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________________________________________________________
                                                (NAME)

INCOME STATEMENT
FOR THE PERIOD BEGINNING__________AND ENDING_________

INCOME:

Gross receipts or sales - - -

$__________

Returns and allowances - - -

(________)

 

$_________

Inventory at beginning of period - - -

$__________

Purchases - - -

__________

Cost of items for personal use

(__________)

Cost of labor - - -

__________

Material and supplies - - -

__________

Other costs - - -

__________

Inventory at end of period - - -

(__________)

Cost of goods sold - - -

__________

GROSS PROFIT - - -

 

Other income - - -

 

TOTAL INCOME - - -

__________

EXPENSES:

 

Advertising - - -

$__________

Amortization - - -

__________

Bad debts (accrual basis only) - - -

__________

Vehicle expenses -  - -

__________

Cleaning and maintenance - - -

__________

Commissions - - -

__________

Depreciation & section 179 - - -

__________

Employee benefits  - - -

__________

Freight and postage - - -

__________

Insurance - - -

__________

Interest - - -

__________

Outside services - - -

__________

Legal and professional - - -

__________

Office expense - - -

__________

Pension/profit sharing - - -

__________

Rent - - -

__________

Repairs  - - -

__________

Supplies - - -

__________

Taxes (payroll) - - -

__________

Taxes (other) - - -

__________

Travel - - -

__________

Meals/entertainment - - -

__________

Utilities - - -

__________

Telephone - - -

__________

Wages - - -

__________

TOTAL EXPENSES - - -

__________

NET PROFIT OR LOSS BEFORE TAXES - - -

$_________


STATEMENT OF FINANCIAL CONDITION
AS OF_________________

ASSETS:

Cash - - -

$__________

Marketable securities - - -

__________

Real estate owned - - -

__________

Motor vehicles - - -

__________

Other personal property - - -

__________

TOTAL ASSETS - - -

$_________

   

LIABILITIES:

 

Mortages payable - - -

$_________

Revolving charge accounts outstanding - - -

__________

Vehicle loans payable - - -

__________

Other notes/contracts payable - - -

__________

Estimated income taxes (on the difference between the estimated current value of assets and the estimated current amounts of their tax bases)

__________

TOTAL LIABILITIES - - -

__________

NET WORTH - - -

__________

TOTAL LIABILITIES AND NET WORTH  - - -

$_________