Form Wi Z – Fill Out and Use This PDF

DO NOT STAPLE

Wisconsin

WI-Z income tax

2011

Your social security number

Spouse’s social security number

Complete form using BLACK INK

Your legal last name

Legal irst name

M.I.

Tax district

Check below then ill 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 irst name

M.I.

Village

Town

City

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 ofice

State

Zip code

School district number (see page 23)

Filing status

Special

(check below)

conditions

Single

Married iling joint

Print numbers like this 

return (even if only

NO COMMAS; NO CENTS

one had income)

Wisconsin residents working in Minnesota: Was any of your income from personal or

Yes If Yes, enter Minnesota income

professional services performed in Minnesota while a Wisconsin resident? (See instructions, page 7)

No

.00

ENCLOSE withholding statements

money order here

1 Income from line 4 of federal Form 1040EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 If your parent (or someone else) can claim you (or your spouse) as a dependent, check here . . . . 2

3Fill in the standard deduction for your iling status from table, page 31. But if you

checked line 2, ill in the amount from worksheet on back. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Subtract line 3 from line 1. If line 3 is larger than line 1, ill in 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5Deduction for exemptions. Fill in $700 ($1,400 if married, or 0 if you checked

line 2 – see instructions on back). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Subtract line 5 from line 4. If line 5 is larger than line 4, ill in 0. This is your taxable income. . . . . 6 7 Tax. Use amount on line 6 to ind your tax using table, page 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8School property tax credit

	8a Rent paid in 2011	– heat included	.00	Find credit from
				}table page 13	.....	8a	.00
	Rent paid in 2011	– heat not included . .	.00
			.00	Find credit from			.00
	8b Property taxes paid on home in 2011 . . .			table page 14	.....	8b

9Working families tax credit – if line 1 is less than $10,000

	($19,000 if married iling joint), see page 14			. . . . . . .9				.00
10	Married couple credit. Wages	10a Yourself		.00
	(see instructions
		10b Spouse		.00
	on reverse side)
	10c Fill in smaller of 10a or 10b but no more than $16,000				.00 x .03 = 10c..			.00
11	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Add credits on lines 8a, 8b, 9, and 10c							11
12	Subtract line 11 from line 7. If line 11 is larger than line 7, ill in 0. This is your net tax							12
13	Sales and use tax due on Internet, mail order, or other out-of-state purchases (see page 15) . . . .							13
	If you certify that no sales or use tax is due, check here					. . . . . . . . . . . . . . .

14Donations (decreases refund or increases amount owed)

.00

.00

.00

.00

.00

.00

.00

.00

.00

PAPER CLIP check or

a	Endangered resources	.00
b Packers football stadium		.00
c	Breast cancer research	.00
d Veterans trust fund		.00
e	Multiple sclerosis	.00

f	Firefighters memorial		.00
g	Prostate cancer research		.00
h	Military family relief		.00
i	Feeding America		.00
j	Red Cross WI Disaster Relief		.00
	Total (add lines a through j) . .		14k

.00

I-090i

15 Add lines 12, 13, and 14k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

.00

16	Amount from line 15	. . . . . . . . . . . . . . . . . . . . . . . . . .	16
17	Wisconsin income tax withheld. Enclose readable withholding statements		17
18	If line 17 is larger than line 16, subtract line 16 from line 17 . . . .	. . . . . . .This is YOUR REFUND 18
19	If line 16 is larger than line 17, subtract line 17 from line 16 . . . .	This is the AMOUNT YOU OWE 19

.00

.00

.00

.00

Mail your return to:	Wisconsin Department of Revenue
If refund or no tax due	........ PO Box 59, Madison WI 53785-0001
If tax due	PO Box 268, Madison WI 53790-0001

INSTRUCTIONS

Read “Which Form to File for 2011” on page 3 of the Form 1A instructions to see which form is right for you.

Filling in Your Return Use black ink to complete the copy of the form that you ile with the department. Round off cents to the near- est dollar. Drop amounts under 50¢ and increase amounts from 50¢ through 99¢ to the next dollar. If completing the form by hand, do not use commas when illing in amounts.

Name and Address Print your legal name and address. If you iled a joint return for 2010 and are iling a joint return for 2011 with the same spouse, enter your names and social security numbers in the

same order as on your 2010 return.

Line 2 Dependents Check line 2 if your parent (or someone else) can claim you (or your spouse) as a dependent on his or her return.

Check line 2 even if that person chose not to claim you.

Line 3 If you checked line 2, use this worksheet to igure the amount to ill in on line 3.

A. Wages, salaries, and tips included in
line 1 of Form WI-Z. (Do not include
interest income or taxable scholarships			.00
or fellowships not reported on a W-2.) . . .	A.
B. Addition amount	B.		300.00
C. Add lines A and B. If total is less			.00
than $950, ill in $950	C.
D. Fill in the standard deduction for your			.00
iling status using table, page 31	D.
E. Fill in the SMALLER of line C or D			.00
here and on line 3 of Form WI-Z	E.

Line 5 A personal exemption is not allowed for a person who can be claimed as a dependent on someone else’s return. If you are single and can be claimed as a dependent, ill in 0 on line 5. If you are married and both spouses can be claimed as a dependent, ill in 0 on line 5. If you are married and only one of you can be claimed as a dependent, ill in $700 on line 5.

Lines 8a and 8b School Property Tax Credit You may claim a credit if, during 2011, you paid rent for living quarters used as your primary residence OR you paid property taxes on your home. See the instructions for lines 20a and 20b of Form 1A. The total credits on lines 8a and 8b cannot exceed $300.

Line 9 Working Families Tax Credit You

may claim a credit if line 1 of Form WI-Z is less than $10,000 ($19,000 if married iling a joint return). But, you cannot claim a credit if you can be claimed as a dependent on

another person’s return. See the instructions for line 21 of Form 1A.

Line 10 Married Couple Credit If you are married and you and your spouse were both employed in 2011, you may claim the married couple credit. Complete the following steps:

(1)Fill in your 2011 wages on line 10a. Fill in your spouse’s wages on line 10b.

(2)Fill in the smaller of line 10a or 10b (but not more than $16,000) in the space provided on line 10c.

(3)Multiply the amount determined in Step 2 by .03 (3%).

(4)Fill in the result (but not more than $480) on line 10c.

Line 13 Sales and Use Tax Due on Out-of-State Purchases If you made purchases from out-of-state irms during 2011 and did not pay a sales and use tax, you may owe Wisconsin sales and use tax. See the instructions for line 26 of Form 1A.

Line 14 Donations You may designate amounts as a donation to one or more of the programs listed on lines 14a through 14j. Your donation will either reduce your refund or be added to tax due. Add the amounts on lines 14a through 14j and ill in the total on line 14k.

See the instructions for line 27 of Form 1A for further information on how your donation will be used.

Line 17 Wisconsin Income Tax Withheld Fill in the total amount of Wisconsin income tax withheld as shown on your withholding

statements (W-2s). Do not include income tax withheld for any state other than Wisconsin. Enclose your withholding state-

ments.

Line 18 or 19 Fill in line 18 or 19 to determine your refund or amount you owe. If you owe an amount, paper clip your check or money order to Form WI-Z. See page 19 of the Form 1A instructions for information on paying by credit card or online.

Third Party Designee See page 20 of the Form 1A instructions.

Sign and Date Your Return Form WI-Z is not a valid return unless you sign it. If married, your spouse must also sign.

Enclosures See Form 1A instructions (page 20) for enclosures that may be required. Do not enclose a copy of your federal return.