Itemized Deductions |
| Name: |
|
| EMail Address: |
|
| Taxpayer |
|
| Spouse |
|
| |
Taxpayer |
Spouse |
| 1. |
Medical and dental expenses |
|
|
| |
Prescription medications |
|
|
| |
Fees for doctors, dentists, etc. |
|
|
| |
Fees for hospitals, clinics, etc. |
|
|
| |
Lab and X-ray fees |
|
|
| |
Medical aids (glasses, lenses, hearing aides, braces,
crutches, wheelchair, etc.) |
|
|
| |
Medical equipment and supplies |
|
|
| |
Round trip miles driven to doctors,
hosipital, pharmacy, clinics, etc. |
|
|
| |
Parking fees, tolls and local transportation activities |
|
|
| |
Health insurance premiums |
|
|
| |
Expenses to stop smoking |
|
|
| 2. |
Real estate taxes |
|
|
| 3. |
Personal property taxes |
|
|
| 4. |
Other taxes |
|
|
| 5. |
Home mortgage interest and points reported
on form 1098 |
|
|
| 6. |
Home mortgage interest not reported on form 1098 |
|
|
| |
Name |
|
|
| 7. |
Home mortgage points not reported on form 1099 |
|
|
| 8. |
Investment interest paid |
|
|
| 9. |
Gifts to charity by cash or check |
|
|
| 10. |
Gifts to charity by other than cash or check |
|
|
| 11. |
Mileage driven to charitable activities |
|
|
| 12. |
Casualty and theft losses - Form 4684 |
|
|
| 13. |
Unreimbursed employee expenses |
|
|
| |
Travel expenses (exclude meals) |
|
|
| |
Meals and entertainment |
|
|
| |
Telephone used for employer's business (allocate costs) |
|
|
| |
Professional organization or union dues |
|
|
| |
Educational expenses required to maintain your job |
|
|
| |
Office in home required by employer |
|
|
| |
Tools and equipment |
|
|
| |
Safety and protective clothing |
|
|
| |
Uniform costs |
|
|
| |
Professional journal subscriptions |
|
|
| |
Job-seeking costs |
|
|
| |
Other |
|
|
| 14. |
Other expenses |
|
|
| |
Investment expenses |
|
|
| |
Tax preparation fees |
|
|
| |
Safe deposit box rental |
|
|
| |
Other |
|
|
