• Did not have an inventory at any time
Depreciation and Amortization, for
Schedule C-EZ
during the year.
this business. See the instructions for
Instead of
• Did not have a net loss from your
Schedule C, line 13, to find out if you
business.
Schedule C
And You:
must file.
• Had only one business as either a sole
Only If You:
• Do not deduct expenses for business
proprietor, qualified joint venture, or
statutory employee.
use of your home.
• Did not receive any credit card or
• Do not have prior year unallowed
similar payments that included
passive activity losses from this
amounts that are not includible in your
business.
income (see instructions for line 1a).
A
Principal business or profession, including product or service
B
Enter business code (see page 2)
Minister
5 4 1 9 9 0
C Business name. If no separate business name, leave blank.
D
Enter your EIN (see page 2)
E
Business address (including suite or room no.). Address not required if same as on page 1 of your tax return.
1042 Main Street
City, town or post office, state, and ZIP code
Hometown, TX 77099
F
Did you make any payments in 2011 that would require you to file Form(s) 1099? (see the Schedule C
instructions)
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Yes
No
If “Yes,” did you or will you file all required Forms 1099? .
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Yes
No
G
Figure Your Net Profit
Part II
1a
1a
Merchant card and third party payments. For 2011, enter -0- .
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-0-
b Gross receipts or sales not entered on line 1a (see instructions) .
1b
4,000
.
c
Income reported to you on Form W-2 if the “Statutory Employee” box
on that form was checked. Caution. See Schedule C instructions
before completing this line .
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1c
4,000
d Total of lines 1a, 1b, and 1c. If any adjustments to line 1a, you must use Schedule C (see instructions)
1d
268*
2
Total expenses (see page 2). If more than $5,000, you must use Schedule C
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2
3
Net profit. Subtract line 2 from line 1d. If less than zero, you must use Schedule C. Enter on both
Form 1040, line 12, and Schedule SE, line 2, or on Form 1040NR, line 13 and Schedule SE,
line 2 (see instructions). (If you entered an amount on line 1c, do not report the amount from
line 1c on Schedule SE, line 2.) Estates and trusts, enter on Form 1041, line 3 .
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3,732
3
Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 2.
Part III
When did you place your vehicle in service for business purposes? (month, day, year)
4
7/15/2007
.
5
Of the total number of miles you drove your vehicle during 2011, enter the number of miles you used your vehicle for:
a
Business
490
b Commuting (see page 2)
-0-
c
Other
7,247
6
Was your vehicle available for personal use during off-duty hours? .
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Yes
No
7
Do you (or your spouse) have another vehicle available for personal use? .
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Yes
No
8a
Do you have evidence to support your deduction?
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Yes
No
b If “Yes,” is the evidence written? .
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Yes
No
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 14374D
Schedule C-EZ (Form 1040) 2011
*See a ached statement.
Publication 517 (2011)
Page 18

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