Fillable Printable 2009 Form 1 Wisconsin Income Tax (Pdf Fillable Format)
Fillable Printable 2009 Form 1 Wisconsin Income Tax (Pdf Fillable Format)
2009 Form 1 Wisconsin Income Tax (Pdf Fillable Format)
1Federal adjusted gross income (see page 9) ........................................1
Form W‑2 wages included in line 1 .........................
2State and municipal interest (see page 9) ...........................................2
3Capital gain/loss addition (see page 10) ............................................3
4Other additions
...4
5Add the amounts in the right column for lines 1 through 4 ...............................5
6State tax refund (Form 1040, line 10) ......................6
7United States government interest .........................7
8Unemployment compensation (see page 12) ................8
9Social security adjustment (see page 12) ...................9
10Capital gain/loss subtraction (see page 12) .................10
11Other subtractions
................11
12Add lines 6 through 11 ..........................................................12
13Subtract line 12 from line 5. This is your Wisconsin income .............................13
Married ling separate return.
Fill in spouse’s
SSN above and
full name here ............................
Wisconsin
income tax
2009
Complete
form using
BLACK INK
1
I‑010i
PAPER CLIP payment hereSee page 34 before assembling return
For the year Jan. 1‑Dec. 31, 2009,
or other tax year
beginning , 2009
ending , 20 .
Tax district
Check below thenll in either the name of city,
villag
e, or town and the county in which you lived
at the end of 2009.
County of
School district number See page 37
Designating an amount will not change your tax
or refund.
State election campaign fund
If you want $1 to go
to the State Election Campaign
Fund, check here.
YouYour spouse
Spouse’s social security numberYour social security number
Legal rst nameYour legal last name
Spouse’s legal rst nameIf a joint return, spouse’s legal last name
Home address (number and street). If you have a PO Box, see page 8. Apt. no.
StateCity or post ofceZip code
Married ling joint return
Filing status Check
below
Head of household
(see page 8).
Also, check here if married .........
Single
VillageTownCity
M.I.
M.I.
Special
conditions
City, village,
or town
DO NOT STAPLE
}
Fill in code number and amount, see page 10.
Fill in total other additions on line 4
.
}
Fill in code number and amount, see page 13.
Fill in total other subtractions on line 11
.
Not like this Print numbers like this
NO COMMAS; NO CENTS
Legal
last name
Legal
rst name
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M.I.
If married, ll in spouse’s
SSN above and full name here
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Tab to navigate within form. Use mouse to check
applicable boxes, press spacebar or press Enter.
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33Add lines 30, 31, and 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34Subtract line 33 from line 29. If line 33 is larger than line 29, ll in 0. This is your net tax......34
35
Recycling surcharge. Enclose Schedule RS ....
...................................35
36Sales and use tax due on out‑of‑state purchases (see page 27) ....
....................36
37Advance earned income credit (see page 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
38Donations (decreases refund or increases amount owed)
a
Endangered resourcesfFireghters memorial
b
Packers football stadiumgProstate cancer research
c
Breast cancer researchhMilitary family relief
dVeterans trust fundiSecond Harvest
eMultiple sclerosisTotal (add lines a through i) .........38j
39Penalties on IRAs, retirement plans, MSAs, etc.
(see page 28) ..x .33 = 39
40Credit repayments and other penalties (see page 29) ....
............................40
41Add lines 34 through
37, and 38j through 40 .......................................41
14Wisconsin income from line 13 ....
..............................................14
15Standard deduction. See table on page 45, OR ................................15
If someone else can claim you (or your spouse) as a dependent, see page 21 and check here
16Subtract line 15 from line 14. If line 15 is larger than line 14, ll in 0 .....................16
17Exemptions (Caution: See page
22)
aFill in exemptions from your federal return x $700 .
.17a
bCheck if 65 or older You +Spouse =
x $250 ..17b
cAdd lines 17a and 17b ......................................................17c
18Subtract line 17c from line 16. If line 17c is larger than line 16, ll in 0. This is taxable income . . 18
19Tax (see
table on page 38) ....
.................................................19
20Itemized deduction credit. Enclose Schedule 1, page 4 ....
........... 20
21Armed
forces member credit (must be stationed outside U.S. See page 22)...21
22School prope
rty tax credit
aRent paid in 2009–heat included
Rent paid in 2009–heat not included
bProperty taxes paid on home in 2009
23
Historic rehabilitation credits .....
............................... 23
24Working families tax credit
25Certain nonrefundable credits from line 3 of Schedule CR .....
........ 25
26Add credits on lines 20 through 25 ...............................................26
27Subtract line 26 from line 19. If line 26 is larger than line 19, ll in 0 .....
................27
28Alternative minimum tax. Enclose Schedule MT.....................................28
29Add lines 27 and 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30Married couple
credit. Enclose Schedule 2, page 4 ..30
31
Other credits from Schedule CR, line 15 .....
......31
32Net income tax paid to another state.
Enclose Schedule
OS ..................32
Find credit from
table page 24 ...
22a
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Find credit from
table page 25 ...
