Santa Ana, CA · Orange County
Monthly Self-Employed Income Report
This monthly report records self-employed income and expenses for a head of household and the person who is self-employed.
What this form is
The report records a reporting month, household and business details, earnings, expenses, and net earnings. It asks for receipts for every claimed expense, stating that Santa Ana cannot consider business expenses without them. The form also includes signature and date lines and a warning about false statements.
Who needs it
A head of household reporting self-employed income should complete the report with the self-employed person’s business earnings and expenses.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; it requires receipts for claimed expenses, but does not say those receipts must be notarized or sworn.
How to submit this form
- 1
Download The Report
Download the Monthly Self-Employed Income Report.
- 2
Complete The Report
Enter the reporting month, names, business information, earnings, expenses, and net earnings.
- 3
Gather Expense Receipts
Include receipts for each claimed expense; the form says expenses without receipts cannot be considered.
- 4
Sign And Date
Complete the signature and date lines.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Monthly Self-Employed Income Report ask for?
- It asks for the reporting month, household and self-employed person’s names, business name or type, earnings, expenses, and net earnings.
- Do I need a notary for the Monthly Self-Employed Income Report?
- No. The form has signature and date lines but no notary block. It asks for receipts for claimed expenses; it does not say receipts must be notarized or sworn.
- How do I submit the Monthly Self-Employed Income Report?
- The form does not provide a submission method. Submit it to the city department named on the form; check the city website for current contact details.