Self-Employed Supplemental Income Worksheet
Use this worksheet to document and calculate self-employment income using collected business records. Enter gross revenue and business expenses.
Self-Employment Income Supplemental Worksheet
Business Profile
Identify the parent, business, and review period being used for the income calculation.
Cosmetologist: Common records include appointment log, service receipts, product sales, advertising, station rental, and supply costs.
Truck Driver: Common records include dispatch or log history, earnings reports, bank deposits, maintenance, tolls, permits, insurance, and lease records.
House Cleaner: Common records include client lists, letters from clients, receipt ledgers, job schedules, and supply or transportation expenses.
Landscaper: Common records include client lists, job schedules, service receipts, and expenses for tools, supplies, and transportation.
Independent Contractor: Common records include app earnings reports, active online profile, schedule history, and vehicle-related expenses.
Physical Store / Cafe: Common records include business license, current profit and loss statement, tax return, website or social media, and store operating expenses. Wage draw is not an expense.
Other business type: Gather enough records to verify business activity, income, expenses, and any wage or owner draws.
Calculation Method
Summary Method: Best when you have a reliable profit/loss statement or clear summarized totals.
Detailed Backup Method: Best when you are building the calculation from receipts, logs, invoices, statements, or transaction history.
Detailed Backup Method: Best when you are building the calculation from receipts, logs, invoices, statements, or transaction history.
Summary Income Calculation
Enter summarized totals for the period reviewed.
Wage Draw Reminder: If the parent paid themself through owner draws, wage draws, or personal draws, those amounts are not treated as business expenses and must be added back.
Revenue Detail
Use this section when revenue is being built from logs, deposits, receipts, invoices, statements, or transaction history.
| Date | Revenue Source | Amount | Notes |
|---|
Expense Detail
Record expenses in this section
| Date | Expense Category | Amount | Notes |
|---|
Wage Draw / Add-Back Detail
Use this section to document wage draws, owner draws, personal draws, or other adjustments that must be added back.
| Date | Add-Back Type | Amount | Source Document | Notes |
|---|
Income Summary
Revenue — Total Period
$0.00
Expenses — Total Period
$0.00
Add-Backs — Total Period
$0.00
Net Income — Total Period
$0.00
Monthly Average
$0.00
Staff Notes / Determination
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