O'CONNOR, WELLS & VANDER WERFF, LLC

2016TRUCKING BUSINESS TAX WORKSHEET

Business NameEmployer ID Number -

AddressIs this a new business in 2016? Yes____No____

Main ActivityProductAccounting Method: Cash-Basis_____ Accrual-Basis_____

Filing 1099 Forms: Did you make payments that require filing 1099 Forms? Yes____ No____ If yes, will 1099 Forms be filed? Yes____ No____

Tax Elections: 1) De Minimis Safe Harbor: Yes____No____ 2) Small Taxpayer: Yes____No____ Building

A.INCOMEGross Revenue Received, Including Amounts Reported on Form 1099-MISC$

Other Business Income (List):______$

TOTAL INCOME...... $

B.EXPENSES (Identify any interest or rent paid to a related-party individual or entity)

Advertising...... $

Auto Expense using the standard mileage rate:

Total miles______- personal______= business______x 54¢ =..$

Contract Hauling (See Note 2 Below)...... $

Employee Benefit Programs (Include Section 105 Medical)...... $

Insurance (Business & Trucks)...... $

Interest Paid (See Note 2 Below)[ a ] Mortgage Interest Paid to Banks, etc...$

[ b ] Other Interest Paid...... $

Legal, Accounting, and Professional Services (See Note 2 Below)...... $

Office Supplies and Postage...... $

Pension and Profit-Sharing Plans...... $

Rent or Lease (See Note 2 Below)[ a ] Vehicles, Machinery, and Equipment..$

[ b ] Other Business Property...... $

Repairs and Maintenance...... $

Supplies...... $

Taxes and Licenses:Licenses and Permits...... $

Business Real Estate Tax...... $

Personal Property Tax...... $

Fuel Taxes Paid...... $

FICA Tax (Employer's Share).....$

Unemployment Taxes...... $

Other (List):______$

Total Taxes and Licenses...... $

Travel (IRS requires a permanent log)...... $

Utilities, Telephone and Internet Fees...... $

Wages (See Note 1 Below)...... $

Bank Charges...... $

Dues and Publications...... $

Fuel, Gas, and Oil...... $

Tolls Paid...... $

Meals & Lodgingare tax deductible only if you are away from home for a "period longer than

an ordinaryday's work that requires sleep." If you kept records of your expenses, then claim the

greater of: 1. Actual Expenses while on overnight trips:

Meals (Limits involved)...... $

Lodging...... $

Other...... $

or:2. Per Diem Allowance:

_____ # of full days away from home @ $63 x 80%$

_____ # of partial days @ $63 x 75% x 80%$$

Other (List): $

$

$

$

Total Expenses Before Depreciation...... $

Depreciation...... (please leave blank)$

Total Expenses Including Depreciation...... $

Expenses for Business Use of Home (please leave blank)$

Net Income =

SALES OF BUSINESS ASSETS:Please indicate (*) for sales to related parties.

Item Sold Date Bought Date Sold Sales Price Cost A / D G / L

$$$$

$$$$

ASSETS PURCHASED:Please indicate (*) assets purchased from related parties. Cost, if no trade,

Description of Item PurchasedNew/Used Date Boughtor Cash Boot Paid Description of Item Traded

$

$

$

$

$

$

$

Wisconsin Only: Subtraction for 20% Depreciation Basis Adj. $

(1) If you paid employees, see the attached worksheet and the January 31, 2017 deadline for filing Forms W-2, 941, 944 andother reports.

(2) Please see the attached worksheet for 1099 Forms filing requirements and the January 31, 2017 deadline.