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 25A and 25B: ..........2 3. Multiply line 2 by 10% (.10), otherwise enter 0: ............................................................................................................3 4. TOTAL MEDICAL EXPENSES: (Subtract line 3 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)   +RPHPRUWJDJHLQWHUHVWSDLGWR¿QDQFLDOLQVWLWXWLRQV ......................................................................8 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 8 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 Form AR4684) _______________________________________ 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 Form AR2106) ........................................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 25A and 25B: ......... 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) 9ROXQWHHU¿UH¿JKWHUH[SHQVHV  27. Gambling Losses: .......................................................................................................................... 27 28. Other miscellaneous deductions: (List type and amount) ...........................................................28 29. TOTAL MISCELLANEOUS DEDUCTIONS NOT SUBJECT TO THE 2% AGI LIMITATION: (Add lines 26 through 28) . 29 TOTAL ITEMIZED DEDUCTIONS: 30. Add amounts on lines 4, 7, 12, 17, 18,19, 25, and 29 and enter the total here: ......................................................................30 Complete lines 31 - 35 ONLY if Filing Status 4 or 5. 31. Enter adjusted gross income from Form AR1000F/AR1000NR, line 25A and 25B: ...................................31A 31B 32. Total Arkansas adjusted gross income: (Add columns 31A and 31B from above) ...............................................................32 33. Divide the amount on line 31A above by the amount on line 32. Enter the percentage here: ..................................................33 34. Multiply line 30 by the percentage on line 33. Enter here and on Form AR1000F/AR1000NR, line 27, col. (A): .... (Primary) 34 35. Subtract line 34 from line 30. Enter here and on Form AR1000F/AR1000NR, line 27, column (B). If you and your spouse are using Filing Status 5, enter on line 27, col. (A) of your spouse’s return: ............................................... (Spouse) 35 ARKANSAS INDIVIDUAL INCOME TAX ITEMIZED DEDUCTIONS 2022 Primary’s legal name Primary’s social security number Page AR3 (R 8/25/2022) 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 PRIMARY Adjusted Gross Income SPOUSE’S Adjusted Gross Income 00 00 00 00 00 00 00 00 AR3 00 ITID221 PRINT FORM CLEAR FORM