MEDICAL EXPENSES:
Medical Miles Driven
Medical Insurance Premiums
Dental Insurance Premiums
Long Care Health Care Contracts
Prescription drugs / Insulin
Doctors / Therapists
Dental / Denture / Braces
Eye Glasses
Qualifying Equipment per Doctor
Lab X-Ray
Special Needs Children Expenses
Orthopedic Shoes
Canes / Crutches / Braces
Wheelchairs
Nursing Help
Total of Above MEDICAL EXPENSES
Deduct 7.5% of AGI from above
NET Medical expenses
TAXES
Real Estate Taxes on Home
Real Estate Taxes on Second Home/Condo
Property Taxes on Land
Total of Above TAXES
INTEREST
Home Mortgage Interest Paid
Home Points Paid
Qualified Mtg Insurance Premiums
Investment Interest
Total of above INTEREST
GIFTS TO CHARITY
Cash Gifts
Other than Cash
(Note: If non cash donations exceed $500, and itemized list and receipts are required. Vehicle donations
with a value greater than $500 must have a form from the seller as to what the vehicle sold for).
Chairitable miles driven.
Total of above Cash and Non Cash Donations
CASUALTY & THEFT LOSSES
Total from Form 4684
>TOTAL OF ALL ABOVE AMOUNTS IN RED
(Note: Use above total if amount exceeds the standard deduction for your filing status)
