Business Income

Business Income Statement

Please fill out the form below.
Taxpayer Full Name *

First Name Middle Name Last Name
Year of Tax Return to be Filed *
What is the name of the business? *
What is your main product/service? *
Is this the first or last year of the business? *
What was the first day of the business?

Year Month Day
Date
What was the last day of the business?

Year Month Day
Date
Business Address *

Street Address

Street Address Line 2

City Province / State

Postal Code Country
Provinces where business income is earned *
What is the business ownership? *
What percentage of the business do you own? *
Who owns the remaining percentage?
What is the amount of revenue earned this year? *
Business Expenses *
Are the business expenses listed above including GST/HST? *

Yes No
Do you own a vehicle? *

Yes No
Vehicle Expenses
Did you purchase a new car this year?

Yes No
Date of purchase

Month Day Year
Date
Did you sell your old car?

Yes No
What was the total price of the new car?
Total Km driven in current tax year
Total Km driven for your business purposes in current tax year
What is the total percentage of vehicle use for business?
Do you have a home office? *

Yes No
Home Office Expenses
What is the total square foot of your home?
What is the total square foot of your home office?
What is the total percentage of this space used for business?
Is there anything else you would like to tell the Accountant?
(including feedback on this form)
Should be Empty:

Business Income Statement