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If you itemize deductions, enclose a copy of this schedule or a copy of the federal Schedule A with your return. 2012 IA 1040 Schedule A Iowa Itemized Deductions Do not include health insurance premiums deducted on IA 1040, line 18 . 1. ............................................................................................... 1. _______________ .00 2. Multiply the amount on federal form 1040*, line 38 as adjusted for disallowance of bonus depreciation/section 179, from line 14 of the IA 1040 by 7.5% (.075). Enter result here... ..... 2. _______________ .00 3. Subtract line 2 from line 1. If less than zero, enter zero. ........................................................................................................ 3. _____________ .00 Include School District Surtax and EMS Surtax paid in 2012 OR .................4 . _______________ .00 5. ................................................................................................................... 5. _______________ .00 6. _______________ .00 7. Other taxes. List the type and amount. ................................................................................. 7. _______________ .00 8. ............................................................................................... 8. _____________ .00 ............................. 9a. _______________ .00 .......................................... 9b. _______________ .00 10. ......................................................................... 10. _______________ .00 11. Qualified mortgage insurance premiums ............................................................................. 11. _______________ .00 12. ................................................ 12. _______________ .00 13. Add lines 9a-12. Enter total here. ........................................................................................................................................ 13. _____________ .00 14. Contributions by cash or check. ........................................................................................... 14. _______________ .00 15. ..... 15. _______________ .00 16. Carryover from prior year as adjusted for disallowance of bonus depreciation ................ 16. _______________ .00 17. Add lines 14 through 16. Enter total here. ........................................................................................................................... 17. _____________ .00 18. ......................................................................................................... 18. _____________ .00 19. Unreimbursed employee expenses. Attach federal form 2106 or 2106-EZ if required. ... 19. _______________ .00 20. ............................................................................................................. 20. _______________ .00 21. Other expenses. List type and amount. ________________________________________ 21. _______________ .00 22. Add the amounts on lines 19, 20, and 21. Enter the total here. ......................................... 22. _______________ .00 23. Multiply the amount of federal form 1040*, line 38 as adjusted for disallowance of bonus 23. _______________ .00 24. ..................................................................... 24. _____________ .00 25. Other miscellaneous deductions not subject to 2% AGI Limit. List type and amount. ..................................................... 25. _____________ .00 .................................................................................. 26. _____________ . 0 0 If using filing statuses 1, 2, 5, or 6, enter the amount on Step 7, line 39 of the IA 1040. SPOUSE YOU 27. Enter the Iowa net income of both spouses from IA 1040, line 26. ...................................... 27b. _____________ .00 27a. _____________ .00 28. ......................................................................... 28. _____________ .00 29. .................................................... 29. ______________ % 30. ........................ (YOU) 30. _____________ .00 31. ........................................ (SPOUSE) 31. _____________ .00 Medical and Dental Expenses 41-004a (02/07/13) www.iowa.gov/tax Iowa Department of Revenue NOTE: If you have federal bonus depreciation/section 179, please see the 2012 Expanded Instructions on our Web site. * If you filed federal 1040A, see line 21; if federal 1040EZ, see line 4. Gifts to Charity Casualty/Theft Loss Job Expenses and Misc. Deductions Other Misc. Deductions Total Itemized Deductions Proration of Deductions Between Spouses Taxes You Paid Name(s) as shown on page 1 of the IA 1040 Social Security Number Interest You Paid } 4. State and Local (Check only one box): Medical and dental e xpen se s Real estate t a x e s Personal p r op e r t y taxes, including annual vehicle registration........................................ 6. Add amounts on lines 4, 5, 6, and 7. Enter the total here. 9a. Home mortgage interest and points r ep o r t e d on federal f o r m 1098 9b. Home mortgage interest not r ep o r t e d on federal f o r m 1098 Points not r ep o r t e d on federal f o r m 1098 Investment interest. Attach federal f o r m 4952 if required. Other than b y cash or check. You must attach federal form 8283 if more than $500. Casualty or theft loss(es). Attach federal for m 4684. Tax preparation fees depreciation/section 179, from line 14 of the IA 1040* b y 2% (.02). Enter the result he r e... Subtract line 23 from line 22. Enter the total. If less than z er o, enter zero. 26. Add lines 3, 8, 13, 17, 18, 24, and 25, and enter the total here Complete lines 27 throug h 31 ONLY if you are using filing status 3 or 4. Total Iowa net income, add columns 27a and 2 7b . Enter the total here. Divide the amount on line 27a b y the amount on line 28. Enter the percentage here. Multiply line 26 b y the percentage on line 29. Enter here and on IA 1040, line 39, column A Subtract line 30 from line 26. Enter here and on IA 1040, line 39, column B. If y o u are using filing status 4, enter this amount on line 39, column A of y o u r spouse’s return. a Other state and local income taxes. Do not include Iowa Income Tax b General sales taxes only from line 5b of the Federal Schedule A. ----------------Page (0) Break----------------