MEDICAL AND DENTAL EXPENSES: [Do not include expense(s) paid by others]. (See Instructions)

1. Medical and dental expenses:..........................................................................................................1

2. Enter amount from Form AR1000F/AR1000NR, line 24(A) and 24(B):......2

3A. Multiply line 2 by 10% (.10) if you and your spouse were under 65 at the end of 2013; otherwise enter 0:.......3A 3B. Multiply line 2 by 7.5% (.075) if you or your spouse were 65 or over at the end of 2013; otherwise enter 0:....3B

4. TOTAL MEDICAL EXPENSES: (Subtract lines 3A and 3B from line 1; if more than line 1, enter 0).....................................4 TAXES: (See Instructions)

5. Real estate tax:.................................................................................................................................5 6. Personal property tax or other taxes: (List type and amount) ____________________________ 6

7. TOTAL TAXES: (Add lines 5 and 6).......................................................................................................................................7 INTEREST EXPENSES: (See Instructions) 8A. Home mortgage interest paid to financial institutions:....................................................................8A 8B. Qualified mortgage insurance premiums (PMI):.............................................................................8B

9. Home mortgage interest paid to an individual: Name: ________________________________ Address: ___________________________________________________________________ 9. 10. Deductible points:...........................................................................................................................10 11. Investment interest: (Attach federal Form 4952)............................................................................. 11 12. TOTAL INTEREST EXPENSE: (Add lines 8A through 11).................................................................................................. 12 CONTRIBUTIONS: (See Instructions) 13. Cash contributions:.........................................................................................................................13 14. Art and literary contributions:..........................................................................................................14 15. Other:..............................................................................................................................................15 16. Carryover contributions: (List type and amount)_ _____________________________________ 16 17. TOTAL CONTRIBUTIONS: (Add lines 13 through 16)........................................................................................................ 17 CASUALTY AND THEFT LOSSES: (See Instructions) 18. TOTAL CASUALTY AND THEFT LOSSES: (Attach federal Form 4684)______________________________________ 18 POST-SECONDARY EDUCATION TUITION DEDUCTION(S): (See Instructions) 19. TOTAL POST-SECONDARY EDUCATION TUITION DEDUCTION(S): [Attach AR1075(s)] ............................................. 19 MISCELLANEOUS DEDUCTIONS SUBJECT TO 2% AGI LIMIT: (See Instructions) 20. Unreimbursed employee business expenses: (Attach federal Form 2106)....................................20 21. Other expenses: (List type and amount)_ ___________________________________________ 21

22. Add the amounts on lines 20 and 21. Enter the total:.....................................................................22 23. Enter amount from Form AR1000F/AR1000NR, line 24(A) and 24(B):..... 23

24. Multiply line 23 above by 2% (.02):.................................................................................................24

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 TOTAL ITEMIZED DEDUCTIONS: 27. Add amounts on Lines 4, 7, 12, 17, 18,19, 25, and 26 and enter the total here:.....................................................................27

Complete lines 28 - 32 ONLY if Filing Status 4 or 5.

28. Enter adjusted gross income from Form AR1000F/AR1000NR, line 24, Columns (A) and (B) here:.......28A 28B 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 31. Multiply line 27 by the percentage on line 30. Enter here and on Form AR1000F/AR1000NR, line 25, Col. (A):........ (YOU) 31 32. Subtract line 31 from line 27. Enter here and on Form AR1000F/AR1000NR, line 25, Column (B). If you and

your spouse are using Filing Status 5, enter on line 25, Col. (A) of your spouse’s return:............................................. (SPOUSE) 32 ARKANSAS INDIVIDUAL INCOME TAX ITEMIZED DEDUCTION SCHEDULE AR3 2013 Name Social Security Number Page AR3 (R 10/23/13) 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 % 00 00 00 00 00 YOUR Adjusted Gross Income SPOUSE’S Adjusted Gross Income 00 00 00 00 00 00 00 CLICK HERE TO CLEAR FORM