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Form 1040x 2009

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Form 1040x 2009

Form 1040x 2009 Publication 597 - Introductory Material Table of Contents Introduction Introduction This publication provides information on the income tax treaty between the United States and Canada. Form 1040x 2009 It discusses a number of treaty provisions that often apply to U. Form 1040x 2009 S. Form 1040x 2009 citizens or residents who may be liable for Canadian tax. Form 1040x 2009 Treaty provisions are generally reciprocal (the same rules apply to both treaty countries). Form 1040x 2009 Therefore, a Canadian resident who receives income from the United States may refer to this publication to see if a treaty provision may affect the tax to be paid to the United States. Form 1040x 2009 This publication does not deal with Canadian income tax laws; nor does it provide Canada's interpretation of treaty articles, definitions, or specific terms not defined in the treaty itself. Form 1040x 2009 The United States—Canada income tax treaty was signed on September 26, 1980. Form 1040x 2009 It has been amended by five protocols, the most recent of which generally became effective January 1, 2009. Form 1040x 2009 In this publication, the term “article” refers to the particular article of the treaty, as amended. Form 1040x 2009 Prev  Up  Next   Home   More Online Publications
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The Form 1040x 2009

Form 1040x 2009 4. Form 1040x 2009   Deductions Table of Contents Standard DeductionStandard Deduction for Dependents Itemized DeductionsMedical and Dental Expenses Most taxpayers have a choice of taking a standard deduction or itemizing their deductions. Form 1040x 2009 You benefit from the standard deduction if your standard deduction is more than the total of your allowable itemized deductions. Form 1040x 2009 If you have a choice, you should use the method that gives you the lower tax. Form 1040x 2009 Standard Deduction The standard deduction amount depends on your filing status, whether you are 65 or older or blind, and whether an exemption can be claimed for you by another taxpayer. Form 1040x 2009 Generally, the standard deduction amounts are adjusted each year for inflation. Form 1040x 2009 In most cases, you can use Worksheet 4-1 to figure your standard deduction amount. Form 1040x 2009 Persons not eligible for the standard deduction. Form 1040x 2009   Your standard deduction is zero and you should itemize any deductions you have if: You are married and filing a separate return, and your spouse itemizes deductions, You are filing a tax return for a short tax year because of a change in your annual accounting period, or You are a nonresident or dual-status alien during the year. Form 1040x 2009 You are considered a dual-status alien if you were both a nonresident alien and a resident alien during the year. Form 1040x 2009   If you are a nonresident alien who is married to a U. Form 1040x 2009 S. Form 1040x 2009 citizen or resident alien at the end of the year, you can choose to be treated as a U. Form 1040x 2009 S. Form 1040x 2009 resident. Form 1040x 2009 See Publication 519, U. Form 1040x 2009 S. Form 1040x 2009 Tax Guide for Aliens. Form 1040x 2009 If you make this choice, you can take the standard deduction. Form 1040x 2009 Decedent's final return. Form 1040x 2009   The amount of the standard deduction for a decedent's final tax return is the same as it would have been had the decedent continued to live. Form 1040x 2009 However, if the decedent was not 65 or older at the time of death, the higher standard deduction for age cannot be claimed. Form 1040x 2009 Higher standard deduction for age (65 or older). Form 1040x 2009   If you do not itemize deductions, you are entitled to a higher standard deduction if you are age 65 or older at the end of the year. Form 1040x 2009 You are considered age 65 on the day before your 65th birthday. Form 1040x 2009 Therefore, you can take a higher standard deduction for 2013 if you were born before January 2, 1949. Form 1040x 2009 Higher standard deduction for blindness. Form 1040x 2009   If you are blind on the last day of the year and you do not itemize deductions, you are entitled to a higher standard deduction. Form 1040x 2009 You qualify for this benefit if you are totally or partly blind. Form 1040x 2009 Not totally blind. Form 1040x 2009   If you are not totally blind, you must get a certified statement from an eye doctor (ophthalmologist or optometrist) that: You cannot see better than 20/200 in the better eye with glasses or contact lenses, or Your field of vision is not more than 20 degrees. Form 1040x 2009   If your eye condition will never improve beyond these limits, the statement should include this fact. Form 1040x 2009 You must keep the statement in your records. Form 1040x 2009   If your vision can be corrected beyond these limits only by contact lenses that you can wear only briefly because of pain, infection, or ulcers, you can take the higher standard deduction for blindness if you otherwise qualify. Form 1040x 2009 Spouse 65 or older or blind. Form 1040x 2009   You can take the higher standard deduction if your spouse is age 65 or older or blind and: You file a joint return, or You file a separate return and can claim an exemption for your spouse because your spouse had no gross income and an exemption for your spouse could not be claimed by another taxpayer. Form 1040x 2009    You cannot claim the higher standard deduction for an individual other than yourself and your spouse. Form 1040x 2009 Example. Form 1040x 2009 This example illustrates how to determine your standard deduction using Worksheet 4-1. Form 1040x 2009 Bill and Lisa are filing a joint return for 2013. Form 1040x 2009 Both are over age 65. Form 1040x 2009 Neither is blind, and neither can be claimed as a dependent. Form 1040x 2009 They do not itemize deductions, so they use Worksheet 4-1. Form 1040x 2009 Because they are married filing jointly, they enter $12,200 on line 1. Form 1040x 2009 They check the “No” box on line 2, so they also enter $12,200 on line 4. Form 1040x 2009 Because they are both over age 65, they enter $2,400 ($1,200 × 2) on line 5. Form 1040x 2009 They enter $14,600 ($12,200 + $2,400) on line 6, so their standard deduction is $14,600. Form 1040x 2009 Standard Deduction for Dependents The standard deduction for an individual for whom an exemption can be claimed on another person's tax return is generally limited to the greater of: $1,000, or The individual's earned income for the year plus $350 (but not more than the regular standard deduction amount, generally $6,100). Form 1040x 2009 However, the standard deduction may be higher if the individual is 65 or older or blind. Form 1040x 2009 If an exemption for you (or your spouse if you are filing jointly) can be claimed on someone else's return, use Worksheet 4-1, if applicable, to determine your standard deduction. Form 1040x 2009 Worksheet 4-1. Form 1040x 2009 2013 Standard Deduction Worksheet Caution. Form 1040x 2009 If you are married filing separately and your spouse itemizes deductions, or if you are a dual-status alien, do not complete this worksheet. Form 1040x 2009 If you were born before January 2, 1949, and/or blind, check the correct number of boxes below. Form 1040x 2009 Put the total number of boxes checked in box c and go to line 1. Form 1040x 2009 a. Form 1040x 2009 You   Born before  January 2, 1949     Blind b. Form 1040x 2009 Your spouse, if claiming  spouse's exemption   Born before January 2, 1949     Blind c. Form 1040x 2009 Total boxes checked             1. Form 1040x 2009 Enter the amount shown below for your filing status. Form 1040x 2009               Single or married filing separately — $6,100 Married filing jointly or Qualifying widow(er) — $12,200 Head of household — $8,950   1. Form 1040x 2009           2. Form 1040x 2009 Can you (or your spouse if filing jointly) be claimed as a dependent on someone else's return?  No. Form 1040x 2009 Skip line 3; enter the amount from line 1 on line 4. Form 1040x 2009   Yes. Form 1040x 2009 Go to line 3. Form 1040x 2009         3. Form 1040x 2009 Is your earned income* more than $650?               Yes. Form 1040x 2009 Add $350 to your earned income. Form 1040x 2009 Enter the total   3. Form 1040x 2009         No. Form 1040x 2009 Enter $1,000 4. Form 1040x 2009 Enter the smaller of line 1 or line 3 4. Form 1040x 2009   5. Form 1040x 2009 If born before January 2, 1949, or blind, multiply the number in box c by $1,200 ($1,500 if single or head of household). Form 1040x 2009 Enter the result here. Form 1040x 2009 Otherwise, enter -0- 5. Form 1040x 2009   6. Form 1040x 2009 Add lines 4 and 5. Form 1040x 2009 This is your standard deduction for 2013. Form 1040x 2009 6. Form 1040x 2009   * Earned income includes wages, salaries, tips, professional fees, and other compensation received for personal services you performed. Form 1040x 2009 It also includes any amount received as a scholarship that you must include in your income. Form 1040x 2009 Generally, your earned income is the total of the amount(s) you reported on Form 1040, lines 7, 12, and 18, minus the amount, if any, on line 27 (or the amount you reported on Form 1040A, line 7). Form 1040x 2009 Itemized Deductions Some individuals should itemize their deductions because it will save them money. Form 1040x 2009 Others should itemize because they do not qualify for the standard deduction. Form 1040x 2009 See the discussion under Standard Deduction , earlier, to decide if it would be to your advantage to itemize deductions. Form 1040x 2009 You may be subject to a limit on some of your itemized deductions if your adjusted gross income is more than $150,000. Form 1040x 2009 For more information, see Overall limitation, later. Form 1040x 2009 Medical and dental expenses, some taxes, certain interest expenses, charitable