I, _____________________________________, am providing this written statement of my income and expenses (if applicable), Name from my business or the business in which I am employed ________________________________________________________ Name of Business or Employer for the tracking period beginning _____________________ and ending ____________________. Part I. Income: After inserting payment amounts for the specific tracking period, total the amounts at the bottom (make additional copies if needed). Week Tracked Source of Income (client, sale, project, etc.) Amount Week 1 Dates: – Week 2 Dates: – Week 3 Dates: – Week 4 Dates: – Week 5 Dates: – Week 6 Dates: – Week 7 Dates: – Week 8 Dates: – Week 9 Dates: – Week 10 Dates: – Week 11 Dates: – Week 12 Dates: – Week 13 Dates: – Week 14 Dates: – Week 15 Dates: – Week 16 Dates: – Week 17 Dates: – Week 18 Dates: – Week 19– Dates: Week 20 Dates: – Week 21 Dates: – Week 22 Dates: – Week 23 Dates: – Week 24 Dates: – Total: ____________ I certify the information provided in this is true and correct, and reflects the total amount of income for the specified tracking period.
I, _____________________________________, am providing this written statement of my income and expenses (if applicable), Name from my business or the business in which I am employed ________________________________________________________ Name of Business or Employer for the tracking period beginning _____________________ and ending ____________________. Part I. Income: After inserting payment amounts for the specific tracking period, total the amounts at the bottom (make additional copies if needed). Week Tracked Source of Income (client, sale, project, etc.) Amount Week 1 – Dates: Week 2 – Dates: Week 3 – Dates: Week 4 – Dates: Week 5 – Dates: Week 6 – Dates: Week 7 – Dates: Week 8 – Dates: Week 9 – Dates: Week 10 – Dates: Week 11 – Dates: Week 12 – Dates: Week 13 – Dates: Week 14 – Dates: Week 15 – Dates: Week 16 – Dates: Week 17 – Dates: Week 18 – Dates: Week 19– Dates: Week 20 – Dates: Week 21 – Dates: Week 22 – Dates: Week 23 – Dates: Week 24 – Dates: Total: ____________ I certify the information provided in this is true and correct, and reflects the total amount of income for the specified tracking period.
Self%20Employment%20Ledger.docx