2018_TaxReturn (1)
2018_TaxReturn (1)
Form
1040 U.S. Individual Income Tax Return 2018
Department of the Treasury—Internal Revenue Service (99)
OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.
Filing status: Single Married filing jointly Married filing separately Head of household Qualifying widow(er)
Your first name and initial Last name Your social security number
Cindy K Krueger 394-64-5969
Your standard deduction: Someone can claim you as a dependent You were born before January 2, 1954 You are blind
If joint return, spouse's first name and initial Last name Spouse’s social security number
Spouse standard deduction: Someone can claim your spouse as a dependent Spouse was born before January 2, 1954 Full-year health care coverage
Spouse is blind Spouse itemizes on a separate return or you were dual-status alien or exempt (see inst.)
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
(see inst.)
435 Harrison St You Spouse
City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6. If more than four dependents,
Waterloo WI 53594 see inst. and here a
Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see inst.):
(1) First name Last name Child tax credit Credit for other dependents
Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation If the IRS sent you an Identity Protection
F
Interest expense
Contributions
Misc. deductions
Total itemized/
standard deduction 6,350. 12,000.
QBI deduction
Other taxes 0. 0.
Amount owed
Applied to next
year’s estimated tax
If you are owed a federal tax refund, you have a right to choose how you will receive the
refund. There are several options available to you. Some options cost money and some
options are free. Please read about these options below.
You can file your federal tax return electronically or by paper and obtain your federal tax refund directly
from the Internal Revenue Service ("IRS") for free. If you file your tax return electronically, you can
receive a refund check directly from the IRS through the U.S. Postal Service in 21 to 28 days
from the time you file your tax return or the IRS can deposit your refund directly into your
bank account in less than 21 days from the time you file your tax return unless there are
delays by the IRS. If you file a paper return through the U.S. Postal Service, you can receive
a refund check directly from the IRS through the U.S. Postal Service in 6 to 8 weeks from the
time the IRS receives your return or the IRS can deposit your refund directly into your bank
account in 6 to 8 weeks from the time the IRS receives your return. However, if your return
contains Earned Income Tax Credit or Additional Child Tax Credit, the IRS will issue your
refund no earlier than February 15, 2019.
You can file your tax return electronically, select the Refund Processing Service ("RPS")
for an additional fee of $39.99 (the "RPS fee"), and have your federal income tax refund processed
through a processor using bank services of a financial institution. The RPS allows your refund to
be deposited into a bank account intended for one-time use at Civista Bank ("Bank") and deducts
your TurboTax fees and other fees you authorize from your refund. The balance is delivered to you
via the disbursement method you select. If you file your tax return electronically and select the
RPS, the IRS will deposit your refund with Bank. Upon Bank's receipt of your refund, Santa Barbara Tax
Products Group, LLC, a processor, will deduct and pay from your refund the RPS fee, any fees
charged by TurboTax for the preparation and filing of your tax return and any other amounts
authorized by you and disburse the balance of your refund proceeds to you. Unless there are delays
by the IRS, refunds are received in less than 21 days from the time you file your tax return
electronically. However, if your return contains Earned Income Tax Credit or Additional Child Tax
Credit, the IRS will issue your refund no earlier than February 15, 2019.
The RPS is not necessary to obtain your refund. If you have an existing bank account,
you do not need to use the RPS, which requires the payment of a fee, in order to receive a
direct deposit from the IRS. You may consult the IRS website (irs.gov) for information
about tax refund processing.
If you select the RPS, no prior debt you may owe to Bank will be deducted from your
refund.
You can change your income tax withholdings which might result in you receiving additional
funds throughout the year rather than waiting to receive these funds potentially in an
income tax refund next year. Please consult your employer or tax advisor for additional
details.
The chart below shows the options for filing your tax return (e-file or paper return), the RPS
product, refund disbursement options, estimated timing for obtaining your tax refund
proceeds, and costs associated with the various options.
WHAT TYPE WHAT ARE YOUR WHAT IS THE WHAT COSTS DO YOU
OF FILING DISBURSEMENT ESTIMATED TIME TO INCUR IN ADDITION
METHOD? OPTIONS? RECEIVE REFUND? TO TAX PREPARATION
FEES?
1 Youmay incur additional charges from the issuer of the prepaid card if you select to have your tax
refund loaded on a prepaid debit card. Bank is not affiliated with the issuer of the prepaid card.
2 However, if your return contains Earned Income Tax Credit or Additional Child Tax Credit, the IRS
will issue your refund no earlier than February 15, 2019.
Use the 1040 Worksheet to enter all data which will flow to the Form 1040 and Schedules 1- 6.
Use these QuickZooms to jump to the entry sections for Schedules 1- 6 on the 1040 Worksheet:
1040 Worksheet Navigation QuickZooms
QuickZoom to Schedule 1 - Additional Income and Adjustments
QuickZoom to Schedule 2 - Tax section
QuickZoom to Schedule 3 - Nonrefundable credits
QuickZoom to Schedule 4 - Other Taxes
QuickZoom to Schedule 5 - Other Payments and Refundable Credits
QuickZoom to Schedule 6 - Foreign Address and Third Party Designee
For the year January 1 - December 31, 2018, or other tax year
beginning , 2018, ending , 20 .
Home Address (No. and Street). If You Have a P.O. Box, See Instructions. Apt. No.
435 Harrison St
City, Town or Post Office. If you have a foreign address, also complete below. State ZIP Code
Waterloo WI 53594
Filing Status
Check only one box.
All entries for filing status and dependents should be made on the Federal Information Worksheet.
X Single
Married filing jointly (even if only one had income)
Married filing separately. Enter spouse’s SSN above and full name here.
Head of household (with qualifying person). (See instr.) If the qualifying person is a child but not
your dependent, enter this child’s name here.
Qualifying widow(er) (See instructions)
Dependents:
(1) First name Last name (2) (3) (4)
Dependent’s Dependent’s b if qualifies for (see instr):
social security relationship under age Credit for
number to you 17 qualify- other
ing for child dependents
tax credit
11
a Tax. (see instructions). Check if any from:
1 Form(s) 8814
2 Form 4972
3 6,010.
b Total tax. Add any amount from Schedule 2 and check here 11 6,010.
QuickZoom to Schedule 2 - Tax section
16 Federal income tax withheld from Forms W-2 and 1099 16 8,485.
17 a Earned income credit (EIC) No
Nontaxable combat pay election
b Additional child tax credit. Attach Schedule 8812
c American opportunity credit from Form 8863, line 8
Add lines 17a,b,c and any amount from Schedule 5 17
18 Add Lines 16 and 17.
These are your total payments 18 8,485.
QuickZoom to Schedule EIC Worksheet, pg 2 if credit is not calculated QuickZoom
QuickZoom to "due diligence checklist" substitute for Form 8867 QuickZoom
QuickZoom to Schedule 5 - Other Payments and Refundable Credits QuickZoom
Refund:
19 If total Payments is more than total tax, subtract total tax from payments
This is the amount you overpaid 19 2,475.
20 a Amount of overpayment you want refunded to you.
If Form 8888 is attached, check here 20 2,475.
b Routing number 075907099
c Type:
X Checking
Savings
d Account number 404128
21 Amount of overpayment on line 19 you want applied to
your 2019 estimated tax
1-9b Reserved
10 Taxable refunds, credits, or offsets of state and local income taxes (see instr.) 10 0.
11 Alimony received Taxpayer Spouse 11
12 Business income or (loss). Attach Schedule C or C-EZ 12
13 Capital gain or (loss). Attach Schedule D if required.
If not required, check here 13
14 Other gains or (losses). Attach Form 4797 14
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc.
Attach Schedule E 17
18 Farm income or (loss). Attach Schedule F 18
19 Unemployment compensation (see instr.) 19
21 Other income. List type and amount (see instructions).
21
22 Combine the amounts in the far right column for lines 10 through 21.
Enter here and include on Form 1040, line 6 field to left of amount field. 22 0.
Total Income. Combine Form 1040 lines 1- 5b and Schedule 1, line 22 , enter
on Form 1040, line 6. 60,014.
Quickzoom to 1040 Workhseet, line 6 - Total Income QuickZoom
31 a Alimony paid
b Recipient’s SSN G 31 a
32 IRA deduction 32
33 Student loan interest deduction 33 2,000.
34 Tuition and fees. Attach Form 8917 34
35 Reserved 35
36 Add lines 23 through 35 36 2,250.
Cindy K Krueger 394-64-5969 Page 5
Schedule 2 - Tax
57 Self-employment tax.
Attach Schedule SE 57
58 Unreported social security and Medicare tax from Form:
a 4137 b 8919
Explain underreported tips 58
59 Additional tax on IRAs, other qualified retirement plans, etc.
Attach Form 5329 if required 59
60 a Household employment taxes from Schedule H 60 a
b First-time homebuyer credit repayment. Attach Form 5405 if required b
61 Health care: Individual responsibility. Full-year coverage X 61 0.
62 Taxes from:
a Form 8959
b Form 8960
c Instructions; enter code(s) 62
63 Section 965 net tax liability installment from
Form 965-A 63
64 Add lines 57 through 62. Total Other taxes amount 64 0.
Tax after credits: Add lines 64 and line 55c 6,010.
Cindy K Krueger 394-64-5969 Page 6
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and
statements, and to the best of my knowledge and belief, they are true, correct, and accurately list all
amounts and sources of income I received during the year. Declaration of preparer (other than taxpayer)
is based on all information of which preparer has any knowledge.
If the IRS sent you
an Identity Protection
Your Signature Date Your Occupation PIN, enter it here
Teacher G
Spouse’s Signature. If joint, both must sign. Date Spouse’s Occupation
G
Daytime Phone No.
(414)491-6494
Paid Preparer’s Use Only
Print/Type Preparer’s name Preparer’s PTIN Check if:
3rd Party Designee
Preparer’s Signature Self-employed
Date
Form 8960 Form 8960 Worksheet 2018
Lines 4b, 5b, 7, 9, 10
Adjustment for trade or business income not subject to net investment tax
Capital loss carryover adjustment from 2017 for net investment tax purposes
Enter additional adjustments not included above and check the box if a capital gain or loss:
Net gain or loss from disposition of property not subject to net investment tax
Capital gain or loss from sale of property not subject to net investment income tax
Line 9b - State, local, and foreign income taxes allocable to net investment income
1 Reserved 1
2 Enter the amount of state, local, and foreign income taxes that are properly
allocable to investment income 2
3 Enter the amount of other Itemized Deductions subject to the section 68
limitation and properly allocable to investment income before any itemized
deduction limitation:
3
4 Enter the total deductions properly allocable to investment income subject to
the section 68 limitation. Enter the sum of lines 1 through 3 4
5 Enter the amount of total itemized deductions allowed after the section 68
limitation. Form 1040, line 8 5
6 Enter all other itemized deductions allowed but not subject to the section 68
deduction limitation: 6
7 Subtract line 6 from line 5 7
8 Enter the lesser of line 7 or line 4 8
Cindy K Krueger 394-64-5969 Page 3
Part IV - Reconciliation of Schedule A Deductions to Form 8960 plus additional expenses, lines 9 and 10
(A) (B) (C)
Reenter the amounts and descriptions from Part III, lines 1-3 Fraction Column A
(see Help) times B
Miscellaneous Itemized Deductions properly allocable to Investment
Income reportable on Form 8960, line 9c:
1 Reserved
Calculation of Former Passive Activity Suspended Losses Allowed as Deduction Against NII
(a) Activity name (b) Suspended (c) Suspended (d) Used against (e) Used against
12/31/2017 12/31/2018 activity other passive
(a) Activity name (b) Suspended (c) Suspended (d) Used against (e) Used against
12/31/2017 12/31/2018 activity other passive
(a) Activity name (b) Suspended (c) Suspended (d) Used against (e) Used against
12/31/2017 12/31/2018 activity other passive
Federal Information Worksheet 2018
G Keep for your records
Part I ' Personal Information
Information in Part I is completely calculated from entries on Personal Information Worksheets.
Taxpayer: Spouse:
First name Cindy First name
Middle initial K Suffix Middle initial Suffix
Last name Krueger Last name
Social security no. 394-64-5969 Social security no.
Occupation Teacher Occupation
Date of birth 11/30/1959 (mm/dd/yyyy) Date of birth (mm/dd/yyyy)
Age as of 1-1-2019 59 Age as of 1-1-2019
Daytime phone (414)491-6494 Ext Daytime phone Ext
Legally blind Legally blind
Date of death Date of death
Dependent of Someone Else: Dependent of Someone Else:
Can taxpayer be claimed as dependent of another Can spouse be claimed as dependent of another
person (such as parent)? Yes X No person (such as parent)? Yes No
If yes, was taxpayer claimed as dependent on that If yes, was spouse claimed as dependent on that
person’s return? Yes X No person’s return? Yes No
Credit for the Elderly or Disabled (Schedule R): Credit for the Elderly or Disabled (Schedule R):
Is the taxpayer retired on total Is the spouse retired on total
and permanent disability? Yes No and permanent disability? Yes No
Presidential Election Campaign Fund: Presidential Election Campaign Fund:
Does the taxpayer want $3 to go to the Presidential Does the spouse want $3 to go to the Presidential
Election Campaign Fund? Yes X No Election Campaign Fund? Yes No
Part II ' Address and Federal Filing Status (enter information in this section)
US Address:
Address 435 Harrison St Apt no.
City Waterloo State WI ZIP code 53594
Foreign Address: Check this box to use foreign address
Address Apt no.
City
Foreign code Foreign country
Foreign province/county Foreign postal code
APO/FPO/DPO address, check if appropriate APO FPO DPO
Home phone
Check to print phone number on Form 1040 Home X Taxpayer daytime Spouse daytime
Federal filing status:
X 1 Single
2 Married filing jointly
3 Married filing separately
Check this box if you did not live with your spouse at any time during the year
Check this box if you are eligible to claim your spouse’s exemption/blind/over age 65 (see Help)
4 Head of household
If the ’qualifying person’ is your child but not your dependent:
Child’s First name MI Last Name Suff
Child’s social security number
5 Qualifying widow(er)
Check the appropriate box for the year your spouse died 2016 2017
Are you a dependent with a qualifying child Yes No
Enter qualifying person’s name:
Child’s First name MI Last Name Suff
Child’s social security number
Part III ' Dependent/Earned Income Credit/Child and Dependent Care Credit Information
Information in Part III is completely calculated from entries on Dependent/Nondependent Info Worksheets.
Date of birth Date of death Not
(mm/dd/yyyy) (mm/dd/yyyy) qual
credit
Qualified other
Not child/dep Lived dep
C qual care exps with Educ *
Social security o for incurred E taxpyr Tuitn D
First name MI number d child and paid I in and e
Last name Suff Relationship Age e tax cr 2018 C U.S. Fees p
Bridget C 393-21-6746 05/24/2001 X
Krueger Daughter 17 Q X E 12 No
Part IV ' Earned Income Credit Information (you must answer these questions to calculate EIC)
Is the taxpayer or spouse a qualifying child for EIC for another person? Yes No
Was the taxpayer’s (and spouse’s if married filing jointly) home in the United States
for more than half of 2018? Yes No
If the SSN of the taxpayer, or spouse if married filing jointly, was obtained to
get a federally funded benefit, such as Medicaid, and the Social Security card
contains the legend Not Valid for Employment, check this box (see Help)
Check if you are filing head of household and your spouse is a nonresident alien
and you lived with your spouse during the last six months of 2018
Check if you were notified by the IRS that EIC cannot be claimed in 2018 or
if you are ineligible to claim the EIC in 2018 for any other reason
Part V ' Direct Deposit or Direct Debit Information (not applicable for Form 9465)
Do you want to elect direct deposit of any federal tax refund? X Yes No
Do you want to elect direct debit of federal balance due (Electronic filing only)? Yes No
If you selected either of the options above, fill out the information below:
Name of Financial Institution (optional) Farmers and Merchants State Bank
Check the appropriate box Checking X Savings
Routing number 075907099 Account number 404128
Enter the following information only if you are requesting direct debit of balance due:
Enter the payment date to withdraw from the account above
Balance-due amount from this return
American Opportunity and Lifetime Learning Credit, and Tuition and Fees Deduction (Form 8863 and 8917)
For 2018, were you (or your spouse if married) a nonresident alien for any part
of the year, and did not elect to be treated as a resident alien? Yes No
Excludable Income from Am. Samoa, Guam, Commonwealth of the N. Mariana Islands, or Puerto Rico:
Excludable income of bona fide residents of American Samoa, Guam, or the
Commonwealth of the Northern Mariana Islands
Excludable income from Puerto Rico
Taxpayer:
Enter the taxpayer’s state of residence as of December 31, 2018 WI
Check the appropriate box:
Taxpayer is a resident of the state above for the entire year X
Taxpayer is a resident of the state above for only part of year
Date the taxpayer established residence in state above
In which state (or foreign country) did the taxpayer reside before this change?
Spouse:
Enter the spouse’s state of residence as of December 31, 2018
Check the appropriate box:
Spouse is a resident of the state above for the entire year
Spouse is a resident of the state above for only part of year
Date the spouse established residence in state above
In which state (or foreign country) did the spouse reside before this change?
Nonresident states:
Check this box if you are in a Registered Domestic Partnership or a civil union
If you checked the box on the line above, also check the appropriate box below:
Check if this is your individual federal return you are filing with the IRS
Check if this is the joint return created to file joint state tax return (see Help)
Cindy K Krueger 394-64-5969 Page 4
Use the PIN that you signed last year’s tax return with.
Taxpayer’s Prior year PIN
Spouse’s Prior year PIN
These signature PINs are chosen by the taxpayer and spouse and used for e-filing your tax return
Taxpayer’s PIN used to sign the return 56425
Spouse’s PIN used to sign the return
Taxpayer:
Drivers license or state ID number K6261115993006
Issued by what state WI
License or ID license X ID neither decline
Spouse
Drivers license or state ID number
Issued by what state
License or ID license ID neither decline
Personal Information Worksheet 2018
For the Taxpayer
G Keep for your records
QuickZoom to another copy of Personal Information Worksheet
QuickZoom to Federal Information Worksheet
Are you retired on total and permanent disability? (for Schedule R, see Help). Yes No
Check if this person is legally blind Yes X No
If deceased, enter the date of death (mm/dd/yyyy)
Were you under the age of 16 as of 1-1-2019 and this is the first year you
are filing a tax return? Yes No
Part II ' Questions for Individuals Who Could Be Or Are Dependents of Another Taxpayer
1 Can someone (such as your parent) claim you as a dependent? Yes X No
2 If you answered ’Yes’ to question 1, are you actually claimed as a dependent
on that person’s tax return? Yes X No
Questions 3 through 5 are only required for individuals who claim the
American Opportunity Credit.
