Vehicle Expense Worksheet
PROTECTING YOUR INFORMATION
- This form may ask for sensitive information, such as Social Security numbers, account numbers, income, and health or family details.
- DO NOT email your completed form or financial documents. Email is not secure. Send this form with the Submit button below, send documents only through the secure Upload button (Financial International’s SharePoint), or deliver them in person.
- This online form sends your answers over an encrypted (HTTPS) connection directly to Financial International.
- Only open this form from www.financialinternational.com. Financial International will never email or text you a link asking you to enter your SSN or bank details. If you get one, do not respond; call us at (213) 487-0587.
- If you print it, keep the completed form in a safe place and shred spare copies.
- Your information is kept confidential and used only to provide the services you asked us for.
1. Vehicles (up to 4)
This form accommodates 4 vehicles as columns. Business % = Business Miles ÷ Total Miles.
| Vehicle 1 | Vehicle 2 | Vehicle 3 | Vehicle 4 | |
|---|---|---|---|---|
| Year | ||||
| Make / Model | ||||
| Business Miles | ||||
| Total Miles | ||||
| Business % (of Total) |
2. Monthly Costs by Vehicle
| Expense | Vehicle 1 | Vehicle 2 | Vehicle 3 | Vehicle 4 |
|---|---|---|---|---|
| Payment / Lease | ||||
| Insurance | ||||
| Fuel / Gas | ||||
| Maintenance / Repairs | ||||
| Registration / Licensing | ||||
| Parking fees & Tolls | ||||
| Garage Rental and/or Auto Club | ||||
| Wash and Polishing | ||||
| Other Vehicle Expense | ||||
| Other Expense — Description | ||||
| Total / Vehicle | ||||
| Business Deductible Amount |
Grand Total — All Vehicle Costs
Grand Total — Business Deductible
3. Notes
PROTECTING YOUR INFORMATION
- This form may ask for sensitive information, such as Social Security numbers, account numbers, income, and health or family details.
- DO NOT email your completed form or financial documents. Email is not secure. Send this form with the Submit button below, send documents only through the secure Upload button (Financial International’s SharePoint), or deliver them in person.
- This online form sends your answers over an encrypted (HTTPS) connection directly to Financial International.
- Only open this form from www.financialinternational.com. Financial International will never email or text you a link asking you to enter your SSN or bank details. If you get one, do not respond; call us at (213) 487-0587.
- If you print it, keep the completed form in a safe place and shred spare copies.
- Your information is kept confidential and used only to provide the services you asked us for.
Layout mock — Year, Make/Model, Business vs Total miles with live Business %, plus Parking / Garage-Auto Club / Wash and Polishing.