Schedule A Deductions

Medical: Doctor bills _________________________ Pharmacy __________________________ Dentist/Ortho _______________________ Chiropractor _______________________ Mileage ( ) _______________________	Hospital ______________________ Eye Doctor ____________________ Contacts/Glasses ________________ Medicare Part B __________________ *Other ______________________
*** Explanation ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
Taxes paid:_________________________
Charitable Gifts:______________________ Church _____________________________ American Cancer_______________________ Round-Up___________________________ Mileage______________________________	Fire Dues ______________________ United Way _____________________ CO School Fees _________________
Non Cash Gifts:________________________ Goodwill _____________________________	Hanna House__________________
Miscellaneous:_________________________ Union Dues___________________________
Uniforms_____________________________ Professional dues______________________ Trade sub_____________________________ Mileage to 2nd job ____________________ Job search________________________	Tools_____________________ Safety equipment______________ Tax prep fee__________________ Safe deposit Box_______________