contributions, casualty and theft losses, and certain other miscellaneous expenses may be itemized as deductions on Schedule A (Form 1040). Form 1040x 2009 You may benefit from itemizing your deductions on Schedule A (Form 1040) if you: Cannot take the standard deduction, Had uninsured medical or dental expenses that are more than 10% of your adjusted gross income (or more than 7. Form 1040x 2009 5% of your adjusted gross income if either you or your spouse is age 65 or older), Paid interest on your home, Paid real estate or personal property taxes, Paid mortgage insurance premiums, Paid state and local income or general sales taxes, Had large unreimbursed employee business expenses or other miscellaneous deductions, Had large uninsured casualty or theft losses, Made large contributions to qualified charities (see Publication 526, Charitable Contributions), or Have total itemized deductions that are more than the standard deduction that applies to you. Form 1040x 2009 See the Schedule A (Form 1040) instructions for more information. Form 1040x 2009 Overall limitation. Form 1040x 2009   You may not be able to deduct all of your itemized deductions if your adjusted gross income is more than: $150,000, if married filing separately, $250,000, if single, $275,000, if head of household, or $300,000, if married filing jointly or qualifying widow(er). Form 1040x 2009  If your adjusted gross income exceeds the applicable amount, you will use the Itemized Deductions Worksheet in the Instructions for Schedule A (Form 1040) to figure your total itemized deductions. Form 1040x 2009 Medical and Dental Expenses You can deduct certain medical and dental expenses you paid for yourself, your spouse, and your dependent(s) if you itemize your deductions on Schedule A (Form 1040). Form 1040x 2009 Table 4-1 shows some common items that you can or cannot include in figuring your medical expense deduction. Form 1040x 2009 For more information, see the following discussions of selected items, which are presented in alphabetical order. Form 1040x 2009 A more extensive list of items and further details can be found in Publication 502, Medical and Dental Expenses. Form 1040x 2009 Table 4-1. Form 1040x 2009 Medical and Dental Expenses Checklist You can include: You cannot include: Bandages Capital expenses for equipment or improvements to your home needed for medical care (see Publication 502) Certain weight-loss expenses for obesity Diagnostic devices Expenses of an organ donor Eye surgery—to promote the correct function of the eye Guide dogs or other animals aiding the blind, deaf, and disabled Hospital services fees (lab work, therapy, nursing services, surgery, etc. Form 1040x 2009 ) Lead-based paint removal (see Publication 502) Long-term care contracts, qualified (see Publication 502) Meals and lodging provided by a hospital during medical treatment Medical and hospital insurance premiums Medical services fees (from doctors, dentists, surgeons, specialists, and other medical practitioners) Medicare Part D premiums Oxygen equipment and oxygen Part of life-care fee paid to retirement home designated for medical care Prescription medicines (prescribed by a doctor) and insulin Psychiatric and psychological treatment Social security tax, Medicare tax, FUTA, and state employment tax for worker providing medical care (see Publication 502) Special items (artificial limbs, false teeth, eyeglasses, contact lenses, hearing aids, crutches, wheelchair, etc. Form 1040x 2009 ) Special education for mentally or physically disabled persons (see Publication 502) Stop-smoking programs Transportation for needed medical care Treatment at a drug or alcohol center (includes meals and lodging provided by the center) Wages for nursing services (see Publication 502) Contributions to Archer MSAs (see Publication 969) Bottled water Diaper service Expenses for your general health (even if following your doctor's advice) such as: —Health club dues —Household help (even if recommended by a doctor) —Social activities, such as dancing or swimming lessons —Trip for general health improvement Flexible spending account reimbursements for medical expenses (if contributions were on a pretax basis) (see Publication 502) Funeral, burial, or cremation expenses Health savings account payments for medical expenses (see Publication 502) Illegal operation or treatment Life insurance or income protection policies, or policies providing payment for loss of life, limb, sight, etc. Form 1040x 2009 Medical insurance included in a car insurance policy covering all persons injured in or by your car Medicine you buy without a prescription Nursing care for a healthy baby Prescription drugs you brought in (or ordered shipped) from another country, in most cases (see Publication 502) Surgery for purely cosmetic reasons (see Publication 502) Toothpaste, toiletries, cosmetics, etc. Form 1040x 2009 Teeth whitening Weight-loss expenses not for the treatment of obesity or other disease You can deduct only the amount of your medical and dental expenses that is more than 10% of your adjusted gross income (or that is more than 7. Form 1040x 2009 5% of your adjusted gross income if you or your spouse is age 65 or older). Form 1040x 2009 What to include. Form 1040x 2009   Generally, you can include only the medical and dental expenses you paid this year, regardless of when the services were provided. Form 1040x 2009 If you pay medical expenses by check, the day you mail or deliver the check generally is the date of payment. Form 1040x 2009 If you use a pay-by-phone or online account to pay your medical expenses, the date reported on the statement of the financial institution showing when payment was made is the date of payment. Form 1040x 2009 You can include medical expenses you charge to your credit card in the year the charge is made. Form 1040x 2009 It does not matter when you actually pay the amount charged. Form 1040x 2009 Home Improvements You can include in medical expenses amounts you pay for home improvements if their main purpose is medical care for you, your spouse, or your dependent. Form 1040x 2009 Only reasonable costs to accommodate a home to your disabled condition (or that of your spouse or your dependent(s) who live with you) are considered medical care. Form 1040x 2009 Additional costs for personal motives, such as for architectural or aesthetic reasons, are not medical expenses. Form 1040x 2009 Publication 502 contains additional information and examples, including a capital expense worksheet, to assist you in figuring the amount of the capital expense that you can include in your medical expenses. Form 1040x 2009 Also, see Publication 502 for information about deductible operating and upkeep expenses related to such capital expense items, and for information about improvements, for medical reasons, to property rented by a person with disabilities. Form 1040x 2009 Household Help You cannot include in medical expenses the cost of household help, even if such help is recommended by a doctor. Form 1040x 2009 This is a personal expense that is not deductible. Form 1040x 2009 However, you may be able to include certain expenses paid to a person providing nursing-type services. Form 1040x 2009 For more information, see Nursing Services , later. Form 1040x 2009 Also, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. Form 1040x 2009 For more information, see Qualified long-term care services under Long-Term Care, later. Form 1040x 2009 Hospital Services You can include in medical expenses amounts you pay for the cost of inpatient care at a hospital or similar institution if a principal reason for being there is to receive medical care. Form 1040x 2009 This includes amounts paid for meals and lodging. Form 1040x 2009 Also, see Meals and Lodging , later. Form 1040x 2009 Long-Term Care You can include in medical expenses amounts paid for qualified long-term care services and premiums paid for qualified long-term care insurance contracts. Form 1040x 2009 Qualified long-term care services. Form 1040x 2009   Qualified long-term care services are necessary diagnostic, preventive, therapeutic, curing, treating, mitigating, rehabilitative services, and maintenance and personal care services (defined later) that are: Required by a chronically ill individual, and Provided under a plan of care prescribed by a licensed health care practitioner. Form 1040x 2009 Chronically ill individual. Form 1040x 2009    An individual is chronically ill if, within the previous 12 months, a licensed health care practitioner has certified that the individual meets either of the following descriptions. Form 1040x 2009 He or she is unable to perform at least two activities of daily living without substantial assistance from another individual for at least 90 days, due to a loss of functional capacity. Form 1040x 2009 Activities of daily living are eating, toileting, transferring, bathing, dressing, and continence. Form 1040x 2009 He or she requires substantial supervision to be protected from threats to health and safety due to severe cognitive impairment. Form 1040x 2009 Maintenance and personal care services. Form 1040x 2009    Maintenance or personal care services is care which has as its primary purpose the providing of a chronically ill individual with needed assistance with his or her disabilities (including protection from threats to health and safety due to severe cognitive impairment). Form 1040x 2009 Qualified long-term care insurance contracts. Form 1040x 2009   A qualified long-term care insurance contract is an insurance contract that provides only coverage of qualified long-term care services. Form 1040x 2009 The contract must: Be guaranteed renewable, Not provide for a cash surrender value or other money that can be paid, assigned, pledged, or borrowed, Provide that refunds, other than refunds on the death of the insured or complete surrender or cancellation of the contract, and dividends under the contract must be used only to reduce future premiums or increase future benefits, and Generally not pay or reimburse expenses incurred for services or items that would be reimbursed under Medicare, except where Medicare is a secondary payer, or the contract makes per diem or other periodic payments without regard to expenses. Form 1040x 2009   The amount of qualified long-term care premiums you can include is limited. Form 1040x 2009 You can include the following as medical expenses on Schedule A (Form 1040). Form 1040x 2009 Qualified long-term care premiums up to the following amounts. Form 1040x 2009 Age 40 or under – $360. Form 1040x 2009 Age 41 to 50 – $680. Form 1040x 2009 Age 51 to 60 – $1,360. Form 1040x 2009 Age 61 to 70 – $3,640. Form 1040x 2009 Age 71 or over – $4,550. Form 1040x 2009 Unreimbursed expenses for qualified long-term care services. Form 1040x 2009 Note. Form 1040x 2009 The limit on premiums is for each person. Form 1040x 2009 Meals and Lodging You can include in medical expenses the cost of meals and lodging at a hospital or similar institution if your main reason for being there is to receive medical care. Form 1040x 2009 You may be able to include in medical expenses the cost of lodging (but not meals) not provided in a hospital or similar institution. Form 1040x 2009 You can include the cost of such lodging while away from home if all of the following requirements are met. Form 1040x 2009 The lodging is primarily for, and essential to, medical care. Form 1040x 2009 The medical care is provided by a doctor in a licensed hospital or in a medical care facility related to, or the equivalent of, a licensed hospital. Form 1040x 2009 The lodging is not lavish or extravagant under the circumstances. Form 1040x 2009 There is no significant element of personal pleasure, recreation, or vacation in the travel away from home. Form 1040x 2009 The amount you include in medical expenses for lodging cannot be more than $50 per night for each person. Form 1040x 2009 You can include lodging for a person traveling with the person receiving the medical care. Form 1040x 2009 For example, if a parent is traveling with a sick child, up to $100 per night can be included as a medical expense for lodging. Form 1040x 2009 (Meals are not included. Form 1040x 2009 ) Nursing home. Form 1040x 2009   You can include in medical expenses the cost of medical care in a nursing home or a home for the aged for yourself, your spouse, or your dependent(s). Form 1040x 2009 This includes the cost of meals and lodging in the home if a main reason for being there is to get medical care. Form 1040x 2009   Do not include the cost of meals and lodging if the reason for being in the home is personal. Form 1040x 2009 However, you can include in medical expenses the part of the cost that is for medical or nursing care. Form 1040x 2009 Medical Insurance Premiums You can include in medical expenses insurance premiums you pay for policies that cover medical care. Form 1040x 2009 Policies can provide payment for: Hospitalization, surgical fees, X-rays, Prescription drugs and insulin, Dental care, Replacement of lost or damaged contact lenses, and Qualified long-term care insurance contracts (subject to the additional limits included in the discussion on qualified long-term care insurance contracts under Long-Term Care , earlier). Form 1040x 2009 If you have a policy that provides payments for other than medical care, you can include the premiums for the medical care part of the policy if the charge for the medical part is reasonable. Form 1040x 2009 The cost of the medical portion must be separately stated in the insurance contract or given to you in a separate statement. Form 1040x 2009 Medicare Part A. Form 1040x 2009   If you are covered under social security (or if you are a government employee who paid Medicare tax), you are enrolled in Medicare Part A. Form 1040x 2009 The payroll tax paid for Medicare Part A is not a medical expense. Form 1040x 2009 If you are not covered under social security (or were not a government employee who paid Medicare tax), you can enroll voluntarily in Medicare Part A. Form 1040x 2009 In this situation you can include the premiums you paid for Medicare Part A as a medical expense. Form 1040x 2009 Medicare Part B. Form 1040x 2009   Medicare Part B is a supplemental medical insurance. Form 1040x 2009 Premiums you pay for Medicare Part B are a medical expense. Form 1040x 2009 If you applied for it at age 65 or after you became disabled, you can include in medical expenses the monthly premiums you paid. Form 1040x 2009 If you were over age 65 or disabled when you first enrolled, check with your local Social Security Administration office, or go to their website at www. Form 1040x 2009 SSA. Form 1040x 2009 gov, to find out your premium. Form 1040x 2009 Medicare Part D. Form 1040x 2009   Medicare Part D is a voluntary prescription drug insurance program for persons with Medicare Part A or Part B. Form 