Expense Form

TRUCKER TAX 1

P.O.BOX 12543, JACKSONVILLE, FLORIDA 32209, PH: 904-535-8203

First Name

Last Name

Address:

Street Address

City                                               State 

Zip Code

Phone Number -

                             Area Code Phone Number

________________________________________________

GROSS INCOME $

ADMINISTRATIVE FEES $

BROKER FEES $

CASUAL LABOR $

CLAIMS & DAMAGES $

COMDATA / COMCHECK FEES $

COMMUNICATION FEES $

DUES & SUBSCRIPTIONS $

ENTERTAINMENT & PROMOTION $

EQUIPMENT RENTAL $

FUEL & OIL $

INSURANCE - HEALTH (EMPLOYEES ONLY) $

INSURANCE - (TRUCK, CARGO, PHYSICAL DAMAGE

INSURANCE - (WORKER'S COMP ) $

INTEREST $

LICENSES, PLATES & PERMITS $

LOADING & UNLOADING (LUMPERS) $

MEDICAL (D.O.T. PHYSICAL, DRUG TESTING) $

MOTELS $

OFFICE SUPPLIES & EXPENSE $

OFFICE EQUIPMENT (HOME & TRUCK) $

PARTS $

POSTAGE $

PROFESSIONAL FEES $

REPAIRS & MAINTENANCE $

SALARIES(FORM W-2) $

SUBHAUL/CONTRACT LABOR $

SUPPLIES $

TAXES - IFTA / FUEL $

TAXES - HWY USE (2290) $

TAXES - PAYROLL $

TELEPHONE $

TIRES $

TOLLS/SCALES/PREPASS $

TOOLS $

WASHES & LUBES $

YARD RENTALS / YARD PARKING $