C1 ~  ' Statutory Employee
C3 Y  ' Yourself spouse or both
C5 Y  ' Materially participate
TY 0  ' Tax year
|
+ TY + 1968 * 100 ^ ZTY
+ CIBY + CPUR + CCOL + CMAT + COCS ^ C38
+ C38 - CIEY ^ C40
+ COTH + COT2 + COT3 + COT4 + COT5 + COT6 + COT7 + COT8 + COT9 + COTA ^ C46
+ CGRS - CRAA ^ C03
+ C03 - C40 ^ C05
+ C05 + COIN ^ C07
+ CTME / 2 ^ C4C
+ CTME - C4C ^ C4D
+ CADV + CBDD + CCTE + CCOM + CDPL + CDEP + CEBP ^ C28
+ C28 + CINS + CIMT + CIOT + CLPS + COFE + CPSP + CRMA + CROP ^ C28
+ C28 + CREP + CSUP + CTAX + CTRV + C4D + CUTT + CWAG + C46 ^ C28
+ C07 - C28 ^ C29
+ C29 - CHEX ^ C31
+ C5 - N = + C31 > + C31 ^ VW2A1
+ C5 - N = + C31 < - C31 ^ VW2B1
|
S Is this business owned by yourself` spouse or both?~[
X C3 `Y`S`B
Q 'Y' = Yourself` 'S' = Spouse` 'B' = Both.
S ]
R ~25
^
R -80
^
S A  Principal business including product or service. ! B  Principal business code
^
R ~3
P ________________________________________________
S ~!
R ~4
P ____
R ~19
^
S C  Business name. If no separate name` leave blank. ! D  Employer ID number
R ~5
^
R ~3
P ________________________________________________
S ~!
R ~4
P _________
R ~14
^
S E  Business address
P _____________________________________________________________
^
S F  Accounting method: [
P ~
Q '1' = Cash` '2' = Accrual or '3' = Other.
S ] (1) Cash (2) Accrual (3) Other (specify)~
P _____________
^
S G  Method used to value   (1) Cost (2) Lower of   (3) Other. Attach (4) Does not
^
S ~~~closing inventory:  [
P ~
Q '1' = Cost` '2' = Lower of cost or market` '3' = Other or '4' = Does not apply.
S ]
R ~9
S cost or market
R ~6
S explanation
R ~6
S apply~~~
^
S H  Was there any change in determining quantities` cost or valuations between~~~
^
S ~~~opening and closing inventory? If "Yes"` attach explanation
R .15
S [
P N
Q 'Y' = Yes or 'N' = No.
S ]
^
S I  Did you "materially participate" in the operation of this business?
R .7
S [
X C5 `Y`N
Q 'Y' = Yes or 'N' = No.
S ]
^
S J  If you started or acquired this business during~
D ZTY
S ` check here
R .10
S [
P ~
Q 'X' or ' '.
S ]
^
R -80
^
S PART I - INCOME
R ~65
^ 
S ~1 Gross receipts or sales. If reported on Form W-2 and "Statutory !   !
R ~8
^
S ~~~employee" box was checked` check here
R .23
S [
X C1 `~`X
Q 'X' or ' '.
S ] ! 1 !
C CGRS
c CGRS
^
S ~2 Returns and allowances
R .42
S ! 2 !
C CRAA
c CRAA
^
S ~3 Subtract line 2 from 1
R .42
S ! 3 !
T C03
^ 
S ~4 Cost of goods sold (from line 40)
R .31
S ! 4 !
T C40
t FC1 C40   066 1 Line 40.
^
S ~5 Gross profit. Subtract line 4 from 3
R .28
S ! 5 !
T C05
^ 
S ~6 Other income` including fuel tax credit or refund
R .15
S ! 6 !
C COIN
c COIN
^
S ~7 Gross income. Add lines 5 and 6
R .33
S ! 7 !
T C07
^ 
R -80
^ 
S PART II - EXPENSES
R ~62
^ 
S ~8  Advertising
R .15
S !
C CADV
c CADV
S ! 19  Pension plans
R .13
S !
C CPSP
c CPSP
^
S ~9  Bad debts from sales or~~~!
R ~8
S ! 20  Rent or lease
R .13
S !
R ~8
^
R ~4
S services
R .18
S !
