Business Name

Dashboard Instructions-
Select Tax Year
Please enter your busi
Principal business or profession (what do you do?) There are four major t

What is the IRS or NCAIS activity code? Dashboard- this tab as

Accountable Plan- thi

Has ownership, entity structure, or business address reimbursement data
changed since last year? If so, please descirbe.
Sample APlan- this tab
Accountable Plan
Have you provided Articles, Operating Agreements, By-
Laws, and other business governance documents to us Please complete the g
(Yes, No)
Please call us for help
Do you earn revenue sourced to multiple states? If so,
do you track revenue by state? Please explain.

Did your business start operations in 20xx? If so, did

you have startup costs or transfer equipment into the
business?

Did you purchase any equipment over $2,500? If so,

please provide dates, amounts and descriptions.

Does your business own a vehicle that you use for

personal use? (Yes, No)

Do you have any foreign bank accounts? (Yes, No)

Do you have written proof of your meals and

entertainment expense? (Yes, No, NA)

Do you have adequate proof and support of your travel

expense? (Yes, No, NA)

Do you have adequate proof and support of your

mileage expense? (Yes, No, NA)

Did you make payments that require filing a 1099-

MISC? (Yes, No)

If Yes, have you filed and mailed the 1099-MISC

forms? (Yes, No, Need Help)

Did you receive a 1099-K or collect sales tax in 20xx? If

so, please describe.

Do you have a 401k or SEP IRA? If so, do you plan on

making a contribution next year for this tax year? If so, Estimated tax payments should have been made by you,
what is the amount? personally, using your SSN. If you paid them from the
business, no worries, just let us know and we'll adjust.

10/05/2021 14:33:15 546994340.xlsx

 Estimated tax payments should have been made by you,
personally, using your SSN. If you paid them from the
business, no worries, just let us know and we'll adjust.
Do you use a company credit card? If so, do you
recognize the expense when you use the card or when
you pay the card. Please describe.

How much did you take out of the business in the form
of distributions? Do not count reimbursements or
wages.

Did you put money into the business during 20xx? If so,
how much?

Business Checking / Savings Accounts Estimated tax payment

Beginning Balance (Jan 1 20xx) 0
by you, personally, usin
Ending Balance (Dec 31 20xx) 0
them from the busines
know and we'll adjust.
Accounts Receivable (if applicable)
Beginning Balance (Jan 1 20xx) 0
Ending Balance (Dec 31 20xx) 0

Loan Balances (if applicable)

Beginning Balance (Jan 1 20xx) 0
Ending Balance (Dec 31 20xx) 0

Estimated Tax Payments IRS Amt Date State Amt Date

Q1 0 4/15/20xx 0 4/15/20xx
Q2 0 6/15/20xx 0 6/15/20xx
Q3 0 9/15/20xx 0 9/15/20xx
Q4 0 1/15/20xx (Next Year) 0 1/15/20xx (Next Year)

10/05/2021 14:33:15 546994340.xlsx

 Business Name
Accountable Plan Input

Tax Year 2020

Occupancy Expense (Home Office)

Office Square Footage 0
Total Home Square Footage 0
Business Use % 0.0%

Annual Home Expense Annual Sch. A reduction (1040)

Mortgage Interest Only (see 1098) 0 0
Rent 0 NA
Property Taxes 0 0
Private Mortgage Insurance (PMI) 0 0
Hazard Insurance 0
Utilities 0
HOA Dues 0
Total Annual Home Expenses 0 Gross Amount
Allocated to Home Office Annually 0 Pro-rated based on square footage
Non-Recurring Expense Q1 Q2 Q3 Q4/EOY
Repairs, Maintenance 0 0 0 0
Cleaning 0 0 0 0
Other 1 0 0 0 0
Other 2 0 0 0 0
Total Non-Recurring Home Expenses 0 0 0 0
Non-Recurring Exp Allocated Per Qtr. 0 0 0 0
Annual Exp Allocated Per Qtr (from above) 0 0 0 0
Total Home Office Allocated Per Qtr 0 0 0 0

Cell Phone
Q1 Q2 Q3 Q4/EOY
Total Cell Phone ($450 max / quarter) 0 0 0 0
Business Use % (max 80%, let's be reasonable) 80% 80% 80% 80%
Allocated to Cell Phone 0 0 0 0
Internet
Q1 Q2 Q3 Q4/EOY
Total Internet 0 0 0 0
Business Use % (max 80%, let's be reasonable) 80% 80% 80% 80%
Allocated to Internet 0 0 0 0
Mileage
Q1 Q2 Q3 Q4/EOY
Business Miles Auto #1 (owned by employee) 0 0 0 0
Business Miles Auto #2 (owned by employee) 0 0 0 0
 Total Business Miles 0 0 0 0
Total Miles Driven (both autos) 0 0 0 0
Business Use % 0% 0% 0% 0%
Auto Loan Interest (both autos) 0 0 0 0
Auto Registrations (both autos) 0 0 0 0
Mileage Rate $0.575 $0.575 $0.575 $0.575
Allocated to Auto Expense 0 0 0 0
Out of Pocket (Paid by Employee)
Q1 Q2 Q3 Q4/EOY
Travel - Airfare 0 0 0 0
Travel - Lodging 0 0 0 0
Parking, Tolls (non-commuting) 0 0 0 0
Meals 50% 0 0 0 0
Meals 100% 0 0 0 0
Self Employed Health Insurance Premiums 0 0 0 0
HSA Contributions 0 0 0 0
Other 1 0 0 0 0
Other 2 0 0 0 0
Allocated to Out of Pocket 0 0 0 0
Accountable Plan Totals
Q1 Q2 Q3 Q4/EOY
Total Accountable Plan Expenses 0 0 0 0
Accountable Plan Reimbursements Already Made
Q1 Q2 Q3 Q4/EOY
Reimbursements Already Made by Company 0 0 0 0
 Instructions-

Accountable Plan reimbursements can be confusing. This is only

used for business expenses that you paid for personally and the
company owes you.

