Checklist Self Employed Income Form

    To assist in the preparation of your Personal Income Tax Return, please complete this form and attach all supporting documentation.

    Name

    Year

    Address

    Telephone

    GST Number

    Email

    Main Product or Service

    % of Ownership

    Self - Employment Income & Expenses

    Total Revenue

    GST

    Net

    Business income earned

    Total Costs

    GST

    Net

    Purchases during the year (raw materials)

    Subcontractors

    Advertising

    Meals and entertainment

    Bad debts (receivables that became uncollectable)

    Insurance (non-vehicle)

    Interest & bank charges

    Business tax, licenses, & memberships

    Office expenses

    Supplies

    Legal & accounting fees

    Management fees

    Business rent (exclude home-office rent)

    Maintenance and repairs (non-vehicle)

    Wages and benefits (including CPP, EI, WCB)

    Property taxes (exclude home-office)

    Business travel & accommodations

    Cellphone & business telephone

    Delivery, freight and courier

    Private health premiums

    Internet

    Other expenses

    Computer / laptop

    Equipment

    Furniture

    New automobile

    Use of Personal Vehicle to Earn Business Income

    Vehicle description (year, make, model)

    Vehicle - Owned

    Vehicle - Leased

    Purchase price

    Date lease starts Date

    Date of purchase

    lease ends

    Current value vehicle

    Manufacturer's list price

    Percentage of vehicle used to earn income

    Kms driven to earn income / Total kms driven in the year

    %

    Total Costs 100%

    GST

    Net

    Auto: Fuel

    Auto: Interest on vehicle financing

    Auto: Insurance

    Auto: License and registration

    Auto: Maintenance and repairs (Air Care)

    Auto: Lease payments

    Auto: Other (specify)

    Auto: Business parking

    Auto: Supplementary business insurance

    Did you sell or trade-in your vehicle during the year?

    If your vehicle was leased, purchased or sold in the year, please provide all documents.

    NOTE: 1) For vehicle travel to be a deductible expense, the C.R.A requires that you maintain a mileage log recording your mileage for business purposes (be sure to keep a record of the odometer reading of your vehicle at the start and end of the year).

    2) C.R.A. considers travel to and from your home and normal place of work to be personal travel .

    Use of Home-Office to Earn Business Income

    Total Costs 100%

    GST

    Net

    Heat (Gas)

    Electricity (BC Hydro)

    Insurance

    Maintenance & repairs

    Mortgage interest

    Property taxes

    Rent

    Strata fees

    Water / Sewage / Garbage collection

    Other (specify)