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Fillable Printable 2011 Form 1 Wisconsin Income Tax (Pdf Fillable Format)

Fillable Printable 2011 Form 1 Wisconsin Income Tax (Pdf Fillable Format)

2011 Form 1 Wisconsin Income Tax (Pdf Fillable Format)

2011 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
4 Other 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
11 Other subtractions
................11
12Add lines 6 through 11..........................................................12
13Subtract line 12 from line 5. This is your Wisconsin income.............................13
0DUULHG¿OLQJVHSDUDWHUHWXUQ
Fill in spouse’s SSN above and
full name here ............................
Wisconsin
income tax
2011
Complete
form using
BLACK INK
1
I-010i
PAPER CLIP payment hereSee page 34 before assembling return
For the year Jan. 1-Dec. 31, 2011,
or other tax year
beginning , 2011
ending , 20 .
Tax district
&KHFNEHORZWKHQ¿OOLQHLWKHUWKHQDPHRIFLW\
village, or town and the county in which you lived
at the end of 2011.
County of
School district number
See page 37
Spouse’s social security numberYour social security number
/HJDO¿UVWQDPHYour legal last name
6SRXVH¶VOHJDO¿UVWQDPHIf a joint return, spouse’s legal last name
Home address (number and street). If you have a PO Box, see page 7. Apt. no.
State&LW\RUSRVWRI¿FHZip code
0DUULHG¿OLQJMRLQWUHWXUQ
Filing status Check
9below
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
.
Legal
last name
Legal
¿UVW name
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M.I.
,IPDUULHG¿OOLQVSRXVH¶V
SSN above and full name here
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.00.00.00
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Wisconsin residents working in Minnesota: Was any of your income from personal or
professional services performed in Minnesota while a Wisconsin resident? (See instructions, page 8)
No
Yes
If Yes, enter Minnesota income
.00
NO COMMAS; NO CENTS
Print numbers like this Æ
Tab to navigate within form. Use mouse to check
applicable boxes, press spacebar or press Enter.
Save
Print
Clear
Go to Page 2
33Add lines 30, 31, and 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
346XEWUDFWOLQHIURPOLQH,IOLQHLVODUJHUWKDQOLQH¿OOLQ7KLVLV\RXUQHWWD[ ...... 34
35Economic development surcharge. Enclose Schedule EDS ........................... 35
36Sales and use tax due on Internet, mail order, or other out-of-state purchases (see page 28) 36
If you certify that no sales or use tax is due, check here . . . . . . . . . . . . . . . . . . . . . . . . . .
37Donations (decreases refund or increases amount owed)
a Endangered resources f Firefighters memorial
bPackers football stadium g Prostate cancer research
cBreast cancer research h Military family relief
dVeterans trust fund i Feeding America
e Multiple sclerosis jRed Cross WI Disaster Relief
Total (add lines a through j) ....
37k
38Penalties on IRAs, retirement plans, MSAs, etc. (see page 29) ..x .33 = 38
39Credit repayments and other penalties (see page 29) ................................39
40Add lines 34 through 36, and 37k through 39 .......................................40
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 22 and check here
166XEWUDFWOLQHIURPOLQH,IOLQHLVODUJHUWKDQOLQH¿OOLQ ..................... 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
186XEWUDFWOLQHFIURPOLQH,IOLQHFLVODUJHUWKDQOLQH¿OOLQ7KLVLVWD[DEOHLQFRPH. . 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 23)...21
22School property tax credit
aRent paid in 2011–heat included
Rent paid in 2011–heat not included
bProperty taxes paid on home in 2011
23Historic rehabilitation credits ....................................23
24Working families tax credit
25Certain nonrefundable credits from line 6 of Schedule CR .............25
26Add credits on lines 20 through 25 ...............................................26
276XEWUDFWOLQHIURPOLQH,IOLQHLVODUJHUWKDQOLQH¿OOLQ .....................27
28Alternative minimum tax. Enclose Schedule MT .....................................28
29Add lines 27 and 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30Married couple credit.
Enclose Schedule 2, page 4 ............30
31Other credits from Schedule CR, line 19 ...31
32Net income tax paid to another state.
Enclose Schedule OS ..........32
Find credit from
table page 24 ...
22a
}
Find credit from
table page 25 ...
22b
If line 14 is less than $10,000
LIPDUULHG¿OLQJMRLQW
see page 25 . . .24
}
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NO COMMAS; NO CENTS
2011
Form 1 Page 2 of 4
NameSSN
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Go to Page 3
41Amount from line 40 ...........................................................41
42Wisconsin tax withheld. Enclose withholding statements ...... 42
432011 estimated tax payments and amount
applied from 2010 return...............................43
44 Earned income credit. Number of qualifying children ...
Federal
credit. . . . .x% = .........44
45Farmland preservation credit. aSchedule FC, line 18.......45a
bSchedule FC-A, line 13.....45b
46Repayment credit (see page 31) .........................46
47Homestead credit. Enclose Schedule H or H-EZ .............47
48Eligible veterans and surviving spouses property tax credit .... 48
49Other credits from Schedule CR, line 29.
Enclose Schedule CR.. 49
50Add lines 42 through 49 .......................................................50
51If line 50 is larger than line 41, subtract line 41 from line 50.
This is the AMOUNT YOU OVERPAID............................................51
52Amount of line 51 you want REFUNDED TO YOU...................................52
53Amount of line 51 you want
APPLIED TO YOUR 2012 ESTIMATED TAX...............53
54If line 50 is smaller than line 41, subtract line 50 from line 41. This is the
AMOUNT YOU OWE. Paper clip payment to front of return ...........................54
55Underpayment interest. Fill in
exception code - See Sch. U55
Also include on line 54 (see page 33)
Name(s) shown on Form 1 Your social security number
2011
Form 1 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
I-010ai
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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.
<RXUVLJQDWXUH6SRXVH¶VVLJQDWXUHLI¿OLQJMRLQWO\%27+PXVWVLJQ'DWH'D\WLPHSKRQH
( )
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
LGHQWL¿FDWLRQ
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
C
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Do Not Submit
Photocopies
NO COMMAS; NO CENTS
Return to Page 1
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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 to purchase
a second home located outside Wisconsin or 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
76XEWUDFWOLQHIURPOLQH,IOLQHLVPRUHWKDQOLQH¿OOLQ ............................7
8Rate of credit is .05 (5%) .........................................................8
9Multiply 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
21HWSUR¿WRUORVVIURPVHOIHPSOR\PHQWIURP
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
EHQH¿WVDQGFRQWULEXWLRQVWRVHFVEDQGF
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
56XEWUDFWOLQHIURPOLQH7KLVLVTXDOL¿HG
HDUQHGLQFRPH,IOHVVWKDQ]HUR¿OOLQ ...............5
6Compare the amounts in columns (A) and (B) of line 5.
)LOOLQWKHVPDOOHUDPRXQWKHUH,IPRUHWKDQ¿OOLQ ........ 6
7Rate of credit is .03 (3%) .......................................... 7
8Multiply 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 27)
:KHQFRPSOHWLQJWKLVVFKHGXOHEHVXUHWR¿OOLQ\RXULQFRPHLQFROXPQ$DQG\RXUVSRXVH¶VLQFRPHLQFROXPQ%
(B) SPOUSE
'RQRW¿OOLQ
more than $480.
x .03
(A) YOURSELF
2011
Form 1 Page 4 of 4
Schedule 1 – Itemized Deduction Credit (see page 22)
x .05
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You must submit this page with Form 1 if you claim either of these credits
NameSSN
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NO COMMAS; NO CENTS
Return to Page 1
Return to Page 1
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