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2015
1
Wisconsin
income tax
For the year Jan . 1‑Dec . 31, 2015, or other tax year
beginning
, 2015
ending
, 20
.
Check here if an amended return
Legal first name
Your legal last name
M .I .
Your social security number
Spouse’s legal first name
If a joint return, spouse’s legal last name
M .I .
Spouse’s social security number
Home address (number and street) . If you have a PO Box, see page 11 .
Apt . no .
Tax district
Check below then fill in either the name of city,
City or post office
State
Zip code
village, or town and the county in which you lived
at the end of 2015 .
Filing status Check
below
City
Village
Town
Single
City, village,
or town
Married filing joint return
Legal last name
County of
Married filing separate return.
Fill in spouse’s SSN above
Legal first name
M .I .
School district number
and full name here . . . . . . . . . . . . . . .
See page 57
Head of household
.
(see page 12)
Special
If married, fill in spouse’s
Also, check here if married . . .
SSN above and full name here
conditions
Print numbers like this
Not like this
NO COMMAS; NO CENTS
Use BLACK Ink
.00
1 Federal adjusted gross income (see page 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
.00
Form W‑2 wages included in line 1 . . . . . . . . . . . . . . . . . . . . . . .
.00
2 State and municipal interest (see page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
.00
3 Capital gain/loss addition (see page 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
}
Fill in code number and amount, see page 14 .
.00
4 Other additions
Fill in total other additions on line 4
.
.00
. . . 4
.00
.00
.00
.00
.00
5 Add the amounts in the right column for lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
6 Taxable refund of state income tax (from Form 1040, line 10) . . .
6
.00
7 United States government interest . . . . . . . . . . . . . . . . . . . . . . . .
7
.00
8 Unemployment compensation (see page 16) . . . . . . . . . . . . . . . .
8
.00
9 Social security adjustment (see page 17) . . . . . . . . . . . . . . . . . . .
9
.00
10 Capital gain/loss subtraction (see page 17) . . . . . . . . . . . . . . . . . 10
Fill in code number and amount, see page 17 .
}
11 Other subtractions
Fill in total other subtractions on line 11
.
.00
.00
.00
.00
.00
.00
. . . . . . . . . . . . . . . . 11
.00
12 Add lines 6 through 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
.00
13 Subtract line 12 from line 5 . This is your Wisconsin income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
I‑010i
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