Income and Expenses

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					Income and Expenses
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Name S.I.N

First

Last

From (mm/dd/yyyy) Was 2005 your last year of business? (yes/no) Business Name Main product or service Business Address Unit # P.O. Box, R.R. Postal Code Industry code (see appendix in the Business and Professional Income Guide)

To (mm/dd/yyyy)

Street # City

Partnership filer identification number Tax shelter identification number Business (GST) number (if registered) If partnership, your percentage of the partnership %

If spouse partner, his/her percentage of the pa

Income
Sales, commissions, or fees (including GST & PST - if registrant) Goods and Services tax (GST) and PST (if included in sales above) Returns, allowances, and discounts (if included in sales above) Reserves deducted last year Other income (please specify) Calculation of Cost of Goods Sold (enter business part only) Opening inventory (include raw materials, goods in process, and finished goods)

Purchases during the year (net of returns, allowances, and discounts) Subcontracts Direct wage costs Other costs (please specify)

Expenses
Advertising (Line 8520) Cost of Ads in media publications Marketing, telemarketing Other (please specify) Bad Debts (Line 8590) Total accounts receivable that are not collectible (the receivable must be included in income) Insurance on the property <if paid by a financial institution - in the annual statement> Explain in detail Business tax, fees, licenses, dues, memberships and subscriptions (Line 8760) Annual license fees Professional and relevant to business subscriptions Business taxes (if any) incurred to run the business Membership in a trade or commercial association (exclude clubs in which the main purpose is dining, recreation or sporting activities Other (please specify) Delivery, freight and express (Line 9275) Courier services Parcels Delivery services Freight costs

Other (please specify) Fuel costs (Line 9224) (except for motor vehicles or related to business use of home) Fuel for trucks, machinery, equipment, etc. Gasoline, diesel, propane, motor oil or lubricants used for business (trucks, machinery, equipment, etc.) Other (please specify) Insurance (Line 8690) (do not include life insurance, disability insurance may not be beneficial) Premiums for liability and other business insurance Truck insurance All ordinary commercial insurance premiums (on buildings, machinery or equipment used 100%) Other (please specify) Interest (Line 8710) (enter interest paid on business loans) Line of credit Bank loan Credit card loans Interest on truck loan Any legal, administrative or service charges related to financing Other (please specify) Maintenance and Repairs (Line 8960) Costs of repairs of business equipment, furniture, computers Truck maintenance and repairs Labor and materials for minor repairs of the property used for business (except business-use-of-home) Other (please specify) Management and administration feels (Line 8871) (any bank charges or other administration fees incurred to operate the business)

Meals and entertainment (cost of meals, beverages or entertainment for customers: restaurants, tickets or entrance fees to sporting events, cover charges, room rentals or gratuities supported by receipts) Motor vehicle expenses (Line 9281) Car make Car purchase price Total KM driven in the year Total KM driven in the year for business Gas Automobile repairs and maintenance Auto insurance CAA fees Parking costs License costs Office expenses (Line 8810) (any office expenses for small items like pens, pencils, paper clips, stationary and stamps) Supplies (Line 8811)(cost of items consumed indirectly to provide the business's goods or services) Legal, accounting, and other professional fees (Line 8860) (fees for external professional advice or services including consulting fees) Property taxes (Line 9180) (only taxes for land or building used in the business; do not include property tax related to business use of work space at home) Rent (Line 8910) (include only rent for the property where the business is situated; do not include rent related to business use of work space at home) Salaries, wages, and benefits (Line 9060) (do not include direct wage cost, subcontracts or salaries or drawings of the owner(s) of the business) (Line 9060) Gross salaries paid to employees (including your spouse and child helping you in the business) Any premiums paid to employees (sickness, disability, accident, or income insurance plans) Salaries paid to your spouse helping you in the business

Salaries paid to your kids helping you in the business Other (please specify) Travel (Line 9200) Cost of public transportation fares, cab, bus, etc. Hotel accommodations Other travel expenses incurred to earn business or professional income (please specify) Other Telephone and utilities (Line 9220) (expenses such as gas, oil, electricity, water related to earning income; exclude those related to business-use-of-home) Telephone expense - business line (do not include main phone line at home) Cell phone Long distance cards and calls on the main phone line at home (business related) Internet service expense Utilities (usually paid in rented premises for business use) Other expenses (Line 9270) (enter any other expenses not listed above) Disability related modifications Computer and other equipment leasing costs Leasing costs of properties used for business Private health services plan Convention expenses Other (please specify)

In addition to this form, we will also require from you any slips/statements that are related to income from all sources and expenses. You may send us this information either by dropping it off at our location or mailing it to us at our mailing address. The following are examples of such slips/statements : T4, T4A, T4A(P), T4E, T4RSP, T5, T3, T5007, RRSP, HBP, UNION AND OTHER PROFESSIONAL DUES, CHILDCARE EXPENSES (RECEIPTS, BABYSITTER'S SIN AND ADDRESS), MOVING EXPENSES (OLD/NEW RESIDENCE ADDRESS, TRANSPORTATION AND STORAGE, TRAVEL COST/ACCOMMODATION), ALIMONY OR OTHER SUPPORT PAYMENTS, TUITION FEES (FORM T2202A; INTEREST PAID ON STUDENT LOAN, SCHOLARSHIPS, BURSARIES), MEDICAL EXPENSES (PRIVATE HEALTH INSURANCE), SAFETY DEPOSIT BOX OR OTHER INVESTMENT OR INTEREST EXPENSES, DONATIONS. ALSO, YOU MAY BE CONTACTED IN THE EVENT THAT WE REQUIRE ANY FURTHER INFORMATION. THANK YOU!

PLEASE NOTE:

Street Name Province/Territory

is/her percentage of the partnership

%


				
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posted:11/1/2009
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