Form 1npr Draft - Nonresident & Part-Year Resident Wisconsin Income Tax - 2012
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18ATS Test 13
Filing Status: Head of Household – Married (WI); Head of Household (federal)
Residency Status: Mary is a part-year resident of WI (moved in); spouse is a nonresident of WI
Other Items of Note: Mary was discharged from active duty military service on 1-Feb-2012, and
subsequently moved to WI with her dependent child for the rest of the year. She provided more than ½
the cost of keeping the home for the child, and lived apart from her spouse for the rest of the year.
Applicable WI Forms: 1NPR, Legal Residency Questionnaire
Applicable Income Forms: W-2 (2)
Applicable Federal Forms: 1040A, 2441, Schedule EIC, 8812, 8867
Taxpayer Information:
Taxpayer:
Spouse:
First name:
Mary
Test
Middle name:
N
Last name:
Sorrel
Sorrel
Address line 1:
123 Anywhere Ave
Address line 2:
City:
Cataract
Unknown
State:
WI
Unknown
Zip code:
54656
SSN:
400-00-5483
400-00-5413
DOB:
04/15/1972
8/16/1970
Other:
Dependent Information:
Dependent 1
Dependent 2
First name:
Sunny
Middle name:
Last name:
Sorrel
Address line 1:
123 Anywhere Ave
Address line 2:
City:
Cataract
State:
WI
Zip code:
54656
SSN:
400-00-5443
DOB:
12/30/2003
Other:
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