3 Were you a full-time student during any part of five months during 2018? Yes No
4 Did your earned income exceed one-half of your support? Yes No
5 Was at least one of your parents alive on December 31, 2018? Yes No
Prior year covered or exempt other than short gap exemption for November and
December, supports answer to January and February eligible for short gap exemption
above.
Check if covered or exempt (other than short gap) for prior year November X
Check if covered or exempt (other than short gap) for prior year December X
Check the appropriate box below to indicate the healthcare coverage for this person. Select 12 months
if they were covered all year, select the individual months if they were not covered all year and leave
blank if they did not have minimum essential during any month of the year.
12 months Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
X X X X X X X X X X X X X
Enter any Marketplace-granted coverage exemption for this person below:
Exemption Certificate Number Exemption Start Month Exemption End Month
Enter any other insurance coverage exemption requested for this person below:
Exemption Type Check Full Year or Months Exempt for Each Type
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Full Year
Full Year
Full Year
Marital status
If widowed, check the appropriate box for the year your spouse died:
After 2018 2018 2017 2016 Before 2016
Are you retired on total and permanent disability? (for Schedule R, see Help). Yes No
Check if this person is legally blind Yes No
If deceased, enter the date of death (mm/dd/yyyy)
Were you under the age of 16 as of 1-1-2019 and this is the first year you
are filing a tax return? Yes No
Part II ' Questions for Individuals Who Could Be Or Are Dependents of Another Taxpayer
1 Can someone (such as your parent) claim you as a dependent? Yes No
2 If you answered ’Yes’ to question 1, are you actually claimed as a dependent
on that person’s tax return? Yes No
Questions 3 through 5 are only required for individuals who claim the
American Opportunity Credit.
3 Were you a full-time student during any part of five months during 2018? Yes No
4 Did your earned income exceed one-half of your support? Yes No
5 Was at least one of your parents alive on December 31, 2018? Yes No
Prior year covered or exempt other than short gap exemption for November and
December, supports answer to January and February eligible for short gap exemption
above.
Check if covered or exempt (other than short gap) for prior year November
Check if covered or exempt (other than short gap) for prior year December
Check the appropriate box below to indicate the healthcare coverage for this person. Select 12 months
if they were covered all year, select the individual months if they were not covered all year and leave
blank if they did not have minimum essential during any month of the year.
12 months Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
X X X X X X X X X X X X X
Enter any Marketplace-granted coverage exemption for this person below:
Exemption Certificate Number Exemption Start Month Exemption End Month
Enter any other insurance coverage exemption requested for this person below:
Exemption Type Check Full Year or Months Exempt for Each Type
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Full Year
Full Year
Full Year
NOTE: The ability to set your answers to being the same as last year for the dependent is only
available in Step-by-Step mode and not in Forms mode.
Are the answers to the questions below for this person, to determine
whether they are your dependent, the same as they were last year? Yes No
Dependency code * Q Not a dependent (but is a qualifying person for the earned income
credit and/or the credit for the child and dependent care expenses)
*Dependency code is set based on your selections in the Dependency Exemption/EIC Smart Worksheet
Dependent is disabled
This person is adopted and you are a U.S. citizen or U.S. national
TurboTax Web Only:
Was the adoption final as of December 31, 2018? Yes No
Was the person placed with you for adoption after 2018, or was the adoption
final in 2018 or later? Yes No
The adopted child lived with you all year Yes No
*If the child is adopted, you are a U.S. citizen or U.S. national and they lived with you
all year, they are considered to meet the citizen test and the U.S. citizen box will
automatically be checked yes.
*EIC code is set based on your selections in the Dependency Exemption/EIC Smart Worksheet
Check if this person is not a qualifying child for the child tax credit X
Check if this person is not a qualifying person for the credit for other dependents X
Does coverage in prior year qualify January and February for eligibility for
short gap exemption? See help for additional details. X Yes No
Prior year covered or exempt other than short gap exemption for November and
December, supports answer to January and February eligible for short gap exemption
above.
Check if covered or exempt (other than short gap) for prior year November X
Check if covered or exempt (other than short gap) for prior year December X
Check the appropriate box below to indicate the healthcare coverage for this person. Select 12 months
if they were covered all year, select the individual months if they were not covered all year and leave
blank if they did not have minimum essential during any month of the year.
12 months Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
X X X X X X X X X X X X X
Enter any other insurance coverage exemption requested for this person below:
Exemption Type Check Full Year or Months Exempt for Each Type
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Full Year
Full Year
Full Year
If the IRS sent an Identity Protection PIN for this dependent, enter it here
Form 1040 Forms W-2 & W-2G Summary 2018
G Keep for your records
The forms associated with healthcare (8965, 8962, 1095-A, and this Healthcare Entry Sheet) all interact with
information from the information worksheet. Be sure to enter all personal information including dependents listed on the return
before using this sheet to track health insurance coverage.
Yes No/Partial
X Everyone on the tax return was covered by health insurance all year.
If everyone on the return was covered and there was no Market Place coverage (Form 1095-A) then check the YES box
above - no other action is required.
Health Insurance Coverage for Individuals: Use this form to report healthcare coverage for individuals for months:
? not reported on 1095-A, 1095-B or 1095-C
? not covered by employer
? months not covered by an exemption
Note: The 1095-A information must be entered on Form 1095-A in order to correctly calculate any Premium Tax Credit. The 1095-B
or the 1095-C can be entered directly in the table below.
Note: The IRS is not requiring the 1095-B or 1095-C be filed with the returns. Keep these forms for your records and track the
the months using the checkboxes below.
If applicable enter Market Place exemptions (ECNs) or Request exemptions on form 8965
Note: Do not enter the name, SSN, or date of birth directly on the table below. Instead, enter the information at the bottom of the
Personal Information Worksheet or Dependent and Nondependent Information Worksheet.
Or if you check the box at the top "Yes" that "Everyone on the tax return was covered by health insurance all year." the covered
all 12 months box will be marked for all the individuals below regardless of what is entered on the Personal Information or
Dependent and Nondependent Information Worksheet.
The box at the top, "Everyone on the tax return was covered by health insurance all year" was checked.
The covered all 12 months for each individual below will be checked regardless of the information entered
on the Personal Information and Dependent Nondependent Information worksheets.
Short Gap
Eligible*
Yes No
a. Name of covered individual(s) Covered all
b. SSN c. DOB 12 months Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1 Cindy Krueger Short gap: Yes No
394-64-5969 11/30/59 X T
2 Short gap: Yes No
* See help for explanation of short gap Yes/No box function. It affects the calculation of short gap coverage for January and
February based on answer, which indicates whether coverage at end of prior year qualify months for short gap eligibility.
To review the detail of each person listed on the return (covered, not covered, exempt) and to see any penalty calculation go to the
Health Care Individual Responsibility Smart Worksheet on Form 8965
Completion checkbox:
X Check this box once you are finished with all the healthcare related entries.
Wages, Salaries, & Tips Worksheet 2018
G Keep for your records
The following amounts are included in the total entered on line 1 of Form 1040 or on line 8 of Form 1040NR:
10 Subtotal.
Add lines 1 through 9 60,014. 60,014.
11 Taxable employer-provided dependent care
benefits, from Form 2441
12 Taxable employer-provided adoption benefits
less any excluded benefits from Form 8839
13 Scholarship/fellowship income not on
Form W-2
14 Other non-earned income:
Regular Alternative
Tax Minimum Tax
If you are not reporting a gain on Form 4797, line 7, skip lines 1
through 9 and go to line 10.
1 If you have a section 1250 property in Part III of Form 4797 for
which you made an entry in Part I of Form 4797 (but not Form
6252), enter the smaller of line 22 or line 24 of Form 4797 for that
property. If you did not have any such property, go to line 4. 1
2 Enter the amount from Form 4797, line 26g, for the property for
which you made an entry on line 1 2
3 Subtract line 2 from line 1 3
4 Enter the total unrecaptured section 1250 gain included on lines
26 or 37 of Form(s) 6252 from installment sales of trade or
business property held more than one year 4
5 Enter the total of any amounts reported on a Schedule K-1 from a
partnership or an S corporation as "unrecaptured section 1250
gain". 5
6 Add lines 3 through 5 6
7 Enter the smaller of line 6 or the gain from Form
4797, line 7 7
8 Enter the amount, if any, from Form 4797, line 8 8
9 Subtract line 8 from line 7. If zero or less, enter -0- 9
10 Enter the amount of any gain from sale of an interest in a
partnership attributable to unrecaptured section 1250 gain 10
11 Enter the total of any amounts reported to you as "unrecaptured
section 1250 gain" from an estate, trust, real estate investment
trust or mutual fund
Regular AMT
a On Form 1099-DIV
b On Form 2439
c On Schedule(s) K-1
d On Form 1099-R
e From Form 8814
f Other
Total 11
12 Enter the total of any unrecaptured section 1250 gain from sales
(including installment sales) or other dispositions of section 1250
property held more than 1 year for which you did not make
an entry in Part I of Form 4797 for the year of sale 12
13 Add lines 9 through 12 13
14 If you had any section 1202 gain or collectibles gain or (loss),
enter the total of lines 1 thru 4 of the 28% Rate Gain Worksheet.
