Receipt for Stop Smoking Program
Billed To:
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Name:_______________________________
Address:_____________________________
Program provided by:_________________________________
Address:_____________________________
____________________________________
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Appointment Date:___________
Program Total: $_____________
Paid by (circle one): Check/CC/Cash
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| Program Type |
Duration |
Program Price |
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| Hypnosis |
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$ |
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| Program Total: |
$ |
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Please retain for your tax records.
Stop-Smoking Programs
You can include in medical expenses amounts you pay for a program to stop smoking. However, you cannot include in medical expenses amounts you pay for drugs that do not require a prescription, such as nicotine gum or patches, that are designed to help stop smoking. Ask your tax preparer to explain medical deductions.
http://www.irs.gov/publications/p502/ar02.html#d0e2013
More Info
IRS website
www.irs.gov
Print this Page and fill out after your Stop Smoking appointment.
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