MONTHLY SETTLEMENT STATEMENT REPORT
INSTRUCTIONS and FORM

Your Monthly Settlement Statement Report is intended to insure that you do not lose the tax benefit of any deductions for expenses which are incurred on your behalf by the company and then charged back to you on your Settlement Statement. Items such as a spare truck, relief driver, supplies that you pay for, warehouse rent, vend machine leases, loan payments, and other similar costs need to be itemized and reported for you to get tax credit. At the end of each week (or other settlement period), take your Settlement Statement from the company and record on your Monthly Settlement Statement Report any charges listed (other than charges related to product - product purchases, stale, discounts, etc.). You only need to record charges against your account. You do not need to record credits to your account.

NOTE: If you have any questions as you are filling out your Settlement Statement, contact DSA. We will be happy to assist you.