Form 1a - Wisconsin Income Tax - 2011 Page 2
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1
22011
Form 1A
2
2
Page
of
NO COMMAS; NO CENTS
25 Fill in net tax from line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
.00
.00
26 Sales and use tax due on Internet, mail order, or other out-of-state purchases
26
(see page 15)
If you certify that no sales or use tax is due, check here . . . . . . . . . . . . . . . . . . . . . . . .
27 Donations (decreases refund or increases amount owed)
a Endangered resources
f Firefighters memorial
.00
.00
b Packers football stadium
g Prostate cancer research
.00
.00
c Breast cancer research
h Military family relief
.00
.00
d Veterans trust fund
i Feeding America
.00
.00
e Multiple sclerosis
j Red Cross WI Disaster Relief
.00
.00
.00
Total (add lines a through j) . .
27k
.00
28 Add lines 25, 26, and 27k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
.00
29 Wisconsin income tax withheld. Enclose withholding statements . . . . . . 29
.00
30 2011 estimated tax payments and amount applied from 2010 return . . . 30
31 Earned income credit (see page 17)
Qualifying
Federal
.00
.00
children
credit . . .
x
% = . . . 31
.00
32 Homestead credit. Attach Schedule H or H-EZ . . . . . . . . . . . . . . . . . . . 32
33 Eligible veterans and surviving spouses property tax credit (see page 17) 33
.00
.00
34 Add lines 29 through 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
.00
35 If line 34 is more than line 28, subtract line 28 from line 34.
35
This is the AMOUNT YOU OVERPAID
.00
36 Amount of line 35 you want REFUNDED TO YOU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
.00
37 Amount of line 35 you want applied to your 2012 estimated tax . . . . . 37
.00
38 If line 34 is less than line 28, subtract line 34 from line 28. This is the AMOUNT YOU OWE . . 38
39 Underpayment interest. Fill in exception code – See Sch. U
.00
39
(See page 19)
Third
Do you want to allow another person to discuss this return with the department
(see page 20)
?
Yes
Complete the following.
No
Party
Personal
Designee’s
Phone
identification
Designee
(
)
name
no.
number (PIN)
Sign below
Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best of my knowledge and belief.
Your signature
Spouse’s signature (if filing jointly, BOTH must sign)
Date
Daytime phone
(
)
Mail your return to:
Wisconsin Department of Revenue
If tax due ........................................ PO Box 268, Madison WI 53790-0001
If homestead credit claimed ........... PO Box 34, Madison WI 53786-0001
If refund or no tax due .................... PO Box 59, Madison WI 53785-0001
Married Couple Credit When Both Spouses Are Employed
(A) YOURSELF
(B) YOUR SPOUSE
1 Wages, salaries, tips, and other employee compensation from
line 1 of Form 1A. Do not include deferred compensation or
.00
.00
scholarships and fellowships that are not reported on a W-2 . . . . 1
.00
.00
2 IRA deduction, if any, from line 8 of Form 1A . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.00
.00
4 Compare amounts in columns (A) and (B) of line 3. Fill in the
smaller amount here. If more than $16,000, fill in $16,000 . . . . . . . . . . . . . . . . . . . 4
.00
.03
5 Rate of credit is .03 (3%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
X
6 Multiply line 4 by line 5. Round the result and fill in here and on line 22
.00
Do NOT fill in more than
of Form 1A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$480
6
For Department Use Only
C
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