Preview Monthly Profit And Loss Statement Form

Sample_01pl 0210_eng

PROFIT&LOSSSTATEMENT(SampleOnly)

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KLMLandscapingCompany201ThirdSt

SanFrancisco,CA94103

(415)555‐5555

(Mustincludeaddressandphone)

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

(Mustincludemonthandyear)

January2009 February2009 March2009

TotalIncome$5,000 Total$2,000 TotalIncome$4,000

Expenses:

Car$200

Equipment$1,000

Repair$300

Advertising$300

Depreciation$100

Meals&Entertain.$100

CashDraw$1,000

TotalExpenses:$3,000

Expenses:

Car$200

Equipment$1,000

Repair$1,100

Advertising$300

Depreciation$0

Meals&Entertain.$0

CashDraw$1,000

Total

Expenses:$3,600

Expenses:

Car$200

Equipment$300

Repair$100

Advertising$300

Depreciation$0

Meals&Entertain.$0 

CashDraw$1,000

TotalExpenses:$1,900

NetIncome:$2,000 NetIncome:‐$1,600 NetIncome:$2,100

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*Pleaselistthemonthlyexpensesrelatedtoyourbusiness,includingthedollaramount.(Forexample:Equipment,repair,

advertising,etc)



Theinformationprovidedaboveistrueandcorrecttothebestofmyknowledge.Å(Mustincludethisstatement)

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



(SignatureofPersonEarningIncome)    (Date)

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• Applicantmustcomplete hisorherownProfitandLoss Form.

• A“ProfitandLoss”mustonly

beusedifanapplicantcannotprovide:acopyofthepreviousyear’sFederal

TaxForms1040,1040A,1040EZ,withaScheduleCorane‐fileprintoutoftheseforms.

• ApplicantcansubmitaProfitandLossStatementwithcopyof1040taxformif1040taxform

andSchedule

Cdoesnotreflectapplicant’scurrentincome.

• Thisdocumentmustbedatedwithin45daysfromwhentheprogramreceivesdocument.

• Pleaserefertothenextpagetoseehowprogramscalculateyourmonthlyincome.

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