Front:
INTRODCING-A NEW ARRIVAL!
-Just released by the Internal Revenue Service and
Too late for our 1960 Sample Kits. Now available -
in time for the Tax Season.
FORM 2948 - MEDICAL AND DENTAL
EXPENSE STATEMENT
TF 2948 Actual size is 8 x 10-7/8.
Printed on one side only on 16 lb.
white bond. Example on how to use
(the back of form) is printed on inside
of our cover. Available in Bond and
Translucent in 50 and 100 sheet pads,
and 20 sets of 3-part Snap-outs.
Usual prices and terms apply as
shown
on our 1960 Order Blanks.
CRICKET PUBLISHING CO.
P. O. Box No. 542
BATTLE CREEK, MICHIGAN
TRADE MARK RES.
FORM 2948
This statement
persons
the taxpaye
of their medi
b. Each
taxpe
schedule
U.S. Treasury Department Internal Revenue Service
MEDICAL AND DENTAL EXPENSE STATEMENT
(Aftoch This Statement to Your Income Tax Return or Use it as a Guide
To Prepare Your Ows Statement)
Taxpayer and wife if EITHER is 65 years of age or
older,
and drug expenses
GROUP I
s who are entitled t a larger deduction for medical and deptal
d dental e
persons i
o not have
Group
djusted gross
percent pl the taxpayer'
-year-old (or over) dependent parent of the
& Portion of s
Nome of taxpayer claiming the deduction
Nomels) of dependent parenta) 65 years of age o over, if any
c. All other dependents regardless of
ersons for whom medical and dental expenses were paid are in Group II, use the simpler medical
Form 1040 or Form 1040W
expenses
you received reimbursement from insurance or other sources.
MEDICINE AND DRUGS
(Enter other medical and dental expenses in lines 7 and 10)
1. Amount taxpayer paid for medicine and drugs for persons in Group I (see list above).
2 Amount toxpo
paid l medicine and drugs for persons in Group II (see list above).
& Line 1 p
&1 percent c
Grose Income (1% of line 11. page 1. Form 1040, or 1% of line
& Excess, if any, of line 3 over line 4.
GROUP II
a. Taxpayer and wife if BOTH are under
b. Dependent parents, who are under 65 years of age, of
laxpayer or wifs.
MEDICAL AND DENTAL EXPENSES FOR PERSONS IN GROUP I
drugs f
Group I
and enter
1. Amount taxpayer paid for medical and dental c enses (other than medicine and drugs) for (
8. Medical
page 1, Form 1040W)
expenses f persons in Group Line 6 plus line 7).
EDICAL AND DENTAL EXPENSES FOR PERSONS IN GROUP II
& Portion of medicine and drugs for persons in Group II. Amount on line
10. Amount toxpoy paid for medical and dental e
drugs) for persons
11. Line 9 plus line 10.
12. 3 perce
(other than medicine and
Adjusted Grom Income (3% of line 11, page 1. Form 1040, or 3% of
page 1. Form 1040W).
13. Medical and dental expenses for persons in Group II. Excess, if any, of line 11 over line 12.
TOTAL DEDUCTION FOR MEDICAL AND DENTAL EXPENSES
14. Line 8 plus line 13. Enter here and line 7 of the medical and dental
Form 1040 or Form 1040W.
Maximum Limitations below).
1960
paid for the
1 percent of
the reduction
MAXIMUM LIMITATIONS
A. The amount on line 14 may not exceed $2.500 multiplied by the number of persons for whom exemptions were claimed on the
individual income tax return. taxpayer
is 65 or over and in addition is disabled, see "B.") The deduction is further
limited by the following amounts
(1) $5,000 if the taxpayer is single and t ta head of household or a widow widower entitled
special tax rates
(2) $5,000 if the taxpayer is married but files a separate return,
(3) $10,000 if the taxpayer files a joint return, is a head of household, or is a widow or widower entitled to the special tax
B. If the taxpayer for his wife) is 65 years of age or over and in addition diso bled, he may qualify
limitation. For this purpose disabled means that any individual is unable to engage in any substantial gainful activity by
of any medically determinable physical or mental impairment which can be expected to result in death
long-continued
and indefinite duration. For further information, consult your nearest Internal Revenue Service office.
Don't forget the TAXORANDUM DIARY
during the Tax Season!
Back:
Macaluso and Nardi,
7-9 Isaac St.,
P.O. Box #166,
Norwalk, Conn.
U.S. POSTAGE 34
BAT
MICH
