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? YesNo 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)
