Self-Employed Profit and Loss Form
Use this form to provide the information needed to prepare your self-employed profit and loss statement.
Business Name
*
Business Type
*
Please Select
Sole Proprietorship
Partnership
LLC
S Corporation
Other
Reporting Period Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporting Period End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gross Income (Total Revenue)
*
Cost of Goods Sold (if applicable)
Total Expenses
*
Main Expense Categories
Office Supplies
Utilities
Rent
Professional Fees
Advertising
Travel
Insurance
Other
Net Profit or Loss (Income minus Expenses)
*
Brief Summary or Notes
Submit
Should be Empty: