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File pg. 11
Ovals must be filled in completely. Example: If any line shows a loss, mark an X in box at left of the line.
SOCIAL SECURITY NUMBER OF PROPRIETOR
EMPLOYER IDENTIFICATION NUMBER (if any)
PRINCIPAL BUSINESS CODE (from U.S. Schedule C)
NUMBER OF EMPLOYEES
Accounting Method: Cash Accrual
Other (specify)
00
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5
If showing a loss, mark an X in box at left
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Schedule C Massachusetts Profit or Loss from Business 2015
FIRST NAME M.I. LAST NAME
BUSINESS NAME
MAIN BUSINESS OR PROFESSION, INCLUDING PRODUCT OR SERVICE
ADDRESS
CITY/TOWN/POST OFFICE STATE ZIP + 4
Did you materially participate in the operation of this business during 2015? (If “no,” see line 33 instructions) . . . . . . . . . . . . . . . . . . . . . . Yes No
Did you claim the small business exemption from the sales tax on purchases of taxable energy or heating fuel during 2015?. . . . . . . . . . . Yes No
Exclude interest (other than from Massachusetts banks) and dividends from lines 1 and 4 and enter such amount in line 32 and in Schedule B, line 3.
Caution: If this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked, fill in here:
1 a. Gross receipts or sales . . . . . . . . . . . . . . . . . . .
b. Returns and allowances. . . . . . . . . . . . . . . . . . . a
b = 1
2 Cost of goods sold and/or operations (Schedule C-1, line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Gross profit. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Other income. Do not include interest income (other than from Mass. banks) and dividends . . . . . . . . 4
5 Total income. Add line 3 and line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Bad debts from sales or services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Car and truck expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Commissions and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Depreciation and Section 179 deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Employee benefit programs (other than in line 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Insurance (other than health). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Interest:
a. mortgage interest paid to financial institutions . . .
b. other interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a
+ b = 14
15 Legal and professional services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Office expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Pension and profit-sharing plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
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