Form W-Ra - Homestead Credit Claim 2006 - Wisconsin Department Of Revenue
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1Instructions
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*I1RA06991*
2006 Wisconsin Form W-RA
Required Attachments for Electronic Filing
– 1NPR Form, Nonresident Reciprocal Filer
NOTE: Failure to mail timely to the correct address
– Historic Rehabilitation Credit
with all attachments will result in refund delays.
– Development Zone Credit
– Technology Zone Credit
Homestead Credit Claim
– Net Income Tax Paid to Another State Claim
Wisconsin Department of Revenue
– Farmland Preservation Credit Claim
PO Box 8977
– Veterans and Surviving Spouses Property Tax Credit
Madison, WI 53708-8977
– Wisconsin Free File Tax Return
(only when instructed)
Wisconsin Department of Revenue
PO Box 8967
USE BLACK INK ONLY
Madison, WI 53708-8967
I. Taxpayer Information
– Fill in the name, address, and social security information
YOUR LAST NAME
FIRST NAME
M.I.
SOCIAL SECURITY NUMBER
IF JOINT RETURN, SPOUSE'S LAST NAME
FIRST NAME
M.I.
SOCIAL SECURITY NUMBER
PRESENT HOME ADDRESS (STREET, APARTMENT, ROUTE)
DAYTIME PHONE NUMBER
CITY OR TOWN
STATE
ZIP CODE
E-MAIL ADDRESS
II. Tax Return Information
(Amounts in Whole Dollars Only)
.00
1. Homestead Credit
. . . . . . . . . . . . . . . . . . . . . . . . .
(Schedule H, line 19, Schedule H-EZ, line 14)
.00
2. 1NPR Form, line 75 (nonresident reciprocal filer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
3. Historic Rehabilitation Credit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Form 1, line 23)
.00
4. Development Zone Credit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Form 1, line 30c)
.00
5. Technology Zone Credit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Form 1, line 30d)
6. Net Income Tax Paid to Another State
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
(Form 1, line 30g)
7. Farmland Preservation Credit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
(Schedule FC, line 18)
8. Eligible Veterans and Surviving Spouses Property Tax Credit (Form 1, line 47; Form 1A, line 32) . . .
.00
III. Preparer Information
SOCIAL SECURITY NUMBER or PTIN
DATE
DAYTIME PHONE
E-MAIL ADDRESS
FIRM’S NAME (YOURS, IF SELF-EMPLOYED) AND ADDRESS
Refer to instructions on back.
I-041i (R. 10-06)
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