Monthly Business Income and Expense Report
Name: _________________________________________________________ Case Number: _____________________
Address: ________________________________________________________ Postal Code: ______________________
Name of business: _______________________________________________ Type: ____________________________
Report for the month of ______________________ /______
Income
Sales, Gross Revenue
Less: Returns and Allowances
Less: Provincial Sales Tax (if included in sales)
Add: Other Income - specify (include cash draw)
Gross Income
=
Cost of Goods Sold
Value of inventory at beginning of month
Add: Purchased (
)
including delivery, express, freight
Less: Value of inventory at end of month (
)
total from page 2
Less: Cost of items withdrawn for purposes such as demonstration
Cost of Goods Sold (
)
=
deduct from Gross Income
Gross Profit (Gross Income less Cost of Goods Sold)
(If above is zero or
less, go to page 2)
Business Expenses
- Please submit receipts
Accounting, Legal, Collection, Consulting
Business vehicle (
)
maintain any leasing/rental agreement in force at time of application
Mortgage interest or business holdings in existence at time of application
Delivery, express, freight
Office expenses (
)
postage, stationery, etc.
Rental on business property
Minor equipment costs/rental for essential business operations
Fuel/maintenance/repairs for business vehicles
Wages
Contributions to employees (
)
C.P.P., E.I., Workers’ Compensation
Business property tax
Licenses
Insurance
Utilities
Advertising (
)
Newspaper, Business pages, telephone directories, etc.
Mileage, Meals, and Accommodation for business trips
Goods and Services Tax
Other - specify
Total Expenses
=
Net Income (Gross Income less Total Expenses)
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