1040x 2009 You can include as a medical expense premiums you pay for Medicare Part D. Form 1040x 2009 Prepaid insurance premiums. Form 1040x 2009   Insurance premiums you pay before you are age 65 for medical care for yourself, your spouse, or your dependents after you reach age 65 are medical care expenses in the year paid if they are: Payable in equal yearly installments, or more often, and Payable for at least 10 years, or until you reach age 65 (but not for less than 5 years). Form 1040x 2009 Medicines You can include in medical expenses amounts you pay for prescribed medicines and drugs. Form 1040x 2009 A prescribed drug is one that requires a prescription by a doctor for its use by an individual. Form 1040x 2009 You can also include amounts you pay for insulin. Form 1040x 2009 Except for insulin, you cannot include in medical expenses amounts you pay for a drug that is not prescribed. Form 1040x 2009 Imported medicines and drugs. Form 1040x 2009   If you import medicines or drugs from other countries, see Medicines and Drugs From Other Countries, under What Expenses Are Not Includible, in Publication 502. Form 1040x 2009 Nursing Services You can include in medical expenses wages and other amounts you pay for nursing services. Form 1040x 2009 The services need not be performed by a nurse as long as the services are of a kind generally performed by a nurse. Form 1040x 2009 This includes services connected with caring for the patient's condition, such as giving medication or changing dressings, as well as bathing and grooming the patient. Form 1040x 2009 These services can be provided in your home or another care facility. Form 1040x 2009 Generally, only the amount spent for nursing services is a medical expense. Form 1040x 2009 If the attendant also provides personal and household services, amounts paid to the attendant must be divided between the time spent performing household and personal services and the time spent for nursing services. Form 1040x 2009 However, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. Form 1040x 2009 See Maintenance and personal care services under Qualified long-term care services, earlier. Form 1040x 2009 Additionally, certain expenses for household services or for the care of a qualifying individual incurred to allow you to work may qualify for the child and dependent care credit. Form 1040x 2009 See Child and Dependent Care Credit , later, and Publication 503, Child and Dependent Care Expenses. Form 1040x 2009 You can also include in medical expenses part of the amount you pay for that attendant's meals. Form 1040x 2009 Divide the food expense among the household members to find the cost of the attendant's food. Form 1040x 2009 Then divide that cost in the same manner as in the preceding paragraph. Form 1040x 2009 If you had to pay additional amounts for household upkeep because of the attendant, you can include the extra amounts with your medical expenses. Form 1040x 2009 This includes extra rent or utilities you pay because you moved to a larger apartment to provide space for the attendant. Form 1040x 2009 Employment taxes. Form 1040x 2009   You can include as a medical expense social security tax, FUTA, Medicare tax, and state employment taxes you pay for a nurse, attendant, or other person who provides medical care. Form 1040x 2009 If the attendant also provides personal and household services, you can include as a medical expense only the amount of employment taxes paid for medical services as explained earlier under Nursing Services. Form 1040x 2009 For information on employment tax responsibilities of household employers, see Publication 926, Household Employer's Tax Guide. Form 1040x 2009 Transportation You can include in medical expenses amounts paid for transportation primarily for, and essential to, medical care. Form 1040x 2009 Car expenses. Form 1040x 2009    You can include out-of-pocket expenses, such as the cost of gas and oil, when you use a car for medical reasons. Form 1040x 2009 You cannot include depreciation, insurance, general repair, or maintenance expenses. Form 1040x 2009   If you do not want to use your actual expenses for 2013, you can use the standard medical mileage rate of 24 cents a mile. Form 1040x 2009   You can also include parking fees and tolls. Form 1040x 2009 You can add these fees and tolls to your medical expenses whether you use actual expenses or use the standard mileage rate. Form 1040x 2009 You can also include:    Bus, taxi, train, or plane fares or ambulance service, and Transportation expenses of a nurse or other person who can give injections, medications, or other treatment required by a patient who is traveling to get medical care and is unable to travel alone. Form 1040x 2009 Do not include transportation expenses if, for purely personal reasons, you choose to travel to another city for an operation or other medical care prescribed by your doctor. Form 1040x 2009 Prev  Up  Next   Home   More Online Publications