YEARLY INCOME AND EXPENSES

Year 2012

Name______

Address______

______

INCOME:

Gross Sales ______

(RETAIL EXCLUDING SALES TAX).

Commissions ______

Other Prizes & Awards______

EXPENSES:

PC/Purchases______

(Kit enhancements, prizes, gifts, ect…)

Display/Demos (Food)______

Personal Gifts ($25 max/person) ______

(For consultants, hostesses, guests, advertising, ect…).

Sales Aids______

(Displays, banners, ect…).

Other Supplies______

(Supplies for Classes, Sales Meetings,Open Houses, Fairs, ect ).

Uncollected Bills______

(Bad checks uncollected)

Director Order Forms (pins) ______

Telephone______

Title______

Email: ______

AUTOMOTIVE EXPENSES:

Total Miles Driven for the Year ______

Business Miles ______

Car Interest ______

OTHER:

Charitable Contributions:

Cash (Fundraisers, ect…) ______

Non-Cash (Auctions, ect…) ______

ADVERTISING & RELATED EXPENSES:

Business Cards ______

PC Web Page ______

Fairs, Booth Fees ______

Leads ______

Printing, Flyers ______

Yellow, Business Pages ______

Consultant Prizes & Promotions ______

Director Prizes & Promotions ______

MISCELLANEOUS EXPENSES: (Please give total amounts).

Phone (Landline) ______

(Long distance calls, phone features, 2nd line)

Cellular Line Charges ______

Internet Service Fee ______

Office Supplies ______

(Catalogs, order forms, ect…)

Meeting Room Rent ______

Equipment Purchased* ______

Freight ______

Postage ______

Professional Publications ______

(Cooking Magazines, ect…)

Office Furniture Purchased ______

Office Furniture/Machinery Leased ______

*i.e., answering machine/telephone, computer, copier, Printer, cellular phone

BUSINESS EXPENSES:

Bank Service Charges______

Wire Transfer Fees______

Legal/Accounting Fees______

Prior Tax Preparation Fee______

Secretary______

(Include name/ SSN if paid over $600)

Non-Office Help (i.e. cleaning) ______

Interest (Business Loan/ Credit card) ______

CONTINUING EDUCATION:

Workshops (local and out of town) ______

Seminar, Career Conference______

BUSINESS TRAVEL EXPENSES: (Please give total amounts).

Plane/Train Fare______

Taxi/Bus/Limousine______

Car Rental______

Hotel______

Tips______

Meals/Entertainment______

Dry Cleaning/Laundry Service______

Parking/Tolls______

IN HOME OFFICE EXPENSE:

Gas ______

Electric ______Water ______

Garbage ______

Dwelling Rent ______

Mortgage Interest ______Real Estate Tax ______

House Insurance ______

Repairs/Maint ______

Home Improvements ______

Total Square Feet of Home ______

Square Feet Used for Business ______

PERSONAL INFORMATION:

ITEMIZED DEDUCTION INFORMATION:

Health Insurance Premiums ______

(Through a job)

Medical/Dental Expenses ______

State Tax or Local Tax from a W-2 ______

Personal Property Tax (car) ______

Vehical Tags & License ______

Investment Interest ______

Cash Contributions ______

Non-Cash Contributions ______

Safety Deposit Box ______

Cont. Education ______

Uniforms, Union Dues, etc. ______

HEALTH INSURANCE: (If FULLY self employed).

Amounts Paid in for Policy ______

CHILDCARE EXPENSES:

Child Care Amount______

Provider’s Name(s) ______

Address (es) ______

______

Social Security #______

FEDERAL QUARTERLY ESIMATES:

April 15, ______

June 15______

September 15 ______

January 15 ______

STATE QUARTERLY ESTIMATES:

April 15, ______

June 15, ______

September 15, ______

January 15, ______

BE SMART ABOUT YOUR TAXES:

1.KEEP GOOD RECORDS.

(i.e., keep a day planner, record all business trips, # of miles, type of trip,

Appointments, who you had lunch or dinner with, what you discussed).

2.Keep Receipts for EVERY business expense.

(i.e., on your meal receipt write the name of the person you had lunch with, you can only take their portion of the meal for a business expense).

3.Keep a telephone log to show use of your office in home, incoming and outgoing calls, bookings, parties, open houses, take pictures of events, take pictures of your office.

4.Prepare sales slips for all productsgiven away.

(i.e., gifts, parties prizes, ect…).

5.Being an independent entrepreneur is a wonderful opportunity! Make sure your tax preparer understands your business, keeping good records will allow for an accurate tax return.

Have a great day!

MISCELLANEOUS INFORMATION

Name and date of birth______

Spouse’s name and date of birth______

Children’s names, date of birth and social security numbers, (be sure to include your newborn.)

______

______

______

How long have you lived at the current address______

Previous Address______

(If less than one year)

Moving Expenses______

(Transportation of goods, storage, hotel/motel, gas, etc. see your tax preparer for addtn'l information)

Dates of Move ______

Date started in business______

Overnight travel information: ITEMIZE OVERNIGHT STAYS ACCORDING TO

CITY/STATE AND NUMBER OF NIGHTS IN EACH LOCATION. PUT IN DATE ORDER.

ATTACH ON SEPARATE SHEET.

Equipment Purchased or Converted to business use, include date of purchase or date of converting

Equipment to business use.