Schedule A - Personal Deductions
Client Name:
First Name
Last Name
Year:
MEDICAL:
Prescriptions:
Health Insurance Premiums:
Fees for Doctors, Dentists, etc:
Fees for Hospitals, Clinics, etc:
Lab and X-ray fees:
Eyeglasses and Contact Lenses:
Medical equipment and supplies:
Medical miles driven:
Medical parking, tolls, etc:
Lodging for Medical purposes:
RESIDENCE (If you have a home office worksheet, do NOT complete this section):
Taxes on principal residence:
Mortgage interest principal on residence:
Mortgage insurance premiums:
OTHER:
Taxes on additional home or land:
Mortgage interest on additional homes or land:
Sales tax additions (new vehicle, large appliances etc) :
Gambling losses:
Gifts to Charity:
Money donations (To Whom):
Money donations (Amount):
Material Donations ( To Whom):
Material Donations ( Value) :
Submit
Should be Empty: