Form Ar3 - Arkansas Individual Income Tax Return - Itemized Deduction Schedule - 2003

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AR3

2003

ARKANSAS INDIVIDUAL INCOME TAX RETURN

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Itemized Deduction Schedule

Social Security Number

Name

MEDICAL AND DENTAL EXPENSES: [Do not include expense(s) paid by others]. (See Instructions)

1. Medical and dental expenses: ........................................................................................................... 1

2. Enter amount from AR1000/AR1000NR, Line35A and 35B ..................... 2

3. Multiply Line 2 by 7.5% (.075) ............................................................................................................ 3

4. TOTAL MEDICAL EXPENSE: (Subtract Line 3 from Line 1; If Line 3 is more than Line 1, enter -0-) ............................................ 4

TAXES: (See Instructions)

5. Real estate tax: ................................................................................................................................. 5

6. Personal property tax or other taxes (Attach List): ............................................................................... 6

7. TOTAL TAXES: (Add Lines 5 and 6) ....................................................................................................................................... 7

INTEREST EXPENSE: (See Instructions)

8. Home mortgage interest paid to financial institutions: .......................................................................... 8

9. Home mortgage interest paid to an individual:

Name: ______________________________________________________

Address: ____________________________________________________ . ............................. 9

10. Deductible points: ........................................................................................................................... 10

11. Investment interest:

(Attach Federal Form 4952)

............................................................................... 11

12. TOTAL INTEREST EXPENSE: (Add Lines 8 through 11) ....................................................................................................... 12

CONTRIBUTIONS: (See Instructions)

13. Cash contributions: ......................................................................................................................... 13

14. Art and literary contributions: (See Instructions) ................................................................................ 14

15. Check-off contributions: (See Instructions) ........................................................................................ 15

16. Other: ............................................................................................................................................ 16

17. Carryover contributions from prior years: ............................................... 17

18. TOTAL CONTRIBUTIONS: (Add Lines 13 through 17) .......................................................................................................... 18

CASUALTY AND THEFT LOSSES: (See Instructions)

19. TOTAL CASUALTY AND THEFT LOSSES:

(Attach Federal Form 4684)

................................................................................ 19

POST-SECONDARY EDUCATION TUITION DEDUCTION: (See Instructions)

20. TOTAL POST-SECONDARY EDUCATION TUITION DEDUCTION:

[Attach AR1075(s)]

......................................................... 20

MISCELLANEOUS DEDUCTIONS SUBJECT TO 2% AGI LIMIT: (See Instructions)

21. Unreimbursed employment business expenses:

(Attach Federal Form 2106)

..................................... 21

22. Other Expenses: (List type and amount) .......................................................................................... 22

23. Add the amounts on Lines 21 and 22. Enter the total. ....................................................................... 23

24. Enter the amount from AR1000/AR1000NR, Line 35A and 35B. ............. 24

25. Multiply Line 24 above by 2% (.02) .................................................................................................. 25

26. TOTAL MISCELLANEOUS DEDUCTIONS: (Subtract Line 25 from Line 23; If Line 25 is more than Line 23, enter -0-) .............. 26

OTHER MISCELLANEOUS DEDUCTIONS: (See Instructions)

27. TOTAL MISCELLANEOUS DEDUCTIONS NOT SUBJECT TO THE 2% AGI LIMITATION. (Attach list) ................................... 27

TOTAL ITEMIZED DEDUCTIONS:

28. If the amount on AR1000/AR1000NR, Line 35A and 35B is $139,500 or less ($69,750 if married

filingseparately on separate returns), add Lines 4, 7, 12, 18, 19, 20, 26 and 27. Enter the total here.

If the amount on AR1000/AR1000NR, Line 35A and 35B is over $139,500 ($69,750 if married filing separately on

separate returns), see worksheet in the instructions to calculate the allowable amount to enter. Enter allowable amount here.

IF YOU CHECKED FILING STATUS 1, 2, 3 OR 6, enter the allowable amount here and on AR1000/AR1000NR, Line 36A ...... 28

Note: Complete lines 29 through 33 ONLY if you and

YOUR

SPOUSE’S

your spouse are using Filing Status 4 or 5.

Adjusted Gross Income

Line 35, Column A

Line 35, Column B

29. Enter the adjusted gross income from AR1000/AR1000NR Line 35, Columns A and B here. ...... 29A

29B

30. Total Arkansas adjusted gross income, add columns 29A and 29B from above and enter here. ................................................. 30

31. Divide the amount on Line 29A by the amount on Line 30. Enter the percentage here. ............................................................... 31

32. Multiply Line 28 by the percentage on Line 31. Enter here and on AR1000/AR1000NR, Line 36, Col. A ........................... (YOU) 32

33. Subtract Line 32 from Line 28. Enter here and on AR1000/AR1000NR, Line 36, Col. B.

If you and your spouse are using Filing status 5, enter this amount on Line 36, Col. A of your spouse’s return. ........... (SPOUSE) 33

Page AR3 (R 09/03)

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