Employment Income Verification Form



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retirement plan contributions and health insurance premiums for employees, etc.) Travel (for business related travel only) Insurance (not Health) (workers compensation, liability insurance payments etc.) Business Meals Entertainment X 50 Interest Mortgage (for business related property only) Utilities Interest -- Other Wages of Employees Employee Pension and Profit Sharing Plans Legal Professional Services Rent/Lease -- vehicles, machinery, equipment Other Expenses (please detail) Total of All Expenses 8..


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