Otherwise, enter -0- 14 0. 0.
15 Enter the (loss), if any, from Schedule D, line 7. If Schedule D, line
7, is zero or a gain, enter -0- 15 0. 0.
16 Enter your long-term capital loss carryovers from Schedule D, line
14, and Schedule K-1 (Form 1041), line 11, code C 16
a Enter your capital gain excess, if you are filing Form 2555 a 0.
17 Combine lines 14 through 16a. If the result is a (loss), enter it as a
positive amount. If the result is zero or a gain, enter -0- 17 0. 0.
18 Unrecaptured section 1250 gain. Subtract line 17 from line 13. If
zero or less, enter -0-. If more than zero, enter the result here and
on Schedule D, line 19 18
Schedule D 28% Rate Gain Worksheet 2018
Line 18 G Keep for your records
Regular Alternative
Tax Minimum Tax
1 Enter the total of all collectibles gain or (loss) from items you
reported on Form 8949, Part II 1
2 Enter as a positive number the amount of any section 1202
exclusion you reported in column (g) of Form 8949, Part II, with
code "Q" in column (f), that is 50% of the gain, plus 2/3 of any
section 1202 exclusion you reported in column (g) of Form
8949, Part II, with code "Q" in column (f), that is 60% of the
gain, plus 1/3 of any section 1202 exclusion you reported in
column (g) of Form 8949, Part II, with code "Q" in column (f),
that is 75% of the gain.
50 % 60 % 75%
Exclusion Exclusion Exclusion
a Schedule D
b Form 8814
c Schedule B
d Form 6252
e Form 2439
f Other
Total 2
3 Enter the total of all collectibles gain or (loss) from:
Regular AMT
a Form 4684, line 4 (but only
if line 15 is more than zero)
b Form 6252
c Form 6781, Part II
d Form 8824
Total 3
4 Enter the total of any collectibles gain reported to you on:
Regular AMT
a Form 1099-DIV, box 2d
b Form 2439, box 1d
c Schedule K-1 from a
partnership, S corporation,
estate, or trust
d Disposition of interest in
partnership or S corporation
e Other
Total 4
5 Enter your long-term capital loss carryovers from Schedule D,
line 14, and Schedule K-1 (Form 1041), line 11, code C 5
6 If Schedule D, line 7, is a (loss), enter that (loss) here.
Otherwise, enter -0-. 6
7 Combine lines 1 through 6. If zero or less, enter -0-. If more
than zero, also enter this amount on Schedule D, line 18 7
8 Enter the amount of any capital gain excess 8 0.
9 Subtract line 8 from line 7. If zero or less, enter -0-.
Enter this amount on Schedule D Tax Worksheet, line 11a 9 0. 0.
Form 1040 Schedule D Tax Worksheet 2018
Line 11a G Keep for your records
42 Figure the tax on the amount on line 19. If the amount on line 19 is less than $100,000,
use the Tax Table to figure this tax. If the amount on line 19 is $100,000 or more,
use the Tax Computation Worksheet 42 6,010.
43 Add lines 29, 32, 38, 41, and 42 43 6,010.
44 Figure the tax on the amount on line 1c. If the amount on line 1c is less than $100,000,
use the Tax Table to figure this tax. If the amount on line 1c is $100,000 or more,
use the Tax Computation Worksheet 44 6,010.
45 Tax on all taxable income (including capital gains and qualified dividends).
Enter the smaller of line 43 or line 44. Also include this amount on Form 1040, line 11a 45 6,010.
Form 1040 Qualified Dividends and Capital Gain Tax Worksheet 2018
Line 11a G Keep for your records
1 Prescription medications 1
2 Health insurance premiums:
a Premiums other than self-employed health insurance or reported on a 1095-A 2a
b From Form(s) 1095-A - net of adjustments b
Taxpayer’s portion of 1095-A premiums (total less spouse)
Spouse’s portion of 1095-A premiums, enter the amount
for the spouse, the remaining goes to the taxpayer
c Medicare premiums c
d From Form(s) 1099-R d
NOTE: If LTC premiums are associated with a specific business activity,
enter them directly on the applicable Self-Employed Health and Long-Term
Care Insurance Deduction Worksheet, not on lines 2e - 2j below.
e Taxpayer’s gross long-term care premiums 2e
f Taxpayer’s allowable long-term care premiums f
g Spouse’s gross long-term care premiums g
h Spouse’s allowable long-term care premiums h
i Dep or child under 27 gross long-term care premiums i
j Dep or child under 27 allowable long-term care prem. j
k Total allowable long-term care premiums, sum of lines 2f, 2h, and 2j k
l Taxpayer’s long-term care premiums not deducted as an adjustment to income l
m Spouse’s long-term care premiums not deducted as an adjustment to income m
n Dependent’s long-term care premiums not deducted as an adj to income n
o Other self-employed health insurance not deducted as an adj to income o
3 Fees for doctors, dentists, etc 3
4 Fees for hospitals, clinics, etc 4
5 Lab and x-ray fees 5
6 Expenses for qualified long-term care 6
7 Eyeglasses and contact lenses 7
8 Medical equipment and supplies 8
9 Medical transportation expenses:
a Medical miles driven 9a
b Multiply the number of miles on line 9a by 18 cents
per mile b
c Other medical transportation costs not included above
for example: ambulance fees c
d Total medical transportation expenses (add lines 9b and 9c) 9d
10 Lodging for medical purposes (up to $50 per night per person) 10
11 Other medical and dental expenses:
a 11 a
b b
c c
d d
e e
f f
g g
h h
i i
j j
12 Total of medical and dental expenses (add lines 1 through 11j) 12
13 a Less: insurance reimbursement for any expenses listed 13 a
b Less: medical savings account (MSA) or health savings account (HSA)
distributions b
14 Total deductible medical and dental expenses. Subtract lines 13a plus 13b
from line 12 (to Schedule A, line 1) 14 0.
Tax Payments Worksheet 2018
G Keep for your records
Estimated Tax Payments for 2018 (If more than 4 payments for any state or locality, see Tax Help)
Tot Estimated
Payments
Tax Deductions
b Non-business portion of personal property taxes from Car & Truck Exp Wks
c Other personal property taxes
d Add lines 3a through 3c (to Schedule A, line 5c)
4 Other taxes:
a Other taxes from Schedule(s) K-1
b Foreign taxes from interest and dividends
c Foreign taxes from Schedule(s) K-1
d Other foreign taxes (not used to claim a foreign tax credit)
e Other taxes.
2017 Amount Enter 2018 description:
Interest Deductions
Step 1. List your qualified charitable contributions made during the year.
1 Enter your cash contributions for qualified disaster relief. Do not include this amount on
line 2 below
Step 2. List your other charitable contributions made during the year.
2 Enter your cash contributions to 50% (60%) limit organizations. Do not include contributions
entered on line 1
3 Enter your non-cash contributions to 50% limit organizations. Do not include contributions
of capital gain property deducted at fair market value
4 Enter your contributions to 50% limit organizations of capital gain property deducted at fair
market value
5 Enter your contributions (other than of capital gain property) to organizations that are not
50% limit organizations
6 Enter your contributions "for the use" of any qualified organization
7 Add lines 5 and 6
8 Enter your contributions of capital gain property to or for the use of any qualified
organization. (But do not enter here any amount entered on line 1, 2 or 3)
Step 3. Figure your deduction for the year and your carryover to the next year.
9 Enter your adjusted gross income 57,764.
10 a Multiply line 9 by 0.5. This is your 50% limit. 28,882.
bMultiply line 9 by 0.6. This is your 60% limit. 34,658.
Step 1. List your qualified charitable contributions made during the year.
1 Enter your cash contributions for qualified disaster relief. Do not include this amount on
line 2 below
Step 2. List your other charitable contributions made during the year.
2 Enter your cash contributions to 50% (60%) limit organizations. Do not include contributions
entered on line 1
3 Enter your non-cash contributions to 50% limit organizations. Do not include contributions
of capital gain property deducted at fair market value
4 Enter your contributions to 50% limit organizations of capital gain property deducted at fair
market value
5 Enter your contributions (other than of capital gain property) to organizations that are not
50% limit organizations
6 Enter your contributions "for the use" of any qualified organization
7 Add lines 5 and 6
8 Enter your contributions of capital gain property to or for the use of any qualified
organization. (But do not enter here any amount entered on line 1, 2 or 3)
Step 3. Figure your deduction for the year and your carryover to the next year.
9 Enter your adjusted gross income 57,764.
10 a Multiply line 9 by 0.5. This is your 50% limit. 28,882. less 0. 28,882.
bMultiply line 9 by 0.6. This is your 60% limit. 34,658. less 0. 34,658.
Totals:
Totals:
Part III Contribution Carryovers to 2019
Total Cash and Other Capital Gain
Non-Capital Gain Property Property
1 2018 contributions
2 2018 contributions
allowed 0. 0. 0. 0. 0. 0. 0.
