The top of the questionnaire provides spaces for entering Name of Taxpayer, Taxpayer Identification Number and Tax Period Ending. This is followed by questions on the business. Complete text of questions follows. Business Name: __________________________ Who owns the business? Name _______________________________ Social Security Number ________-____-________ Who runs the business? _______________________________ Business Address ________________________________________________________ Rented ____ Owned ____ Date business was established ________/______/________ Type of business ____Manufacturing ____ Sales ____Wholesale ____ Retail ____ Service Provider Type of service provided____ Product Manufactured __________________________ Does the business have a license? Yes ____ If yes, please specify what type of license(s) ______________________________ Business Records Bank Accounts ____ Checking ____ Savings ____ Safety/Deposit ____ Box Bank/Credit Cards Accounting Records ____ Journals ____ Ledgers ____ Diaries/expense reports ____ Computer records How are business expenses paid? ____ Cash ____ Check ____ Credit Card ____Other ______________________ Major expenses paid in cash Expenses paid by check ______________________Expenses paid by credit card __________________ Expenses paid by other means _________________