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SCHEDULE C (Form 1040)
Department of the Treasury Internal Revenue Service (99)
Profit or Loss From Business (Sole Proprietorship)
? For information on Schedule C and its instructions, go to www.irs.gov/schedulec ? Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
OMB No. 1545-0074
2011
Attachment Sequence No. 09
Name of proprietor
Social security number (SSN)
A Principal business or profession, including product or service (see instructions)
B Enter code from instructions
?
C Business name. If no separate business name, leave blank.
D Employer ID number (EIN), (see instr.)
E
Business address (including suite or room no.) ?
City, town or post office, state, and ZIP code
F
Accounting method:
(1)
Cash
(2)
Accrual
(3)
Other (specify) ?
G
Did you “materially participate” in the operation of this business during 2011? If “No,” see instructions for limit on losses .
Yes
No
H
If you started or acquired this business during 2011, check here .................?
I
Did you make any payments in 2011 that would require you to file Form(s) 1099? (see instructions) ........
Yes
No
J
If "Yes," did you or will you file all required Forms 1099? ....................
Yes
No
Part I
Income
1
a
1a
Merchant card and third party payments. For 2011, enter -0- ...
b
Gross receipts or sales not entered on line 1a (see instructions) ..
1b
c
Income reported to you on Form W-2 if the “Statutory Employee” box on that form was checked. Caution. See instr. before completing this line
1c
d
Total gross receipts. Add lines 1a through 1c..................
1d
2
Returns and allowances plus any other adjustments (see instructions) ...........
2
3
Subtract line 2 from line 1d ........................
3
4
Cost of goods sold (from line 42) ......................
4
5
Gross profit. Subtract line 4 from line 3 ....................
5
6
Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)....
6
7
Gross income. Add lines 5 and 6 .....................?
7
Part II
Expenses
Enter expenses for business use of your home only on line 30.
8
Advertising.....
8
9
Car and truck expenses (see instructions).....
9
10
Commissions and fees.
10
11
Contract labor (see instructions)
11
12
Depletion .....
12
13
Depreciation and section 179 expense deduction (not included in Part III) (see instructions).....
13
14
Employee benefit programs (other than on line 19)..
14
15
Insurance (other than health)
15
16
Interest:
a
Mortgage (paid to banks, etc.)
16a
b
Other......
16b
17
Legal and professional services
17
18
Office expense (see instructions)
18
19
Pension and profit-sharing plans.
19
20
Rent or lease (see instructions):
a
Vehicles, machinery, and equipment
20a
b
Other business property...
20b
21
Repairs and maintenance...
21
22
Supplies (not included in Part III).
22
23
Taxes and licenses.....
23
24
Travel, meals, and entertainment:
a
Travel.........
24a
b
Deductible meals and entertainment (see instructions).
24b
25
Utilities........
25
26
Wages (less employment credits).
26
27
a
Other expenses (from line 48) ..
27a
b
Reserved for future use...
27b
28
Total expenses before expenses for business use of home. Add lines 8 through 27a......?
28
29
Tentative profit or (loss). Subtract line 28 from line 7.................
29
30
Expenses for business use of your home. Attach Form 8829. Do not report such expenses elsewhere..
30
31
Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. If you entered an amount on line 1c, see instr. Estates and trusts, enter on Form 1041, line 3.
• If a loss, you must go to line 32.
}
31
32
If you have a loss, check the box that describes your investment in this activity (see instructions).
• If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. If you entered an amount on line 1c, see the instructions for line 31. Estates and trusts, enter on Form 1041, line 3.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
}
32a
All investment is at risk.
32b
Some investment is not at risk.
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 11334P
Schedule C (Form 1040) 2011
Schedule C (Form 1040) 2011 Page 2
Part III Cost of Goods Sold (see instructions)
33
Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34
Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
35 Inventory at beginning of year. If different from last year’s closing inventory, attach explanation . . . 35
36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . . . . 36
37 Cost of labor. Do not include any amounts paid to yourself . . . . . . . . . . . . . . 37
38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . 38
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . 40
41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . 41
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . 42
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
43 When did you place your vehicle in service for business purposes? (month, day, year) ? / /
44 Of the total number of miles you drove your vehicle during 2011, enter the number of miles you used your vehicle for:
a Business b Commuting (see instructions) c Other
45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . Yes No
46 Do you (or your spouse) have another vehicle available for personal use?. . . . . . . . . . . . . . Yes No
47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No
b If “Yes,” is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
Part V Other Expenses. List below business expenses not included on lines 8–26 or line 30.
48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . 48
Schedule C (Form 1040) 2011

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SCHEDULE C xxxxxxx 1040)
Department xxxxxxx the Treasury xxxxxxx xxxxxxx Service xxxxxxx /> Profit or xxxxxxx From Business xxxxxxx Proprietorship)
OMB No. xxxxxxx /> 2011
A Principal xxxxxxx or profession, xxxxxxx product or xxxxxxx xxxxxxx instructions)
?
D Employer xxxxxxx number (EIN), xxxxxxx instr.)
