SCHEDULE A
(Form 1040-NR)
2021
Itemized Deductions
Department of the Treasury
Internal Revenue Service (99)
Go to www.irs.gov/Form1040NR for instructions and the latest information.
Attach to Form 1040-NR.
Caution: If you are claiming a net qualified disaster loss on Form 4684, see instructions for line 7.
OMB No. 1545-0074
Attachment
Sequence No.
7A
Name shown on Form 1040-NR Your identifying number
Taxes You
Paid
1a State and local income taxes . . . . . . . . . . . . 1a
b Enter the smaller of line 1a or $10,000 ($5,000 if you checked Married filing separately under
Filing Status on page 1 of Form 1040-NR) . . . . . . . . . . . . . . . .
1b
Gifts to U.S.
Charities
Caution: If you
made a gift
and received
a benefit in
return, see
instructions.
2 Gifts by cash or check. If you made any gift of $250 or more, see
instructions . . . . . . . . . . . . . . . . .
2
3
Other than by cash or check. If you made any gift of $250 or more,
see instructions. Individuals must attach Form 8283 if line 3 is over
$500 . . . . . . . . . . . . . . . . . . . . 3
4 Carryover from prior year . . . . . . . . . . . . . 4
5 Add lines 2 through 4 . . . . . . . . . . . . . . . . . . . . . .
5
Casualty
and Theft
Losses
6
Casualty and theft loss(es) from a federally declared disaster (other than net qualified
disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See
instructions . . . . . . . . . . . . . . . . . . . . . . . . .
6
Other
Itemized
Deductions
7
Other—from list in instructions. List type and amount
7
Total
Itemized
Deductions
8 Add the amounts in the far right column for lines 1b through 7. Also, enter this amount on
Form 1040-NR, line 12a . . . . . . . . . . . . . . . . . . . . . .
8
For Paperwork Reduction Act Notice, see the Instructions for Form 1040-NR.
Cat. No. 72749E Schedule A (Form 1040-NR) 2021