Small Business Fillable Worksheet - Diamond Financial

Small Business ¨C Self Employed - 1099 Income-Schedule C Worksheet

Send last year¡¯s Schedule C or tax return if you operated the business previously and we did not prepare the previous tax

return for you.

Name of Business:

Does this business belong to you or your spouse?

Gross Income (provide any 1099¡¯s)

Cost of Inventory at Beginning of Year

Cost of Inventory Purchased

Cost of Labor

Advertising

Car and Truck

Commission and Fees

Contract Labor

Employee Benefit Programs not pensions

Insurance: List Type

Self Employed Health Insurance

Mortgage Interest

Other Interest

Legal & Professional Fees

Office Expense

Pension and Profit Sharing Plans

Rent or Lease ¨C Outside of Home

Repairs/Maintenance

Supplies

Taxes and Licenses

Type of Business:

Address of Business:

Materials and Supplies

$

Other Costs

$

Cost of Inventory at End of Year

$

Returns and Refunds

$

Travel

$

Meals and Entertainment

$

Utilities ¨C Outside of Home

$

Wages and Salaries Paid to Employees

$

Other Expenses: Dues & Publications

$

Other Expenses: Postage & Shipping

$

Other Expenses: Telephone

$

Other Expenses: Bank Charges

$

Other (Specify)

$

Other (Specify):

$

Other (Specify):

$

Depreciable Items: Such as Equipment, Furniture, Computer and Land

Improvements ¨C Provide list with cost and date purchased.

Item:

Date:

Cost:

Item:

Date:

Cost:

Item:

Date:

Cost:

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

Vehicle Expense

Mileage rate for 2011 is 51.0 cents per mile.

Year & Make and Model Vehicle

Date First Used for Business:

Type of Vehicle: Car, Van, Truck

Total Mileage

Business Mileage

Actual Expenses: Gas, Oil, Repairs, Insurance, etc. $

Do you have evidence to support the deduction?

Is this evidence written?

Is another vehicle available for personal use?

Was the vehicle available for personal use during off duty hours?

Was the vehicle leased?

Was the vehicle used for hire?

Home Office

Area Used for Business - Square Footage/Room

Total Area - Square Footage of Home

Number of Days in Year Office was in Home

Date of Using Room as Home Office

Fair Market Value of Home with Home Office

Cost of Home with Home Office

Improvement to Home Office

Land Value on Property Tax Statement

Building Value on Property Tax Statement

Sq/ft

Sq/ft

$

$

$

$

$

$

Small Business Comments and Other Expenses:

Mortgage Interest

Real Estate Taxes

Insurance ¨C Homeowners/Renters

Repair and Maintenance

Utilities Except Water per Month

Rent Paid for Year

Other Specify:

Other Specify:

Other Specify:

$

$

$

$

$

$

$

$

$

Y

Y

Y

Y

Y

Y

N

N

N

N

N

N

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