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                                                                   Wisconsin
                                                                   income tax                                                                                                            2024
                                                                                                                        For the year Jan. 1-Dec. 31, 2024, or other tax year
                                                            1
                                                            Check here if an amended return                             beginning                             , 2024  ending                     , 20      .
                                                           Your legal last name                        Legal first name                              M.I. Your social security number

                                                           If a joint return, spouse’s legal last name Spouse’s legal first name                     M.I. Spouse’s social security number

                                                           Home address (number and street). If you have a PO Box, see page 12.              Apt. no.
                                              DO NOT STAPLE                                                                                               Tax district
                                                                                                                                                          Check below then fill in either the name of the 
                                                           City or post office                                    State         Zip code                  city, village, or town and the county in which you 
                                                                                                                                                          lived at the end of 2024.
                                                             Filing status  Check  below                                                                               City             Village           Town
                                                                   Single                                                                                 City, village,
                                                                                                                                                          or town
                                                                   Married filing joint return
                                                                                                       Legal last name
                                                                   Married filing separate return.                                                        County of 
                                                                   Fill in spouse’s SSN above          Legal first name                              M.I.
                                                                   and full name here  ...............                                                    School district number See page 45

                                                                   Head of household, NOT married                                                         Special
                                                                   (see page 13).                                                                         conditions

                       See page 5 before assembling return         Head of household, married                   If married, fill in spouse’s                       Form 804 filed with return (see page 10)
                                                                   (see page 13).                               SSN above and full name here

                                                             Use BLACK Ink        Print numbers like this                                          Not like this                 NO COMMAS; NO CENTS

                                                             1  Federal adjusted gross income from Form 1040, line 11  .............................                         1                             .00

                                                             2  Adjustments to federal adjusted gross income from Schedule I, line 3 (see page 13) .......                   2                             .00

                                                             3  Add lines 1 and 2. This is your federal adjusted gross income for Wisconsin purposes  .....               3                                .00

                                                                  Form W-2 wages included in line 3 ........................                                            .00

                                                             4  Total additions to income from Schedule AD, line 33. Include Schedule AD (see page 14)  .                    4                             .00

                                                             5  Add lines 3 and 4  ...........................................................                               5                             .00

                                                             6  Total subtractions from income from Schedule SB, line 50. Include Schedule SB (see page 14)
                                                                  Enter as a positive number   ...................................................                           6                             .00

                                                             7  Subtract line 6 from line 5. This is your Wisconsin income ............................                  7                                 .00

                                                              8  Standard deduction.  See table on page 35,       OR             ...............................  8                                        .00
                                                                  If someone else can claim you (or your spouse) as a dependent, see page 15 and check here

                                                              9  Subtract line 8 from line 7. If line 8 is larger than line 7, fill in 0  .......................         9                                .00

                                                             10  Exemptions  (Caution:  See page 15)

                                                                  a  Fill in exemptions allowed  ..................                          x  $700  . . 10a           .00

                                                                  b  Check if 65 or older              You    + Spouse    =                  x  $250  . . 10b           .00

                                                                 c  Add lines 10a and 10b  ......................................................                         10c                              .00

                       PAPER CLIP payment here

                                                            I-010i



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2024 Form 1   Name                                                                              SSN               Page 2 of 5
                                                                                                                  NO COMMAS; NO CENTS
 11  Subtract line 10c from line 9. If line 10c is larger than line 9, fill in 0. This is taxable income  ...  11      .00

 12  Tax (see table on page 38)  .....................................................  12                             .00

 13  Itemized deduction credit. Complete Schedule 1 on page 4   .........                   13      .00

 14  Additional child and dependent care tax credit. Include Schedule WI-2441               14      .00

 15  Blind worker transportation services credit
    Qualifying expenses ..............                                    .00 x 50% =  15           .00

 16  School property tax credit
     a Rent paid in 2024 – heat included                      .00         Find credit from
       Rent paid in 2024 – heat not included                  .00 } table page 19  .  16a           .00
                                                                          Find credit from
     b Property taxes paid on home in 2024                    .00         table page 20  .  16b     .00
 17  Working families tax credit (see page 20)  ........................                    17      .00
 18  Married couple credit. Complete Schedule 2 on page 4  .............                    18      .00
 19  Nonrefundable credits from line 34 of Schedule CR  ................                    19      .00
 20  Net income tax paid to another state. Include Schedule OS ....                         20      .00
 21  Add lines 13 through 20   .......................................................  21                             .00

 22  Subtract line 21 from line 12. If line 21 is larger than line 12, fill in 0. This is your net tax  .....  22      .00

 23  Sales and use tax due on internet, mail order, or other out-of-state purchases (see page 23)   23                 .00
    If you certify that no sales or use tax is due, check here  .........................