3 Carryovers from:
a 2017 tax year
b 2016 tax year
c 2015 tax year
d 2014 tax year
e 2013 tax year
4 Carryovers
allowed in 2018 0. 0. 0. 0. 0.
5 Carryovers
disallowed in 2018 0. 0. 0. 0. 0.
6 Carryovers to 2019:
a From 2018 0. 0. 0. 0. 0. 0.
b From 2017
c From 2016
d From 2015
e From 2014
f From 2013
FOR STATE USE ONLY: Employee Business Expenses ' Subject to 2% Limitation
Use this worksheet only if someone can claim you, or your spouse if filing jointly, as a dependent.
1 Is your earned income* more than $700?
Yes. Add $350 to your earned income. Enter the total 1
No. Enter $1,050
2 Enter the amount shown below for your filing status.
? Single or married filing separately ' $12,000
? Married filing jointly or Qualifying widow(er) ' $24,000 2 12,000.
? Head of household ' $18,000
3 Standard deduction.
3 a Enter the smaller of line 1 or line 2. If born after January 1, 1954, and not
blind, stop here and enter this amount on Form 1040, line 8. Otherwise go
to line 3b 3a
3 b If born before January 2, 1954, or blind, multiply the number on
Form 1040 Wks, line 39a, by $1,300 ($1,600 if single or head of household) 3b
3 c Add lines 3a and 3b. Enter the total here and on Form 1040, line 8 3c
*Earned income includes wages, salaries, tips, professional fees, and other compensation received for
personal services you performed. It also includes any taxable scholarship or fellowship grant. Generally,
your earned income is the total of the amount(s) you reported on Form 1040, line 1, and Schedule 1,
lines 12 and 18, minus the amou8nt, if any, on Schedule 1, line 27..
Earned Income Worksheet 2018
G Keep for your records
Part IV ' Schedule 8812 and Child Tax Credit Line 11 Worksheet Computations
Gross Income from Property Held for Investment (Form 4952, line 4a)
5 Taxable investment income:
a From Schedule B, Interest and Dividend Income 5a
b From Schedules K-1, Partnerships, S Corporations, Estates and Trusts b
c From Form 8814, Parents’ Election to Report Child’s Interest and Dividends c
d Total d
6 Royalty income, from Schedule E 6
7 Net passive income from publicly traded partnerships 7
8 Income from nonpassive trade or business without material participation 8
9 Other investment income:
a 9a
b b
c c
d d
10 Total investment income. Add lines 5d through 9. 10
If one or more of the boxes below are checked, the earned income credit is not allowed.
1 The total taxable earned income (line 6 above) is equal to or more than:
$15,270 ($20,950 if married filing jointly) without a qualifying child.
X $40,320 ($46,010 if married filing jointly) with one qualifying child.
$45,802 ($51,492 if married filing jointly) with two qualifying children.
$49,194 ($54,884 if married filing jointly) with more than two qualifying children.
6 Without a qualifying child, and your (or your spouse’s, if married filing jointly)
main home is in the U.S. less than half the year.
(Information Worksheet, Part IV)
7 Without a qualifying child, and taxpayer (and spouse if filing joint) are under age 25
or over age 64.
(Information Worksheet, Part I)
8 Without a qualifying child, and taxpayer (or spouse if filing joint) is eligible to be claimed
as a dependent on someone else’s return.
(Information Worksheet, Part I)
9 Social Security Number is invalid for EIC purposes, for taxpayer, (or spouse,
if married filing joint).
(Information Worksheet, Part I)
13 Not a citizen or resident alien for the entire year, claiming dual status.
(Information Worksheet, Part VI)
14 Head of household filing status and lived with nonresident alien spouse during the last six
months of the year.
(Information Worksheet, Part IV)
Cindy K Krueger 394-64-5969 Page 3
1 Is this how long your dependents lived with you in the U.S in 2018?
Is this where you lived with your dependents the longest in 2018?
1 Enter the total interest you paid in 2018 on qualified student loans 1 2,000.
(see Form 1040 instructions).
2 Enter the smaller of line 1 or $2,500 2 2,000.
3 Modified AGI 3 59,764.
Note: If line 3 is $80,000 or more if single, head of household, or qualifying
widow(er) or $165,000 or more if married filing jointly, stop here. You cannot
take the deduction.
4 Enter: $65,000 if single, head of household, or qualifying widow(er);
$135,000 if married filing jointly 4 65,000.
5 Subtract line 4 from line 3. If zero or less, enter -0- here and on line 7, skip
line 6, and go on to line 8 5 0.
6 Divide line 5 by $15,000 or $30,000 if married filing jointly.
Enter the result as a decimal (rounded to at least three places) 6 0.0000
7 Multiply line 2 by line 6 7 0.
8 Student loan interest deduction. Subtract line 7 from line 2. Enter the result
here and on Form 1040, Sch 1, line 33. Do not include this amount in figuring
any other deduction on your return (such as on Schedule A, C, E, etc.) 8 2,000.
* Modified AGI is the amount from Form 1040, line 6, increased by any excludable income from Puerto
Rico, or of bona fide residents of American Samoa, Guam, or the Commonwealth of the Northern
Mariana Islands, and foreign earned income/housing exclusion, and decreased by amounts on
Schedule 1 (Form 1040), lines 23 through 32 and any write-in amount next to line 36, not including the
Foreign housing deduction on line A of the Other Adjustments to Income Smart Worksheet.
Form 1040 Educator Expenses Worksheet 2018
Line 23 G Keep for your records
Caution: Do not enter the same educator expenses on Schedule A or Form 2106. The
program will automatically transfer remaining educator expenses to the
Miscellaneous Itemized Deductions Worksheet.
Taxpayer Spouse
1 Not applicable
2 Enter your total qualified dividends as refigured for
the Alternative Minimum Tax (AMT):
a Total qualified dividends
b Adjustment from Schedules K-1
c Other adjustments to qualified dividends
d Total. Combine lines 2a, 2b, and 2c 0. 0.
3 Enter the amount from Form 4952 for AMT, line 4g
4 Enter the amount from Form 4952 for AMT, line 4e
5 Subtract line 4 from line 3. If zero or less, enter -0- 0. 0.
6 Subtract line 5 from line 2. If zero or less, enter -0- 0. 0.
7 Net long-term capital gain:
a Enter the gain from line 15 of Schedule D
as refigured for the AMT 0.
b Enter the gain from line 16 of Schedule D
as refigured for the AMT 0.
c Enter the smaller of line 7a or line 7b 0. 0.
8 Enter the smaller of line 3 or line 4
9 Subtract line 8 from line 7c. If zero or less, enter -0- 0. 0. 0.
10 Add lines 6 and 9 0. 0.
A Enter the amount from Form 6251, line 6. 0.
B Capital gain excess. Subtract line A from line 10. * 0.
11 Total 28% rate and unrecaptured section 1250 gain:
a Enter the gain from line 18 of Schedule D
as refigured for the AMT 0.
b Enter the gain from line 19 of Schedule D
as refigured for the AMT
c Add lines 11a and 11b 0.
12 Enter the smaller of line 9 or line 11c 0.
13 Subtract line 12 from line 10. Also enter this amount
on Form 6251, line 13. 0.
* Capital gain excess applies only if filing Form 2555, Foreign Earned Income.
Form 6251 Alternative Minimum Tax Worksheet 2018
G Keep for your records
1 Enter the amount from Form 1040, line 10, if more than zero. If Form 1040,
line line 10, is zero, subtract lines 8 and 9 of Form 1040 from line 7 of Form
1040 and enter the result here. (If less than zero, enter as a negative amount.) 1 45,764.
2 Additions to income 2
3 Add lines 1 and 2 3 45,764.
4 Subtractions from income 4
5 Subtract line 4 from line 3. Enter on Form 6251, line 1 5 45,764.
If married filing separately and Form 6251, line 4, is more than $718,800:
1 Alternative minimum taxable income, Form 6251 1
2 Threshold amount 2
3 Subtract line 2 from line 1 3
4 Multiply line 3 by 25% (.25) 4
5 Smaller of line 4 or $54,700 5
6 Add line 1 and line 5. Enter on Form 6251, line 4 6
2017 State Taxes Due Information 2017 Locality Taxes Due Information
2017 State Refund Applied Information 2017 Locality Refund Applied Information
2017 State Tax Refund Information 2017 Locality Tax Refund Information
a 2017
b 2016
c 2015
d 2014
e 2013
a 2018
b 2017
c 2016
d 2015
e 2014
2017 State Capital Loss Carryovers (For users not transferring from the prior year)
State Short-term AMT Short-term Long-term AMT Long-term Capital Loss AMT Capital Loss
ID Capital Loss Capital Loss Capital Loss Capital Loss (combined) (combined)
for State for State for State for State for State for State
Form 8582 Modified Adjusted Gross Income Worksheet 2018
Line 7 G Keep for your records
Description Amount
Income
Wages 60,014.
Interest income before Series EE bond exclusion
Dividend income
Tax refund 0.
