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Your Email address (required) |
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Taxpayer Social Security Number |
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MEDICAL EXPENSES |
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Medical/Dental Expenses |
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TAXES |
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State/Local Income Tax |
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General Sales Taxes |
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Sales Tax on Motor Vehicles, Boats, Etc |
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Real Estate Taxes |
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Personal Property Taxes |
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Other Taxes: (List type and amount) |
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INTEREST |
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Home Mortgage Interest and points, Form 1098 |
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Mortgage Interest Paid to Seller: (Supply Name,
SSN, Addr, Amount) |
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Points Not on Form 1098 |
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Investment Interest |
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CHARITABLE CONTRIBUTIONS
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Donations (Cash/Check) |
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Donations (Non Cash) |
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Non Cash Gifts Over $500 (Provide details including recipient
name & address,
description of items donated, cost if known, date acquired, how acquired
date of donation, fair market value, & how determined.) |
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Contribution Carryover |
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Casualty or theft losses |
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MISCELLANEOUS DEDUCTIONS |
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Tax Preparation Expense |
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Miscellaneous Expenses: |
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Other: If you have questions or wish to provide additional details
regarding
your Itemized Deductions listed above, please enter/explain in this
box.
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