Wisconsin Tax Credit Form

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State of Wisconsin
DEPARTMENT OF REVENUE
EMPLOYEES – TAX CREDIT MAY PERMIT YOU TO CLAIM EXEMPTION
FROM WISCONSIN WITHHOLDING TAX
INCOME TAX CREDIT AVAILABLE
Wisconsin law provides an income tax credit called the Working Families Tax Credit for certain lower-income individuals.
The credit may be claimed on an individual’s 2010 Wisconsin income tax return.
EXEMPTION FROM WITHHOLDING
As a result of the Working Families Tax Credit, some employees will be permitted to claim exemption from having Wis-
consin income tax withheld from the wages they receive during 2010.
DO YOU QUALIFY?
To determine if you can claim exemption from having Wisconsin income tax withheld from wages you receive during 2010
because of the Working Families Tax Credit, answer the following questions:
1. Will you be a legal resident of Wisconsin for the entire year 2010?
Yes. Go to question 2.
No.
Stop. You will not qualify for the Working Families Tax Credit for 2010.
2. Can you be claimed as a dependent on someone else’s 2010 Wisconsin income tax return (for example, by your parents)?
Yes. Stop. You will not qualify for the Working Families Tax Credit for 2010.
No.
Continue. Complete the worksheet below.
3. Worksheet. Must be completed to determine if you may claim exemption from Wisconsin withholding tax (keep this
worksheet for your records).
1. Fill in the total wages you expect to receive in 2010 (from all employers).
1. $
2.
2.
.
3. Fill in the total nonwage taxable income* you expect to receive during 2010.
3.
4.
4.
5. Total 2010 income. Add lines 1 through 4.
5. $
* Examples of nonwage taxable income include interest and dividend income, self-employment income, alimony, and unemployment compensation.
4. (a). If you are unmarried, is line 5 of the Worksheet more than $10,000?
Yes. Stop. You cannot claim exemption from withholding of Wisconsin income tax from your wages.
No. Continue. You may claim exemption from withholding of Wisconsin income tax from your wages. To
and give it to your employer.
(b). If you are married, is line 5 of the Worksheet more than $19,000?
Yes. Stop. You cannot claim exemption from withholding of Wisconsin income tax from your wages.
No. Continue. You may claim exemption from withholding of Wisconsin income tax from your wages. To
and give it to each of your employers.

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