Form CJ-D 301 Schedule a - Financial Statement Template - Massachusetts

Form cj-d301 is a Massachusetts Department of Revenue form also known as the "Schedule A - Financial Statement Template". The latest edition of the form was released in April 1, 2011 and is available for digital filing.

Download a fillable PDF version of the Form cj-d301 down below or find it on Massachusetts Department of Revenue Forms website.

ADVERTISEMENT
FINANCIAL STATEMENT SCHEDULE A
Name:
Docket No.
MONTHLY SELF-EMPLOYMENT OR BUSINESS INCOME
GROSS MONTHLY RECEIPTS
Monthly Business Expenses
Cost of goods sold
$
Advertising
$
Bad Debts
$
Motor Vehicles:
$
Gas
$
Insurance
$
Maintenance
$
Registration
$
Commissions
$
Depletion
$
Dues and Publications
$
Employee Benefit Programs
$
Freight
$
Insurance (other than health), please specify type of insurance:
$
$
Interest on mortgage to banks
$
Interest on loans
$
Legal and Professional services
$
Office expenses
$
Laundry and cleaning
$
Pension and profit sharing
$
Rent on leased equipment
$
Machinery/Equipment
$
Other business property
$
Repairs
$
$
Supplies
$
Taxes
$
Travel
$
Meals and entertainment
$
Utilities and phones
$
Wages
Other expenses (specify)
$
$
CJ-D 301 Schedule A (4/07)
CGF
Page 1 of 2
FINANCIAL STATEMENT SCHEDULE A
Name:
Docket No.
MONTHLY SELF-EMPLOYMENT OR BUSINESS INCOME
GROSS MONTHLY RECEIPTS
Monthly Business Expenses
Cost of goods sold
$
Advertising
$
Bad Debts
$
Motor Vehicles:
$
Gas
$
Insurance
$
Maintenance
$
Registration
$
Commissions
$
Depletion
$
Dues and Publications
$
Employee Benefit Programs
$
Freight
$
Insurance (other than health), please specify type of insurance:
$
$
Interest on mortgage to banks
$
Interest on loans
$
Legal and Professional services
$
Office expenses
$
Laundry and cleaning
$
Pension and profit sharing
$
Rent on leased equipment
$
Machinery/Equipment
$
Other business property
$
Repairs
$
$
Supplies
$
Taxes
$
Travel
$
Meals and entertainment
$
Utilities and phones
$
Wages
Other expenses (specify)
$
$
CJ-D 301 Schedule A (4/07)
CGF
Page 1 of 2
FINANCIAL STATEMENT SCHEDULE A
TOTAL MONTHLY EXPENSES
WEEKLY BUSINESS INCOME
(Gross monthly receipts less total monthly expenses
divided by 4.3.) Enter this amount in Section II, line (d) of CJ-D 301-L or Section
2(d) of CJ-D 301-S.
NATURE OF SELF-EMPLOYMENT OR BUSINESS
1.
Is this business seasonal in nature?
Yes
No
2.
If a seasonal business, please specify percentage of income received and expenses incurred for each month of the year.
PERCENTAGE OF INCOME RECEIVED
EXPENSES INCURRED
MONTH
January
February
March
April
May
June
July
August
September
October
November
December
3.
State whether your business accounts on a calendar year basis or fiscal year basis:
CALENDAR
FISCAL
4.
If your business accounts on a fiscal year basis, give the starting and ending dates of your chosen fiscal year:
starting
ending
5.
State your gross receipts, year to date:
6.
State your gross expenses, year to date:
CJ-D 301 Schedule A (4/07)
CGF
Page 2 of 2

Download Form CJ-D 301 Schedule a - Financial Statement Template - Massachusetts

972 times
Rate
4.4(4.4 / 5) 58 votes
ADVERTISEMENT
Page of 2