E
City, xxxxxxx or post xxxxxxx state, xxxxxxx xxxxxxx code
F
(1)
(2)
Accrual
Other (specify) xxxxxxx /> G
Did xxxxxxx “materially participate” xxxxxxx xxxxxxx operation xxxxxxx this business xxxxxxx 2011? If xxxxxxx see xxxxxxx xxxxxxx limit on xxxxxxx .
Yes
H
If xxxxxxx started or xxxxxxx this business xxxxxxx 2011, check xxxxxxx xxxxxxx /> I
No
J
Yes
No
a
1a
b
c
1c
Total gross xxxxxxx Add xxxxxxx xxxxxxx through 1c..................
2
Returns xxxxxxx allowances plus xxxxxxx other adjustments xxxxxxx instructions) ...........
3
Subtract xxxxxxx xxxxxxx from xxxxxxx 1d ........................
4
Cost xxxxxxx goods xxxxxxx xxxxxxx line 42) xxxxxxx /> 4
5
6
Other xxxxxxx xxxxxxx federal xxxxxxx state gasoline xxxxxxx fuel tax xxxxxxx or xxxxxxx xxxxxxx instructions)....
6
Gross income. xxxxxxx lines 5 xxxxxxx 6 .....................?
Part II
Enter expenses xxxxxxx xxxxxxx use xxxxxxx your home xxxxxxx on line xxxxxxx /> 8
9
Car xxxxxxx truck expenses xxxxxxx instructions).....
9
Commissions and xxxxxxx /> 10
11
12
12
Depreciation and xxxxxxx 179 xxxxxxx xxxxxxx (not included xxxxxxx Part III) xxxxxxx instructions).....
13
Employee benefit xxxxxxx (other than xxxxxxx line 19)..
Insurance xxxxxxx than health)
16
Interest:
Mortgage xxxxxxx xxxxxxx banks, etc.)
b
Other......
17
Legal xxxxxxx professional services
18
Office xxxxxxx (see instructions)
Pension xxxxxxx profit-sharing plans.
20
Rent xxxxxxx lease xxxxxxx xxxxxxx /> a
Vehicles, xxxxxxx and equipment
b
Other xxxxxxx property...
20b
Repairs and xxxxxxx /> 21
22
23
Taxes xxxxxxx licenses.....
Travel, meals, xxxxxxx entertainment:
a
24a
b
25
Utilities........
Wages xxxxxxx employment credits).
27
a
b
Reserved xxxxxxx future use...
28
Total xxxxxxx before expenses xxxxxxx business use xxxxxxx xxxxxxx Add xxxxxxx 8 through xxxxxxx /> 28
29
29
30
30
31
• If xxxxxxx profit, enter xxxxxxx both Form xxxxxxx line 12 xxxxxxx xxxxxxx 1040NR, xxxxxxx 13) and xxxxxxx Schedule SE, xxxxxxx 2. xxxxxxx xxxxxxx entered an xxxxxxx on line xxxxxxx see instr. xxxxxxx and trusts, xxxxxxx on Form xxxxxxx line 3.
}
If you xxxxxxx a loss, xxxxxxx the box xxxxxxx describes your xxxxxxx in this xxxxxxx (see instructions).
32a
All xxxxxxx is at xxxxxxx /> 32b
For xxxxxxx Reduction Act xxxxxxx see your xxxxxxx return instructions.
Schedule xxxxxxx (Form 1040) xxxxxxx Page xxxxxxx xxxxxxx III Cost xxxxxxx Goods Sold xxxxxxx instructions)
33
Was xxxxxxx xxxxxxx change in xxxxxxx quantities, costs, xxxxxxx valuations between xxxxxxx and closing xxxxxxx /> If “Yes,” xxxxxxx explanation . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx . . xxxxxxx . xxxxxxx xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx Yes No
36 Purchases xxxxxxx cost of xxxxxxx withdrawn for xxxxxxx use . xxxxxxx . . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx . . xxxxxxx 36
38 xxxxxxx and xxxxxxx xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx /> 39 Other xxxxxxx . xxxxxxx xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx . 39
41 xxxxxxx xxxxxxx end of xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx . . xxxxxxx 41
Part IV xxxxxxx on xxxxxxx xxxxxxx Complete this xxxxxxx only if xxxxxxx are claiming xxxxxxx or truck xxxxxxx on line xxxxxxx /> and are xxxxxxx xxxxxxx to xxxxxxx Form 4562 xxxxxxx this business. xxxxxxx the xxxxxxx xxxxxxx line 13 xxxxxxx find out xxxxxxx you must
a xxxxxxx b Commuting xxxxxxx instructions) xxxxxxx xxxxxxx /> 45 Was xxxxxxx vehicle available xxxxxxx personal use xxxxxxx off-duty hours? xxxxxxx . . xxxxxxx . . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx . . xxxxxxx No
b xxxxxxx xxxxxxx is the xxxxxxx written? . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx . . xxxxxxx xxxxxxx . xxxxxxx . . xxxxxxx . . xxxxxxx . xxxxxxx xxxxxxx No
Part xxxxxxx Other Expenses. xxxxxxx below business xxxxxxx not included xxxxxxx lines 8–26 xxxxxxx line 30.

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