Form Wi-Z Draft - Wisconsin Income Tax - 2011 Page 2
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1
2
3WI-Z
Wisconsin
income tax
2011
Your social security number
Spouse’s social security number
Complete form using
BLACK
INK
Your legal last name
Legal first 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.
If a joint return, spouse’s legal last name
Spouse’s legal first name
M .I .
City
Village
Town
City, village,
or town
Home address (number and street). If you have a PO Box, see page 6.
Apt. No.
County of
City or post office
State
Zip code
School district number
(see page 23)
Special
Filing status
conditions
(check below)
Single
Print numbers like this
Married filing joint
return (even if only
NO COMMAS; NO CENTS
one had income)
Wisconsin residents working in Minnesota: Was any of your income from personal or
If Yes, enter Minnesota income
Yes
professional services performed in Minnesota while a Wisconsin resident?
.00
(See instructions, page 7)
No
.00
1 Income from line 4 of federal Form 1040EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 If your parent (
) can claim you (
) as a dependent, check here . . . . 2
or someone else
or your spouse
3 Fill in the standard deduction for your filing status from table, page 31. But if you
.00
checked line 2, fill in the amount from worksheet on back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.00
4 Subtract line 3 from line 1. If line 3 is larger than line 1, fill in 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Deduction for exemptions . Fill in $700 ($1,400 if married, or 0 if you checked
.00
line 2 – see instructions on back) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
6 Subtract line 5 from line 4. If line 5 is larger than line 4, fill in 0. This is your taxable income . . . . . 6
.00
7 Tax. Use amount on line 6 to find your tax using table, page 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 School property tax credit
}
.00
. . . . .
8a Rent paid in 2011 – heat included
Find credit from
.00
8a
table page 13 . . . . .
.00
. .
Rent paid in 2011 – heat not included
Find credit from
.00
.00
8b Property taxes paid on home in 2011
. . .
8b
table page 14 . . . . .
9 Working families tax credit – if line 1 is less than $10,000
.00
($19,000 if married filing joint), see page 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
.00
10 Married couple credit. Wages 10a Yourself
(see instructions
.00
10b Spouse
on reverse side)
.00
.00
10c Fill in smaller of 10a or 10b but no more than $16,000
x .03 = . . 10c
.
00
11 Add credits on lines 8a, 8b, 9, and 10c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
.
00
12 Subtract line 11 from line 7. If line 11 is larger than line 7, fill in 0. This is your net tax . . . . . . . . . . 12
.
00
13 Sales and use tax due on Internet, mail order, or other out-of-state purchases
. . . . 13
(see page 15)
If you certify that no sales or use tax is due, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Donations (decreases refund or increases amount owed)
a Endangered resources
.00
f Firefighters memorial
.00
.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
Total (add lines a through j) . .
14k
.00
15 Add lines 12, 13, and 14k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
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