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business or profession, including product or service (am Instruction) i S EMaraeMhem Imeactloru
<br />Business nertre. 6 no sale to businew more, leave blank.
<br />E Businessaddresapncludingsuifeorromnnc.)► 716 Freeport Ave
<br />City town or post office state and ZIP coda Elk River, MN 55330
<br />F Accounting method: (1) ®Cash w ❑Accrued (3) ❑OIMr(specify)►________.__._._._._____...__...._...._.-..__._.__
<br />at
<br />G Did you"merially Participate" n the cloorgon of this business during 2019? If'hb," wr inshuctlonafor llm9on bwm ®Yes L]No
<br />H If yes warted or acquired Mie business dudng 2019, check here . . . . . . . . . . . . . . . . . ► ❑
<br />Did you make any payments in 2019 that would raquke you to fin Fonnls)10 . (sea instructions) . . . . . . . . ®Yes ❑ No
<br />1 Gross receipts w sales. See instructions for line 1 and check the box R this Income ams reported to you on
<br />Profit or Loss From Business
<br />OMBNo.
<br />oC4asN
<br />(Sole Proprietorship)
<br />G�1Fl�i
<br />2 Returns and allowarroes . . . . . . . . . . . . . . . . .
<br />►Go to www.frs.9ov/Schedull for instructions and the latest in mom
<br />Anac20
<br />vvka Osi)
<br />►Altach to Form 1010.111,10-SR,1090-NR, orl0n:partntuahips generolN must Me Man 1055.
<br />1 3eweno
<br />business or profession, including product or service (am Instruction) i S EMaraeMhem Imeactloru
<br />Business nertre. 6 no sale to businew more, leave blank.
<br />E Businessaddresapncludingsuifeorromnnc.)► 716 Freeport Ave
<br />City town or post office state and ZIP coda Elk River, MN 55330
<br />F Accounting method: (1) ®Cash w ❑Accrued (3) ❑OIMr(specify)►________.__._._._._____...__...._...._.-..__._.__
<br />at
<br />G Did you"merially Participate" n the cloorgon of this business during 2019? If'hb," wr inshuctlonafor llm9on bwm ®Yes L]No
<br />H If yes warted or acquired Mie business dudng 2019, check here . . . . . . . . . . . . . . . . . ► ❑
<br />Did you make any payments in 2019 that would raquke you to fin Fonnls)10 . (sea instructions) . . . . . . . . ®Yes ❑ No
<br />1 Gross receipts w sales. See instructions for line 1 and check the box R this Income ams reported to you on
<br />9
<br />4,809.
<br />Form W-2 and the "Statutory employed box on thatform wars chccked . . . . . . . ► ❑
<br />1
<br />114, 095.
<br />2 Returns and allowarroes . . . . . . . . . . . . . . . . .
<br />2
<br />0,
<br />3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . .
<br />3
<br />114, 095.
<br />4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . .
<br />4
<br />1 r 167 .
<br />5 Grow profit Subtract line 4 from line 3 . . . . . . . . . . . . .
<br />6
<br />112,928.
<br />5 Other Income, Including federal and state gasoline or fuel true credit or refund (see netructiom) . .
<br />S
<br />21
<br />use of your
<br />e Advertising . . . . .
<br />9 Car and truck expenses fees
<br />Instructions). . . .
<br />10 Commissions and fees
<br />11 Contract labor poor instructions)
<br />12 Depletion
<br />13 Depreciation and! section 179
<br />expense deduction (not
<br />Included ire Part III) (see
<br />instructions). .
<br />14 Employee barrow programs
<br />(other than an line 110.
<br />15 Insurance (other then Melih)
<br />16 Interest (we instructor):
<br />a Motgage(paid to banks, atc.)
<br />b Other . . . . . .
<br />17 Legal and proFasaicml waves
<br />9
<br />4,809.
<br />18 Office expense (am instructions)
<br />19 Pension and pre tshadng plans
<br />20 Rent or leans (see instructions):
<br />a Vehicles, machinery, and equipment
<br />Is Other business property . .
<br />21 Repairsardmaintersnce. .
<br />22 Supplies (not included in Part 110.
<br />23 Taxes and lkerses
<br />'N Travel and meals:
<br />a Travel . . . . . . .
<br />b Deductible meals (sae
<br />nstructrons).
<br />25 ufilifim . . . . . .
<br />26 Wages liew employment credits).
<br />Us 011ier expemes (from line 48) .
<br />b Reserved for fubre use .
<br />19
<br />9
<br />5 r 159.
<br />19
<br />0.
<br />20s
<br />0.
<br />10
<br />6. 572.
<br />11
<br />40,106.
<br />201;
<br />37,584.
<br />12
<br />0.
<br />21
<br />18,063.
<br />13
<br />15,794.
<br />22
<br />12,360.
<br />23
<br />6,564.
<br />Me
<br />0.
<br />14
<br />0.
<br />24b
<br />15
<br />2 r 807.
<br />160
<br />0.
<br />26
<br />9.698.
<br />--
<br />16b
<br />5,775.
<br />270
<br />5,117.
<br />17
<br />1,245.
<br />271;
<br />28 Total expenses before expenses for business use of home. Add mass 9 through 27a. . . . . . le
<br />M Tentative profit or Ohms). Subtract line 28 from line 7 . . . . . . . . . . . . . .
<br />30 Expanses for business use of your Mme. Do not report these expenses elsewhere. Attach Form 6829
<br />unlms using the simplified method (see instructions).
<br />Si pliBed method Idlers st9Y; enter the total square footage of: (a)your home: 2200
<br />and (b) the part of your hone used for business: 106 . use the Simplified
<br />Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . .
<br />31 Het profit or Qom). Subtract line 30 from line 29.
<br />e If a prefer, enter on bah Schedule 1 (Form 1040 or 1040.918, Jim 3 (or Form 1040�NR, Ilse 1
<br />131 and on Schedule SE, One 2. (If you checked the box on One 1, see inshuctions Estates and I
<br />28
<br />174,653.
<br />29
<br />-61,725.
<br />30
<br />3/
<br />-61,725.
<br />trusts, enter on Form 1041, line 3. t
<br />• If a low, you must go to line 32. J
<br />32 If you have a low, check Me box that deaoribw yaw investment In fins actively fees instructions).
<br />" If you checked 32a, enter Me was on both Schedule 1 (Form 1040 or 104 61% Has 3 (or
<br />Form to40-1111, line 13) and on Seheduk SE, Me 2 If you checked Me box an line 1, see the line Sibs ® At Investment is st risk
<br />31 hatructions). Estates and trusts, enter an Form 1041, line & 32h some investment Is no[
<br />M risk.
<br />• If you checked 32b you must attach Farm BID& Your low may be limited.
<br />For Paperwork Reduction Act Notice, see the separate Instructions. BAA REYO&20I201TW whedula 0(Furan law or 1040-5162019
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