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52 | P a g e October 25 SELF-EMPLOYMENT BUSINESS TAX FORMS • Sole Proprietorship: A signed copy of the prior year’s tax return (Form 1040) including a copy of Schedule C (“Profit or Less from Business or Profession). If there are employees, a copy of Form 941 (Quarterly Return) must also be provided. • Partnership: A signed copy of the prior year’s tax return (Form 1040) with Form 1065 (“Partners Share of Income, Credits, Deductions, etc.”). The Quarterly Return should also be provided. • Corporation: A signed copy of the prior year’s return (Form 1120S) “U. S. Income Tax Return for an S Corporation”) if the LIHEAP applicant is himself/herself the entire corporation; a signed copy of the prior year’s Form 1040 with 1120 and Schedule K-1 if the LIHEAP applicant is only a shareholder in the corporation. If there are employees in either of the above situations, then a copy of Form 941 must also be provided. • Real Estate Income: A signed copy of the prior year’s tax return (Form 1040) with a Schedule E form. 3.17 Tax Forms – Listed in CHIMES • Schedule C - Profit or Loss o Line E - Check if this is home address. If there are deductions on lines 16a, 20b and 25, an explanation of the percentage of the mortgage or utilities would be necessary. o If the utilities are the primary source of heat for the household, the amount entered in CHIMES for home heating/baseload must be only the percentage that is non-business. If a percentage of the home mortgage is deducted, a percentage of the home residence is considered business. o Line 7 check the amount on 1040 (if this is the only income for the taxpayer). o Complete Income and Expenses table unless client chooses “Use annual gross receipts times 60% (0.60) to calculate self-employment?”

• Schedule F - Farm Income Detail o Farm Income Detail Enter Values From Schedule F. CHIMES will not Calculate Values o Complete Income and Expenses table unless client chooses “Use annual gross receipts times 60% (0.60) to calculate self-employment?” Note: Tax forms from the previous year can be used to verify self-employment income.