If you have more than one business, you will need to complete this form for each business (please initial that you understand)
Name of Business
*
EIN
*
Does the business have more than one owner?
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Yes
No
If the business has more than one owner, is the additional owner your spouse?
*
Yes
No
If your business partner is not your spouse, are you the majority owner in your company?
*
Yes
No
Not Applicable
Business Owner First Name
*
Business Owner Last Name
*
Business Owner First Name (additional owner)
Business Owner Last Name (additional owner)
Business Address Street Name and Number
*
Business city
*
Business state
*
Business zip code
*
Business Phone Number
*
Business Email Address
*
Business EIN#
Date of Formation
Type of Entity (please choose one)
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LLC
LLP
C-Corp
S-Corp
Sole Proprietorship
Was your home used for business purposes?
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Yes - I own my home
Yes - I rent my home
No
How many months was your home used for business last year?
What is the TOTAL square footage of your home?
Approximately how many square feet are used EXCLUSIVELY for business?
2024 Total Annual Revenue (Gross income or all money that your business received this year).
*
2024 Total Annual Expenses (total amount your business spent on expenses this year).
*
Please provide annual totals for the following expense categories (the combined total should equal the amount provided above in 2024 Total Annual Expense entry).
*
Assets
Supplies
Rent
Utilities
Business Travel
Commissions
Credit Card Interest/Merchant Fees
Business Insurance
Meals
Office Expenses
Vehicle (mileage, gas, etc.)
Repairs and Maintenance
Legal and Professional Fees
Equipment Rentals
Contract Labor
Communication
Advertising
Misc Expenses
Salaries
Taxes and Payroll Fees
2024 Total Net Profit (subtract your total expenses from your total revenue)
*
Did you use your car for business?
*
Yes
No
Car Make
Car Model
What is your preferred method of communication?
Text
Call
E-mail
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