Form Ar3 - Itemized Deduction Schedule

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AR3
2014
CLICK HERE TO CLEAR FORM
ARKANSAS INDIVIDUAL INCOME TAX
ITEMIZED DEDUCTION SCHEDULE
Social Security Number
Name
MEDICAL AND DENTAL EXPENSES: [Do not include expense(s) paid by others]. (See Instructions)
00
1. Medical and dental expenses: .......................................................................................................... 1
00
2. Enter amount from Form AR1000F/AR1000NR, line 24(A) and 24(B): .....2
00
3A. Multiply line 2 by
10% (.10) if you and your spouse were under 65 at the end of 2014;
otherwise enter 0: .......3A
00
3B. Multiply line 2 by
7.5% (.075) if you or your spouse were 65 or over at the end of 2014;
otherwise enter 0: .... 3B
4. TOTAL MEDICAL EXPENSES: (Subtract lines 3A and 3B from line 1; if more than line 1, enter 0).....................................4
00
TAXES: (See Instructions)
5. Real estate tax: ................................................................................................................................ 5
00
6. Personal property tax or other taxes: (List type and amount) ____________________________ 6
00
7. TOTAL TAXES: (Add lines 5 and 6) .......................................................................................................................................7
00
INTEREST EXPENSES: (See Instructions)
8. Home mortgage interest paid to financial institutions: ...................................................................... 8
00
9. Home mortgage interest paid to an individual: Name: ________________________________
00
Address: ___________________________________________________________________ 9
00
10. Deductible points: ........................................................................................................................... 10
00
11. Investment interest:
(Attach federal Form 4952)
............................................................................ 11
12. TOTAL INTEREST EXPENSE: (Add lines 8 through 11) ................................................................................................... 12
00
CONTRIBUTIONS: (See Instructions)
00
13. Cash contributions: ......................................................................................................................... 13
00
14. Art and literary contributions: .......................................................................................................... 14
00
15. Other: ............................................................................................................................................. 15
00
16. Carryover contributions: (List type and amount) _____________________________________ 16
17. TOTAL CONTRIBUTIONS: (Add lines 13 through 16) ....................................................................................................... 17
00
CASUALTY AND THEFT LOSSES: (See Instructions)
_____________________________________ 18
18. TOTAL CASUALTY AND THEFT LOSSES:
(Attach federal Form 4684)
00
POST-SECONDARY EDUCATION TUITION DEDUCTION(S): (See Instructions)
............................................ 19
00
19. TOTAL POST-SECONDARY EDUCATION TUITION DEDUCTION(S):
[Attach AR1075(s)]
MISCELLANEOUS DEDUCTIONS SUBJECT TO 2% AGI LIMIT: (See Instructions)
00
20. Unreimbursed employee business expenses:
(Attach federal Form 2106)
.................................... 20
00
21. Other expenses: (List type and amount) ___________________________________________ 21
00
22. Add the amounts on lines 20 and 21. Enter the total: .................................................................... 22
00
23. Enter amount from Form AR1000F/AR1000NR, line 24(A) and 24(B): .... 23
24. Multiply line 23 above by 2% (.02): ................................................................................................ 24
00
25. TOTAL MISCELLANEOUS DEDUCTIONS: (Subtract line 24 from line 22; If line 24 is more than line 22, enter 0) ............. 25
00
OTHER MISCELLANEOUS DEDUCTIONS: (See Instructions)
00
26. Volunteer firefighter expenses: ....................................................................................................... 26
00
27. Other miscellaneous deductions: (List type and amount) .............................................................. 27
28. TOTAL MISCELLANEOUS DEDUCTIONS NOT SUBJECT TO THE 2% AGI LIMITATION: (Add lines 26 and 27) .......... 28
00
TOTAL ITEMIZED DEDUCTIONS:
29. Add amounts on Lines 4, 7, 12, 17, 18,19, 25, and 28 and enter the total here: .....................................................................29
00
Complete lines 30 - 34 ONLY if Filing Status 4 or 5.
YOUR
SPOUSE’S
Adjusted Gross Income
Adjusted Gross Income
00
00
30. Enter adjusted gross income from Form AR1000F/AR1000NR, line 24, Columns (A) and (B) here: ...... 30A
30B
00
31. Total Arkansas adjusted gross income: (Add columns 30A and 30B from above) ...................................................................31
%
32. Divide the amount on line 30A above by the amount on line 31. Enter the percentage here: ..................................................32
(YOU)
00
33. Multiply line 29 by the percentage on line 32. Enter here and on Form AR1000F/AR1000NR, line 25, Col. (A): .......
33
34. Subtract line 33 from line 29. Enter here and on Form AR1000F/AR1000NR, line 25, Column (B). If you and
(SPOUSE)
00
your spouse are using Filing Status 5, enter on line 25, Col. (A) of your spouse’s return: ............................................
34
Page AR3 (R 11/6/14)

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