Form 2m - Montana Individual Income Tax Return - 2013 Page 3
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4Form 2M, Page 3 – 2013
Social Security Number:
Schedule I – Montana Form 2M Itemized Deductions
Enter your itemized deductions on the corresponding line.
File Schedule I with your Montana Form 2M.
1. Medical and dental expenses .............................................................................................................................1.
00
2. Enter amount from Form 2M, line 38 ..................................................................................................................2.
00
3. Multiply line 2 by 10% (0.10). But if either you or your spouse was born before January 2, 1949, multiply
line 2 by 7.5% (0.075) instead (see instructions on page 11) .............................................................................3.
00
4. Subtract line 3 from line 1 and enter the result here, but not less than zero. This is your deductible medical and dental expense
subject to a percentage of Montana Adjusted Gross Income. ........................................................................................................ 4.
00
5. Medical insurance premiums not deducted elsewhere on your tax return ............................................................................................ 5.
00
6. Long term care insurance premiums not deducted elsewhere on your tax return ................................................................................. 6.
00
Complete lines 7a through 7d reporting your total federal income tax paid in 2013 before completing line 7e.
7a. Federal income tax withheld in 2013 ................................................................................................................7a.
00
7b. Federal estimated tax payments paid in 2013 ..................................................................................................7b.
00
7c. 2012 federal income taxes paid in 2013 ........................................................................................................... 7c.
00
7d. Other back-year federal income taxes paid in 2013 .........................................................................................7d.
00
7e. Add lines 7a through 7d. Enter the result here, but not more than $5,000 if you are fi ling single or head of household, or $10,000 if
fi ling a joint return with your spouse. This is your federal income tax deduction. .........................................................................................7e.
00
8. Real estate taxes paid in 2013 .............................................................................................................................................................. 8.
00
9. Personal property taxes paid in 2013 (see instructions on page 12) ..................................................................................................... 9.
00
10. Other deductible taxes. List type and amount __________________________________________________________________ 10.
00
11. Home mortgage interest and points. If paid to the person from whom you bought the house, provide their name, social security
number and address _____________________________________________________________________________________
______________________________________________________________________________________________________ 11.
00
12. Qualifi ed mortgage insurance premiums (see instructions on page 13) ............................................................................................. 12.
00
13. Investment interest. Include federal Form 4952 .................................................................................................................................. 13.
00
14. Charitable contributions made by cash or check during 2013 ............................................................................................................. 14.
00
15. Charitable contributions made other than by cash or check during 2013 ............................................................................................ 15.
00
16. Charitable contribution carryover from the prior year .......................................................................................................................... 16.
00
17. Child and dependent care expenses. Include Montana Form 2441-M ................................................................................................ 17.
00
18. Casualty or theft loss(es). Include federal Form 4684 ......................................................................................................................... 18.
00
19. Unreimbursed employee business expenses. Include federal Form 2106 or 2106-EZ ....................................19.
00
20. Other expenses. List type and amount ______________________________________________________
_____________________________________________________________________________________20.
00
21. Add lines 19 and 20; enter the result here ........................................................................................................21.
00
22. Enter the amount on Form 2M, line 38 here .....................................................................................................22.
00
23. Multiply line 22 by 2% (0.02) and enter the result here ....................................................................................23.
00
24. Subtract line 23 from line 21 and enter the result here, but not less than zero ................................................................................... 24.
00
25. Political contributions (limited to $100 per taxpayer) ........................................................................................................................... 25.
00
26. Other miscellaneous deductions not subject to 2% of Montana Adjusted Gross Income. List type and amount _______________
______________________________________________________________________________________________________ 26.
00
27. Is the amount on Form 2M, line 38 more than $300,000 if fi ling jointly, $275,000 if fi ling head of household or $250,000 if fi ling
single? If yes, mark this box
and complete Worksheet VI-IDL. Otherwise, add lines 4 through 6, 7e through 18, and 24 through
26. Enter the result here and on Form 2M, line 39. This is your total itemized deductions. ........................................................... 27.
00
*13CC0301*
*13CC0301*
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