Itemized deductions allow taxpayers to reduce taxable income by claiming specific qualifying expenses on Schedule A (Form 1040) instead of taking the flat standard deduction. For tax year 2026, several major changes enacted by the One Big Beautiful Bill Act (OBBBA) reshape the itemization landscape: the SALT cap quadrupled to $40,400, charitable contributions now require a 0.5% AGI floor, PMI is deductible again, and a new above-the-line charitable deduction exists for non-itemizers.
86 steps across 12 sections
1. Add Up All Potential Itemized Deductions
- State/local taxes paid (income or sales + property) —- up to $40,400 cap
- Mortgage interest on up to $750,000 of acquisition debt
- Charitable contributions (cash and non-cash)
- Medical/dental expenses exceeding 7.5% of AGI
2. Compare to Standard Deduction
- Itemized total > Standard deduction? Itemize.
- Itemized total < Standard deduction? Take the standard deduction.
- Close to breakeven? Consider bunching strategies (see below) to push deductions into alternating years.
3. Check for Special Situations
- Are you subject to AMT? Some itemized deductions are disallowed under AMT.
- Are you in a high-income phaseout zone? The SALT deduction phases out above $505,000 MAGI in 2026.
- Are you MFS? Both spouses must make the same choice (both itemize or both standard).
- Do you have a state tax benefit from itemizing federally? Many states piggyback on federal itemization.
4. Implement Year-Round Tax Planning
- Don't wait until April. Make charitable contributions, prepay property taxes, and time medical procedures strategically throughout the year.
- Use bunching strategies to maximize multi-year tax benefit.
5. 1. Medical and Dental Expenses (Lines 1-4)
- Doctor, dentist, surgeon, chiropractor, psychologist, psychiatrist fees
- Hospital stays, nursing services, lab work, X-rays, MRI/CT scans
- Prescription medications and insulin
- Health insurance premiums (if not paid pre-tax through employer)
- Medicare Part B and Part D premiums
- Long-term care insurance premiums (subject to age-based limits)
- Dental work: cleanings, fillings, crowns, bridges, implants, braces, dentures
- Vision: eye exams, glasses, contacts, LASIK surgery
- Hearing aids and batteries
- Mental health treatment, addiction/substance abuse treatment
6. 2. State and Local Taxes --- SALT (Lines 5-7)
- State income tax withheld from paychecks (W-2 Box 17)
- State estimated tax payments made during the year
- State income tax paid with prior-year return (e.g., balance due paid in April 2026 for 2025 return)
- Local/city income taxes
- Actual sales taxes paid (if you kept receipts) OR IRS sales tax tables
- Best for residents of states with no income tax (TX, FL, WA, NV, SD, WY, AK, NH, TN)
- Real estate property taxes on primary home
- Real estate property taxes on second home
- Personal property taxes (vehicle registration fees based on value, boat taxes)
- Foreign taxes paid (but consider the Foreign Tax Credit as an alternative)
7. 3. Mortgage Interest (Lines 8-10)
- Interest on mortgage debt up to $750,000 ($375,000 MFS) for homes purchased after Dec. 15, 2017
- Interest on mortgage debt up to $1,000,000 ($500,000 MFS) for homes purchased on or before Dec. 15, 2017
- Interest on primary residence AND one additional home (second home, vacation home)
- Mortgage points paid at closing (generally deductible in year paid for purchase; amortized over loan term for refinance)
- Refinance points (deductible ratably over loan life; remaining points deductible immediately if you refinance again)
- Private Mortgage Insurance (PMI) —- newly deductible again for 2026 under OBBBA
- Late payment charges on mortgage (if not for a specific service)
- Home equity loan interest used for non-home-improvement purposes (post-TCJA)
- Interest on loans used to buy tax-exempt securities
- Closing costs (other than points)
8. 4. Charitable Contributions (Lines 11-14)
- Charitable contributions now have a 0.5% AGI floor —- only donations exceeding 0.5% of AGI are deductible as itemized deductions
- New above-the-line deduction of up to $1,000 ($2,000 MFJ) for cash donations, even if you take the standard deduction
- Cash contributions: deductible up to 60% of AGI
- Appreciated property: deductible up to 30% of AGI (at fair market value)
- Contributions to private foundations: limited to 30% of AGI (cash) or 20% of AGI (property)
- Cash/check/credit card donations to qualified 501(c)(3) organizations
- Donations of clothing and household items (must be in "good used condition" or better)
