WE NEED THE FOLLOWING INFORMATION ABOUT YOUR BUSINESS

 

Income _____________________
Total Sales. Please circle here if Sales Tax is included.

Interest _____________________

Other Income_______________________

Description_________________________





EXPENSES AND COST OF GOODS SOLD.


Purchases ________________________________ Only direct products for resale.


Initial Inventory____________________________ Final Inventory ____________________________

 

Wages / Labor ____________________________  Payroll Taxes ______________________________

 

Other Taxes ______________________________ Advertising _______________________________

 

Bad debts _______________________________ Commissions and fees_________________________

 

Employee benefits _________________________ Insurance __________________Liability -Fire.

 

Interest - mortgage _________________________ Interest - other __________________________

 

Legal and professional ______________________ Office expense ______________________________

 

Pensions/Profit sharing ______________________ Rent - vehicle, mach __________________________

 

Rent ____________________________________  Repairs/Maintenance _________________________

 

Supplies _______________________________  Licenses _______________________________

 

Travel _______________________________  Meals and entertainment _______________________

 

Utilities _______________________________ Bank Charges _______________________________

 

Credit Card Charges ______________________ 

 

Miscellaneous _______________________________           _______________________________

 

                         _______________________________           _______________________________



Family Health Insurance Paid by You. _______________________________


AUTO EXPENSES

 

Date placed in service _______________________________         Business miles __________________

 

Commuting miles _______________________________                 Other miles _____________________

 

Tolls and Parking _____________________             Gas/Oil etc.     _____________________




LeaseHold Improvements:

 

Date                            Description                                                                 Amount

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________



Assets - Equipment - Furniture - Fixtures - Automobiles etc.

 

Date                            Description                                                                 Amount

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

 

____________            ________________________________________    ______________________

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