 24  Donations. Complete Part I of Schedule 3 on page 5   ................................                    24       .00

 25  Penalties on IRAs, retirement plans, MSAs, etc. (see page 24)  ....                        .00 x .33 =   25       .00

 26  Other penalties (see page 25)  ..................................................               26                .00

 27  Add lines 22 through 26 .......................................................                          27       .00

 28  Wisconsin tax withheld. Include withholding statements  ............                   28      .00

 29  2024 estimated tax payments and amount applied from 2023 return...                     29      .00

 30  Earned income credit. Number of qualifying children  . .
    Federal credit
    (see instructions)                          .00 x                     % =   .........   30      .00

 31  Farmland preservation credit.    Schedulea FC, line 17 . ............                  31a     .00

                                      b Schedule FC-A, line 13  ...........                 31b     .00

 32  Repayment credit (see page 27)   ..............................                        32      .00

 33  Homestead credit. Include Schedule H or H-EZ  ..................                       33      .00

 34  Eligible veterans and surviving spouses property tax credit  .........                34       .00



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2024 Form 1                                                                                                                    Page 3 of 5
Name(s) shown on Form 1                                                                                  Your social security number

                                                                                                                    NO COMMAS; NO CENTS

  35  Refundable credits from Schedule CR, line 40.  Include Schedule CR     35                       .00

  36    AMENDED RETURN ONLY–Amounts previously paid (see page 31)            36                       .00

 37  Add lines 28 through 36  ..............................                 37                       .00

  38    AMENDED RETURN ONLY      Amounts previously refunded (see page 31)  38                       .00

 39  Subtract line 38 from line 37  ..................................................                   39                           .00

 40  If line 39 is larger than line 27, subtract line 27 from line 39.
    This is the AMOUNT YOU OVERPAID                     .........................................        40                           .00

 41  Amount of line 40 you want REFUNDED TO YOU              ................................            41                           .00

 42  Amount of line 40 you want
        APPLIED TO YOUR 2025 ESTIMATED TAX             ..............        42                       .00

 43  If line 39 is smaller than line 27, subtract line 39 from line 27.  
    This is the AMOUNT YOU UNDERPAID   .......................................                          43                            .00

   44   Underpayment interest. Fill in exception code - See Sch. U           .....................      44                            .00

45  Add lines 43 and 44. This is the AMOUNT YOU OWE. Paper clip payment to front of return              45                            .00

46      Interest (see page 33)  ......................................................                  46                            .00

Third   Do you want to allow another person to discuss this return with the department (see page 34)? Yes     Complete the following. No
                                                                                                      Personal
Party          Designee’s                                           Phone                             identification
Designee       name                                                 no.      (         )              number (PIN)

        Paper clip copies of your federal income tax return and schedules to this return. Assemble your return
        (pages 1-5) and withholding statements in the order listed on page 5 of the instructions.

Sign here
        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                                         Date              Daytime Phone                 Wisconsin Identity Protection PIN (7 characters)
                                                                         (      )
Spouse’s signature (if filing jointly, BOTH must sign) Date              Daytime Phone                 Wisconsin Identity Protection PIN (7 characters)
                                                                         (      )
I-010ai                   Only enter a Wisconsin Identity Protection PIN if you received one from the department (see page 34).
               Caution:

Mail your return to:              Wisconsin Department of Revenue  
  If payment enclosed......................... PO Box 268, Madison WI 53790-0001
  If refund or no payment enclosed .... PO Box 59, Madison WI 53785-0001
  If homestead credit claimed ............. PO Box 34, Madison WI 53786-0001

               Do Not Submit Photocopies



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2024 Form 1       Name                                                                   SSN                       Page 4 of 5
                                                                                                             NO COMMAS; NO CENTS

 Schedule 1 – Itemized Deduction Credit  (see page 16)

 1   Medical and dental expenses from federal Schedule A (Form 1040).
    See instructions for exceptions ..................................................                     1                     .00

 2  Interest paid from federal Schedule A (Form 1040). Do not include interest paid
    to purchase a second home located outside Wisconsin or a residence which is a boat. Also,
    do not include interest paid to purchase or hold U.S. government securities and interest from
    a tax-option (S) corporation if claimed as a subtraction ...............................               2                     .00

 3  Gifts to charity from federal Schedule A (Form 1040). See instructions for exceptions ..........       3                     .00

