Form 1 Draft - Wisconsin Income Tax - 2013 Page 3
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1
2
3
42013
3 of 4
Form 1
Page
Name(s) shown on Form 1
Your social security number
NO COMMAS; NO CENTS
40 Amount from line 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
.00
.00
41 Wisconsin tax withheld . Enclose withholding statements . . . . . . 41
42 2013 estimated tax payments and amount
applied from 2012 return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
.00
43 Earned income credit . Number of qualifying children . . .
Federal
.00
.00
credit . . . . .
x
% = . . . . . . . . . 43
.00
44 Farmland preservation credit . a Schedule FC, line 18 . . . . . . . 44a
.00
b Schedule FC‑A, line 13 . . . . . 44b
.00
45 Repayment credit (see page 31) . . . . . . . . . . . . . . . . . . . . . . . . . 45
.00
46 Homestead credit . Enclose Schedule H or H‑EZ . . . . . . . . . . . . . 46
.00
47 Eligible veterans and surviving spouses property tax credit . . . . 47
.00
48 Other credits from Schedule CR, line 39 .
. . 48
Enclose Schedule CR
.00
49 Add lines 41 through 48 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
50 If line 49 is larger than line 40, subtract line 40 from line 49 .
.00
This is the AMOUNT YOU OVERPAID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
.00
51 Amount of line 50 you want REFUNDED TO YOU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
52 Amount of line 50 you want
.00
APPLIED TO YOUR 2014 ESTIMATED TAX . . . . . . . . . . . . . . . 52
53 If line 49 is smaller than line 40, subtract line 49 from line 40 . This is the
.00
AMOUNT YOU OWE . Paper clip payment to front of return . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
54 Underpayment interest . Fill in
54
.00
exception code ‑ See Sch . U
Also include on line 53 (see page 34)
Third
Do you want to allow another person to discuss this return with the department
?
Yes
No
(see page 34)
Complete the following .
Party
Personal
Designee’s
Phone
identification
Designee
(
)
name
no .
number (PIN)
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 35.
Sign here
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
(
)
I‑010a
For Department
Mail your return to:
Wisconsin Department of Revenue
Use Only
If tax due .....................................PO Box 268, Madison WI 53790‑0001
C
If refund or no tax due . . . . . . . . . . . . . . . . .PO Box 59, Madison WI 53785‑0001
If homestead credit claimed . . . . . . . .PO Box 34, Madison WI 53786‑0001
Do Not Submit Photocopies
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Parent category: Financial