C CBDD
c CBDD
S !~~~a Vehicles` machinery` etc..!
C CRMA
c CRMA
^
S 10  Car and truck
R ~13
S !
R ~8
S !~~~b Other business property...!
C CROP
c CROP
^
R ~4
S expenses
R .18
S !
C CCTE
c CCTE
S !~21  Repairs & maintenance
R .5
S !
C CREP
c CREP
^
S 11  Commissions and fees
R .6
S !
C CCOM
c CCOM
S !~22  Supplies (not in Part III)!
C CSUP
c CSUP
^
S 12  Depletion
R .17
S !
C CDPL
c CDPL
S !~23  Taxes and licenses
R .8
S !
C CTAX
c CTAX
^
S 13  Depreciation and section~~
S !
R ~8
S !~24  Travel` meals & entertain.!
R ~8
^
R ~4
S 179 expense deduction (not!
R ~8
S !   a Travel
R .20
S !
C CTRV
c CTRV
^
R ~4
S included in Part III)
R .5
S !
C CDEP
c CDEP
S !   b Meals and en-~~~~!
R ~8
S !
R ~8
^
S 14  Employee benefit programs~!
R ~8
S !
R ~5
S tertainment
R .6
S !
C CTME
c CTME
S !
R ~8
^
R ~4
S (other than on line 19)...
S !
C CEBP
c CEBP
S !   c Enter 50% of
R ~5
S !
R ~8
S !
R ~8
^
S 15  Insurance (except health).!
C CINS
c CINS
S !
R ~5
S line 24b subject~!
R ~8
S !
R ~8
^
S 16  Interest:
R ~17
S !
R ~8
S !
R ~5
S to limitations...!
T C4C
S !
R ~8
^
S ~~a Mortgage (paid to banks)..!
C CIMT
c CIMT
S !~~~d Subtract 24c from 24b
R .5
S !
T C4D
^ 
S ~~b Other
R .21
S !
C CIOT
c CIOT
S !~25  Utilities
R .17
S !
C CUTT
c CUTT
^
S 17  Legal and professional
R ~4
S !
R ~8
S ! 26  Wages (less emp. credits).!
C CWAG
c CWAG
^
R ~4
S services
R .18
S !
C CLPS
c CLPS
S ! 27  Other expenses (from line~!
R ~8
^
S 18  Office expense
R .12
S !
C COFE
c COFE
S !
R ~5
S 46 on page 2)
R .13
S !
T C46
t FC1 C46   091 1 Line 46.
^
R -80
^ 
S 28  Total expenses. Add lines 8 through 27
R .25
S !28 !
T C28
^ 
S 29  Tentative profit (loss). Subtract line 28 from 7
R .15
S !29 !
T C29
^ 
S 30  Expenses for business use of your home. Attach Form 8829
R .7
S !30 !
C CHEX
c CHEX
^ 
S 31  Net profit or (loss). Subtract line 30 from 29.
R ~16
S !   !
R ~8
^
R ~4
S * If a profit` enter on Form 1040` line 12` and Schedule SE`~~~!   !
R ~8
^
R ~6
S line 2 (statutory employees` see page C-5)
R .19
S !31 !
T C31
t FZ1 Z12   027 1 Transferred to Form 1040` line 12.
t FS1 S02   003 1 Transferred to Schedule SE, section A, line 2 if 'Yourself' selected above.
t FS1 SB2   025 1 Transferred to Schedule SE, section B, line 2 if 'Yourself' selected above.
t FS1 S02   003 1 One-half transferred to Schedule SE, section A, line 2 if
t FS1 S02   003 1     'Both' selected above.
t FS1 SB2   025 1 One-half transferred to Schedule SE, section B, line 2 if
t FS1 SB2   025 1     'Both' selected above.
t FS2 s02   003 1 Transferred to Schedule SE (spouse copy), section A, line 2 if
t FS2 s02   003 1     'Spouse' selected above.
t FS2 sB2   025 1 Transferred to Schedule SE (spouse copy), section B, line 2 if
t FS2 sB2   025 1     'Spouse' selected above.
t FS2 s02   003 1 One-half transferred to Schedule SE (spouse copy), section A, line 2 if
t FS2 s02   003 1     'Both' selected above.
t FS2 sB2   025 1 One-half transferred to Schedule SE (spouse copy), section B, line 2 if
t FS2 sB2   025 1     'Both' selected above.
t FV1 VW2A1 057 2 Transferred to Form 8582, Worksheet 2 if positive
t FV1 VW2A1 057 2   and you did not 'materially participated' in the operation of this business.
t FV1 VW2B1 057 3 Transferred to Form 8582, Worksheet 2 if negative
t FV1 VW2B1 057 3   and you did not 'materially participated' in the operation of this business.
