I
SCHEDULE
ADJUSTMENTS TO CONVERT 2012 FEDERAL
2012
ADJUSTED GROSS INCOME AND ITEMIZED
DEDUCTIONS TO THE AMOUNTS ALLOWABLE
FOR WISCONSIN
Wisconsin
Department of Revenue
u Enclose with Wisconsin Form 1 or Form 1NPR u
Name(s) shown on Form 1 or Form 1NPR
Your social security number
PART I – FEDERAL ADJUSTED GROSS INCOME
(Read instructions before completing Schedule
I
)
1.
Fill in your 2012 federal adjusted gross income from line 37, Form 1040 (line 21, Form 1040A) . . . . . . . . 1
2.
Capital gains and losses (federal Schedule D)
a.
Fill in any loss claimed on line 13, Form 1040, as a positive amount . . . . . . . . 2a
(
)
b.
Fill in any gain reported on line 13, Form 1040 . . . . . . . . . . . . . . . . . . . . . . . . . 2b
c.
Fill in revised capital gain or (loss) from line 13 of revised Form 1040 (attach
revised Schedule D, Form 8949, and any accompanying forms and schedules) 2c
d.
Combine lines 2a, 2b, and 2c—indicate a loss by parentheses . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d
3.
Supplemental schedule of gains or losses (federal Forms 4797 and 4684)
a.
Fill in any loss claimed on line 14, Form 1040, as a positive amount . . . . . . . . 3a
(
)
b.
Fill in any gain reported on line 14, Form 1040 . . . . . . . . . . . . . . . . . . . . . . . . . 3b
c.
Fill in revised gain or (loss) from line 14 of revised Form 1040 (attach revised
Form 4797, Form 4684, and any accompanying forms and schedules) . . . . . . 3c
d.
Combine lines 3a, 3b, and 3c—indicate a loss by parentheses . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3d
4.
Combine lines 1, 2d, and 3d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5.
Other adjustments:
COL. I
COL. II
COL. III
Amount
Amount
determined under
Difference
per 2012
IRC in effect
(see line 5
Description
federal return
for Wisconsin
instructions)
a.
b.
c.
d.
e.
f.
g.
h.
i.
Total difference (combine amounts in Col. III) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5i
6.
Federal adjusted gross income as computed under the Internal Revenue Code in effect for Wisconsin
(combine lines 4 and 5i). Fill in here and on line 1 of Wisconsin Form 1 or line 33 of Form 1NPR.
(Note: The above figures must also be used to complete Columns A and B for each of the lines 1
through 31 of Form 1NPR.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
(See page 2 of form)
I-028