Form 1a Draft - Wisconsin Income Tax - 2015 Page 2
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1
22015
Form 1A
Name
SSN
2
2
Page
of
.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
e Military family relief . . . . . .
.00
.00
b Cancer research . . . .
f Second Harvest/Feeding Amer.
.00
.00
c Veterans trust fund . . .
g Red Cross WI Disaster Relief
.00
.00
d Multiple sclerosis . . . .
h Special Olympics Wisconsin
.00
Total (add lines a through h) . . .
26i
.00
27 Add lines 24, 25, and 26i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
.00
28 Wisconsin income tax withheld. Enclose withholding statements . . . . . . 28
.00
29 2015 estimated tax payments and amount applied from 2014 return . . . 29
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
32
(see page 16)
.00
33 AMENDED RETURN ONLY – amount previously paid
. . . . 33
(see page 18)
.00
34 Add lines 28 through 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
.00
35 AMENDED RETURN ONLY – amount previously refunded
35
(see page 18)
.00
36 Subtract line 35 from line 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
.00
37 If line 36 is more than line 27, subtract line 27 from line 36. This is the
AMOUNT YOU OVERPAID . . 37
.00
38 Amount of line 37 you want
REFUNDED TO YOU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
.00
39 Amount of line 37 you want applied to your 2016 estimated tax . . . . . 39
.00
AMOUNT YOU OWE . . 40
40 If line 36 is less than line 27, subtract line 36 from line 27. This is the
.00
41 Underpayment interest. Fill in exception code – See Sch. U
41
Third
Do you want to allow another person to discuss this return with the department
?
Yes
No
(see page 20)
Complete the following.
Party
Personal
Designee’s
Phone
identification
Designee
(
)
name
no.
number (PIN)
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
(
)
Mail your return to:
If tax due ................................. PO Box 268, Madison WI 53790-0001
If refund or no tax due .... PO Box 59
Wisconsin Department of Revenue
If homestead credit claimed ... PO Box 34, Madison WI 53786-0001
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
.03
5 Rate of credit is .03 (3%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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
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