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                                       Employee Business Expenses 
                                                     SF-2106 
                                                                                       YEAR 

                                           Identification and Information 
           First Name, initial                   Last Name                             Your Social Security number 

PLEASE  Occupation in which expenses were incurred 
TYPE OR 
PRINT 
           Employer's                            Employer's 
           Name                                  Address 

Ordinary, necessary, reasonable and unreimbursed expenses paid or incurred by an individual in connection with 
the performance of services as an employee may be deducted from gross income to the extent the expenses are 
applicable to Springfield taxable income. (You must have receipts and records.) 

EXPENSES ARE LIMITED TO THE FOLLOWING: 
1 a. Fares for airplane, boat, bus, taxicab, train, parking fees, tolls etc. $ 
  b. Lodging                                                                 $ 
  c. Meals:  Total $           x         *         %                         $ 
                                         * Federal applicable percentage for this year 
  d. Total number of days away from your tax home

                                                                                       (add lines 1a, 1b, and 1c)   1 $ 

2 Expenses as an outside salesperson. 
     (DO NOT INCLUDE AUTO EXPENSES HERE) 

  Description: 
                                                         $ 
                                                         $ 
                                                         $ 

                                                                                         2 $ 

3 Business use of personal auto from page 2, line 17 or line 25.                         3 $ 

4 Reimbursement received from your employer that is included in your W-2 income. 

  Description: 
                                                         $ 
                                                         $ 
                                                         $ 

                                                                                         4 $ 
5 Adjustment: 
  Less all reimbursements not included in the W-2's.                                   < 5 $                            >  

6 Total business expense deduction: 
  Add lines 1, 2, 3 and 4, less line 5 
  Enter this amount on the Springfield SF-1040 form, page 1, line 20                     6 $ 

Form SF - 2106                                VEHICLE EXPENSES                                                  Page 2 

General Information                                                                               (a) Vehicle 1     (b) Vehicle 2 
6  Enter the date vehicle was placed in service 
7  Total miles vehicle was driven during year                                                         miles            miles 
8  Business miles included on line 7                                                                  miles            miles 
9  Percent of business use. Divide line 8 by line 7                                                             %                 % 
10 Average daily round trip commuting distance                                                        miles            miles 
11 Commuting miles included on line 7                                                                 miles            miles 
12 Other personal miles. Add lines 8 and 11 and subtract the 
   total from line 7                                                                                  miles            miles 
13 Do you (or your spouse) have another vehicle available for personal purposes?                  Yes           No

14 If your employer provided you with a vehicle, is personal use during off duty hours permitted?               Yes    Not applicable 
15 Do you have evidence to support your deduction?                                                Yes No
16 If "Yes" is the evidence written?                                                              Yes No

Standard Mileage Rate (Use only if you own the vehicle.) 
17  Multiply line 8 by the federal applicable percentage for this tax year. Enter result here and 
   on pg 1, line 3 of this form 

Actual Expenses                                          (A) Vehicle 1                                (B) Vehicle 2 
18  Gasoline, oil repairs, 
   vehicle insurance, etc. 
19  a Vehicle rentals 
   b inclusion amount 
   c Subtract line 19b from line 19a 
20  Value of employer-provided 
   vehicle (applies only if 100% of   
   annual lease value was included 
   on Form W-2) 
21  Add lines 18, 19c and 20 
22  Multiply line 21 by the 
   percentage on line 9 
23  Depreciation. Enter amount from 
   line 34 below 
24  Add lines 22 and 23. Enter total 
   here 
25  Combine line 24, Col. A (vehicle 1) and Col. B  (vehicle 
   2), enter TOTAL here and on pg 1, line 3 of this form 

Depreciation of Vehicle (Use only if you own the vehicle) 
                                                         (A) Vehicle 1                                (B) Vehicle 2 
26 Enter cost or other basis 
27  Enter amount of section 179 
   deduction 
28  Multiply line 26 by line 9 
29  Enter depreciation method and 
   percentage 
30  Multiply line 28 by the 
   percentage on line 29 
31  Add lines 27 and 30 
32  Enter the limitation amount 
33  Multiply line 32 by the 
   percentage on line 9 
34  Enter the smaller of line 31 or 
   line 33. Also, enter this amount 
   on line 23 above