PROFIT & LOSS STATEMENT
Any borrower(s) who is/are self-employed or an independent contractor should complete this form if they do not
already have their own profit and loss form. (An individual profit and loss statement is needed for every business.)
Company Name: ______________________________________________
Percent of Ownership: _________
Company Address: ____________________________________________________________________________
Type of Business: _____________________________________________________________________________
Loan Number: _________________________
Report Dates: (From) ____________ (To) ____________
(The information below must be year to date and must include a minimum of 4 months of Income and Expenses. The
Report “To” date cannot exceed the date of this form.)
Please fill in the fields that apply to your business.
Total amount of income from the sales or services, before
Any other additional funds earned throught the company, such as:
paymens from people leasing space or payments from investors.
Total Gross Income
Income before taxes
Cost of Goods Sold
Direct costs to produce or obtain the goods sold by the company.
Accounting and Legal Fees
Do not include Home Owner's Insurance.
Maintenance and Repairs
Salaries and wages from borrower(s) on the mortgage loan.
Salaries and wages for employees who are not borrwer(s) on the
Payroll Expenses, paid to the Borrower(s), require paystubs within the last 30days. Business bank statements may