Expenses that are 100% business should be paid by the

business. Be careful and try to maintain the arms length
perspective between you and your business.

Most meals will only be 50% deductible for a business owner.

Meals that qualify for a 100% deduction include holiday parties
age or events, and meals provided to employees for the
convenience of the employer.
Total
0 Use the green cells to enter your data (yellow cells are
0 calculated). You do not need to enter data by quarter. If you
0 only have annual totals, then use the Q4/EOY column.
0
If you have already reimbursed yourself for these expenses,
0 please let us know at the bottom. Any unreimbursed expenses
0 will be reconciled to Shareholder Distribution (in other words,
0 we will reclassify prior distributions as part reimbursement and
part distribution)
0
Please call us for help at 847-247-0200
Total
0
0%
0

Total
0
0%
0

Total
0
0
 0
0
0%
0
0
$0.575
0

Total
0
0
0
0
0
0
0
0
0
0

Total
0

Total
0
 ABC Company
Sample Accountable Plan
Select Tax Year

Occupany Expense (Home Office)

Office Square Footage 150
Total Home Square Footage 2,500
Biz Use % 6.0%
Annual Home Expense Annual Sched A Reduction
Mortgage Interest Only (see 1098) 13,568 -814
Rent 0 NA
Property Taxes 2,200 -132
Private Mortgage Insurance (PMI) 0 0
Hazard Insurance 1,150
Utilities 3,980
HOA Dues 1,440
Total Annual Home Expenses 22,338 Gross Amount
Allocated to Home Office Annually 1,340 Pro-rated based on square footage
Non-Recurring Expense Q1 Q2 Q3 Q4/EOY Total
Repairs, Maintenance 0 0 0 850 850
Cleaning 150 150 150 150 600
Other 1 0 0 0 0 0
Other 2 0 0 0 0 0
Total Non-Recurring Home Expenses 150 150 150 1,000 1,450
Non-Recurring Exp Allocated Per Qtr 9 9 9 60 87
Annual Exp Allocated Per Qtr (from above) 335 335 335 335 1,340
Total Home Office Allocated Per Qtr 344 344 344 395 1,427
Cell Phone
Q1 Q2 Q3 Q4/EOY Total
Total Cell Phone ($450 max / quarter) 450 450 450 450 1,800
Biz Use % (max 80%, let's be reasonable) 65% 80% 80% 70% 74%
Allocated to Cell Phone 293 360 360 315 1,328
Internet
Q1 Q2 Q3 Q4/EOY Total
Total Internet 240 240 240 240 960
Biz Use % (max 80%, let's be reasonable) 80% 80% 80% 80% 80%
Allocated to Internet 192 192 192 192 768
Mileage
Q1 Q2 Q3 Q4/EOY Total
Biz Miles Auto #1 (owned by employee) 780 2,254 3,228 2,995 9,257
Biz Miles Auto #2 (owned by employee) 0 0 0 0 0
Total Biz Miles 780 2,254 3,228 2,995 9,257
Total Miles Driven (both autos) 3,200 3,100 3,800 3,700 13,800
Biz Use % 24% 73% 85% 81% 67%
Auto Loan Interest (both autos) 0 0 0 0 0
Auto Registrations (both autos) 0 0 0 0 0
Mileage Rate 2020 $0.575 $0.575 $0.575 $0.575 $0.575
Allocated to Auto Expense 449 1,296 1,856 1,722 5,323
Out of Pocket (Paid by Employee)
Q1 Q2 Q3 Q4/EOY Total
Travel - Airfare 0 0 0 0 0
Travel - Lodging 0 0 0 0 0
Parking, Tolls (non-commuting) 0 0 0 0 0
Meals & Entertainment 50% 0 0 0 0 0
Meals & Entertainment 100% 0 0 0 0 0
Self Employed Health Insurance Premiums 0 0 0 0 0
HSA Contributions 0 0 0 0 0
Other 1 0 0 0 0 0
Other 2 0 0 0 0 0
Allocated to Out of Pocket 0 0 0 0 0
Accountable Plan Totals
Q1 Q2 Q3 Q4/EOY Total
Total Accountable Plan Expenses 1,277 2,192 2,752 2,624 8,846
Accountable Plan Reimbursements Already Made
Q1 Q2 Q3 Q4/EOY Total
Reimbursements Already Made by Company 0 0 0 0 0

10/05/2021 14:33:15 546994340.xlsx

Expense Reimbursement
Employee Name: Expense Period
ID: From:
To:
Manager Name:
Department:

Business Purpose:

Itemized Expenses [42]

DATE DESCRIPTION CATEGORY COST

SUBTOTAL $ -
Note: Mileage reimbursement for personal car = $0.XX/mile Less Cash Advance
TOTAL REIMBURSEMENT $ -
Don't forget to attach receipts!

Employee Signature Date

Approval Signature Date

Expense Categories:

Business Cards
Business Meals
Dues
Legal Fees
License Fees
Mileage
Office Supplies
Passport fee
Postage
Printer Cartridges
Printer Paper
Software
Stationery
Subscriptions
Telephones
Training Fees
Travel
Work Clothing
Other