Schedule
Income Tax Deferral of
CG
2013
Long-Term Capital Gain
Wisconsin
Department of Revenue
Enclose with Wisconsin Form 1 or 1NPR
Your name
Your social security number
Spouse’s name if filing a joint return
Spouse’s social security number
1 Date asset sold that generated the long-term capital gain . . . . . . . . . . . . . . . . . . . . . . .
2 Description of asset sold
.00
3 Amount of long-term capital gain on sale of the asset . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Amount of gain deposited in a segregated account in a financial institution
(do not fill in more than $10,000,000 if investing in a “qualified new business venture”)
.00
. . . 4
5 Name of financial institution
6 Date gain deposited in the financial institution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Date of investment in a “qualified new business venture” or in a “qualified
Wisconsin business” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7a Type of investment
Stock purchase
Partnership interest
LLC membership
(check one)
Other
(explain)
8 If investment is in a “qualified new business venture,” fill in the name and FEIN of
the “qualified new business venture”
FEIN
9 If investment is in a “qualified Wisconsin business,” fill in the name and FEIN of
the “qualified Wisconsin business”
FEIN
10 Amount invested in the “qualified new business venture” or “qualified Wisconsin
business.” (Line 10 must equal or exceed line 4.) . . . . . . . . . . . . . . . . . . . . . . . . . . 10
.00
11 Basis of investment in the “qualified new business venture” or “qualified
Wisconsin business” (line 10 less the amount on line 4) . . . . . . . . . . . . . . . . . . . . . . 11
.00
INSTRUCTIONS FOR SCHEDULE CG
Purpose of Schedule CG
(New for next year Effective for taxable years beginning
January 1, 2014, several changes will apply to this deferral
Schedule CG must be completed by individuals who are not
program: (1) only investments in a “qualified Wisconsin
declaring income from a long-term capital gain on their 2013
business” will qualify an individual for gain deferral, (2) the
Wisconsin income tax return (Schedule WD) because they
requirement to deposit the gain in a financial institution is
have reinvested the capital gain.
eliminated, and (3) the Department of Revenue will assume
the responsibility for registering each “qualified Wisconsin
Wisconsin law provides that the long-term capital gain may
business.”)
be deferred when certain conditions are met and the gain is
reinvested in either (1) a “qualified new business venture” or
Who may claim the deferral of gain
(2) a “qualified Wisconsin business.”
The deferral of gain may be claimed by an individual,
including an individual partner of a partnership, member of a
limited liability company, or shareholder of a tax-option (S)
corporation.
I-071i
Go to Page 2