Form 40 - Schedules A,b,cr,&dc - Itemized Deductions, Interest And Dividend Income, Credit For Taxes Paid To Other States, Donation Check-Offs - 2012
ADVERTISEMENT
1
2120003401283
Alabama Department of Revenue
SCHEDULES
2012
A,B,CR,
DC
Schedule A–Itemized Deductions
&
(FORM 40)
(Schedules B, CR and DC are on back page)
ATTACH TO FORM 40 — SEE INSTRUCTIONS FOR SCHEDULE A
Name(s) as shown on Form 40
Your social security number
The itemized deductions you may claim for the year 2012 are similar to the itemized deductions claimed on your Federal return, however, the amounts may
differ. Please see instructions before completing this schedule. PART-YEAR RESIDENTS: A resident of Alabama for only a part of the year should list below
only those deductions actually paid while a resident of Alabama.
CAUTION: Do not include expenses reimbursed or paid by others.
1
00
1 Medical and dental expenses.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Medical and
Dental Expenses
00
2 Enter amount from Form 40, line 10. . . . . . . . . . . . . .
2
(See page 18)
00
3
3 Multiply the amount on line 2 by 4% (.04). Enter the result.. . . . . . . . . . . . . . . . . . . . . . . . . . .
•
00
4
4 Subtract line 3 from line 1. Enter the result. If zero or less, enter –0–.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
5
5 Real estate taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
6 FICA Tax (Social Security and Medicare) and Federal Self-Employment Tax. . . . . . . . . . .
00
Taxes You Paid
7
7 Railroad Retirement (Tier 1 only).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(See page 18)
8 Other taxes. (List – include personal property taxes.)
00
8
•
00
9 Add the amounts on lines 5 through 8. Enter the total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10a
00
10a Home mortgage interest and points reported to you on Federal Form 1098. . . . . . . . . . . . .
b Home mortgage interest not reported to you on Federal Form 1098. (If paid to
Interest You Paid
an individual, show that person’s name and address.)
(See page 19)
00
10b
NOTE: Personal
11
00
11 Qualified mortgage insurance premiums. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
interest is not
00
12
12 Points not reported to you on Form 1098.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
deductible.
00
13
13 Investment interest. (Attach Form 4952A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
00
14
14 Add the amounts on lines 10a through 13. Enter the total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CAUTION: If you made a charitable contribution and received a benefit in return,
see page 18.
00
Gifts to Charity
15
15 Contributions by cash or check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(See page 18)
00
16
16 Other than cash or check. (You MUST attach Federal Form 8283 if over $500.) . . . . . . . .
00
17
17 Carryover from prior year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
00
18 Add the amounts on lines 15 through 17. Enter the total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19a
00
Casualty and
19a Enter the amount from Federal Form 4684, line 16 (See page 19). . . . . . . . . . . . . . . . . . . . .
Theft Loss
00
19b
b Enter 10% of your Adjusted Gross Income (Form 40, line 10). . . . . . . . . . . . . . . . . . . . . . . . .
(Attach Form 4684)
•
00
c Subtract line 19b from line 19a. If zero or less, enter –0–.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19c
20 Unreimbursed employee expenses — job travel, union dues, job education, etc.
(You MUST attach Federal Form 2106 if required. See instructions.)
Job Expenses
00
20
and Most Other
21 Other expenses (investment, tax preparation, safe deposit box, etc.). List type
Miscellaneous
and amount.
Deductions
00
21
(See page 20)
22
00
22 Add the amounts on lines 20 and 21. Enter the total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
23
23 Multiply the amount on Form 40, line 10 by 2% (.02). Enter the result here. . . . . . . . . . . . .
•
00
24 Subtract line 23 from line 22. Enter the result. If zero or less, enter –0–. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
25 Other (from list on page 20 of instructions). List type and amount.
Other
Miscellaneous
Deductions
•
00
25
Qualified Long-
CAUTION: Do not include medical premiums.
Term Care Ins.
Premiums
•
00
26
26 Enter amount here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Itemized
27 Add the amounts on lines 4, 9, 14, 18, 19c, 24, 25, and 26. Enter the total here. Then
Deductions
•
00
enter on Form 40, page 1, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
ADOR
Schedule A (Form 40) 2012
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