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Itemized Deduction Consolidation Sheet
Medical and Dental Expenses - Do not include expenses reimbursed or paid by others.
Description
Gifts to Charity – Cash/Check
Name of Charity
Gifts to Charity – Non-cash Items (household goods, clothing, etc.)
Name of Charity
Real Estate Taxes Paid
Paid to (usually county of residence):
Personal Property Taxes Paid
Paid to (usually county of residence):
Amount
_________
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Amount
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Value
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Amount
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Amount
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Home Mortgage Interest
Paid to:
Mortgage Insurance Premiums
Paid to:
Other Potential Itemized Deductions
Description:
Amount
_________
_________
_________
_________
Amount
_________
_________
_________
Amount
Please note: This consolidated list can be used for the preparation of your return in lieu
of actual receipts, statements, etc. However, full documentation of these items should
be retained at home in case of inquiry by the IRS or NC Department of Revenue.