PS
2014
SCHEDULE
Private School Tuition
Wisconsin
File with Wisconsin Form 1 or 1NPR
Department of Revenue
Name(s) shown on Form 1 or 1NPR
Your social security number
Part I
School(s) Where Dependents Listed in Part II Were Enrolled
Identifying number
1
Name of School
Address of school
(FEIN) of school
Part II
Subtraction for Tuition Expenses
2 Information about your qualifying dependent
(a) Dependent’s name
(b) Dependent’s
(c) Grade
(d) Tuition paid
social security number
First
Last
(see instructions)
(see instructions)
.00
.00
.00
.00
.00
.00
.00
.00
3 Add the amounts in column (d). This is your subtraction for tuition paid. Fill in here and
on line 11 of Form 1 (using code number 22) or line 42 of Schedule M of Form 1NPR . . . . . . . . . . . . . . . . 3
.00
I-094i