Form 1 - Wisconsin Income Tax - 2012
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41
Wisconsin
2012
income tax
For the year Jan . 1‑Dec . 31, 2012,
or other tax year
Complete
beginning
, 2012
form using
ending
, 20
.
BLACK
INK
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 7 .
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 2012 .
City
Village
Town
Filing status Check
below
City, village,
Single
or town
Married filing joint return
Legal
Married filing separate return.
County of
last name
Fill in spouse’s SSN above and
Legal
M .I .
School district number
See page 37
full name here . . . . . . . . . . . . . . . . . . . . . . . . . . . .
first name
Head of household
.
If married, fill in spouse’s
(see page 8)
Special
SSN above and full name here
Also, check here if married . . . . . . . . .
conditions
Print numbers like this
Not like this
NO COMMAS; NO CENTS
.00
1 Federal adjusted gross income (see page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
.00
Form W‑2 wages included in line 1 . . . . . . . . . . . . . . . . . . . . . . . .
.00
2 State and municipal interest (see page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
.00
3 Capital gain/loss addition (see page 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
}
Fill in code number and amount, see page 10 .
.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 12) . . . . . . . . . . . . . . . .
8
.00
9 Social security adjustment (see page 12) . . . . . . . . . . . . . . . . . . .
9
.00
10 Capital gain/loss subtraction (see page 12) . . . . . . . . . . . . . . . . . 10
Fill in code number and amount, see page 12 .
}
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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Parent category: Financial