Itemized Deduction Worksheet TAX YEAR - …

1 Itemized Deduction Worksheet TAX YEAR_____. Medical Expenses. Must exceed of income to be a benefit. Include cost for dependents-do not Charitable Contributions. If over $500 in noncash include any expenses that were reimbursed by insurance contributions, provide details of contributions. New rules require Dentists $ Hospitals $ that the taxpayer train documentation for all cash contributions. Cash $. Doctors $ Insurance $. Noncash contributions (FMV). $. Equipment $ Prescriptions $ Clothing or household items must be in good used Eyeglasses $ Other $. condition or better.

2 Medical Miles _____. Did you transfer funds from an YES NO $_____. Taxes Paid. Do not include taxes paid for full or practical IRA directly to a charity? business or rental-use property, including business Charitable mileage use of the home Casualty and Theft Losses. If you suffered any sudden, unexpected damage or loss of property, or State Withholding On W-2 a theft, provide details to your tax preparer YES NO. State estimated taxes-paid last year $ Miscellaneous Itemized Deductions. The following must exceed 2%. of income to be a benefit. For use of home, or auto mileage, or other Real estate tax-residence $ job-related expenses, provide information on a separate sheet.

3 Real estate tax-other $ Were any expenses reimbursed by your employer? YES NO. Personal property taxes $. Dues $ Supplies $. Property tax refund-last year $. Investment $ Tax prep fees $. Foreign tax paid $ expenses Job education $ Tools $. Other $. Job seeking $ Uniforms $. Other $. Legal fees $ Union dues $. Balance paid in last year from prior years $. return (do not include interest or penalties) Licenses $ Other $. Safety $ Other $. equipment Did you keep receipts for sales tax paid last year ? Subscriptions $ Other $. YES NO. Other Miscellaneous Deductions. The following deductions are not Did you purchase a car, plane, boat, or home last year ?

4 Subject to a 2% of income limit. YES NO. Sales tax paid $_____ Purchase paid $ _____ Date Gambling $ Federal estate tax $. losses on IRD. __/___/____. Impairment- $ Loss from 2(a), K- $. related exp. 1, Form 1065 B. Interest Paid. Do not include interest paid for full or partial business Notes: or rental-use property, including business use of the home. losses are deductible only up to the amount of the Provide gambling winnings reported. A log must be kept to verify losses. 2. Forms 1098 or lender information and ID numbers. Work clothing is not deductible if adaptable for every day wear.

5 Exception for safety equipment, such as steel-toe boots. 3. Legal Main home $ Equity loan $ expenses are deductible only if related to producing or collecting taxable income. 4. Expenses to enable individuals, who are physically Second $ Equity loan $ or mentally impaired, to work are generally deductible. home Adjustment Worksheet Points $ Investment $. interest Educator expenses. Classroom expenses of teachers, Did you pay mortgage insurance premium when you counselors, and principals. Maximum $250 each ($500 joint). purchased your home? Amount $_____ Date ___/___/____ Health savings account Deduction (HSA).

6 Self-employed SEP, AIMPLE, and qualified plans. Some Other Deductions or Questions. _____ contributions for last year may be made this year Self-employed health insurance Sole proprietors, _____ partners, and 2% S corporation shareholders if not eligible for _____ employer coverage. Penalty on early withdrawal of savings _____. IRA Deduction . For traditional IRAs. Roth IRAs are not deductible. Some contributions for last year may be made this year Student loan interest Deduction . Paid for taxpayers and TODAY'S DATE_____ dependents. Income limits apply