Schedule C Information Form Name of Owner/ProprietorSocial Security/EIN NumberTax YearPrincipal business or professionBusiness Name (If no separate name, Leave blank)Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeDid you “material participate” in the operation of this business during? (Select one)YesNoDid you start of acquired this business during the tax year? (Select one)YesNoGross Receipts or SalesIncomeReturn and AllowancesIncomeAdvertisingExpensesCar and Truck ExpensesCommission and FeesContract LaborDepletionInsurance (Other than health)InterestMortgage (paid to banks)OtherLegal and Professional ServicesOffice ExpensesPension and Profit-sharing PlansRent or LeaseVehicles, Machinery and EquipmentOther Business PropertyRepairs and MaintenanceSuppliesTaxes and LicensesTravel, Meals and EntertainmentTravelDeductible Meals and EntertainmentUtilitiesOther expenses: (list)Method(s) used to value closing inventory: (Select one)Cost of Goods SoldCostLower of Cost or MarketOtherMaterials and SuppliesOther costsWhen did you place your vehicle in service for business purposes?Information on your VehicleOf the total number of miles you drove your vehicle during tax year, Enter the number of miles you drove your vehicle during the tax year for: A. BusinessB. CommutingC. OtherVehicle make, model and yearDo you (or your spouse) have another vehicle available for personal use? (Select one)YesNoWas your vehicle available for personal use during off-duty hours? (Select one)YesNoDo you have evidence to support your deduction? (Select one)YesNoIf “yes” is the evidence written? (Select one)YesNoTaxpayer Signature/DateAll information provided must be accurate for correct preparation of all tax returns. Charles Village Tax Service Inc. assumes no responsibilities for any audits. Charles Village Tax Service Inc. can assume no responsibility of errors regarding inaccurate information provided by the taxpayer nor assume liability for penalties (IRS or Any State) or inconsistencies in tax laws. I read, understand and agree to the above:Spouse Signature/DateSubmitSave as Draft
