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MONTHLY INCOME LOG

MONTH YEAR _________

DATE EMPLOYER GROSS


OR PAYOR AMOUNT WITHH
OLDIN
G/ESTI
MATED
PAYME
NTS

FEDER
AL
STATE

TOTAL
S
MEMOS VERIFICATION
The entries in this log were made contemporaneously during the
month of , 20 and reflect ordinary and
necessary expenses of the kind described. Each and every entry is
true, correct and complete in all respects and is an accurate reflection
of expenses incurred by me or _____________________________
business and paid in cash or by check on the date and for the purpose
indicated.

Signature ______________________________________________

Signature/Seal of Notary __________________________________

Date by Notary __________________________________________

Courtesy of Waterside Financial Services, Inc.  Ted Tesser, CPA  1-800-556-9829  www.TaxTrader.com

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