- Vehicle donations (special rules apply; Form 1098-C required for vehicles over $500)
- Appreciated stock or securities (deduct FMV, avoid capital gains)
- Real estate donations and conservation easements
9. 5. Casualty and Theft Losses (Line 15)
- Each loss reduced by $100 per event
- Total losses reduced by 10% of AGI
- Must subtract any insurance reimbursement
- Report on Form 4684
10. 6. Other Itemized Deductions (Line 16)
- Gambling losses (deductible up to the amount of gambling winnings; Form W-2G)
- Impairment-related work expenses for disabled individuals
- Federal estate tax on income in respect of a decedent (IRD)
- Unrecovered investment in an annuity (for a deceased annuitant)
- Educator expenses exceeding $300 —- new for 2026, educators can deduct qualifying expenses as itemized deductions without limitation (in addition to the $300 above-the-line deduction)
- Unreimbursed employee business expenses
- Tax preparation fees
- Investment management/advisory fees
- Safe deposit box rental
- Moving expenses (except active-duty military)
11. How Bunching Works --- Example
- SALT: $15,000/year
- Mortgage interest: $10,000/year
- Charitable: $5,000/year
- Total each year: $30,000 (below $32,200 standard deduction)
- Result: Take standard deduction both years = $64,400 total deductions
- Year 1 (bunch year): SALT $15,000 + Mortgage $10,000 + Charitable $10,000 = $35,000 —> Itemize
- Year 2 (off year): SALT $15,000 + Mortgage $10,000 + Charitable $0 = $25,000 —> Standard deduction $32,200
- Result: $35,000 + $32,200 = $67,200 total deductions
- Savings: $2,800 extra deductions over two years
12. Bunching Vehicles and Techniques
- Contribute 2-3 years of planned charitable gifts into a DAF in a single year
- Take the full deduction in the contribution year
- Distribute grants to your preferred charities over subsequent years
- Assets in the DAF can be invested and grow tax-free
- Minimum opening contribution varies ($5,000 at Fidelity Charitable, Schwab Charitable, Vanguard Charitable)
- Donate highly appreciated securities directly to charity or DAF
- Deduct the full fair market value (held >1 year)
- Avoid capital gains tax on the appreciation
- Double benefit: larger deduction + eliminated capital gains
- Pay January property taxes in December of the prior year
Common Mistakes
- Not running the numbers both ways
- Forgetting the new 0.5% AGI floor on charitable contributions
- Missing the SALT income phaseout
- Not taking the new above-the-line charitable deduction
- Failing to track small deductible expenses
Pro Tips
- Run a mid-year itemization check
- Use a DAF as your charitable "savings account."
- Donate appreciated stock, never cash, when possible
- Combine bunching with Roth conversions
- Consider timing of medical procedures
Sources
- IRS: New and Enhanced Deductions for Individuals
- IRS: Tax Inflation Adjustments for Tax Year 2026 (OBBBA Amendments)
- IRS: Instructions for Schedule A (Form 1040)
- IRS: Credits and Deductions for Individuals
- IRS: Charitable Contribution Deductions
- IRS: Topic 501 --- Should I Itemize?
- IRS: Deductions for Individuals --- Standard vs. Itemized
- TurboTax: Tax Deductions 2025-2026 --- What's New or Changed
- TurboTax: SALT Deduction Explained
- TurboTax: Quadrupling the SALT Deduction --- New Rules
- TurboTax: Medical Expense Deductions Checklist
- TurboTax: Mortgage Interest Deduction
- NerdWallet: Standard Deduction 2025-2026
- H&R Block: Common Tax Deductions 2026
- H&R Block: One Big Beautiful Bill --- SALT Deduction and Other Changes
- Fidelity: How the New SALT Deduction Cap Could Affect Your Taxes
- Fidelity Charitable: Bunching Charitable Donations
- Fidelity Charitable: Charitable Tax Deductions
- DAFgiving360: Bunching Charitable Contributions
- SmartAsset: SALT Deduction Changes Explained
- Kiplinger: SALT Deduction --- 3 Things to Know
- SALT Cap 2026: 7 Big $40,400 Rules to Know
- Bipartisan Policy Center: How Does the 2025 Tax Law Change the SALT Deduction?
- Nolo: Standard Deduction vs. Itemized Deductions 2026
- KLR: Standard vs Itemized Deduction 2025 --- Big Beautiful Bill
- Wipfli: How Itemized Deduction Rules Changed in 2025
- National Tax Reports: 2026 List of Itemized Deductions (Complete Guide)
- AARP: New Tax Changes for 2026
- Edelman Financial Engines: Standard Deduction vs Itemized
- Arnautov CPA: Standard vs. Itemized Deductions 2025-2026
- The Signatry: Charitable Bunching Strategy
- San Diego Foundation: Bunching Charitable Donations