Wisconsin Tax Forms

Wisconsin Income Tax 2012

Complete form using BLACK INK. Paper clip payment here. See page 34 before assembling return.

For the year Jan. 1-Dec. 31, 2012, or other tax year beginning , 2012 ending , 20__.

Filing status Check below

Single

Married filing joint return

Married filing separate return. Fill in spouse’s SSN above and full name here

Head of household (see page 8). Also, check here if married

Special conditions

Income and adjustments

1 Federal adjusted gross income (see page 9)

1 Form W-2 wages included in line 1

2 State and municipal interest (see page 9)

3 Capital gain/loss addition (see page 10)

4 Other additions

5 Add the amounts in the right column for lines 1 through 4

6 Taxable refund of state income tax (from Form 1040, line 10)

7 United States government interest

8 Unemployment compensation (see page 12)

9 Social security adjustment (see page 12)

10 Capital gain/loss subtraction (see page 12)

11 Other subtractions

12 Add lines 6 through 11

13 Subtract line 12 from line 5. This is your Wisconsin income

Tax and credits

14 Wisconsin income from line 13

15 Standard deduction

If someone else can claim you (or your spouse) as a dependent

16 Subtract line 15 from line 14

17a Fill in exemptions from your federal return

17b Check if 65 or older You + Spouse

17c Add lines 17a and 17b

18 Subtract line 17c from line 16

19 Tax (see table on page 38)

20 Itemized deduction credit

21 Armed forces member credit

22a Rent paid in 2012 - heat included

22a Rent paid in 2012 - heat not included

22b Property taxes paid on home in 2012

23 Historic rehabilitation credits

24 Working families tax credit

25 Certain nonrefundable credits from Schedule CR, line 8

26 Add credits on lines 20 through 25

27 Subtract line 26 from line 19

28 Alternative minimum tax

29 Add lines 27 and 28

30 Married couple credit

31 Other credits from Schedule CR, line 21

32 Net income tax paid to another state

33 Add lines 30, 31, and 32

34 Subtract line 33 from line 29

35 Economic development surcharge

36 Sales and use tax due on purchases

Donations

Endangered resources

Packers football stadium

Cancer research

Veterans trust fund

Multiple sclerosis

Firefighters memorial

Military family relief

Second Harvest/Feeding America

Red Cross WI Disaster Relief

Special Olympics

37k Total donations

38 Penalties on IRAs, retirement plans, MSAs, etc.

39 Credit repayments and other penalties

40 Add lines 34 through 36, and 37k through 39

Refund or amount owed

41 Amount from line 40

42 Wisconsin tax withheld

43 2012 estimated tax payments and amount applied from 2011 return

44 Earned income credit

45 Farmland preservation credit

46 Repayment credit

47 Homestead credit

48 Eligible veterans and surviving spouses property tax credit

49 Other credits from Schedule CR, line 32

50 Add lines 42 through 49

51 Amount you overpaid

52 Amount you want refunded to you

53 Amount you want applied to your 2013 estimated tax

54 Amount you owe

55 Underpayment interest

Schedule 1 – Itemized Deduction Credit

1 Medical and dental expenses

2 Interest paid

3 Gifts to charity

4 Casualty losses

5 Add lines 1 through 4

6 Standard deduction

7 Subtract line 6 from line 5

8 Rate of credit is .05

9 Multiply line 7 by line 8

Schedule 2 – Married Couple Credit When Both Spouses Are Employed

2 Net profit or loss from self-employment

3 Combine lines 1 and 2

4 Adjustments

5 Subtract line 4 from line 3

6 Compare the amounts in columns (A) and (B)

7 Rate of credit is .03

8 Multiply line 6 by line 7

Third Party Designee

Do you want to allow another person to discuss this return with the department?

Yes No

Signature

Mailing Address / Department Use

Mail your return to:

If tax due: Wisconsin Department of Revenue, PO Box 268, Madison WI 53790-0001

If refund or no tax due: PO Box 59, Madison WI 53785-0001

If homestead credit claimed: PO Box 34, Madison WI 53786-0001