Form 1npr - Nonresident & Part-Year Resident Wisconsin Income Tax - 2012 Page 4
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1
2
3
4Paper clip a copy of your federal income
SSN
4 of 4
tax return and schedules to this return.
2012
Form 1NPR
Page
Refund or Amount You Owe
.00
79 If line 78 is more than line 66, subtract line 66 from line 78.
AMOUNT YOU OVERPAID
79
This is the
.00
80 Amount of line 79 you want
REFUNDED TO YOU
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
.00
81 Amount of line 79 to be
. . . . 81
APPLIED TO YOUR 2013 ESTIMATED TAX
.00
82 If line 78 is less than line 66, subtract line 78 from line 66 . . . . .
82
This is the
AMOUNT YOU OWE
83 Underpayment interest. Fill in exception code – see Sch. U
.00
83
Also include on line 82 (see page 34).
Third
Do you want to allow another person to discuss this return with the department
?
Yes
No
(see page 34)
Complete the following.
Party
Personal
Designee’s
Phone
identification
Designee
(
)
name
no.
number (PIN)
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
Sign
here
For Department
Mail your return to: Wisconsin Department of Revenue
Use Only
(if tax is due)
(if refund or no tax due)
(if amended return)
C
PO Box 268
PO Box 59
PO Box 8991
Madison WI 53790-0001
Madison WI 53785-0001
Madison WI 53708-8991
Schedule 1 – Wisconsin Itemized Deduction Credit
(see line 41 instructions)
1
Medical and dental expenses from line 4, federal Schedule A. See instructions for exceptions . . . .
1
.00
2
Interest paid from line 15, federal Schedule A. See instructions for exceptions . . . . . . . . . . . . . . . .
2
.00
3
Gifts to charity from line 19, federal Schedule A. See instructions for exceptions . . . . . . . . . . . . . .
3
.00
4
Casualty losses from line 20, federal Schedule A only if the loss is directly related to a
.00
federally-declared disaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
.00
5
Add lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
.00
6a Wisconsin standard deduction from Form 1NPR, line 36c . . . . . . . . . . . . . . . . 6a
.
x
6b Ratio from Form 1NPR, line 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b
.00
6c Multiply line 6a by ratio on line 6b. Fill in the result on line 6c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c
Subtract line 6c from line 5. If line 6c is more than line 5, fill in 0 (zero) . . . . . . . . . . . . . . . . . . . . . .
.00
7
7
.
x
05
8
Rate of credit is .05 (5%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
.00
9
Multiply line 7 by line 8. Fill in here and on line 41 of Form 1NPR . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Schedule 2 – Married Couple Credit
May be claimed only when both spouses have earned income taxable by Wisconsin.
(A) YOURSELF
(B) YOUR SPOUSE
1 Wages, salaries, tips, etc., included in column B of line 1 on Form 1NPR.
Do not include deferred compensation (even though reported on a W-2) or
.00
.00
taxable scholarships or fellowships not reported on a W-2 . . . . . . . . . . . . . .
1
2 Net profit or (loss) from self-employment from federal Schedules C, C-EZ,
and F (Form 1040), Schedule K-1 (Form 1065), and any other taxable self-
.00
.00
employment or earned income included in column B on Form 1NPR . . . . . .
2
3 Combine lines 1 and 2. This is your total Wisconsin earned income . . . . . . .
3
.00
.00
4 Add amounts on Form 1NPR, lines 18, 22, 26, and 30, column B. Fill in the
.00
.00
total of these adjustments that apply to your or your spouse’s earned income 4
5 Subtract line 4 from line 3. This is your qualified earned income . . . . . . . . .
.00
.00
5
6 Compare the amount in columns (A) and (B) of line 5. Fill in the
.00
smaller amount here. If more than $16,000, fill in $16,000 . . . . . . . . . . . . . . . . . . . . . . . . . . 6
.
x
03
7 Rate of credit is .03 (3%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Multiply line 6 by line 7. Round the result and fill in here and on line 56 of Form 1NPR.
Do not fill in more than $480 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
.00
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