Form 1a - Wisconsin Income Tax - 2011

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1A
Wisconsin
income tax
2011
Your social security number
Spouse’s social security number
Legal first name
Your legal last name
M.I.
Tax district Check below then fill in either the name
of city, village, or town and the county in which you
lived at the end of 2011.
Spouse’s legal first name
If a joint return, spouse’s legal last name
M.I.
City
Village
Town
City, village,
Home address (number and street). If you have a PO Box, see page 6.
Apt. No.
or town
County of
City or post office
State
Zip code
School district number (see page 23)
Special
Filing status
conditions
Single
Complete form using
BLACK
INK
Married filing joint return (even if only one had income)
Print numbers like this 
Fill in qualifying person’s name
Head of household
Also, check here if married.
NO COMMAS; NO CENTS
If Yes, enter Minnesota income
Wisconsin residents working in Minnesota: Was any of your income from personal or
Yes
professional services performed in Minnesota while a Wisconsin resident?
(See instructions, page 7)
.00
No
.00
1 Wages, salaries, tips, etc. (see page 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
.00
2 Interest (see page 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
.00
3 Ordinary dividends
. . . . . . . . . . . . . . . . . . . . . . . . . . 3
(from line 9a of federal Form 1040A or 1040)
.00
4 Capital gain distributions (see page 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
.00
5 Unemployment compensation (from worksheet, page 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
6 Taxable IRA distributions, pensions, and annuities (see page 9) . . . . . . . . . . . . . . . . . . . . . . . 6
.00
7 Add lines 1 through 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
.00
8 IRA deduction (see page 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
.00
9 Student loan interest deduction (see page 10) . . . . . . . . . . . . . . . . . . . 9
.00
10 Medical care insurance deduction (see page 10) . . . . . . . . . . . . . . . . . 10
.00
11 Add lines 8 through 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
.00
12 Subtract line 11 from line 7. This is your Wisconsin income . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 If your parent
can claim you
as a dependent, check here
13
(or someone else)
(or your spouse)
14 Fill in the standard deduction for your filing status from table, page 31. But if
you checked line 13, fill in amount from worksheet, page 11 . . . . . . . . . . . . . . . . . . . . . . . . 14
.00
15 Subtract line 14 from line 12. If line 14 is larger than line 12, fill in 0 . . . . . . . . . . . . . . . . . . 15
.00
16 Exemptions (Caution: see page 11)
.00
a Fill in exemptions from your federal return . . . . . .
x $700 . . 16a
.00
b Check if 65 or older
You +
Spouse =
x $250 . . 16b
.00
c Add lines 16a and 16b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16c
If line 16c is larger than line 15, fill in 0. This is your taxable income
.00
17 Subtract line 16c from line 15.
. . 17
18 Tax. Use amount on line 17 to find your tax using table, page 24 . . . . . . . . . . . . . . . . . . . . 18
.00
19 Armed forces member credit
19
(must be stationed outside U.S., see page 12)
.00
20 School property tax credit
.00
}
a Rent paid in 2011–heat included
Find credit from
.00
.. 20a
table page 13
.00
Rent paid in 2011–heat not included
Find credit from
.00
.00
.. 20b
table page 14
b Property taxes paid on home in 2011
.00
21 Working families tax credit, see page 14 . . . . . . . . . . . . . . . . . . . . . . . 21
.00
22 Married couple credit. Complete schedule on reverse side . . . . . . . . . 22
.00
23 Add lines 19 through 22. This is the total of your credits . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Subtract line 23 from line 18. If line 23 is larger than line 18, fill in 0. This is your net tax . . 24
.00
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