Form 1npr - Nonresident & Part-Year Resident Wisconsin Income Tax - 2012 Page 2
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1
2
3
4Name
SSN
2 of 4
2012
Form 1NPR
Page
A. Federal column
B. Wisconsin column
Adjustments to Income
17 RESERVED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Not deductible for Wisconsin
18 Certain business expenses of reservists, performing artists, and
fee-basis government officials (see page 21) . . . . . . . . . . . . . . . . . . . . . 18
.00
.00
.00
.00
19 Health savings account deduction (see page 21) . . . . . . . . . . . . . . . . . . 19
.00
.00
20 Moving expenses (see page 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
.00
.00
21 Deductible part of self-employment tax (see page 21) . . . . . . . . . . . . . . . 21
22 Self-employed SEP, SIMPLE, and qualified plans (see page 21) . . . . . . 22
.00
.00
.00
.00
23 Self-employed health insurance deduction (see page 21) . . . . . . . . . . . 23
.00
.00
24 Penalty on early withdrawal of savings (see page 21) . . . . . . . . . . . . . . . 24
.00
.00
25 Alimony paid (see page 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
.00
.00
26 IRA deduction (see page 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
.00
.00
27 Student loan interest deduction (see page 22) . . . . . . . . . . . . . . . . . . . . 27
Not deductible for Wisconsin
28 RESERVED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Not deductible for Wisconsin
29 Domestic production activities deduction (see page 22) . . . . . . . . . . . . 29
30 Other adjustments included in Form 1040, line 36 (see page 22)
.00
.00
(list type and amount)
30
.00
.00
31 Total adjustments to income. Add lines 17 through 30 . . . . . . . . . . . . . 31
Adjusted Gross Income
.00
32 Wisconsin income. Subtract line 31, column B from line 16, column B . . 32
.00
33 Federal income. Subtract line 31, column A from line 16, column A . . . . 33
34 Divide line 32 by line 33. Carry the decimal to four places. If amount
on line 32 is more than amount on line 33, fill in 1.0000.
.
. . . 34
(See page 22)
Tax Computation
35 Fill in the larger of Wisconsin income from line 32, column B or federal income from line 33,
.00
column A. But, if Wisconsin income from line 32 is zero or less, fill in 0 (zero) . . . . . . . . . . . . . . 35
36a If you (or your spouse) can be claimed as a dependent on anyone else’s return, check here
and see the “Exception” in the instructions for line 36c on page 22 . . . . . . . . . . . . . . . . . . . . . . . 36a
36b Aliens (see page 22 to determine if you must check line 36b) . . . . . . . . . . . . . . . . . . . . . . . . . . . 36b
.00
36c Find the standard deduction for amount on line 33 using table on page 37 . . . . . . . . . . . . . . . . . 36c
37 Subtract line 36c from line 35. If line 36c is more than line 35, fill in 0 (zero) . . . . . . . . . . . . . . . . 37
.00
38 Exemptions (Caution: see page 23)
.00
a Fill in exemptions from your federal return
x $700 . . 38a
.00
b Check if 65 or older
You +
Spouse =
x $250 . . 38b
.00
c Add lines 38a and 38b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38c
39 Subtract line 38c from line 37. If line 38c is more than line 37, fill in 0 (zero) . . . . . . . . . . . . . . . . 39
.00
40 Tax (see table on page 40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
.00
41 Itemized deduction credit.
.00
. . . . 41
Complete Schedule 1 (page 4, Form 1NPR)
42 School property tax credits (part-year and full-year residents only)
}
.00
Find credit from
a
Rent paid in 2012–heat included
.00
42a
table page 24 . . . .
.00
Rent paid in 2012–heat not included
Find credit from
.00
.00
b
Property taxes paid on home in 2012
42b
table page 25 . . . .
.00
43 Add credits on lines 41, 42a, and 42b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
44 Subtract line 43 from line 40. If line 43 is more than line 40, fill in 0 (zero) . . . . . . . . . . . . . . . . . 44
.00
x .
45 Fill in ratio from line 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
.00
46 Multiply line 44 by ratio on line 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
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