Form 1 - Wisconsin Income Tax - 2014 Page 4

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Name
SSN
2014
4 of 4
Form 1
Page
NO COMMAS; NO CENTS
Schedule 1
– Itemized Deduction Credit (see page 23)
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1 Medical and dental expenses from line 4 of federal Schedule A . See instructions for exceptions 1
2 Interest paid from lines 10‑12 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
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interest from a tax‑option (S) corporation if claimed as a subtraction . . . . . . . . . . . . . . . . . . . . 2
.00
3 Gifts to charity from line 19 of federal Schedule A . See instructions for exceptions . . . . . . . . . 3
4 Casualty losses from line 20 of federal Schedule A, only if the loss is directly related to a
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federally‑declared disaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
.00
5 Add lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
6 Fill in your standard deduction from line 15 on page 2 of Form 1 . . . . . . . . . . . . . . . . . . . . . . . 6
7 Subtract line 6 from line 5. If line 6 is more than line 5, fill in 0 . . . . . . . . . . . . . . . . . . . . . . . . . . 7
.00
x .05
8 Rate of credit is .05 (5%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
.00
9 Multiply line 7 by line 8 . Fill in here and on line 20 on page 2 of Form 1 . . . . . . . . . . . . . . . . . . 9
You must submit this page with Form 1 if you claim either of these credits
Return to Page 1
Schedule 2
– Married Couple Credit When Both Spouses Are Employed (see page 27)
When completing this schedule, be sure to fill in your income in column (A) and your spouse’s income in column (B)
(A) YOURSELF
(B) SPOUSE
1 Taxable wages, salaries, tips, and other employee compensation .
Do NOT include deferred compensation, interest, dividends,
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pensions, unemployment compensation, or other unearned income 1
2 Net profit or (loss) from self-employment from federal
Schedules C, C‑EZ, and F (Form 1040), Schedule K‑1 (Form 1065),
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.00
and any other taxable self‑employment or earned income . . . . . . . 2
.00
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3 Combine lines 1 and 2 . This is earned income . . . . . . . . . . . . . . . . 3
4 Add the amounts from federal Form 1040, lines 24, 28 and 32,
plus repayment of supplemental unemployment benefits,
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
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your or your spouse’s income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Subtract line 4 from line 3. This is qualified earned income.
If less than zero, fill in 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
.00
6 Compare the amounts in columns (A) and (B) of line 5 .
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Fill in the smaller amount here. If more than $16,000, fill in $16,000 . . . . . . . . . . . 6
x .03
7 Rate of credit is .03 (3%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Do not fill in
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8 Multiply line 6 by line 7 . Fill in here and on line 29 on page 2 of Form 1 . . . . . . . . 8
more than $480 .
Return to Page 1

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