Statement of Business Activities

Tax Year

Name *

First

Middle

Last

Business Name *

Business Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Main product/service

Your % of the Partnership

Business Income

Expenses

Advertising

Meals and entertainment

Bad debts

Insurance

Interest and bank charges

Business taxes, licenses, and memberships

Office expenses

Office stationery and supplies

Professional fees (including legal and accounting)

Management and administration fees

Rent

Repairs and maintenance

Salaries, wages, and benefits

Property tax taxes

Travel expenses

Utilities including telephone

Delivery, freight, and express

Material and Supplies

Subcontracts

Other costs

Business Use of Home Expenses

Heat

Electricity

Insurance

Property taxes

Others expenses(specify)

Repairs & maintenance

Total Area of home (SQF)

Business Use

Total

Profit

Motor Vehicle Expenses

Total KMs you drove to earn business income

Total kilometres in the fiscal period

Fuel and oil

Insurance

Licence and registration

Maintenance and repairs

Other expenses

For Leased Vehicle

Total lease charges in the year

Total # of days vehicle leased

Manufacturer's list price

Notes for Tax Prepares (optional)