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Get MI Self-Employment Income and Expense Statement

E of Business Owner Address of Business Type of Business City State Zip Code Number of Hours Worked in Month SECTION II: INCOME Source of Income Date Income Received Amount Total Income 0 (Attach additional sheets if necessary.) If you wish to claim actual expenses, complete Section III and attach proof of expenses. If you do not provide proof of expenses, you will be given the standard allowable expense for your type of self-employment income. SECTION III: EXPENSES (Attach proof.) T.

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