Form 1a - Wisconsin Income Tax - 2014 Page 2
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1
22014
Name
SSN
Page
Form 1A
2
2
of
NO COMMAS; NO CENTS
.00
24 Fill in net tax from line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
.00
25 Sales and use tax due on Internet, mail order, or other out-of-state purchases (see page 14) 25
If you certify that no sales or use tax is due, check here . . . . . . . . . . . . . . . . . . . . . . . . . .
26 Donations (decreases refund or increases amount owed)
.00
.00
a Endangered resources
f Firefighters memorial . . . . .
.00
.00
b Packers football stadium
g Military family relief . . . . . .
.00
.00
h Second Harvest/Feeding Amer.
c Cancer research . . . .
.00
.00
d Veterans trust fund . . .
i Red Cross WI Disaster Relief
.00
.00
e Multiple sclerosis . . . .
j Special Olympics Wisconsin
.00
Total (add lines a through j) . . . .
26k
.00
27 Add lines 24, 25, and 26k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
.00
28 Wisconsin income tax withheld. Enclose withholding statements . . . . . . 28
29 2014 estimated tax payments and amount applied from 2013 return . . . 29
.00
30 Earned income credit (see page 16)
Qualifying
Federal
.00
.00
children
credit . .
x
% = . . 30
.00
31 Homestead credit. Attach Schedule H or H-EZ . . . . . . . . . . . . . . . . . . . . 31
.00
32 Eligible veterans and surviving spouses property tax credit (see page 16) 32
.00
33 Add lines 28 through 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
.00
34 If line 33 is more than line 27, subtract line 27 from line 33. This is the
AMOUNT YOU OVERPAID . . 34
.00
35 Amount of line 34 you want
REFUNDED TO YOU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
.00
36 Amount of line 34 you want applied to your 2015 estimated tax . . . . . 36
.00
37 If line 33 is less than line 27, subtract line 33 from line 27. This is the
AMOUNT YOU OWE . . 37
38 Underpayment interest. Fill in exception code – See Sch. U
.00
38
(See page 18)
Do you want to allow another person to discuss this return with the department
Complete the following.
Third
?
Yes
No
(see page 19)
Party
Personal
Designee’s
Phone
identification
Designee
number (PIN)
name
no.
(
)
Sign below
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 filing jointly, BOTH must sign)
Date
Daytime phone
(
)
If tax due ...................................... PO Box 268, Madison WI 53790-0001
Mail your return to:
Wisconsin Department of Revenue
If homestead credit claimed ......... PO Box 34, Madison WI 53786-0001
If refund or no tax due.................. PO Box 59, Madison WI 53785-0001
Married Couple Credit When Both Spouses Are Employed
(A) YOURSELF
(B) YOUR SPOUSE
1 Wages, salaries, tips, and other employee compensation from
line 1 of Form 1A. Do not include deferred compensation or
.00
.00
scholarships and fellowships that are not reported on a W-2 . . . . .
1
.00
.00
2 IRA deduction, if any, from line 8 of Form 1A . . . . . . . . . . . . . . . . .
2
.00
.00
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Compare amounts in columns (A) and (B) of line 3. Fill in the
.00
smaller amount here. If more than $16,000, fill in $16,000 . . . . . . . . . . . . . . . . . .
4
5 Rate of credit is .03 (3%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.03
5
X
6 Multiply line 4 by line 5. Round the result and fill in here and on line 21
.00
of Form 1A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Do NOT fill in more than $480
6
For Department Use Only
C
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