Mike Olmsted, CPA
1661 Fair Meadow Trail
South Lake Tahoe, CA 96150
530.544.0231
E-mail: info@mikeolmsted.com
BUSINESS INCOME / EXPENSE - Schedule C -
| What is the main business activity?________________________________________________________________________________________________ | 
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| Business Name_____________________________________________________________________________________ | 
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| Business Address____________________________________________________________________________________ | 
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| 
 
 How much is your TOTAL business income ? $____________________ 
 
 HOW MANY MILES DID YOU DRIVE FOR BUSINESS PURPOSES? _______________________________ 
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| Merchandise | $________________ | 
 | Real Estate Taxes | $________________ | |
| Costs of Goods | $________________ | 
 | Other Taxes & Licenses | $________________ | |
| Materials & Supplies | $________________ | 
 | Travel (no meals) | $________________ | |
| Advertising | $________________ | 
 | Meals & Entertainment | $________________ | |
| Bad Debts | $________________ | 
 | Utilities & Telephone | $________________ | |
| Car & Truck Expense | $________________ | 
 | Wages & Salaries | $________________ | |
| Commissions | $________________ | 
 | Bank Service Charges | $________________ | |
| Insurance (other than health) | $________________ | 
 | Tools | $________________ | |
| Mortgage Interest | $________________ | 
 | Uniforms | $________________ | |
| Other Interest Paid | $________________ | 
 | Safety Items | $________________ | |
| Legal & Professional Fees | $________________ | 
 | Freight & Shipping | $________________ | |
| Office Expenses | $________________ | 
 | Dues & Publications | $________________ | |
| Rent on Business Property | $________________ | 
 | Laundry & Cleaning | $________________ | |
| Equipment Rentals | $________________ | 
 | (other) | $________________ | |
| Repairs | $________________ | 
 | (other) | $________________ | |
| Supplies | $________________ | 
 | (other) | $______________ 
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Do you have any tools and equipment from prior years?_________________________
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INCOME FROM PROPERTY RENTS - Schedule E
| 
 | RENTAL 1 | RENTAL 2 | RENTAL 3 | 
| Rents Received (Attach all 1099s) | $__________________ | $__________________ | $__________________ | 
| Advertising Costs | $__________________ | $__________________ | $__________________ | 
| Association Dues | $__________________ | $__________________ | $__________________ | 
| Auto & Travel | $__________________ | $__________________ | $__________________ | 
| Cleaning & Maintenance | $__________________ | $__________________ | $__________________ | 
| Commissions | $__________________ | $__________________ | $__________________ | 
| Gardening | $__________________ | $__________________ | $__________________ | 
| Insurance | $__________________ | $__________________ | $__________________ | 
| Legal & Professional Fees | $__________________ | $__________________ | $__________________ | 
| Licenses & Permits | $__________________ | $__________________ | $__________________ | 
| Management Fees | $__________________ | $__________________ | $__________________ | 
| Miscellaneous | $__________________ | $__________________ | $__________________ | 
| Mortgage Interest | $__________________ | $__________________ | $__________________ | 
| Other Interest Paid | $__________________ | $__________________ | $__________________ | 
| Painting & Decorating | $__________________ | $__________________ | $__________________ | 
| Painting Equipment ( brushes, ladders, etc. ) | $__________________ | $__________________ | $__________________ | 
| Pest Control | $__________________ | $__________________ | $__________________ | 
| Plumbing & Electrical | $__________________ | $__________________ | $__________________ | 
| Repairs | $__________________ | $__________________ | $__________________ | 
| Supplies | $__________________ | $__________________ | $__________________ | 
| Cleaning Supplies | $__________________ | $__________________ | $__________________ | 
| Tools | $__________________ | $__________________ | $__________________ | 
| Taxes | $__________________ | $__________________ | $__________________ | 
| Telephone | $__________________ | $__________________ | $__________________ | 
| Utilities | $__________________ | $__________________ | $__________________ | 
| Wages & Salaries | $__________________ | $__________________ | $__________________ | 
| Other (list) | $__________________ | $__________________ | $__________________ | 
| Other (list) | $__________________ | $__________________ | $__________________ | 
| Other (list) | $__________________ | $__________________ | $__________________ | 
RENTAL INCOME (Detail)
What type of property is the rental? (i.e. four bedroom house, warehouse, trailer park, etc.)
| RENTAL 1________________________ | RENTAL 2________________________ | RENTAL 3________________________ | 
When did you purchase your rental property? (Mm/Yy)
| RENTAL 1................_______/_______ | RENTAL 2................_______/_______ | RENTAL 3 ...............________/_______ | 
How much did the rental property cost you?
| RENTAL 1 $______________________ | RENTAL 2 $______________________ | RENTAL 3 $_____________________ | 
Did you have any Farm Rental Income? __________ If yes, attach information. Did you have any Royalties? __________If yes, attach information & 1099s.
Did you receive an Education Distribution?______
_______________________________________________________________________________________________________________________
EMPLOYEE BUSINESS EXPENSE
Did you use your personal vehicle to run errands, chase parts, carry job tools, etc. for your employer? Include Job Hunting.
Please explain : ______________________________________________________________________
How many miles did you drive for the year ? ________________ How many miles did you drive for business ? ________________
Description of vehicle: Make ______________ Model _________________ Year_________________
Did you purchase an automobile last year ? ________________ Please enclose purchase papers.
| Auto License Fee | $__________________ | 
 | Auto Sales Tax | $__________________ | 
| Auto Interest | $__________________ | 
 | Parking & Tolls | $__________________ | 
OPTIONAL
| Oil & Lubrication | $__________________ | 
 | Auto Club | $__________________ | 
| Washing & Polishing | $__________________ | 
 | Tires, Batteries, Etc. | $__________________ | 
| Repairs | $__________________ | 
 | Insurance | $__________________ | 
| Fuel | $__________________ | 
 | Other ( list ) | $__________________ | 
TRAVEL & EXPENSES OTHER THAN AUTO
| Plane & Rail Fares | $__________________ | 
 | Bus Fares | $__________________ | 
| Taxi & Public Transit | $__________________ | 
 | Car Rentals | $__________________ | 
| Lodging | $__________________ | 
 | Meals | $__________________ | 
| Telephone, Fax, Postage | $__________________ | 
 | Tips & Baggage Charge | $__________________ | 
| Laundry & Cleaning | $__________________ | 
 | Other ( list ) | $__________________ | 
SALES EXPENSE
| Lunches, Dinners, Etc. | $__________________ | 
 | Show & Event Tickets | $__________________ | 
| Organization Dues | $__________________ | 
 | Gifts | $__________________ | 
| Stationary & Postage | $__________________ | 
 | Basic Phone | $__________________ | 
| Long Distance Phone | $__________________ | 
 | Other ( list ) | $__________________ | 
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Did you make any modifications to your home for the handicapped ? Please Describe :_____________________________________
Cost of modifications $______________________________
Did you move last year? ___________ How many miles did you move? ___________ Date Moved ____/____/____
Transportation Cost $___________ Storage Cost $__________ Travel & Lodging $___________
How much were you reimbursed that was not included in your wages? $___________
Did you or your spouse contribute to a REGULAR IRA, ROTH IRA, SIMPLE or KEOGH ? $_____________________________
Do you or your spouse have a retirement plan at work ? ________________________________
Did you pay alimony ? _________ How much ? ____________________________________