Itemized Deductions
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Email address *
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Medical Expenses - Medical and Dental Insurance Premiums
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Medical Expenses - Doctor, Dentist and Hospital Fees
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Medical Expenses - Prescription Medicines and Drugs
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Medical Expenses - Eyeglasses, Contacts & Hearing Aids
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Medical Expenses - Mileage to/from Medical Appointments
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Medical Expenses - Lodging Cost and # of Nights
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Medical Expenses - Other (Please Explain)
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Taxes - 2014 State and LocalTax Estimate Payments Paid in 2015
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Taxes - Old State/Local Tax Balances Paid in 2015 (please explain)
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Taxes - State Balance Due Paid with 2014 Return in 2015
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Taxes - Real Estate
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Taxes - Personal Property (license plates in some states)
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Taxes - Other (please explain)
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Interest - Mortgage Interest reported on Form 1098 for Primary Home
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Interest - Mortgage Interest Reported on Form 1098 for Secondary Home
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Interest - Mortgage Interest - Other (please explain)
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Interest - Investment/Margin
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Charity - Cash Donations
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Charity - Noncash Donations (If value is more than $500, please provide a receipt)
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Casualty - Casualty and Theft Losses (please explain)
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Misc - Unreimbursed employee expenses (union dues, travel, education, etc. Please explain.)
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Misc - Tax Preparation Fees
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Misc- Investment Fees
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Misc - Safe Deposit Fees
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Misc - Gambling Costs
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