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Fillable Printable 2016 I-010 Form 1, Wisconsin Income Tax

Fillable Printable 2016 I-010 Form 1, Wisconsin Income Tax

2016 I-010 Form 1, Wisconsin Income Tax

2016 I-010 Form 1, Wisconsin Income Tax

1Federal adjusted gross income (see page 12) .......................................1
Form W‑2 wages included in line 1 .......................
2State and municipal interest (see page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3Capital gain/loss addition (see page 14) ............................................3
4Other additions
...4
5Add the amounts in the right column for lines 1 through 4 ..............................5
6Taxable refund of state income tax (from Form 1040, line 10) ... 6
7United States government interest ........................7
8Unemployment compensation (see page 16) ................ 8
9Social security adjustment (see page 17) ...................9
10Capital gain/loss subtraction (see page 17) .................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
2016
1
I‑010i
PAPER CLIP payment here
See page 6 before assembling return
Tax district
Check below then ll in either the name of city,
village, or town and the county in which you lived
at the end of 2016.
County of
School district number
See page 57
Spouse’s social security number
Your social security numberLegal 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 11. Apt. no.
StateCity or post ofceZip code
Married ling joint return
Filing status Check below
Head of household (see page 12).
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 14.
Fill in total other additions on line 4.
}
Fill in code number and amount, see page 17.
Fill in total other subtractions on line 11.
Legal last name
Legal rst name
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M.I.
If married, fill in spouse’s
SSN above and full name here
.00
.00.00.00.00
.00.00.00
.00.00
For the year Jan. 1‑Dec. 31, 2016, or other tax year
beginning , 2016 ending , 20 .
NO COMMAS; NO CENTS
Print numbers like this Not like this
Use BLACK Ink
Check here if an amended return
32Add lines 29, 30, and 31 ....................................................... 32
33Subtract line 32 from line 28. If line 32 is larger than line 28, ll in 0. This is your net tax ..... 33
34Sales and use tax due on Internet, mail order, or other out‑of‑state purchases (see page 38)34
If you certify that no sales or use tax is due, check here .........................
35Donations (decreases refund or increases amount owed)
aEndangered resources eMilitary family relief ......
bCancer research .....f
Second Harvest/Feeding Amer.
cVeterans trust fund ...g Red Cross WI Disaster Relief
dMultiple sclerosis ....h Special Olympics Wisconsin
Total (add lines a through h) ...
35i
36Penalties on IRAs, retirement plans, MSAs, etc. (see page 39) ..x .33 = 36
37Credit repayments and other penalties (see page 40) ................................ 37
38Add lines 33, 34, 35i, 36 and 37 .................................................38
14Wisconsin income from line 13 ..................................................14
15Standard deduction. See table on page 55, OR ................................ 15
If someone else can claim you (or your spouse) as a dependent, see page 30 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 30)
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 48) .....................................................19
20Itemized deduction credit. Enclose Schedule 1, page 4 ...............20
21Armed forces member credit (must be stationed outside U.S. See page 31) ..21
22School property tax credit
aRent paid in 2016heat included
Rent paid in 2016heat not included
bProperty taxes paid on home in 2016
23Working families tax credit
24Certain nonrefundable credits from line 11 of Schedule CR ...........24
25Add credits on lines 20 through 24 ...............................................25
26Subtract line 25 from line 19. If line 25 is larger than line 19, ll in 0 .....................26
27Alternative minimum tax. Enclose Schedule MT ....................................27
28Add lines 26 and 27 ..........................................................28
29Married couple credit.
Enclose Schedule 2, page 4 ............29
30Other credits from Schedule CR, line 35 ..30
31Net income tax paid to another state.
Enclose Schedule OS ..........31
Find credit from
table page 33 ..22a
}
Find credit from
table page 34 ..22b
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NO COMMAS; NO CENTS
2016
Form 1 Page 2 of 4
NameSSN
.00
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.00
.00
.00
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.00
.00
.00
.00.00
If line 14 is less than $10,000
and if married ling separate, see page 35 ..23
}
39Amount from line 38 .........................................................39
40Wisconsin tax withheld. Enclose withholding statements ..... 40
412016 estimated tax payments and amount
applied from 2015 return ..............................41
42 Earned income credit. Number of qualifying children ..
Federal
credit ....x % = .........42
43Farmland preservation credit. aSchedule FC, line 18 .......43a
bSchedule FCA, line 13 ..... 43b
44Repayment credit (see page 42) ........................ 44
45Homestead credit. Enclose Schedule H or HEZ ............45
46Eligible veterans and surviving spouses property tax credit ... 46
47Other credits from Schedule CR, line 39. Enclose Schedule CR 47
48AMENDED RETURN ONLYAmounts previously paid
(see page 44)
48
49Add lines 40 through 48 ..............................49
50AMENDED RETURN ONLY
Amounts previously refunded
(see page 44)
50
51Subtract line 50 from line 49 ...................................................51
52If line 51 is larger than line 39, subtract line 39 from line 51.
This is the AMOUNT YOU OVERPAID ...........................................52
53Amount of line 52 you want REFUNDED TO YOU ..................................53
54Amount of line 52 you want
APPLIED TO YOUR 2017 ESTIMATED TAX ..............54
55If line 51 is smaller than line 39, subtract line 51 from line 39. This is the
AMOUNT YOU OWE. Paper clip payment to front of return ..........................55
56
Underpayment interest. Fill in exception code See Sch. U
56
Also include on line 55
(see page 46)
Name(s) shown on Form 1 Your social security number
2016
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
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
.00
Third
Party
Designee
Designee’s
name
Phone
no. ( )
Personal
identication
number (PIN)
.00
Do you want to allow another person to discuss this return with the department (see page 47)? YesComplete the following.No
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 6.
.00
Do Not Submit Photocopies
NO COMMAS; NO CENTS
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1Medical and dental expenses from line 4 of federal Schedule A. See instructions for exceptions 1
2Interest paid from lines 1012 and 14 of 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 and
interest from a tax‑option (S) corporation if claimed as a subtraction ....................2
3Gifts to charity from line 19 of federal Schedule A. See instructions for exceptions .........3
4Casualty losses from line 20 of 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
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
2Net prot or (loss) from self-employment from federal
Schedules C, CEZ, 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 the amounts from federal Form 1040, lines 24, 28 and 32,
plus repayment of supplemental unemployment benets,
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 qualied 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
8Multiply line 6 by line 7. Fill in here and on line 29 on page 2 of Form 1 ........ 8
Schedule 2 – Married Couple Credit When Both Spouses Are Employed (see page 36)
When completing this schedule, be sure to fill 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
2016
Form 1 Page 4 of 4
Schedule 1 – Itemized Deduction Credit (see page 30)
x .05
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You must submit this page with Form 1 if you claim either of these credits
NameSSN
.00
NO COMMAS; NO CENTS
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