Schedule A

Schedule A State and Local Tax Deduction Worksheet 2017 Line 5 • Keep for your records Name(s) Shown on Return Social Security Number State and Local Income Taxes State Income taxes: 1 State income tax withheld 1 2 2017 state estimated taxes paid in 2017 2 3 2016 state estimated taxes paid in 2017 3 4 Amount paid with 2016 state application for extension 4 5 Amount paid with 2016 state income tax return 5 6 Overpayment on 2016 state income tax return applied to 2017 tax 6 7 Other amounts paid in 2017 (amended returns, installment payments. etc . ) 7 8 State estimated tax from Schedule(s) K-1 (Form 1041) 8 Local Income taxes: 9 Local income tax withheld 9 10 2017 local estimated taxes paid in 2017 10 11 2016 local estimated taxes paid in 2017 11 12 Amount paid with 2016 local application for extension 12 13 Amount paid with 2016 local income tax return 13 14 Overpayment on 2016 local income tax return applied to 2017 tax 14 15 Other amounts paid in 2017 (amended returns, installment payments. etc . ) 15 16 Local estimated tax from Schedule(s) K-1 (Form 1041) 16 Other: 17 17 18 Total Add lines 1 through 17 18 19 State and local refund allocated to 2017 19 20 Nondeductible state income tax from line 28 20 21 Total reductions Add lines 19 and 20 21 22 Total state and local income tax deduction Line 18 less line 21 22 Nondeductible State Income Tax (Hawaii Only) 23 Nontaxable federal employee cost of living allowance 23 24 Adjusted gross income 24 25 Add lines 23 and 24 25 26 Nondeductible percent. Line 23 divided by line 25 26 27 Hawaii state income tax included in line 18 27 28 Nondeductible Hawaii state income tax. Multiply line 26 by line 27 28 0/0 EFTA01222434