Business Profit & Loss Statement

Business Profit & Loss

Complete for all LLC and DBA Clients

Business Name *

Employer's Identification Number (EIN) or Social Security Number *

Business Administrator's Name

First Name *

Last Name *

Address

Street Address *

City

State

Country

Postal Code

Phone *

Email *

Please enter your expenses in the chart OR upload a copy of your profit loss statement.

Expenses

Rent/Lease
Supplies/Materials
Rental Equipment
Employees' Salary
Insurance
Legal Fees
Business License Fee
Taxes Paid
Utility (Gas, Light, Water, etc
Office Rental Payment
Advertisement/Marketing
Traveling Expenses
Vehicle Expense (Rental, Repair, Purchase, etc
Postage/Delivery
Office Equipment Purchase
Meals
Contract Labor
Other Expenses (Phone..etc)
Office Expense

Annual Income For Tax Year 2025

Total Expenses

Add all expenses above and enter total here

I do hereby state, the information list on this form with regards to my Business is true and accurate to the best of my ability. I further understand, the submitted information on this form will be submitted to KYMAJ, to be used on my 1040 Return for the 2025 Tax Year. Should the IRS request documentation pertaining to the information listed on this form; I do hereby state, I will submit any and all receipts, invoices, bill etc; to the IRS upon request, as it relates to my Business listed on my 1040 Return for the 2025 Tax Year.

I agree to hold KYMAJ harmless, should an audit arise from the information pertaining to my Business and my 1040 Return. My signature at the end of this form shall serve as my agreement to the information listed on this 2025 Tax Return.

Signature (agreement .)

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Today's Date

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