Tax Return Assignment

SCHEDULE C (Form 1040) Department of the Treasury Internal Revenue Service (99) Profit or Loss From Business (Sole Proprietorship) ▶ Information about Schedule C and its separate instructions is at www.irs.gov/schedulec.

▶ Attach to Form 1040, 1040NR, or 1041; partnerships generally must file F\ orm 1065. OMB No. 1545-0074 2016Attachment Sequence No. 09 Name of proprietor Social security number (SSN) A Principal business or profession, including product or service (see ins\ tructions) B Enter code from instructions ▶ C Business name. If no separate business name, leave blank. D Employer ID number (EIN), (see instr.) E Business address (including suite or room no.) ▶ City, town or post office, state, and ZIP code F Accounting method: (1) Cash(2) Accrual (3) Other (specify) ▶ G Did you “materially participate” in the operation of this business\ during 2016? If “No,” see instructions for limit on losses . Yes No H If you started or acquired this business during 2016, check here ................. ▶ I Did you make any payments in 2016 that would require you to file Form(s\ ) 1099? (see instructions) ........ Yes No J If "Yes," did you or will you file required Forms 1099? ..................... Yes No Part I Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the “Statutory employee” box on that form was checked\ . ........ ▶ 1 2 Returns and allowances ......................... 2 3 Subtract line 2 from line 1 ........................ 3 4 Cost of goods sold (from line 42) ...................... 4 5 Gross profit. Subtract line 4 from line 3 .................... 5 6 Other income, including federal and state gasoline or fuel tax credit or\ refund (see instructions) .... 6 7 Gross income. Add lines 5 and 6 ..................... ▶ 7 Part II Expenses. Enter expenses for business use of your home only on line 30. 8 Advertising ..... 8 9 Car and truck expenses (see instructions) ..... 9 10 Commissions and fees . 10 11 Contract labor (see instructions) 11 12 Depletion ..... 12 13 Depreciation and section 179 expense deduction (not included in Part III) (see instructions) ..... 13 14 Employee benefit programs (other than on line 19) .. 14 15 Insurance (other than health) 15 16 Interest:

a Mortgage (paid to banks, etc.) 16a b Other ...... 16b 17 Legal and professional services 17 18 Office expense (see instructions) 18 19 Pension and profit-sharing plans . 19 20 Rent or lease (see instructions):

a Vehicles, machinery, and equipment 20a b Other business property ... 20b 21 Repairs and maintenance ... 21 22 Supplies (not included in Part III) . 22 23 Taxes and licenses ..... 23 24 Travel, meals, and entertainment:

aTravel ......... 24a b Deductible meals and entertainment (see instructions) . 24b 25 Utilities ........ 25 26 Wages (less employment credits) . 26 27 a Other expenses (from line 48) .. 27a b Reserved for future use ... 27b 28 Total expenses before expenses for business use of home. Add lines 8 through 27a ...... ▶ 28 29 Tentative profit or (loss). Subtract line 28 from line 7 ................. 29 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home:

and (b) the part of your home used for business: . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on li\ ne 30 ......... 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2.

(If you checked the box on line 1, see instructions). Estates and trus\ ts, enter on Form 1041, line 3.

• If a loss, you must go to line 32. } 31 32 If you have a loss, check the box that describes your investment in this\ activity (see instructions).

• If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. ( If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3.

• If you checked 32b, you must attach Form 6198. Your loss may be limited. } 32a All investment is at risk.

32b Some investment is not at risk. For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11334P Schedule C (Form 1040) 2016 Schedule C (Form 1040) 2016 Page 2 Part III Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory:

a Cost b Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations bet\ ween opening and closing inventory?

If “Yes,” attach explanation .......................... Yes No 35 Inventory at beginning of year. If different from last year’s closing\ inventory, attach explanation ... 35 36 Purchases less cost of items withdrawn for personal use .............. 36 37 Cost of labor. Do not include any amounts paid to yourself .............. 37 38 Materials and supplies ........................ 38 39 Other costs ............................ 39 40 Add lines 35 through 39 ........................ 40 41 Inventory at end of year ........................ 41 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 ...... 42 Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instru\ ctions for line 13 to find out if you must file Form 4562. 43 When did you place your vehicle in service for business purposes? (mont\ h, day, year) ▶ / / 44 Of the total number of miles you drove your vehicle during 2016, enter t\ he number of miles you used your vehicle for:

a Business b Commuting (see instructions) c Other 45 Was your vehicle available for personal use during off-duty hours? ............... Yes No 46 Do you (or your spouse) have another vehicle available for personal us\ e? .............. Yes No 47a Do you have evidence to support your deduction? .................... Yes No b If “Yes,” is the evidence written? ......................... Yes No Part V Other Expenses. List below business expenses not included on lines 8–26 or line 30. 48 Total other expenses. Enter here and on line 27a ................ 48 Schedule C (Form 1040) 2016