Schedule Vc - Wisconsin Venture Capital Credits - 2012
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2VC
Wisconsin Venture Capital Credits
Schedule
2012
File with Wisconsin Form 1, 1NPR, 2, 3, 4, 4T, 5, or 5S
Wisconsin Department
Read instructions before filling in this schedule
of Revenue
Name
Identifying Number
If you qualify for the angel investment credit, complete Part I. If you qualify for the early stage seed investment credit, complete Part II.
Part I
Angel Investment Credit
1 Fill in the following information regarding your investments in qualified new business ventures that the Wisconsin Economic
Development Corporation has verified as first eligible for a tax credit in 2012 (attach separate schedules if more space is needed):
Date
Name and Address
Qualified
of Qualified
Total
Investment
Investment
Investment
Made
New Business Venture
Total qualified investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Multiply the amount on line 1 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Fill in the 2012 angel investment credit passed through from angel investment networks . . . . . 3
4 Add lines 2 and 3. This is your 2012 credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
4a Fiduciaries - enter the amount of credit allocated to beneficiaries . . . . . . . . . . . . . . . . . . . . . . . 4a
4b Fiduciaries - subtract line 4a from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b
5 Carryover of unused angel investment credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Add lines 4 and 5 (lines 4b and 5 if fiduciary). This is the available angel investment credit . . . 6
IC-039
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