Name

Business Name

Income From Home Business & Year

ADVERTISING

VEHICLE

FEES

EMPLOYEE BENEFIT PROGRAM

OFFICE

INSURANCE (other than health)

SUPPLIES

TRAVEL/ENTERTAINMENT

UTILITIES

MISCELLANEOUS

Upload Tax Documents

ACKNOWLEDGEMENT

I, the above mentioned taxpayer/spouse, solemnly swear that the information that was forwarded to the tax Preparer is true to the best of my knowledge. In no way am I attempting to file a fraudulent claim by providing the tax preparer with false documentation. I understand that I must have receipts and/or bank statements on file as proof of the above expenses in the case of an audit.

Your Signature

DateTime

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