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Ending Estimated next  \n/ / 12 Mo.  \n\n| GROSS INCOME (calculated at gross sales less discountsand allowance for bad debts, returns, sales taxes and prepaid freight, if included in sales) | $ | - | $ | - |\n| --- | --- | --- | --- | --- |\n| ADD any other earnings derived from the\u003Cbr>operation of the business | $ | - | $ | - |\n| TOTAL GROSS INCOME from operations | $ | - | $ | - |\n| DEDUCT\u003Cbr>Cost of merchandise sold and supplies consumed in operation of the business Cost of services purchased from others If Ordinary Payroll Limitation form is in effect for this policy then deduct Ordinary Payroll (only that payroll which would not continue during period of suspension of operations) | $ | - | $ | - |\n|  | $ | - | $ | - |\n|  | $ | - | $ | - |\n| Charges allocated to ordinary payroll\u003Cbr>(FICA, unemployment insurance, etc.) | $ | - | $ | - |\n| If power, heat, or refrigerator form in\u003Cbr>effect for this policy then deduct light,\u003Cbr>heat and power (in excess of\u003Cbr>requirements for suspended operation) | $ | - | $ | - |\n| TOTAL DEDUCTIONS | $ | - | $ | - |\n| BUSINESS INCOME VALUE | $ | - | $ | - |\n\nCOINSURANCE REQUIREMENT:  \nEstimated Annual Income: CoInsurance Amount Required  \n$ - 100% $ -  \nAPPLICABLE WHEN THE AGREED VALUE COVERAGE OPTION APPLIES: I certify that this is a true and correct report of values as required under this  \npolicy for the period indicated and that the Agreed Value for the period of coverage is $ - , based on a Coinsurance percentage of 100%  \nSignature: Official Title:","cbCaiurovFtQLlTe","https://ap.wps.com/l/cbCaiurovFtQLlTe","pdf",63391,"English","# Business Income Report - Worksheet\n## Income section\n## Deductions and business income value\n## Coinsurance requirement and certification","[{\"question\":\"What information does the worksheet collect at the top of the report?\",\"answer\":\"It includes the account and date, with a 12-month ending estimated section for the reporting period.\"},{\"question\":\"How is gross income determined in this worksheet?\",\"answer\":\"Gross income is calculated from gross sales less discounts and allowances for bad debts, returns, sales taxes, and prepaid freight if included in sales, then other earnings are added.\"},{\"question\":\"What expenses are deducted to arrive at business income value?\",\"answer\":\"It deducts costs of merchandise sold and supplies consumed, services purchased from others, ordinary payroll-related limitations and charges (where applicable), and certain light/heat/power items when a related form is in effect.\"}]","Business Income Report - Worksheet | PDF",1790075081]