Financial Statement Schedule A Page 2
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2FINANCIAL STATEMENT SCHEDULE A
TOTAL MONTHLY EXPENSES
WEEKLY BUSINESS INCOME
(Gross monthly receipts less total monthly expenses
divided by 4.3.) Enter this amount in Section II, line (d) of CJ-D 301-L or Section
2(d) of CJ-D 301-S.
NATURE OF SELF-EMPLOYMENT OR BUSINESS
1.
Is this business seasonal in nature?
Yes
No
2.
If a seasonal business, please specify percentage of income received and expenses incurred for each month of the year.
PERCENTAGE OF INCOME RECEIVED
EXPENSES INCURRED
MONTH
January
February
March
April
May
June
July
August
September
October
November
December
3.
State whether your business accounts on a calendar year basis or fiscal year basis:
CALENDAR
FISCAL
4.
If your business accounts on a fiscal year basis, give the starting and ending dates of your chosen fiscal year:
starting
ending
5.
State your gross receipts, year to date:
6.
State your gross expenses, year to date:
CJ-D 301 Schedule A (4/07)
CGF
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