SCHEDULE A EXPENSES WORKSHEET by amd51223

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									SCHEDULE A EXPENSES WORKSHEET

Name                                                                  SSN:

                                                                      Supported by Check, Credit
                                            Supported with Receipts
                                   Amount          (initials)
                                                                         Card Stmt or Other
                                                                       Documentation (initials)

        MEDICAL EXPENSES
Prescriptions
Medical Insurance Premiums
Long-term Care Premiums
Doctors, Hospitals, Labs
Eyeglasses, contacts & other
medical aids
Other (specify)
Medical Miles
                TAXES
Income
Real Estate
Personal Property
Other:
              INTEREST
Mortgage -- 1098
Mortgage -- no 1098
Points
Qualified Mortgage Insurance
Premiums
Investments Interest
CHARITABLE CONTRIBUTIONS
Cash
Non - Cash
Charitable Mileage
           MISC EXPENSE
Union Dues
Sales / Supplies
Safety Equipment
Uniforms
Magazines / Books
Cell Phone      (Business %=   )
Long Distance phone
Meals
Tax Prep Fees
Safe Deposit Box
Gambling Losses
           VEHICLE EXPENSE
           Mileage Information
Description of Vehicle
Date Placed in Service
ALL
Business Miles
Total Commute Miles
Average Daily Commute Miles
      Actual Expenses Information
Gas
Cost of vehicle or adjusted basis
Oil
Tires
Insurance
Auto Club
Tolls
Parking Fees
Repairs


   Tools / Depreciable Equipment                         Cost or other Basis             % of Business Use Date Placed in Service




We prepare the returns from information you furnish us, without verification. Upon examination to the returns by taxing authorities.
Request may be made for underlying data. We therefore recommend that you preserve all record which you may be called
upon to Produce in connection with such an examination.




Taxpayer Signature
                                                                                                              Date:




Spouse Signature
                                                                                                              Date:

								
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