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The form collects business identifiers and ownership details, then itemizes gross income (gross sales, other income) and operating expenses (cost of goods sold, fees, advertising, insurance, maintenance, payroll, utilities, and other expenses). 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If seasonal, please provide 12 months profit and loss. )  \nPlease fill in the fields that apply to your business.  \n\n| GROSS INCOME |  |\n| --- | --- |\n| Gross Sales\u003Cbr>(Total amount of income from sales or service before subtracting expenses) | $ |\n| Other Income\u003Cbr>(Any other additional funds earned through the company such as payments from people leasing space or payments from investors) | $ |\n| Total GROSS INCOME BEFORE TAXES | $ 0 |\n\n\n| EXPENSES |  |\n| --- | --- |\n| Cost of Goods Sold\u003Cbr>(Direct costs to produce or obtain the goods sold by the company) | $ |\n| Accounting and Legal Fees | $ |\n| Advertising | $ |\n| Insurance\u003Cbr>(Do  not include homeowners insurance) | $ |\n| Maintenance and Repairs | $ |\n| Supplies | $ |\n| Payroll Expenses\u003Cbr>(Salaries and wages for owner(s) on the mortgage loan) | $ |\n| Payroll Expenses\u003Cbr>(Salaries and wages for employees who are not owner(s)\u003Cbr>on the mortgage loan) | $ |\n| Postage | $ |\n\n(Next page, please)  \nPlease fill in the fields that apply to your business.  \n\n| Rent\u003Cbr>(Do not include rent from subject property) | $ |\n| --- | --- |\n| Licenses | $ |\n| Taxes\u003Cbr>(Do not include real estate taxes on the property; do not include income taxes on the business - include the total of any other taxes that you have to pay for the business) | $ |\n| Telephone | $ |\n| Travel/Transportation | $ |\n| Utilities | $ |\n| Other\u003Cbr>(Total and explanation of any other expenses not already\u003Cbr>listed; do not include depreciation, depletion or amortization) | $ |\n|  |  |\n|  |  |\n|  |  |\n| \u003Cbr>Total EXPENSES\u003Cbr>| $ 0 |\n\n\n| NET INCOME |  |  |\n| --- | --- | --- |\n| | Net Income Before Taxes |  $ |\n| Taxes |  | $ |\n| (Paid on business income) |  | |\n|  |  |  |\n| Total NET INCOME AFTER TAXES\u003Cbr>\u003Cbr>|  | $ 0\u003Cbr>|\n\nBy signing this document, I/we certify the following:  \n1. That I am self-employed/independent contractor/1099 employee.  \n2. That all the information is truthful.  \nI/we understand that knowingly submitting false information may constitute fraud.  \nBusiness Owner's Signature  Date    \nBusiness Owner's Signature  Date    \nID g0yQT1qaxa  \nFM293 016205 PL 0812","cbCaighQRWu2qY1C","https://ap.wps.com/l/cbCaighQRWu2qY1C","pdf",226259,"English","# Gross income\n## Gross sales and other income\n# Expenses\n## Cost of goods sold and operating expenses\n# Net income\n## Net income before taxes and taxes","[{\"question\":\"What date range is required for the profit and loss statement?\",\"answer\":\"The reported period must cover at least 3 full months. For seasonal businesses, provide 12 months of profit and loss.\"},{\"question\":\"Which items are included in gross income?\",\"answer\":\"Gross income includes gross sales (total income from sales or service before expenses) and other income (additional funds earned through the company).\"},{\"question\":\"How is net income after taxes determined on the form?\",\"answer\":\"Net income after taxes is calculated from net income before taxes and the taxes paid on business income, using the form’s total net income after taxes field.\"}]","SAMPLE PROFIT - LOSS STATEMENT | PDF",1789229274]