22b
If line 14 is less than $10,000
($19,000 if married ling joint),
see page 25 . . .24
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NO COMMAS; NO CENTS
Form 1 (2009) Page 2 of 4
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42Amount from line 41 ...........................................................42
43Wisconsin tax withheld. Enclose withholding statements ....
...43
442009 estimated tax payments and amount
applied from
2008 return ................................44
45
Earned income credit
. Number of qualifying children ...
Federal
credit. . . . .x
% = ..
........45
46Farmland preservation credit. Enclose Schedule FC ....
......46
47Repayment credit (see page 30) .....
.....................47
48Homestead credit. Enclose Schedule H or H‑EZ .....
.........48
49Farmland tax relief credit.
Property taxes
on
farmland ...x .18 = ..........49
50
Eligible veterans and surviving spouses property tax credit .....50
51
Other credits from Schedule CR, line 22.
Enclose Schedule CR ...51
52Add lines 43 through 51 ....
...................................................52
53If
line 52 is larger than line 42, subtract line 42 from line 52.
This is the AMOUNT YOU OVERPAID............................................53
54Amount of
line 53 you want REFUNDED TO YOU.
..................................54
55Amount of line 53 you want
APPLIED TO YOUR 2010 ESTIMATED T
AX................55
56If line
52 is smaller than line 42, subtract line 52 from line 42. This is the
AMOUNT YOU OWE. Paper clip payment
to front of return ...........................56
57Underpayment interest. Fill in
exception code ‑ See Sch. U57
Also include on line 56 (see page 33)
NO COMMAS; NO CENTS
Name(s) shown on Form 1 Your social security number
Form 1 (2009) Page 3 of 4
Mail your return to: Wisconsin Department of Revenue
If tax due .....................................PO Box 268, Madison WI 53790‑0001
If refund or no tax due
................PO Box 59,
Madison WI 53785‑0001
If homestead credit claimed
........PO
Box
34,
Madison WI 53786‑0001
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Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best of my knowledge and belief.
Your signature Spouse’s signature (if ling jointly, BOTH must sign) Date Daytime phone
( )
Sign here
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Paper clip copies of your federal income tax return and schedules to this return.
Assemble your return (pages 1-4) and withholding statements in the order listed on page 34.
Third
Party
Designee
Designee’s
name
Phone
no.
( )
Personal
identication
number (PIN)
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Do you want to allow another person to discuss this return with the department (see page 34)? YesComplete the following.No
For Department Use Only
R
C
TMAN
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Do Not Submit
Photocopies
Return to Page 1
Go to Page 4
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NO COMMAS; NO CENTS
1Medical and dental expenses from line 4, federal Schedule A. See instructions for
exceptions .....
............................................................... 1
2Interest paid from line 15, federal Schedule A. Do not include interest paid on a
second home located outside Wisconsin or on a residence which is a boat. Also,
do not include interest paid to purchase or hold U.S. government securities ................. 2
3Gifts to charity from line 19, federal Schedule A. See instructions
for exceptions .............. 3
4Casualty losses from line 20, federal Schedule A, only if
the loss is directly related to
a federally‑declared disaster ......................................................4
5Add lines 1 through 4 ....
....................................................... 5
6Fill in your standard deduction from line 15 on page 2 of Form 1 ..........................6
7Subtract line 6 from line 5. If line 6 is more than line 5, ll in 0 ............................7
8Rate of credit is .05 (5%) ......................................................... 8
9
Multiply line 7 by line 8. Fill in here and on line 20 on page 2 of Form 1 .................... 9
1Taxable wages, salaries, tips, and other employee
compensation. Do
NOT include deferred compensation,
interest, dividends, pensions, unemployment
compensation, or other unearned income ..............
1
2Net prot or (loss) from self-employment from
federal Schedules
C, C‑EZ, and F (Form 1040),
Schedule K‑1 (Form 1065), and any other taxable
self‑employment or earned income ...................
2
3Combine lines 1 and 2. This is earned
income ..........3
4Add amounts from your federal Form 1040, lines
24, 28,
and 32, plus repayment of supplemental unemployment
benets, and contributions to secs. 403(b) and 501(c)(18)
pension plans included in line 36, and any Wisconsin
disability income exclusion. Fill in the total of these
adjustments that apply to your or your spouse’s income ...
4
5Subtract line 4 from line 3. This is qualied
earned income. If less than zero, ll in 0 ...
............5
6Compare the amounts in columns (A) and (B) of line 5.
Fill in the smaller amount here. If more than $16,000, ll in $16,000 ...
.....6
7Rate of credit is .03 (3%) ..........................................7
8
Multiply line 6 by line 7. Fill in here and on line 30 on page 2 of Form 1 ....
.8
Schedule 2 – Married Couple Credit When Both Spouses Are Employed (see page 26)
When completing this schedule, be sure to ll in your income in column (A) and your spouse’s income in column (B)
(B) SPOUSE
Do not ll in
more than $480.
x .03
(A) YOURSELF
Form 1 (2009) Page 4 of 4
Schedule 1 – Itemized Deduction Credit (see page 22)
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You must submit this page with Form 1 if you claim either of these credits
NameSSN
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Return to Page 1
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