Noble Tax & Accounting Practice

Name of Business:	Contact Name:


Business Address:	City:	Province:	Postal Code:


Business Number:	GST Number:		PST Number:
			(if applicable)

Ownership:	If Partnership:		Name of Partner:
	% each

Income:	GST Collected:		PST Collected:
(including GST & PST)


OPERATING EXPENSES

Advertising:	License & Subscription:		Delivery & Postage:


Business Insurance:	Interest:		Bank Service Charges:


Repair & Maintenance:	Computer Expense:		Meals & Entertainment:


Office Expense:	Legal, Accounting & Other Professional Fees:		Property Tax:


Rent/Lease:	Salaries & Wages:		Traveling Expense:


Telephone:	Internet:		Utilities:


Start-up Expense:	Seminar Fees:		Other/Misc Expenses:


AUTOMOBILE EXPENSES

Current Value:	Date Auto Acquired:		% of Usage:
			(if auto is used for business and personal)

Total Kilometers Driven in Taxation Year to Earn Income:	Total Kilometers Driven in Taxation Year:		Fuel Cost:


Repair & Maintenance:	Lease payments:		Car Wash:
	(if vehicle is leased)

Insurance:	License & Registration:		Pro Membership:


BUSINESS USE OF HOME EXPENSES

Total Area:	Area Used to Earn the Income:		Landscaping:
(sq. ft.)	(sq. ft.)

Heat:	Electricity:		Maintenance:


Insurance:	Property Tax:		Mortgage:


Notes regarding any extra expenses:


By submitting this form, I certify that I have all the receipts and documents supporting the above mentioned expenses.

3614A Dufferin Street, North York, Ontario, M3K 1N7, Canada