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Priddy & Holfield, Certified Public Accountants
Priddy & Holfield, Certified Public Accountants
Priddy & Holfield, Certified Public Accountants

This is PAGE 2 of a 3 page form. Please print this page and proceed to PAGE 3. Once you have completed this form, fax it to us at 501-374-9042.

Or you can fill out this form on-line by clicking here.

BUSINESS INCOME
General Information:

Cash Basis Accrual Basis

First Year Taxpayer Spouse

Business/Profession:

Bus. Name:

Bus. Address:

City:

State, Zip:

Other Accounting Method:

Expenses:

Advertising:

Car and Truck Expenses:

Commissions:

Employee Benefit Programs:

Insurance (other than health):

Health Ins. Premiums for Self:

Mortgage Int. (paid to banks, etc.):

Other Interest:

Legal and Professional:

Office Expense:

Pension & Profit Sharing Plans:

Rent-Vehicles, Machinery, & Equipment:


Rent - Other Business Property:

Repairs:

Supplies:

Taxes - Real Estate:

Taxes - Other:

Travel:

Total Meals and Entertainment:

Utilities:

Wages:

Income:

Gross Receipts or Sales:

Returns and Allowances:

Other Income:

Cost of Goods Sold: If Applicable

Inventory at Start of the Year:

Inventory at End of the Year:

Purchases:

Cost of Items for Personal Use:

Cost of Labor:

Materials and Supplies:

Other Costs:

Did you acquire or dispose of any business assets (including real estate) during the year?

Yes No
Did you have a home office during the year?
Yes No

Rent:

Utilities:

Insurance:

Janitorial:

Misc:

% of exclusive business use :

ESTIMATED TAX PAYMENTS
Federal:
Date Paid
Amt. Paid
Overpayment-Prior Year

1st Quarter

2nd Quarter

3rd Quarter

4th Quarter

State:
Date Paid
Amt. Paid
Overpayment-Prior Year

1st Quarter

2nd Quarter

3rd Quarter

4th Quarter

END - PAGE 2

Please Proceed to PAGE 3


 
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