Sch A (1040) Itemized Deductions

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Itemized Deductions

SCHEDULE A
(Form 1040)

OMB No. 1545-0074

Department of the Treasury
Internal Revenue Service (99)

to www.irs.gov/ScheduleA for instructions and the latest information.
▶ Attach to Form 1040 or 1040-SR.
Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16.

Attachment
Sequence No. 07

Your social security number

Name(s) shown on Form 1040 or 1040-SR

Medical
and
Dental
Expenses

2021

▶ Go

Caution: Do not include expenses reimbursed or paid by others.
Medical and dental expenses (see instructions) . . . . . .
Enter amount from Form 1040 or 1040-SR, line 11 2
Multiply line 2 by 7.5% (0.075) . . . . . . . . . . . .
Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- .

DRAFT AS OF
August 18, 2021
DO NOT FILE

Taxes You
Paid

1
2
3
4

Caution: Your
mortgage interest
deduction may be
limited (see
instructions).

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4

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8b
c Points not reported to you on Form 1098. See instructions for special
8c
rules . . . . . . . . . . . . . . . . . . . . .
d Mortgage insurance premiums (see instructions) . . . . . . .
8d
e Add lines 8a through 8d . . . . . . . . . . . . . . .
8e
9 Investment interest. Attach Form 4952 if required. See instructions .
9
10 Add lines 8e and 9
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10

11 Gifts by cash or check. If you made any gift of $250 or more, see
11
instructions . . . . . . . . . . . . . . . . . . .
12 Other than by cash or check. If you made any gift of $250 or more,
see instructions. You must attach Form 8283 if over $500 . . . .
12
13 Carryover from prior year . . . . . . . . . . . . . .
13
14 Add lines 11 through 13 . . . . . . . . . . . . . . . . . .

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14

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5 State and local taxes.
a State and local income taxes or general sales taxes. You may include
either income taxes or general sales taxes on line 5a, but not both. If
you elect to include general sales taxes instead of income taxes,
check this box . . . . . . . . . . . . . . . . . ▶
b State and local real estate taxes (see instructions) . . . . . . .
c State and local personal property taxes . . . . . . . . . .
d Add lines 5a through 5c . . . . . . . . . . . . . . .
e Enter the smaller of line 5d or $10,000 ($5,000 if married filing
separately) . . . . . . . . . . . . . . . . . . .
6 Other taxes. List type and amount ▶
7 Add lines 5e and 6

Interest
You Paid

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8 Home mortgage interest and points. If you didn’t use all of your home
mortgage loan(s) to buy, build, or improve your home, see
instructions and check this box . . . . . . . . . . . ▶
a Home mortgage interest and points reported to you on Form 1098.
See instructions if limited . . . . . . . . . . . . . .

5a
5b
5c
5d
5e

6
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8a

b Home mortgage interest not reported to you on Form 1098. See
instructions if limited. If paid to the person from whom you bought the
home, see instructions and show that person’s name, identifying no.,
and address . . . . . . . . . . . . . . . . . . .
▶

Gifts to
Charity
Caution: If you
made a gift and
got a benefit for it,
see instructions.

Casualty and 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified
disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See
Theft Losses
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16 Other—from list in instructions. List type and amount
Other
Itemized
Deductions

instructions .

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15

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17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on
Total
17
Form 1040 or 1040-SR, line 12a . . . . . . . . . . . . . . . . . . .
Itemized
Deductions 18 If you elect to itemize deductions even though they are less than your standard deduction,
check this box .

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For Paperwork Reduction Act Notice, see the Instructions for Forms 1040 and 1040-SR.

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Cat. No. 17145C

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▶
Schedule A (Form 1040) 2021