OMB No. 1545-0074
SCHEDULE A                                                Itemized Deductions
(Form 1040-NR)                     ▶ Go to www.irs.gov/Form1040NR for instructions and the latest information. 
Department of the Treasury                                    ▶ Attach to Form 1040-NR.                                               2021
                                                                                                                                      Attachment   
Internal Revenue Service (99) Caution: If you are claiming a net qualified disaster loss on Form 4684, see instructions for line 7.   Sequence No. 7A
Name shown on Form 1040-NR                                                                                    Your identifying number

Taxes You       1a          State and local income taxes  .   . . . .   . . .      . .  . .         1a
Paid
                b           Enter the smaller of line 1a or $10,000 ($5,000 if you checked Married filing separately under 
                            Filing Status on page 1 of Form 1040-NR)  . . . .      . .  . .       . . . . . .  . .                  1b
Gifts to U.S. 
                2           Gifts by cash or check. If you made any gift of $250 or more, see 
Charities                   instructions . . .    .  .    .   . . . .   . . .      . .  . .         2
  
Caution: If you 3           Other than by cash or check. If you made any gift of $250 or more, 
made a gift                 see instructions. Individuals must attach Form 8283 if line 3 is over 
and received                $500 . .  .  . . .    .  .    .   . . . .   . . .      . .  . .         3
a benefit in 
return, see     4           Carryover from prior year  .  .   . . . .   . . .      . .  . .         4
instructions.   5           Add lines 2 through 4 .  .    .   . . . .   . . .      . .  . .       . . . . . .  . .                  5
Casualty 
                6           Casualty  and  theft  loss(es)  from  a  federally  declared  disaster  (other  than  net  qualified 
and Theft                   disaster  losses).  Attach  Form  4684  and  enter  the  amount  from  line  18  of  that  form.  See 
Losses                      instructions . . .    .  .    .   . . . .   . . .      . .  . .       . . . . . .  . .                  6
Other           7           Other—from list in instructions. List type and amount ▶
Itemized 
Deductions

                                                                                                                                    7
Total 
Itemized        8           Add the amounts in the far right column for lines 1b through 7. Also, enter this amount on 
Deductions                  Form 1040-NR, line 12a . .    .   . . . .   . . .      . .  . .       . . . . . .  . .                  8
For Paperwork Reduction Act Notice, see the Instructions for Form 1040-NR.                Cat. No. 72749E        Schedule A (Form 1040-NR) 2021