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

2011 Form 1 Wisconsin Income Tax (Pdf Fillable Format)

1 Federal adjusted gross income (see page 9) ........................................ 1

Form W-2 wages included in line 1 .........................

2 State and municipal interest (see page 9) ........................................... 2

3 Capital gain/loss addition (see page 10) ............................................ 3

4 Other additions

... 4

5 Add the amounts in the right column for lines 1 through 4 ............................... 5

6 State tax refund (Form 1040, line 10) ...................... 6

7 United States government interest ......................... 7

8 Unemployment compensation (see page 12) ................ 8

9 Social security adjustment (see page 12) ................... 9

10 Capital gain/loss subtraction (see page 12) ................. 10

11 Other subtractions

................ 11

12 Add lines 6 through 11 .......................................................... 12

13 Subtract line 12 from line 5. This is your Wisconsin income ............................. 13

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Fill in spouse’s SSN above and

full name here ............................

Wisconsin

income tax

2011

Complete

form using

BLACK INK

I-010i

PAPER CLIP payment here See page 34 before assembling return

For the year Jan. 1-Dec. 31, 2011,

or other tax year

beginning , 2011

ending , 20 .

Tax district

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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¿FH Zip code

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Filing status Check

9 below

Head of household

(see page 8).

Also, check here if married .........

Single

Village TownCity

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.

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SSN above and full name here

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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)

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

Clear

Go to Page 2

33 Add lines 30, 31, and 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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35 Economic development surcharge. Enclose Schedule EDS ........................... 35

36 Sales 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 . . . . . . . . . . . . . . . . . . . . . . . . . .

37 Donations (decreases refund or increases amount owed)

a Endangered resources f Firefighters memorial

b Packers football stadium g Prostate cancer research

c Breast cancer research h Military family relief

d Veterans trust fund i Feeding America

e Multiple sclerosis j Red Cross WI Disaster Relief

Total (add lines a through j) ....

37k

38 Penalties on IRAs, retirement plans, MSAs, etc. (see page 29) . . x .33 = 38

39 Credit repayments and other penalties (see page 29) ................................ 39

40 Add lines 34 through 36, and 37k through 39 ....................................... 40

14 Wisconsin income from line 13 .................................................. 14

15 Standard 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

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17 Exemptions (Caution: See page 22)

a Fill in exemptions from your federal return x $700 . . 17a

b Check if 65 or older You + Spouse = x $250 . . 17b

c Add lines 17a and 17b ...................................................... 17c

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19 Tax (see table on page 38) ..................................................... 19

20 Itemized deduction credit. Enclose Schedule 1, page 4 ............... 20

21 Armed forces member credit

(must be stationed outside U.S. See page 23) ... 21

22 School property tax credit

a Rent paid in 2011–heat included

Rent paid in 2011–heat not included

b Property taxes paid on home in 2011

23 Historic rehabilitation credits .................................... 23

24 Working families tax credit

25 Certain nonrefundable credits from line 6 of Schedule CR ............. 25

26 Add credits on lines 20 through 25 ............................................... 26

27 6XEWUDFWOLQHIURPOLQH,IOLQHLVODUJHUWKDQOLQH¿OOLQ ..................... 27

28 Alternative minimum tax. Enclose Schedule MT ..................................... 28

29 Add lines 27 and 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

30 Married couple credit.

Enclose Schedule 2, page 4 ............ 30

31 Other credits from Schedule CR, line 19 . . . 31

32 Net 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

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see page 25 . . .24

}

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NO COMMAS; NO CENTS

2011

Form 1 Page 2 of 4

Name SSN

.00

Go to Page 3

41 Amount from line 40 ........................................................... 41

42 Wisconsin tax withheld. Enclose withholding statements ...... 42

43 2011 estimated tax payments and amount

applied from 2010 return ............................... 43

44 Earned income credit. Number of qualifying children . . .

Federal

credit. . . . . x % = ......... 44

45 Farmland preservation credit. a Schedule FC, line 18 ....... 45a

b Schedule FC-A, line 13 ..... 45b

46 Repayment credit (see page 31) ......................... 46

47 Homestead credit. Enclose Schedule H or H-EZ ............. 47

48 Eligible veterans and surviving spouses property tax credit .... 48

49 Other credits from Schedule CR, line 29.

Enclose Schedule CR .. 49

50 Add lines 42 through 49 ....................................................... 50

51 If line 50 is larger than line 41, subtract line 41 from line 50.

This is the AMOUNT YOU OVERPAID ............................................ 51

52 Amount of line 51 you want REFUNDED TO YOU ................................... 52

53 Amount of line 51 you want

APPLIED TO YOUR 2012 ESTIMATED TAX ............... 53

54 If 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

55 Underpayment interest. Fill in

exception code - See Sch. U 55

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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.00 .00

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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.

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( )

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

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number (PIN)

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Do you want to allow another person to discuss this return with the department (see page 34)? Yes Complete the following. No

For Department

Use Only

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Do Not Submit

Photocopies

NO COMMAS; NO CENTS

Return to Page 1

Go to Page 4

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1 Medical and dental expenses from line 4, federal Schedule A. See instructions for

exceptions .................................................................... 1

2 Interest 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

3 Gifts to charity from line 19, federal Schedule A. See instructions for exceptions .............. 3

4 Casualty losses from line 20, federal Schedule A, only if the loss is directly related to

a federally-declared disaster ...................................................... 4

5 Add lines 1 through 4 ........................................................... 5

6 Fill in your standard deduction from line 15 on page 2 of Form 1 .......................... 6

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8 Rate 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

1 Taxable wages, salaries, tips, and other employee

compensation. Do NOT include deferred compensation,

interest, dividends, pensions, unemployment

compensation, or other unearned income .............. 1

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federal Schedules C, C-EZ, and F (Form 1040),

Schedule K-1 (Form 1065), and any other taxable

self-employment or earned income ................... 2

3 Combine lines 1 and 2. This is earned income .......... 3

4 Add amounts from your federal Form 1040, lines 24, 28,

and 32, plus repayment of supplemental unemployment

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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

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6 Compare the amounts in columns (A) and (B) of line 5.

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7 Rate 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 27)

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(B) SPOUSE

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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

Name SSN

.00

NO COMMAS; NO CENTS

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