Alimony received
Nonpassive business income or loss
Royalty and nonpassive rental activities income or loss
Nonpassive partnership income or loss
Nonpassive S corporation income or loss
Nonpassive farm rental income or loss
Nonpassive farm income or loss
Nonpassive estate and trust income or loss
Real estate mortgage investment conduits
Business gains and losses from nonpassive activities
Capital gains and losses
Taxable IRA distributions
Taxable pension distributions
Unemployment compensation
Other income
Adjustments
Itemized Deductions
Medical and dental
Income or sales tax 3,330. 3,402. 72. 2.16
Real estate taxes
Personal property and other taxes
Interest paid
Gifts to charity
Casualty and theft losses
Miscellaneous
Phaseout of itemized deductions 0. 0.
Total Itemized Deductions 3,330. 3,402. 72. 2.16
Standard or Itemized Deduction 6,350. 12,000. 5,650. 88.98
Exemption Amount 8,100. 0. -8,100. -100.00
Qualified Business Income Deduction
Taxable Income 42,540. 45,764. 3,224. 7.58
Name (s)
Cindy K Krueger
Note: National average amounts have been adjusted for inflation. See Help for details.
Actual National
Selected Income, Deductions, and Credits Per Return Average
The Intuit Electronic Postmark shows the date and time Intuit received your federal tax return. The Intuit
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TIMELY FILING:
For your federal return to be considered filed on time, your return must be postmarked on or before
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to determine your local postmark time. For example, if you are filing in the Eastern Time (ET) zone and
you electronically file your return at 9 AM on April 15, 2019, your Intuit electronic postmark will indicate
April 15, 2019, 6 AM. If your federal tax return is rejected, the IRS still considers it filed on time if the
electronic postmark is on or before April 15, 2019, and a corrected return is submitted and accepted
before April 20, 2019. If your return is submitted after April 20, 2019, a new time stamp is issued to
reflect that your return was submitted after the IRS deadline and, consequently, is no longer considered
to have been filed on time.
If you request an automatic six-month extension, your return must be electronically postmarked by
midnight October 15, 2019 If your federal tax return is rejected, the IRS will still consider it filed on time
if the electronic postmark is on or before October 15, 2019, and the corrected return is submitted and
accepted by October 20, 2019.
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IMPORTANT DISCLOSURES
If you are owed a federal tax refund, you have a right to choose how you will receive the
refund. There are several options available to you. Please read about these options below.
You can file your federal tax return electronically or by paper and obtain your federal tax refund directly
from the Internal Revenue Service ("IRS") for free. If you file your tax return electronically, you can
receive a refund check directly from the IRS through the U.S. Postal Service in 21 to 28 days from
the time you file your tax return or the IRS can deposit your refund directly into your bank account in less
than 21 days from the time you file your tax return unless there are delays by the IRS. If you file a paper
return through the U.S. Postal Service, you can receive a refund check directly from the IRS through the
U.S. Postal Service in 6 to 8 weeks from the time the IRS receives your return or the IRS can deposit
your refund directly into your bank account in 6 to 8 weeks from the time the IRS receives your return.
However, if your return contains Earned Income Tax Credit or Additional Child Tax Credit, the IRS will
issue your refund no earlier than February 15, 2019.
You can file your tax return electronically, select the Refund Processing Service ("RPS"), and have
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electronically. However, if your return contains Earned Income Tax Credit or Additional Child Tax Credit,
the IRS will issue your refund no earlier than February 15, 2019.
The RPS is not necessary to obtain your refund. If you have an existing bank account,
you do not need to use the RPS in order to receive a direct deposit from the IRS. You
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You can change your income tax withholdings which might result in you receiving additional funds
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year. Please consult your employer or tax advisor for additional details.
The chart below shows the options for filing your tax return (e-file or paper return), the
RPS product, refund disbursement options, estimated timing for obtaining your tax refund
proceeds, and costs associated with the various options.
WHAT TYPE WHAT ARE YOUR WHAT IS THE WHAT COSTS DO YOU
OF FILING DISBURSEMENT ESTIMATED TIME TO INCUR IN ADDITION
METHOD? OPTIONS? RECEIVE REFUND? TO TAX PREPARATION
FEES?
ELECTRONIC (a) Direct deposit to Usually within Free option with your
FILING your personal bank 21 days 3 purchase of TurboTax
(E-FILE) account, or Premium Services or
TurboTax MAX 2
Refund Processing (b) Load to your
Service prepaid card 1.
1 You may incur additional charges from the issuer of the prepaid card if you select to have your tax
refund loaded on a prepaid debit card. Bank is not affiliated with the issuer of the prepaid card.
2 The cost of TurboTax Premium Services and TurboTax MAX ranges depending on the edition of TurboTax
purchased. See Section 3 of the Refund Processing Agreement on the next page for the cost of the
service you have chosen.
3 However, if your return contains Earned Income Tax Credit or Additional Child Tax Credit, the IRS
will issue your refund no earlier than February 15, 2019.
Electronic Filing:
File federal return electronically
File state returns electronically
State(s)
State(s)
fdiv8001.SCR 12/19/17
Cindy K Krueger 394-64-5969 1
A Tax 6,010.
Check if from:
1 Tax table X
2 Tax Computation Worksheet (see instructions)
3 Schedule D Tax Worksheet
4 Qualified Dividends and Capital Gain Tax Worksheet
5 Schedule J
6 Form 8615
7 Foreign Earned Income Tax Worksheet
B Additional tax from Form 8814
C Additional tax from Form 4972
D Tax from additional Form(s) 4972
E Recapture tax from Form 8863
F IRC Section 197(f)(9)(B)(ii) election for an additional tax
G Health Coverage Tax Credit Recovery, Form 8885, Line 5, if negative
H Tax. Add lines A through G. Enter the result here and include in tax below 6,010.
Check this box to override the filing status selected thru Interview
Marital Status
Filing Status Selected
A How many months did this person live with you? The whole year
Note: If born or died in current year and lived with you entire time or qualified
missing child select "The whole year". If more than one-half the year select 7
or more
B Who are the parents of this person?
(Used to determine if additional questions are necessary for children of divorced parents.)
Both Taxpayer and spouse
Taxpayer X
Spouse
C Did this person provide more than 1/2 of their own support? Yes X No
D Was this person married on December 31, 2018 and filing a joint return
for the year (You may answer no if the only reason the joint return is filed
is to get a refund of tax withheld or estimated tax payments and neither
spouse would have a tax liability on their return if they filed separate
returns)? Yes X No
Detailed answers for this question. This dependent:
- Was married on December 31, 2018 Yes X No
- If married, filed a joint return for the year Yes No
- If filed joint return, only filed to get a refund of
tax withheld or estimated tax payments Yes No
- If filed married filing separate, neither spouse
had a tax liability on their return if they had filed
separately Yes No
E Is this person a Full time student? Yes No
F Is this person’s gross income less than $4,150? Yes No
1 Did you provide over 1/2 the support for this person?
or
Did you provide over 10% of the support for the person and with other
individuals who would be able to claim the person except for the
support test over 1/2 the support and all of you have agreed that you
alone will claim the person and you have filled out the Multiple Support
Declaration, Form 2120, to attach to your return? Yes No
G Is there an agreement with this person’s other parent about who can claim
this person as a dependent? X Yes No
Note: The noncustodial parent claiming the exemption for the child must
attach to their return Form 8332 from the custodial parent releasing the
claim to the exemption for the child
1 TurboTax Web Only:
Is the other parent claiming this dependent per the custody
agreement? X Yes No
Has the other parent waived their legal right so you can claim this
dependent on your tax return? Yes No
H Who will be claiming this person as a dependent as a result of:
- an agreement between the parents
- the rules controlling who can claim a qualifying child when the child meets the
conditions to be a qualifying child of more than one person?
Taxpayer (includes spouse if married filing joint) in this return?
Other parent in different return? X
Someone else in different return?
Cindy K Krueger 394-64-5969 3
Child and Dependent Care Expenses, Form 2441, Special Situations Worksheet
Check this box if this person is a qualifying person only for the dependent care
expenses because they were not your dependent but would have been except that:
* They received gross income greater than $4,150 or more or
* They filed a joint return
SMART WORKSHEET FOR: Form W-2 : Wage & Tax Statement (Copy 1)
D Form 4852, Line 10 information. "Explain your efforts to obtain Form W-2?"
SMART WORKSHEET FOR: Child Tax Cr and Cr for Other Depend Wks
If your employer withheld or you paid Additional Medicare Tax or Tier 1 RRTA taxes, use this
worksheet to figure the amount to enter on line 7.
Social security tax, Medicare tax, and Additional Medicare Tax on Wages.
A Enter the social security tax withheld (Form(s) W-2, box 4) 3,989.
B Enter the Medicare tax withheld (Form(s) W-2, box 6). Box 6 includes any
Additional Medicare Tax withheld 933.
C Enter any amount from Form 8959, line 7 0.
D Add line A, B, and C 4,922.
E Enter the Additional Medicare Tax withheld (Form 8959 line 22) 0.
F Subtract line E from line D 4,922.
Tier 1 RRTA taxes as an employee of a railroad (enter amounts on lines H, I, J, and K) or employee
representative (enter amounts on lines L, M, N, and O). Do not include amounts in Form W-2,
box 14 that are identified as Additional Medicare Tax or Tier 2 tax. Do not include amounts shown
on Form CT-2 on line 3 for Additional Medicare Tax or line 4 for Tier 2 tax.
Line 7 Amount
P Add line F, G, K and O. Enter here and on Line 14 Worksheet, line 7 4,922.
