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New Schedule C Form

Tax Payer's Name *

Business Name

Tax Year *

EIN Employer ID #

Income *

Business Activity *

Advertising

Contract Labor

Commissions and Fees

Bank Debts/ Loans

Programs and Software

Depletion

Dues and Subscriptions

Employee Benefits

Depreciation

Insurance

Mortgage Interest

Interest - Other

Pension / Profit Share

Office Expenses

Miscellaneous

Legal and Professional Services

Repairs and Maintenance

Property Tax

Postage

Rent - Other

Internet

Payroll Taxes

Uniforms

Cellphone

Rent Machinery/ Vehicle

Taxes & Licenses

Travel

Meals

Supplies

Utilities

Wages

Date *

Tax Payer Signature *

Clear

Vehicle Date Placed In Service

Spouse/Tax Payer has another vehicle for personal use

YES

NO

Tax Payer has vehicle available for use during off duty hours

YES

NO

Tax Payer has evidence to support this deduction

YES

NO

If “YES” the evidence is written

YES

NO

Tolls

Tires

Repairs

Parking Fees

Car Insurance

Gas

Garage Rent

Business Miles

Commuting Miles

Lease

Additional Info

Other

Tay Payer Signature *

Clear

Tax Preparer *

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New Schedule C Form

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