Form Ar3 - Itemized Deduction Schedule - 2012
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1AR3
2012
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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
3. Multiply Line 2 by 7.5% (.075): ......................................................................................................... 3
00
4. TOTAL MEDICAL EXPENSES: (Subtract Line 3 from Line 1; if Line 3 is more than Line 1, enter 0) ...................................4
TAXES: (See Instructions)
00
5. Real estate tax: ................................................................................................................................ 5
00
6. Personal property tax or other taxes: (List type and amount) ____________________________
____________________________________________________________________________ 6
7. TOTAL TAXES: (Add Lines 5 and 6) .....................................................................................................................................7
00
INTEREST EXPENSES: (See Instructions)
00
8. Home mortgage interest paid to financial institutions: ...................................................................... 8
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
00
12. TOTAL INTEREST EXPENSE: (Add Lines 8 through 11) .................................................................................................. 12
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
00
17. TOTAL CONTRIBUTIONS: (Add Lines 13 through 16) ...................................................................................................... 17
CASUALTY AND THEFT LOSSES: (See Instructions)
_____________________________________ 18
00
18. TOTAL CASUALTY AND THEFT LOSSES:
(Attach federal Form 4684)
POST-SECONDARY EDUCATION TUITION DEDUCTION(S): (See Instructions)
00
............................................ 19
19. TOTAL POST-SECONDARY EDUCATION TUITION DEDUCTION(S):
[Attach AR1075(s)]
MISCELLANEOUS DEDUCTIONS SUBJECT TO 2% AGI LIMIT: (See Instructions)
20. Unreimbursed employee business expenses:
.................................... 20
00
(Attach federal Form 2106)
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
00
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
OTHER MISCELLANEOUS DEDUCTIONS: (See Instructions)
26. TOTAL MISCELLANEOUS DEDUCTIONS NOT SUBJECT TO THE 2% AGI LIMITATION: (List type and amount) ........ 26
00
TOTAL ITEMIZED DEDUCTIONS:
27. Add amounts on Lines 4, 7, 12, 17, 18,19, 25, and 26 and enter the total here: .....................................................................27
00
Note: Complete lines 28 through 32 ONLY if you and
your spouse are using Filing Status 4 or 5.
YOUR
SPOUSE’S
Adjusted Gross Income
Adjusted Gross Income
00
00
28. Enter the adjusted gross income from Form AR1000F/AR1000NR, Line 24, Columns (A) and (B) here: ...28A
28B
00
29. Total Arkansas adjusted gross income: (Add columns 28A and 28B from above) ...................................................................29
%
30. Divide the amount on Line 28A above by the amount on Line 29. Enter the percentage here: ...............................................30
00
(YOU)
31. Multiply Line 27 by the percentage on Line 30. Enter here and on Form AR1000F/AR1000NR, Line 25, Col. (A): ...
31
32. Subtract Line 31 from Line 27, Form AR3. Enter here and on Form AR1000F/AR1000NR, Line 25, Column (B).
00
(SPOUSE)
If you and your spouse are using Filing Status 5, enter this amount on Line 25, Col. (A) of your spouse’s return: .....
32
Page AR3 (R 11/7/12)
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