2017 Schedule A - Itemized Deductions Name:


Medical and Dental Expenses

Charitable Contributions 2017

Health insurance premiums (paid by you) Long-term care premiums (you)


Long-term care premiums (your spouse) Long-term care premiums (dependents)


2017 Donations to charity (cash)



Miles driven for charitable purposes Donations to charity (noncash)


If noncash donations are greater than $500, list below.

.. Medical and dental expenses (list) . . . Mileage driven for medical purposes

Job Expenses & Certain Miscellaneous Deductions Necessary job expenses you paid that were not reimbursed by your employer (list)

Taxes Paid

.... Sales tax . . . . . . . . . . . . . Real estate taxes . . . . . . . . . Personal property taxes . . . . . . State and local income taxes

Tax preparation fees


Other nonpersonal expenses related to taxable income (list)

Other taxes (list)

Investment expenses not entered elsewhere

Interest Paid

Other Miscellaneous Deductions Mortgage interest paid (attach Form 1098) Mortgage interest paid to an individual Paid to:

Federal estate tax


Gambling losses


Impairment-related work expenses

City, State, ZIP

Claim repayments



Unrecovered pension investments

Qualified mortgage insurance premiums Investment interest

.. ...... .......

Amortizable bond premiums


Drake Software - Individual Organizer - Copyright 2017

......... Ordinary loss debt instrument .

Schedule K-1


Blank Forms

Miles driven for charitable purposes. Donations to charity (noncash). Long-term care premiums (your spouse). If noncash donations are greater than $500, ...

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