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saskatchewan.ca | Page 1 of 3 | 1214 Rev. 12/12
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Less: Cost of items withdrawn for purposes such as demonstration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 Prot (Gross Income less Cost of Goods Sold)
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
Oce 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)
(If above is zero or
less, go to page 2)