Cindy K Krueger 394-64-5969 5
B Spouse:
1 Spouse, nontaxable combat pay
1a Spouse, prior year nontaxable combat pay from 2017
2 Election for earned income credit (EIC):
Elect spouse’s nontaxable combat pay as earned income for EIC? Yes No
3 Election for dependent care benefits (DCB):
Elect spouse’s nontaxable combat pay as earned income for DCB? Yes No
4 Election for child and dependent care credit:
Elect spouse’s nontaxable combat pay as earned income
for child and dependent care credit? Yes No
C You may compare the tax benefit of electing or not electing by checking a box on line A or
line B and reviewing the overpayment or amount due below:
The "Yes" box must be marked on Line A and Line B for 2017 earned income to be used
for EIC and Additional Child Tax Credit calculations.
A Elect to use 2017 earned income for EIC
and Additional Child Tax Credit Yes No
B Taxpayer is eligible to elect to use 2017 earned income
(see Publication 4492 for details) Yes No
E You may compare the tax benefit of electing to use 2017 Earned Income
by checking the boxes on line A and B
Year of birth
Home address (number and street). If you have a PO Box, see page 11. Apt. no.
Tax district
435 HARRISON ST 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
See page 5 before assembling return
Use BLACK Ink Print numbers like this Not like this NO COMMAS; NO CENTS
5 Add the amounts in the right column for lines 1 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 57764 .00
6 Taxable refund of state income tax (from federal Form 1040,
Schedule 1, line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 0 .00
7 United States government interest . . . . . . . . . . . . . . . . . . . . . . . . . 7 .00
8 Unemployment compensation (see page 16) . . . . . . . . . . . . . . . . . 8 .00
11 Other subtractions } Fill in code number and amount, see page 17.
Fill in total other subtractions on line 11.
PAPER CLIP payment here
I-010i
}
22 School property tax credit
a Rent paid in 2018–heat included .00 Find credit from
table page 33 . . 22a .00
Rent paid in 2018–heat not included .00
Find credit from
b Property taxes paid on home in 2018 .00 table page 34 . . 22b .00
23 Working families tax credit (see page 35) . . . . . . . . . . . . . . . . . . . . . . . . . 23 0 .00
24 Certain nonrefundable credits from line 12 of Schedule CR . . . . . . . . . . 24 .00
25 Add credits on lines 20 through 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 0 .00
26 Subtract line 25 from line 19. If line 25 is larger than line 19, fill in 0 . . . . . . . . . . . . . . . . . . . . . . 26 2923 .00
27 Alternative minimum tax. Enclose Schedule MT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 .00
28 Add lines 26 and 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 2923 .00
29 Married couple credit.
Enclose Schedule 2, page 4 . . . . . . . . . . . . . 29 .00
30 Other credits from Schedule CR, line 35 . . . 30 .00
31 Net income tax paid to another state.
Enclose Schedule OS . . . . . . . . . . . 31 .00
32 Add lines 29, 30, and 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 .00
33 Subtract line 32 from line 28. If line 32 is larger than line 28, fill in 0. This is your net tax. . . . . . 33 2923 .00
34 Sales and use tax due on Internet, mail order, or other out-of-state purchases (see page 38) . 34 .00
If you certify that no sales or use tax is due, check here . . . . . . . . . . . . . . . . . . . . . . . . . X
35 Donations (decreases refund or increases amount owed)
a Endangered resources .00 e Military family relief . . . . . . .00
b Cancer research. . . . . .00 f Second Harvest/Feeding Amer. .00
c Veterans trust fund . . . .00 g Red Cross WI Disaster Relief .00
d Multiple sclerosis . . . . .00 h Special Olympics Wisconsin .00
Total (add lines a through h) . . . . 35i .00
36 Penalties on IRAs, retirement plans, MSAs, etc. (see page 39) . . .00 x .33 = 36 .00
37 Other penalties (see page 40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 .00
38 Add lines 33, 34, 35i, 36 and 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 2923 .00
Third Do you want to allow another person to discuss this return with the department (see page 47)? Yes Complete the following. X No
Party Designee’s Phone
Personal
identification
Designee name no. number (PIN)
Paper clip copies of your federal income tax return and schedules to this return.
Assemble your return (pages 1-4) and withholding statements in the order listed on page 5.
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 Spouse’s signature (if filing jointly, BOTH must sign) Date Daytime phone
4144916494
I-010ai
2 Interest paid from lines 8a-8c and 9 of federal Schedule A. 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 line 14 of federal Schedule A. See instructions for exceptions . . . . . . . . . 3 .00
7 Subtract line 6 from line 5. If line 6 is more than line 5, fill in 0. . . . . . . . . . . . . . . . . . . . . . . . . . 7 0 .00
8 Rate of credit is .05 (5%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 x .05.
9 Multiply line 7 by line 8. Fill in here and on line 20 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 36)
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 24,
28 and 32, plus repayment of supplemental unemployment benefits,
and contributions to secs. 403(b) and 501(c)(18)(D) pension plans,
included in line 36, and any Wisconsin disability income exclusion.
Fill in the total of these adjustments that apply to your 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
Part I - Short-Term Capital Gains and Losses ' Assets Held One Year or Less
(From the Federal Form 8949, Part I)
* Checking the box in the first column will prevent this transaction from being included on your
Wisconsin return and indicate that it is not subject to Wisconsin tax.
Part II - Long-Term Capital Gains and Losses ' Assets Held More Than One Year
(From the Federal Form 8949, Part II)
* Checking the box in the first column will prevent this transaction from being included on your
Wisconsin return and indicate that it is not subject to Wisconsin tax.
WIIW2501.SCR 04/30/15
Wisconsin Information Worksheet 2018
G Keep for your records
Part I - Personal Information
Taxpayer: Spouse:
First Name Cindy First Name
Middle Initial K Middle Initial
Last Name Krueger Last Name
Suffix Suffix
Social Security No. 394-64-5969 Social Security No.
Date of Birth 11/30/1959 Age 59 Date of Birth Age
Date of Death Date of Death
Daytime Phone/Ext (414)491-6494 Daytime Phone/Ext
Extension Extension
Home Phone
Print this phone number on the forms Home X Taxpayer work Spouse work
Street Address 435 Harrison St Apartment
City Waterloo State WI ZIP Code 53594
Foreign Country
Tax and School District information (Wisconsin residents):
Use City name, above, for the tax district name
Town of County JEFFERSON
Village of Waterloo School district number 6118
X City of
Special Conditions:
Special Conditions Special Conditions
Special Conditions Special Cond based
Special Conditions on the indiv entries
Special Conditions in table to left
Part II - Main Form
X Form 1: Resident Tax Return (Long form)
Form 1NPR: Nonresident and Part-Year Resident Tax Return (select residency below)
TP SP (TP - Taxpayer, SP - Spouse: Form 1NPR filers only)
Full year resident of Wisconsin
Nonresident of Wisconsin - state of residence
Part-year resident of Wisconsin from (MM/DD/YY) to
Nonresident/Part-Year Resident allocations on Form 1NPR Worksheet
Part III - Filing Status
X Single
Married filing joint return
Married filing separate return
Married filing separate or head of household and lived with spouse during the year
Head of household Married
Qual First name MI Last Name Suff
Part IV - Other Information
Claimed as a Dependent
Taxpayer claimed as a dependent on someone else’s tax return
Spouse claimed as a dependent on someone else’s tax return
Wisconsin Earned Income Credit:
Children qualifying for Wisconsin Earned Income Credit:
Number from federal return 1
Federal Earned Income Credit from Form 1040
Use Tax:
X Check the box to certify that no sales or use tax is due.
Underpayment Penalty:
Allow the Wisconsin Department of Revenue to calculate the underpayment penalty on Schedule U
Farmer/Fishermen:
At least 2/3 of your total gross income was from farming or fishing
Will file your return and pay all tax due by April 15, 2019
Form 1099-G: Go Paperless
X Check this box to acknowledge that the Wisconsin Department of Revenue will no longer mail the
Form 1099-G which is used when preparing the federal income tax return, if you itemize deductions
and receive a state income tax refund. You will have access to the online Form 1099-G on the
department’s secure, confidential website at revenue.wi.gov.
X Check the box if you would like to receive 1099-G availability notification e-mail from
Wisconsin Department of Revenue
E-mail address that will receive 1099-G notification cindy_krueger@hotmail.com
Taxpayer’s email address cindy_krueger@hotmail.com
Nonresident Business Apportionment:
Select the apportionment method (See Tax Help):
QuickZoom to Form A-1, Apportionment Data for Single Factor Formulas
QuickZoom to Form A-2, Apportionment Data for Multiple Factor Formulas
Cindy K Krueger 394-64-5969 Page 2
Yes No
X Use direct deposit for state tax refund (Electronic Filing Only)
Use direct debit for state tax payment (Electronic Filing Only)
Bank Information:
For either of above options, fill out information below:
Name of Financial Institution Farmers and Merchants State Bank
Account type Checking X Savings
Routing number 075907099
Account number 404128
Name
Address
City State ZIP Code
Do you want to allow another person to discuss this return with Wisconsin Department of Revenue?
Yes, the Third Party Designee below
X No
Yes No
X Has the tax return due date been extended?