 4  Casualty losses from federal Schedule A (Form 1040)  ...............................                   4                     .00

 5  Add lines 1 through 4  .........................................................                       5                     .00

 6  Fill in your standard deduction from line 8 on page 1 of Form 1 .........................              6                     .00

 7  Subtract line 6 from line 5. If line 6 is more than line 5, fill in 0 ..........................       7                     .00

 8Rate  of credit is 05 (5%)  . ......................................................                     8              x .05 

 9  Multiply line 7 by line 8. Fill in here and on line 13 on page 2 of Form 1  ..................         9                     .00

                      You must submit this page with Form 1 if you claim either of these credits

 Schedule 2 – Married Couple Credit When Both Spouses Are Employed  (see page 20)
 When completing this schedule, be sure to fill in your income in column (A) and your spouse’s income in column (B)

                                                                                         (A)  YOURSELF         (B)  SPOUSE
 1  Taxable wages, salaries, tips, and other employee compensation.
    Do NOT include deferred compensation, interest, dividends,
    pensions, unemployment compensation, or other unearned income                      1               .00                       .00
 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-employment or earned income .......                     2               .00                       .00

 3  Combine lines 1 and 2. This is earned income ................                      3               .00                       .00
 4  Add the amounts from federal Schedule 1 (Form 1040), lines 12,
    16, 20, 24e, 24f, and 24g, and any Wisconsin disability income
    exclusion. Fill in the total of these adjustments that apply
    to you or your spouse’s income  ...........................                        4               .00                       .00
 5  Subtract line 4 from line 3. This is qualified earned income.
    If less than zero, fill in 0  .................................                    5               .00                       .00
 6  Compare the amounts in columns (A) and (B) of line 5.
    Fill in the smaller amount here.  If more than $16,000, fill in $16,000. . . . . . . . . . .   6           .00

 7Rate  of credit is  03 (3%).  .............................................              7                 x .03
                                                                                                                   Do not fill in
 8  Multiply line 6 by line 7. Fill in here and on line 18 on page 2 of Form 1 .........   8                   .00 more than $480.



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2024 Form 1         Name                                                         SSN                                      Page 5 of 5
                                                                                                                 NO COMMAS; NO CENTS

        Schedule 3 – Financial Donations and Anatomical Gift Registration

        Part I – Financial Donations
         1  Donations (decreases refund or increases amount owed)
          a  Endangered resources           .00       e Military family relief fund   .........                    .00
          b Cancer research  .....          .00       f Second Harvest/Feeding America . . . .                     .00
          c  Veterans trust fund  ...       .00       g American Red Cross Badger Chapter                          .00
          d Multiple sclerosis  ....        .00       h Special Olympics Wisconsin   ......                        .00

         2  Total Donations (add lines 1a through 1h). Fill in here and on line 24 on page 2 of Form 1   ....  2                   .00

        Part II – Anatomical Gift (Organ & Tissue Donor) Registration
        You are not required to complete this schedule in order to file this income tax return and pay taxes or receive a refund.

        By completing the information below, you and/or your spouse are authorizing the gift of your organs and tissues upon your death 
        according to sec. 157.06, Wis. Stats., and your name will be added to the Wisconsin Donor Registry. Your gift will be used to help 
        others through transplantation, therapy, research, or education. You may also become a donor, update your registration informa-
        tion, or remove your name from the registry at https://health.wisconsin.gov/donorRegistry/public/donate.html.

        You must be a resident who is at least 15 years of age or an emancipated minor to authorize your name to be included in the 
        Wisconsin Donor Registry. For more information about the Wisconsin Donor Registry, visit donatelifewisconsin.org.

        Do not complete the information below if any of the following apply:
        •  You are already registered in the Wisconsin Donor Registry; or
        •  You are a nonresident or a part-year resident who left Wisconsin. Instead go to donatelife.net to add your name to the donor 
         registry for your current state of residence.

         1  Do you wish to include your name as a potential donor of an anatomical gift in the Wisconsin Donor Registry?
            If you complete the information below, the Department of Revenue will transmit your authorization to the Department of 
          Transportation along with the other information that the Department of Health Services determines necessary to add you 
          to the registry.

          a  Filer:                                                          Sex                Filer’s Date of Birth (mm-dd-yyyy)
             Yes, I wish to be included in the registry of potential donors.     M   F                         M M D  D Y Y      Y Y 

          b  Spouse: (Only if joint return)                                  Sex                Spouse’s Date of Birth (mm-dd-yyyy)

I-010bi      Yes, I wish to be included in the registry of potential donors.     M   F                         M M D  D Y Y      Y Y 






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