Self Employment Profit & Loss Form
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MONTH(S) THIS FORM INCLUDES: INCOME/GROSS SALES: If you pay yourself a salary or take a draw from your business, please provide copies of your paystubs for the last three months and state the gross amount: EXPENSES – Enter all that apply: Rent/Mortgage of business premises Phone/Utilities Gross Labor Wages (not for self) Business Taxes (not personal income tax payments) Loan payments: Principle: Interest: Balance: Bank Charges License Fees Paid Legal Fees Office Supplies Tools/Equipment Repairs/Upkeep Merchandise/Purchases/Cost of Goods Fuel/Gas Advertising Commissions Paid Shipping Equipment Rental Insurance Type of Insurance: Other Expenses (please list): TOTAL EXPENSES: NET INCOME BUSINESS VEHICLE in your name: Year: Make: Model: BANK ACCOUNTS – Include dates: Balance in business checking account : Date: Balance in business savings account : Date: .
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