^
R ~4
S * If a loss` you MUST go on to line 32.
R ~37
^
S 32  If you have a loss` check box that describes your investment.~~[
P ~
Q 'A' = All at risk` 'S' = Some not at risk` or ' ' = blank.
S ]~All at~~~
^
R ~4
S * If you checked 32a` enter loss on Form 1040` line 12` and
R ~8
S risk.
R ~4
^
R ~6
S Schedule SE` line 2 (statutory employees` see page C-5)
R ~10
S Some not~
^
R ~4
S * If you checked 32b` you MUST attach Form 6198.
R ~19
S at risk.~
^
F
^
S PART III - COST OF GOODS SOLD
R ~51
^ 
S 33 Inventory at beginning of year
R .34
S !33 !
C CIBY
c CIBY
^
S 34 Purchases less cost of items withdrawn for personal use
R .9
S !34 !
C CPUR
c CPUR
^
S 35 Cost of labor. Do not include salary paid to yourself
R .11
S !35 !
C CCOL
c CCOL
^
S 36 Materials and supplies
R .42
S !36 !
C CMAT
c CMAT
^
S 37 Other cost
R .54
S !37 !
C COCS
c COCS
^
S 38 Add lines 33 through 37
R .41
S !38 !
T C38
^ 
S 39 Inventory at end of year
R .40
S !39 !
C CIEY
c CIEY
^
S 40 Cost of goods sold. Subtract line 39 from 38. Enter on line 4...!40 !
T C40
t FC1 C40   020 1 Line 4.
^
R -80
^
S PART IV - INFORMATION ON YOUR VEHICLE. Complete this part ONLY if you are
R ~7
^
R ~10
S claiming car or truck expenses on line 10 and are not required to
R ~5
^
R ~10
S file Form 4562 for this business.
R ~37
^
S 41  When did you place your vehicle in service for business purposes?~
P __/__/__
S .~
^
S 42  Of the total number of miles you drove you vehicle during~
D ZTY
S `
R ~13
^
R ~4
S enter the number of miles you used your vehicle for:
R ~24
^
S ~~a Business~
P _______
R ~4
S b Commuting~
P _______
R ~4
S c Other~
P _______
R ~18
^
S 43  Do you (or your spouse) have another vehicle available for personal use?.[
P ~
Q 'Y' = Yes` 'N' = No` or ' ' = blank.
S ]
^
S 44  Was your vehicle available for use during off-duty hours?
R .16
S [
P ~
Q 'Y' = Yes` 'N' = No` or ' ' = blank.
S ]
^
S 45a Do you have evidence to support your deduction?
R .26
S [
P ~
Q 'Y' = Yes` 'N' = No` or ' ' = blank.
S ]
^
S ~~b If "Yes"` is the evidence written?
R .39
S [
P ~
Q 'Y' = Yes` 'N' = No` or ' ' = blank.
S ]
^
R -80
^
S PART V - OTHER EXPENSES. List below expenses not included on lines 8-26 or 30.~~
^
P _______________________________________________________________________
S !
C COTH
c COTH
^
P _______________________________________________________________________
S !
C COT2
c COT2
^
P _______________________________________________________________________
S !
C COT3
c COT3
^
P _______________________________________________________________________
S !
C COT4
c COT4
^
P _______________________________________________________________________
S !
C COT5
c COT5
^
P _______________________________________________________________________
S !
C COT6
c COT6
^
P _______________________________________________________________________
S !
C COT7
c COT7
^
P _______________________________________________________________________
S !
C COT8
c COT8
^
P _______________________________________________________________________
S !
C COT9
c COT9
^
P _______________________________________________________________________
S !
C COTA
c COTA
^
S 46  Total other expenses. Enter on line 27
R .25
S !46 !
T C46
t FC1 C46   044 2 Line 27.
^
|