Insurance and Financial Services
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Worksheet for Business Income and
Extra Expense Coverage
This worksheet simplifies the method
of determining the Total Income & Expense exposure for your
business. You may use it instead of ISO's Business Income Report/Work
Sheet, CP 1515. If your business operates from more than 2 locations,
reproduce this worksheet for the additional locations. |
| Name |
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| Estimated for 12 Month Period Beginning |
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| Email |
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| Total
Income & Expenses |
NET ANNUAL SALES - gross sales less discounts, returns,
allowances, bad debt, colection expenses and prepaid outgoing
freight, plus other earnings from your business such as
cash discounts received, commisions, rents, interest, or
service fees.
If you are a manufacturer, you must also add or subtract
the change in your finished goods inventory during the year.
If your inventory has increased, subtract the amount of
the decrease.
|
Location 1 |
Location 2 |
| COST OF GOODS SOLD |
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| ORDINARY PAYROLL |
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| NET INCOME & EXPENSES |
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| REPAIR/REPLACE FACTOR |
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| INCOME EXPOSURE |
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| EXTRA EXPENSE EXPOSURE |
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| EXTENDED INCOME EXPOSURE |
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| LOCATION EXPOSURE |
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| SQUARE FEET |
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| TOTAL INCOME & EXPENSES (ALL LOCATIONS) |
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| POLICY LIMIT |
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| Additional
Comments |
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Please give any additional comments about the
coverage you desire:
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