Self-Employed/Business Monthly Worksheet Name of Proprietor Social Security Number Principal Business or Profession, Including Product or Service Income January February March April May June July August Sept October Nov Dec TOTALS January February March April May June July August Sept October Nov Dec TOTALS Gross Sales Expenses Accounting Advertising Answering Service Auto Truck Expense Bad Debts Bank Charges Business Contributions Business Taxes Commissions Delivery Freight Dues Subscriptions Equipment Rental Gifts Insurance Interest January Laundry Cleaning Legal Professional License Permits Meals Entertainment Miscellaneous Office Expenses Outside Services Parking Tolls Postage Printing Rent Repairs Maintenance Rubbish Removal Security Supplies Telephone Tools Travel Utilities Other Other Other TOTALS February March April May June July August Sept October Nov Dec TOTAL Information on Your Vehicle Vehicle is used primarily by a more than 5 owner Yes No When did you place your vehicle in service Is vehicle available for off-duty personal use Yes No for business purposes Is any other vehicle available for personal use Yes No / / Description of Vehicle: Mileage January February March April May June July August Sept October Nov Dec TOTALS January February March April May June July August Sept October Nov Dec TOTALS Personal Mileage Business Mileage Commuting Mileage Actual Expenses Gasoline, Lube, Oil Repairs/Maintenance Insurance Miscellaneous Auto License Personal Prop..
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