Extended due date
QuickZoom to Form 1-ES, Extension Payment Voucher
wiiw0112.SCR 03/07/19
Wisconsin
FC/H Credit Summary 2018
G Keep for your records
You may not take both the Farmland Preservation Credit and the Homestead Credit. This Credit Summary is
used to determine which credit provides the larger credit amount and carries the amount forward to the
correct line on the appropriate tax form.
Larger of Homestead
or Farmland
Preservation Credit Credit Taken
H - Homestead
FC - Farmland Preservation Credit
WIIW0801.SCR 01/10/18
Wisconsin
Schedule MT Worksheet 2018
G Keep for your records
Complete the following to determine the amount to fill in on line 4 of Schedule MT.
Part II: Line 6 ' Itemized Deductions Addback Part-Year and Nonresidents Only
If you are married filing a separate Wisconsin income tax return and the result of subtracting
line 12 from line 11, Schedule MT, is more than $718,800, complete the following worksheet.
WIIW0301.SCR 01/17/19
Form Estimated Tax Worksheet 2019
1-ES G Keep for your records
1 Select One of Six Ways to Calculate the Required Annual Payment for 2019 Estimates:
a 100% of 2018 taxes (default, see Tax Help) X 2,923.
b 100% of tax on 2019 estimated taxable income 2,896.
c 90% of tax on 2019 estimated taxable income 2,607.
d 66-2/3% of tax on 2019 estimated taxable income (farmers and fishermen) 1,931.
e Equal to 100% of overpayment (no vouchers) 479.
f Enter total amount you want to use for estimates and check box
2 Selected estimated tax amount:
a 2019 Required Annual Payment based on your choice above 2,923.
b Estimated amount of 2019 state income tax withholding 3,402.
c Total of estimated tax payments required for 2019 (line 2a less line 2b) 0.
3 Select Estimated Tax Payment option:
a Calculate estimates if $500 or more (default) X
b Calculate estimates if (specify amount) or more
c Calculate estimates regardless of amount
d Do not calculate estimates
4 Select Electronic Filing Estimated Tax Payment option for 1st Quarter ONLY:
Use direct debit for state 1st Qtr ES tax payment (Electronic Filing Only) Yes No
Bank Information:
For either of above options, fill out information below:
Name of Financial Institution
Account type Checking Savings
Routing number
Account number
Enter the payment date to withdraw from the account above
Will the funds for this payment come from an account outside the U.S.? Yes No
1 2 3 4 Total
Apr 15, 2019 Jun 17, 2019 Sep 16, 2019 Jan 15, 2020
3 Required Payment
4 Overpayment applied
5 Net payment due
6 Voucher amounts
2018 income and deductions are shown in the ’2018 Actual’ column below.
*Caution: For each line in the ’2019 Estimated’ column, enter the estimated 2019 amount if different
from 2018. Otherwise, the ’2018 Actual’ amount will be used for that line.If zero, you must enter zero.
2018 2019
Actual Estimated
1 Wisconsin income you expect to report in 2019 57,764.
2 Credits (see instructions for description of credits)
3 Wisconsin tax to be withheld 3,402.
4 Check if filing Nonresident or Part-year return for 2019
5 Ratio of Wisconsin income to federal adjusted gross income
6 Federal adjusted gross income (Nonresident or Part-year only)
WIIW3312.SCR 01/21/19
Wisconsin
Form 1 Additions and Subtractions Statement 2018
Lines 4 and 11 G Keep for your records Statement
This statement is for input only. Entries carry to Form M1, lines 4 and 11, and the
appropriate statement will print if there are more than the form’s preprinted fields.
WIIW0601.SCR 12/11/18
Form 1 Wisconsin
Additions & Subtractions Stmt Medical Care Insurance Worksheets 2018
Subtraction code 01 G Keep for your records
1 Amount you paid for medical care insurance in 2018 while you were self-employed*
2 Self-employed health insurance deduction from line 29 of federal
Schedule 1 (Form 1040)**
3 Amount of medical care insurance deducted on federal
Schedule C or F for your employee spouse
4 Amount of premium tax credit allowed on your 2018 federal
return (line 70 of federal Schedule 5 (Form 1040)
5 Add lines 2, 3 and 4
6 Subtract line 5 from line 1
7 Amount of advance premium tax credit you were required to repay (line 46
of federal Schedule 2 (Form 1040)
8 Add lines 6 and 7
9 Net earnings from a trade or business***
10 Fill in the smaller of line 8 or 9 here and on line 11 of Form 1. This is your
subtraction for medical care insurance
* If insurance was purchased through an Exchange, amount paid is after the premium
was reduced for any advance payment of the premium assistance credit.
*** Net earnings from a trade or business means income from self-employment, including
ordinary income from a trade or business as reported on Form 4797, line 18b, and less
the deduction for one-half of self-employment tax. The total earnings from a trade or
business of both spouses are included. Do not include losses from a trade or business.
Worksheet 2 - Others
1 Amount paid in 2018 for medical care insurance during a period in which you
were employed and your employer paid a portion of the cost of your insurance*
2 Amount paid in 2018 for medical care insurance while (1) you were an employee
and your employer did not contribute toward the cost of your insurance or
(2) you had no employer and were not self-employed*. Include Medicare Premiums
3 Add lines 1 and 2
4 Amount of premium tax credit allowed on your 2018 federal return (line 70 of
federal Schedule 5 (Form 1040)
5 Subtract line 4 from line 3
6 Amount of advance premium tax credit you were required to repay (line 46 of
federal Schedule 2 (Form 1040)
7 Add lines 5 and 6
8 Fill in the amount from line 5 of Form 1 less the amounts on lines 6 - 10 and
and less all amounts that will be included on line 11 without condsidering the
subtraction for medical care insurance. If zero or less, enter 0 (zero)
9 Fill in the smaller of line 7 or 8. This is your subtraction for medical care insurance
* If insurance was purchased through an Exchange, amount paid is after the premium
was reduced for any advance payment of the premium assistance credit.
wiiw0201.SCR 12/11/18
Form 1 Wisconsin
Additions & Subtractions Stmt Long Term Care Insurance Worksheet 2018
Subtraction code 02 G Keep for your records
wiiw0201.SCR 12/11/18
Wisconsin
Unemployment Compensation Worksheet 2018
G Keep for your records
Form 1 Filers
WIIW0601.SCR 12/04/18
Wisconsin
Form 1 Working Families Tax Credit Worksheet 2018
G Keep for your records
Note In prior years, single persons, heads of households, and married persons fling a joint return were able to claim the
working families tax credit. Because of the increased standard deduction, the working families tax credit no longer provides a
tax beneft for single persons, heads of households, or married persons fling a joint return. The credit may only provide a tax
beneft for married persons fling a separate return if qualified.
wiia0412.SCR 09/10/18
Wisconsin Tuition and Fee Expense, College Savings &
Form 1 Line 4 Child and Dependent Care Expense Worksheet 2018
Form 1 Line 11 G Keep for your records
Name Social Security Number
Cindy K Krueger 394-64-5969
Part I - EdVest and Tomorrow’s Scholar College Savings Accounts:
For each beneficiary, enter 2018 information for WI College Savings contributions on Schedule CS.
QuickZoom to Schedule CS, College Savings Accounts (EdVest and Tomorrow’s Scholar)
Cindy Krueger
1 Amount paid for tuition and fees in 2018, limited to $6,974 per student
2 Federal adjusted gross income 57,764.
3 Enter $54,190 ($86,700 if married filing joint or $43,350 if married filing separate) 54,190.
4 Subtract line 3 from line 2 3,574.
5 Divide the amount on line 4 by 10,840 (21,680 if married filing joint return) 0.3297
6 Multiply line 1 by the decimal amount on line 5
7 Subtract line 6 from line 1. This is your subtraction for tuition and fee expense* 0.
Part-Year Resident and Nonresident (Form 1NPR) Tuition and Fees Worksheet
A WI Income factor WI 1NPR Inc less adj (Ln 16 less Ln 30, col B) =
WI 1NPR Inc less adj (Ln 16 less Ln 30, col A)
* Your subtraction cannot be more than total taxable wages, salary, tips, unearned income (for example
interest, dividends, capital gains, pensions) and net earnings from a trade or business taxable by Wisconsin.
Part-Year Resident and Nonresident (Form 1NPR) Child and Dependent Care Worksheet
A WI Income factor WI 1NPR Inc less adj (Ln 16 less Ln 30, col B) =
WI 1NPR Inc less adj (Ln 16 less Ln 30, col A)
wiiw0201.SCR 12/05/18
Tax Payments Worksheet 2018
G Keep for your records
State
Date Payment
1 First Payment
2 Second Payment
3 Third Payment
4 Fourth Payment
Additional Payments
5 Payment
Payment
Payment
Payment
Payment
OTHV0301.SCR 11/28/16
Tax Summary 2018
G Keep for your records
Name(s)
Cindy K Krueger
Form 1
Form 1A
Form 1NPR
This worksheet calculates the allowable state Section 179 deduction. If the deduction is limited then the
allowable Section 179 (Line 7) must be allocated back to the individual activities using the State
Allowed columns below. The Section 179 amounts for Schedules C, E, F, K-1 Partnership,
K-1 S Corporation, and Form 4835 are on the Activity Worksheet(s).
Schedule A