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Get IRS Eitc 11652 2021-2024

Department of the Treasury Internal Revenue Service Form 11652 Questionnaire and Supporting Documentation Form 1040 Schedule C Profit or Loss from Business Rev. May 2005 Name Social security number Business Address Telephone Numbers Home Business Business Website if available 1. Please provide a description of your business. Type of work product sold service provided hours of operation where business is conducted 2. Did you receive Form s 1099 MISC for the income reported No Yes Please send a copy of the Form s 1099 3. If you did not receive Form s 1099 MISC for the income reported provide a copy of the record of income showing the customer name. Also include the social security number or employer identification number if available. 4. Is a license a requirement of your occupation Do you have a business license 5. How do you advertise for business Please submit copies of your advertisement and paid receipts Newspaper Personal Computer Flyers Other Please explain* 6. By law you are required to keep adequate records. What type of records do you maintain to verify business income and expenses Check all boxes that apply. Please submit copies of records. Accounting Records Computer Records Business Bank Accounts Paid Invoices/Receipts Business Stationery Insurance Advertising Car/Truck Expense Rental Expense Log Books Ledgers Suppliers name address Other Please specify. This is not an all inclusive listing. If you have other forms of documentation to support your business please explain and submit copies of the documents. 7. Did you file state and/or local sales tax returns for the tax year Note If you claimed a refund on your return and have not received it we will not consider your claim until we review your documentation and make a final determination regarding your tax liability. Please provide a description of your business. Type of work product sold service provided hours of operation where business is conducted 2. Did you receive Form s 1099 MISC for the income reported No Yes Please send a copy of the Form s 1099 3. Did you receive Form s 1099 MISC for the income reported No Yes Please send a copy of the Form s 1099 3. If you did not receive Form s 1099 MISC for the income reported provide a copy of the record of income showing the customer name. If you did not receive Form s 1099 MISC for the income reported provide a copy of the record of income showing the customer name. Also include the social security number or employer identification number if available. 4. Is a license a requirement of your occupation Do you have a business license 5. Also include the social security number or employer identification number if available. 4. Is a license a requirement of your occupation Do you have a business license 5. How do you advertise for business Please submit copies of your advertisement and paid receipts Newspaper Personal Computer Flyers Other Please explain* 6. How do you advertise for business Please submit copies of your advertisement and paid receipts Newspaper Personal Computer Flyers Other Please explain* 6. By law you are required to keep adequate records. What type of records do you maintain to verify business income and expenses Check all boxes that apply.

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