Income Statement

Income (Self-employed must include

their account receivable.

Sales

Commission income

Expenses used to earn this income

(Including amounts to be paid to suppliers or other expenses

to be paid)

For self-employed workers renting an office or having purchased a building for business. Indicate the amount for business purposes only

Salaries, salaries and benefits

Commissions paid

Subcontracts

Bad debts

Advertising

Entertainment expenses

Insurance

Interest on loans used to operate the business.

Interest on mortgage on the building used for the business

Business taxes

Property taxes

Permit

Supplies

Accounting fees

Legal fees

Other professional fees

Management fees and administration

Maintenance and repair rent of the office or building

Office rent

Travel expenses

Telephone

Electricity

Delivery, transport

Travel expenses (plane, subway, bus)

Travel expenses by car (see section below)

Building depreciation

Equipment depreciation

Depreciation of computer equipment

Depreciation of office furniture

Depreciation of rolling stock

(trucks, cars...)

Indicate the cost and year of acquisition

and the UPCC (undepreciated portion of capital cost) applicable for each category of depreciation.

Also indicate the % of use for business purposes for each category of depreciation.

For self-employed workers with home office:

Expenses used to operate the business. Indicate the amount for business purposes only

Salaries, salaries and benefits

Commissions paid

Subcontracts

Bad debts

Advertising

Entertainment expenses

Interest on borrowings used to carry on the business

Permit

Supplies

Accounting fees

Legal fees

Other professional fees

Management fees and administration

Travel expenses

Telephone

Delivery, transport

Travel expenses (plane, subway, bus)

Travel expenses by car (see section below)

Internet

Website subscriptions

Home Office Expenses. Indicate the total annual amount of:

Insurance

Interest on mortgage on the residence used for the business

Property taxes

Maintenance and repair

Rent

Electricity

Heating

Area occupied by the office:

Total area:

% of expenses to be deducted for the office:

Depreciation and amortization expenses

Equipment depreciation

Depreciation of computer equipment

Depreciation of office furniture

Depreciation of rolling stock

(trucks, cars...)

Other depreciation...

Indicate the cost and year of acquisition

and the UPCC (undepreciated portion of capital cost) applicable for each category of depreciation.

Also indicate the % of use for business purposes for each category of depreciation.

For self-employed workers with use of the car for business purposes. Indicate the total annual amount of: