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Get and Sign Self Employment Income Report Form 2019-2022
Enter the amount for the previous month. Keep records, such as receipts, etc. that list the amounts
you enter. For partnerships and corporations, report income and expenses for the operation as a whole; your share will be
calculated later.
What percent of the business is owned by the applicant(s) listed above?
Income
%
Number of hours worked this month:
1. Gross receipts or sales, net capital gains and other incomes
Expenses
$
2.
3.
Materials and supplies (including office supplies)
Wages...
Show details
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