Schedule Os - Credit For Net Tax Paid To Another Stat - 2012
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1
2SCHEDULE
Credit for Net Tax Paid
OS
2012
to Another State
Wisconsin
u
u
Department of Revenue
Attach to your Wisconsin Form 1, 1NPR, or 2
Name(s) shown on Form 1, 1NPR, or 2
Identifying number
To be eligible for this credit, you must have been a full-year Wisconsin
resident or part-year resident in 2012 and have paid 2012 state income
tax on the same income to Wisconsin and another state.
Be sure to enclose a copy of your
tax return from the other state(s).
NO COMMAS; NO CENTS
State 1
State 2
State 3
State 4
▀ PART I – Income From Other State
Postal abbr. ↑
Postal abbr. ↑
Postal abbr. ↑
Postal abbr. ↑
.00
.00
.00
.00
1 Wages, salaries, tips, etc. . . . . . . . . . . . . .
.00
.00
.00
.00
2 Taxable interest . . . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
3 Ordinary dividends . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
4 Business income / loss . . . . . . . . . . . . . . .
.00
.00
.00
.00
5 Capital gain / loss . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
6 Other gains / losses . . . . . . . . . . . . . . . . . .
7 IRA distributions, pensions, and
.00
.00
.00
.00
annuities . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Rental real estate, royalties, partnerships,
.00
.00
.00
.00
S corporations, trusts, etc. . . . . . . . . . . . . .
.00
.00
.00
.00
9 Farm income / loss . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
10 Unemployment compensation . . . . . . . . . .
.00
.00
.00
.00
11 Social security benefits . . . . . . . . . . . . . . .
.00
.00
.00
.00
12 Other income . . . . . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
13 Add lines 1 through 12 in each column . . .
Adjustments to Income
14 Archer MSA or health savings accounts
.00
.00
.00
.00
deduction . . . . . . . . . . . . . . . . . . . . . . . . . .
15 Business expenses of reservists,
performing artists, and fee-basis
.00
.00
.00
.00
public officials . . . . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
16 Moving expenses . . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
17 Deductible part of self-employment tax . . .
18 Self-employed SEP, SIMPLE, and
.00
.00
.00
.00
qualified plans . . . . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
19 Self-employed health insurance deduction
.00
.00
.00
.00
20 IRA deduction . . . . . . . . . . . . . . . . . . . . . .
.00
.00
.00
.00
21 Student loan interest deduction . . . . . . . . .
.00
.00
.00
.00
22 Other adjustments to income . . . . . . . . . . .
.00
.00
.00
.00
23 Add lines 14 through 22 in each column . .
24 Total income taxed by other state –
.00
.00
.00
.00
subtract line 23 from line 13 . . . . . . . . . . . .
NOW GO TO PART II
I-023i
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