Form 1x - Amended Return Wisconsin Income Tax - 2013 Page 2

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2013
Name
SSN
Form 1X
Page
17 Amount from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
.00
.00
18 Married couple credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 18
.00
19 Other credits from Schedule CR, line 28 . . . . . . . . . . . . . . . . . . . . . . . 19
.00
20 Net income tax paid to another state . . . . . . . . . . . . . . . . . . .
20
.00
21 Add lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Subtract line 21 from line 17. If line 21 is more than line 17, fill in 0 . . . . . . . . . . . . . . . . . . . . . . . . . 22
.00
.00
23 Sales and use tax on Internet, mail order, or other out‑of‑state purchases . . . . . . . . . . . . . . . . . . . 23
If you certify that no sales or use tax is due, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24 Donations (decreases refund or increases amount owed)
.00
f Firefighters memorial . . . . .
.00
a Endangered resources
.00
.00
b Packers football stadium
g Military family relief . . . . . .
.00
.00
c Cancer research . . . . . .
h Second Harvest/Feeding Amer .
.00
.00
d Veterans trust fund . . . .
i Red Cross WI Disaster Relief
.00
.00
e Multiple sclerosis . . . . .
j Special Olympics . . . . . . . .
.00
Total (add lines a through j) . .
24k
.00
.00
25 Penalties on IRAs, other retirement plans, MSAs, etc .
x .33 = . . . . . . . . . 25
.00
26 Credit repayments and other penalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27 Add lines 22, 23, and 24k through 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
.00
.00
28 Wisconsin income tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
.00
29 Wisconsin estimated tax payments for 2013 . . . . . . . . . . . . . . . . . . . . 29
30 Earned income credit . Number of qualifying children . . . .
Federal
.00
credit . . . . . .
x
% = . . . . . . . . . 30
.00
31 Farmland preservation credit . a Schedule FC, line 18 . . . . . . . . . . . 31a
.00
.00
b Schedule FC‑A, line 13 . . . . . . . . . . 31b
.00
32 Repayment credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
.00
33 Homestead credit (Enclose Schedule H or H‑EZ) . . . . . . . . . . . . . . . . 33
.00
34 Eligible veterans and surviving spouses property tax credit . . . . . . . . . 34
.00
35 Other credits from Schedule CR, line 39 . . . . . . . . . . . . . . . . . . . . . . . 35
36 Amount paid with 2013 return, plus additional payments
after it was filed (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
.00
37 Add lines 28 through 36 and fill in total . . . . . . . . . . . . . . . . . . . . . . . . 37
.00
.00
38 Refund from 2013 return (see instructions) . . . . . . . . . . . . . . . . . . . . 38
39 Subtract line 38 from line 37 and fill in result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
.00
NOW GO TO PAGE 3

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