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Get SD DSS-EA-320 2009

Case Section 1 DSS-EA-320 07/09 SELF-EMPLOYMENT LEDGER This form must be completed correctly or it will be returned RECIPIENT NAME BUSINESS NAME MONTH HOURS WORKED Allowable Business Expenses Most business expenses may be subtracted from your selfemployment income but not all the expenses can be. Please contact your Benefits Specialist if you have any question on whether or not to list a business expense below. Examples of expenses that could be listed include Amounts paid for items needed in the business such as supplies repairs advertising feed seeds fertilizer rent toys etc* and other durable goods required for the self-employment business. Capital assets and durable goods are generally objects used in business that are expected to last a long time such as tractors combines buildings cribs swing sets televisions play houses buildings computers VCRs/DVDs furniture etc* Monthly telephone charge unless there is a separate business phone long distance telephone charges that are business related may be deducted however. Mileage expenses from the home to the first and last work location cannot be deducted even if the business is located in the home. Mileage deductions are only allowed for trips between business sites not for commuting from the home to the business. LIST INCOME EXPENSES FOR YOUR BUSINESS ON THE BACK SIDE OF THIS FORM I certify that I have receipts or some type of verification on file for all income and expenses reported on this form and I will keep them on file for at least one year from date reported* I declare and affirm under the penalties of perjury that the information has been examined by me and to the best of my knowledge and belief is in all things true and correct. Signature Form is not valid without your signature Date Signed INCOME MONEY RECEIVED BY RECIPIENT DATE RECEIVED TYPE OF INCOME TOTAL INCOME AMOUNT EXPENSE COSTS OF SELF-EMPLOYMENT PAID EXPENSE TOTAL EXPENSES Agency Use Only Make sure mortgage taxes insurance and utilities are separated between the home and farm if the home is on the farm property. If there is a business in the home the shelter costs cannot be used as a business expense they are only allowed as a shelter deduction in the SNAP budgeting process. Please contact your Benefits Specialist if you have any question on whether or not to list a business expense below. Examples of expenses that could be listed include Amounts paid for items needed in the business such as supplies repairs advertising feed seeds fertilizer rent toys etc* and other durable goods required for the self-employment business. Examples of expenses that could be listed include Amounts paid for items needed in the business such as supplies repairs advertising feed seeds fertilizer rent toys etc* and other durable goods required for the self-employment business. Capital assets and durable goods are generally objects used in business that are expected to last a long time such as tractors combines buildings cribs swing sets televisions play houses buildings computers VCRs/DVDs furniture etc* Monthly telephone charge unless there is a separate business phone long distance telephone charges that are business related may be deducted however. .

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