Itemized Deductions Worksheet      Printable .PDF Version


Posted by Taxprosites.com  on 10/7/04   Prepared by Back to Basics Seminars

 

NAME_______________________________________________________          YEAR_______________

 You can itemize if your expenses exceed the standard deduction:

Single - $4750, Married filing joint - $9500, Head of Household - $7000 

MEDICAL & DENTAL  (Expenses must exceed 7.5% of adjusted gross income)

Prescription medicines, drugs & insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

Doctors, dentists, nurses, hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        _______________

Insurance premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       _______________

Transportation for medical care – miles__________X .12  . . . . . . . . . . . . . . . . . . . . . . .       _______________

Lodging for medical care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       _______________

Other:  (hearing aids, dentures, eyeglasses, air conditioners, & air purifiers purchased for

            Medical reasons) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       _______________

TAXES

Estimated state & local income taxes paid in 2003 for 2003 . . . . . . . . . . . . . . . . . . . .       _______________

Balance of state & local income tax paid in 2004 for 2003. . . . . . . . . . . . . . . . . . . . . .      _______________

School, county, & local real estate tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       _______________

Personal property tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

Other taxes:  Description _________________________________________________       _______________

INTEREST PAID

Home mortgages – bank  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       _______________

Home mortgage – individual  (SS #______-____-________) . . . . . . . . . . . . . . . . . . . . .       _______________

Name ________________________________ Address____________________________________________

Points not reported to you on Form 1098 & paid in 2002 . . . . . . . . . . . . . . . . . . . . . . .      _______________

Home equity loan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

Interest paid to maintain investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

CONTRIBUTIONS

Cash or check contributions (church, United Fund, etc.) . . . . . . . . . . . . . . . . . . . . . . . .       _______________

(For a single gift of $250 or more you must have signed receipt)

 

Other than cash (used clothing, Red Cross, Little League, food donations to tax exempt

organizations: fire co. boy scouts, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   _______________

(If “Other than Cash” exceeds $500, list items and dollar value).

 

Travel for charitable work (boy scouts, Little League, church, etc.)

# of miles for above __________X .14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

(OVER PLEASE)

CASUALTY & THEFT

Losses NOT covered by insurance coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

MOVING EXPENSES

# miles from old home to old job __________, # miles from old home to new job __________

(If the difference is more than 50 mi. you can deduct moving expenses)

Actual moving expenses (transporting, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    _______________

MISCELLANEOUS DEDUCTIONS (Subject  to a 2% limitation)

Union Dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    _______________

Professional Dues & Licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

Professional Books or Subscriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Continuing Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Books & Supplies to keep tax records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Tax return preparation fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Mileage to tax preparer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    _______________

Safe Deposit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Work Uniforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    _______________

Launder Uniforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Work Tools (scissors, flashlights, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Safety Equipment (shoes, gloves, glasses, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

EMPLOYEE BUSINESS EXPENSES

Miles traveled in your auto for your company not reimbursed . . . . . . . . . . . . . . . . . . . .      _______________

Miles traveled from your Job #1 to Job #2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      _______________

Miles traveled to temporary jobs over 35 miles one way . . . . . . . . . . . . . . . . . . . . . . . . .     _______________

Lodging expenses NOT reimbursed for temporary job . . . . . . . . . . . . . . . . . . . . . . . . . . .    _______________

Meals NOT reimbursed for temporary job.  Actual cost $ __________ No. of days __________

SALESMAN – OTHER EXPENSES

 

          WHAT                                          AMOUNT                             WHAT                                      AMOUNT