DAY CARE INCOME AND EXPENSE WORKSHEET
NAME ___________________________________________________________ YEAR ___________________________
DAY CARE INCOME
Gross income from day care $ _____________________ Federal food reimbursement $____________________
OFFICE IN HOME IF LICENSED
Date home acquired
Real estate taxes
Total cost
Interest
Cost of land
Casualty loss
Cost of improvements
Electricity
Square footage of home
Heat
Square footage used for day
care
Water/sewer/garbage/cable TV
Number of days during year
children were in your care
Insurance general policy
Day care rider
Number of hours per day
Repairs/maintenance general
Because of day care
If hours vary, total of hours
for year
Rent paid if you are a renter
Other
Be sure to include storage areas, basement, garage or storage sheds when figuring are used.
Keep a daily log with “TIME IN” and “TIME OUT”. In addition to the hours spent on Day Care you
may claim the time spent on Day Care related jobs such as:
_______________ cleaning up after children
_______________ food preparation
_______________ record keeping
_______________ planning and preparation
_______________ other (specify)
_______________
_______________ Day Care hours per day
_______________ TOTAL HOURS PER DAY
IN CASE OF AN AUDIT THESE RECORDS WILL BE REQUIRED!
AUTO EXPENSE
Keep records of mileage for day care meetings, shopping for supplies, groceries, or to events, etc.
If you take expense on mileage basis
complete the following lines
Auto 1
Auto 2
Auto 3
Year & make of auto (bring in
purchase/sales papers in year
of purchase
Date purchased
Total miles driven
Total day care miles in above line
ADVERTISING/PROMOTION
Newspaper ads, business cards,
LEGAL & PROFESSIONAL
Day care only,
Attorney or accountant fees
EDUCATION Workshop
registration, books, supplies
GIFTS For day care
children, Christmas, Easter,
birthday, etc.
OFFICE SUPPLIES Postage,
stationery, pens, pencils, small
office equipment, Christmas or
birthday cards, day care record
books, calendars, etc.
SUPPLIES Household
cleaning supplies, hand
soap, tissues, paper towels,
paper cups, plates,
disposable knives, forks,
spoons, games, toys,
supplies, crayons, etc.
TELEPHONE
LAUNDRY & CLEANING
Professional cleaning of
furniture, carpeting, drapes.
TRAVEL & ENTERTAINMENT Party
cost for children and/or parents,
tickets to events, etc. Document
who, when and why.
INTEREST On items used
for day care only
FOOD Your total grocery bill. In an
audit, it is important to prove a
reasonable amount was spent for
personal.
CLOTHES For day care
children, caps, mittens,
diapers, etc
Amount spent on day care
BANK
CHARGES/OVERDRAFTS
Business account only. Cost
of printing checks and
service charges.
List below the number of all meals
served during the year in your
home, not just those reimbursed.
BREAKFAST
Total count
LUNCHES
Total count
DINNERS
Total count
MORNING SNACKS
Total count
AFTERNOON SNACKS
Total count
REPAIRS- Other than your
home, related to damage by
day care children.
Document with photos and
how it happened.
DUES & PUBLICATIONS
Day care license, association
dues, day care magazines
for you or day care children.
DOCUMENT THESE NUMBERS
DAILY
OTHER EXPENSES not
listed elsewhere
COSTS OF MEALS PURCHASED IN
RESTAURANT, ETC
How many months was this business in operation during the year?
From _______________ to __________________
MAJOR PURCHASES AND IMPROVEMENTS
Item purchased
Date of purchase
Cost including
CHECK LAST YEAR’S DEPRECIATION FORM TO SEE IF ALL ITEMS ARE CURRENT