Form 1x - Amended Return Wisconsin Income Tax - 2013 Page 4
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44 of 4
2013
Name
SSN
Form 1X
Page
Schedule 1
– Itemized Deduction Credit
(Fill in completely if any item is changed. If this credit was not claimed on your original return, enclose federal Schedule A.)
1 Medical and dental expenses from line 4 of federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . .
1
.00
2 Interest paid from lines 10‑12 and 14 of federal Schedule A . Do not include interest paid
to purchase a second home located outside Wisconsin or a residence which is a boat .
.00
Also, do not include interest paid to purchase or hold U .S . government securities . . . . . . . . . .
2
3 Gifts to charity from line 19 of federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
.00
4 Casualty losses from line 20 of federal Schedule A, only if the loss is directly related to
.00
a federally‑declared disaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
.00
5 Add lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
.00
6 Wisconsin standard deduction from line 2 of Form 1X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Subtract line 6 from line 5. If line 6 is more than line 5, fill in 0 . . . . . . . . . . . . . . . . . . . . . . . . .
.00
7
x
.05
8 Rate of credit is .05 (5%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
.00
9 Multiply line 7 by line 8 . Fill in here and on line 7 of Form 1X . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Schedule 2
– Married Couple Credit When Both Spouses Are Employed
(Fill in if changed.)
(A) Yourself
(B) Your spouse
1 Wages, salaries, tips, and other employee compensation .
Do NOT enter unearned income . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
.00
.00
2 Net profit or (loss) from self-employment from federal
Schedules C, C‑EZ, and F
(Form 1040)
, Schedule K‑1
(Form 1065)
,
.00
.00
and any other taxable self‑employment or earned income . . . . . . . . 2
3 Combine lines 1 and 2 . This is earned income . . . . . . . . . . . . . . . . 3
.00
.00
4 Add the amounts from federal Form 1040, lines 24, 28 and 32,
plus repayment of supplemental unemployment benefits, and
contributions to secs . 403(b) and 501(c)(18) pension plans
included in line 36, and any Wisconsin disability income
exclusion . Fill in the total of these adjustments that apply to
.00
.00
your or your spouse’s income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Subtract line 4 from line 3. This is qualified earned income.
If less than zero, fill in 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
.00
6 Fill in the smaller of column (A) or (B) of line 5. If more than $16,000, fill in $16,000
.00
6
x
.03
7 Rate of credit is .03 (3 .0%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Multiply line 6 by line 7 . Fill in here and on line 18 of Form 1X .
Do not fill in more than $480 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
.00
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