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ITEMIZED DEDUCTIONS WORKSHEET
CLIENT NAME:
*
TAX YEAR:
*
CHARITABLE DEDUCTIONS:
TOTAL CASH DONATIONS (including checks & credit cards):
TOTAL DOLLAR AMOUNT OF DONATED GOODS (thrift value):
MEDICAL DEDUCTIONS:
TOTAL OUT OF POCKET COSTS (doctors, dentists, CoPays):
TOTAL PRESCRIPTION COSTS (RX):
TOTAL HEALTH INSURANCE PREMIUMS:
TOTAL MEDICAL MILES TRAVELED:
OTHER DEDUCTIONS:
TOTAL MORTGAGE INTEREST (please attach 1098 form):
TOTAL REAL ESTATE TAXES: