Self-Employment Tax Organizer Template Page 2
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4Self-Employment Tax Organizer – SETO
Business or profession:
_________________________________________________
Business name:
_________________________________________________
(If no separate business name, leave blank)
Business address, city, state, zip:
_________________________________________________
Business telephone:
_________________________________________________
Business start date (
):
st
1
day
_________________________________________________
INCOME
Forms 1099 including 1099-MISC and 1099-K
$
Total cash, checks, and credit card payments (to you)
$
Sales tax collected
$
Other income – prizes, incentives or awards
$
Total Gross Income
$
TIP:
Keep separate business accounts (checking or credit) to simplify your finances and your deposits
into these accounts should match, or come close to, your total gross income.
HEALTH INSURANCE PREMIUMS
Did you pay health insurance premiums in 2015?
Yes
No
$
If yes, how much?
TIP:
These premiums, in the name of the business or self-employed taxpayer, may be 100%
deductible. If you received health insurance through the Marketplace (MNSure), bring in Form 1095-A.
ESTIMATED TAX PAYMENTS
Did you pay estimated tax payments to the IRS or Minnesota
Yes
No
Department of Revenue in 2015?
IRS
$
If yes, how much?
MDOR
$
Prepare + Prosper, 2610 University Avenue W, Suite LL, St. Paul MN 55114,
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