Form A1 - Wisconsin Income Tax - Wisconsin Department Of Revenue - 1999
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1
2*I10099991*
1A
Wisconsin income tax
1999
Complete form using BLUE or BLACK INK
Your last name
First name and middle initial
You must fill in your social security number
If a joint return, spouse's last name
First name and middle initial
You must fill in spouse's social security number
Home address (number and street)
Quick Refund
Do you qualify? (see page 4)
City or post office
State
Zip code
.
Filing status
Tax district
Election fund
(check only one box)
City
}
Check proper box
If you want $1 to go to the
Single
State Election Campaign
and fill in name of
Village
Fund, check box(es).
Married filing joint return
city, village, or town,
Town
(even if only one had income)
and the county in
You
which you lived at
County of
Head of household
(with qualifying
the end of 1999.
person). Fill in qualifying person's name.
Your spouse
School district
Checking the box(es) will not
Fill in your school district number
(see page 13)
change your tax or refund.
.
1 Wages, salaries, tips, etc.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
(see page 4)
.
2 Interest
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
(see page 5)
.
3 Dividends (from line 9 of federal Form 1040A or 1040) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
.
4 Taxable unemployment compensation. Complete worksheet on page 5 . . . . . . . . . . . . . .
4
.
5 Taxable IRA distributions, pensions and annuities, and social security benefits
.
5
(see page 6)
.
6 Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
.
7 IRA deduction
7
(from line 15 of federal Form 1040A or line 23 of Form 1040)
.
8 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
.
9 Add lines 7 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
.
10 Subtract line 9 from line 6. This is your Wisconsin income . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 If your parent (or someone else) can claim you as a dependent, check here . . . . . . . . .
11
.
12 Tax
12
(Find the tax for amount on line 10 using tax table, page 15. If you checked box 11, see page 14)
13 Dependent credit. First names of dependents _______________________________________
Fill in number of dependents
(do not count
.
x $50 = 13
yourself or your spouse, see page 7) . . . . . . . . . . . . . . .
.
14 Senior citizen credit (Caution: see page 7) . . . . . . . . . . . . . . . . . . . . . .
14
15 Working families tax credit – if line 10 is less than $10,000 ($19,000 if
.
married filing joint), see page 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
.
16 Married couple credit. Complete schedule on reverse side . . . . . . . . . .
16
.
17 Add lines 13 through 16. This is the total of your credits . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
.
18 Subtract line 17 from line 12. If line 17 is larger than line 12, fill in -0-. This is your net tax 18
I-080i
NOW GO TO THE BACK OF THE FORM
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