Business Profit & Loss Statement 

Profit or Loss from Business

1- Gross receipts or sales:

2- Other income:

3- Advertising:

4- Car & truck expenses:

5- Commissions & fees:

6- Contract labor:

7- Employee benefit programs:

8- Insurance (other than health):

9- Interest—mortgage:

10- Interest—other:

11- Legal & professional services:

12- Pension & profit-sharing plans:

13- Rent or lease (vehicles, machinery & property):

14 Rent (other business property):

15 Repairs & Maintenance:

16- Supplies:

17- Taxes & licenses:

18- Travel:

19- Meals (50%) entertainment:

20- Meals (100%) Per Diem:

21- Utilities:

22- Wages:

23- Family health coverage payments for taxpayer, spouse, or dependents:

Other expenses (list):

27- Capital contribution: