Form W-Ra - Required Attachments For Electronic Filing - 2013 Page 2
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22013
Form W-RA
Page 2 of 2
Your legal name
Social security number or FEIN
Film production services credits (Schedule FP) – Attach a copy of the approved application from the Department of
Tourism or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Food processing plant and food warehouse investment credit – Attach a copy of your certification to claim tax benefits
issued by DATCP and the notice of the amount of credit allocated to you by DATCP or a copy of your Schedule 5K-1,
3K-1, or 2K-1.
Health insurance risk-sharing plan assessments credit – Attach a copy of your Schedule 5K-1 or 3K-1.
Historic rehabilitation credit (Schedule HR) – See Schedule HR for the required attachments.
Job creation deduction (Schedule JC) – Attach a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Jobs tax credit – Attach a copy of your certification to claim tax benefits issued by WEDC and the notice of eligibility to
receive tax benefits that reports the amount of tax benefit from WEDC or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Manufacturing and agriculture credit (Schedule MA) – Attach a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Manufacturing investment credit (Schedule MI) – Attach a copy of the certification from the DOC or a copy of your
Schedule 5K-1, 3K-1, or 2K-1.
Meat processing facility investment credit (Schedule MP) – Attach a copy of your DATCP certification and allocation of
credits or Schedule 5K-1, 3K-1, or 2K-1.
Model Form for legislators who make the sec. 162(h) election – If using electronic filing software that does not submit
the SPL-01 Model Form as part of the electronic return, attach a copy of the 2013 Model Form.
Postsecondary education credit (Schedule PE) – Attach a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Technology zone credit (Schedule TC) – Attach a copy of your certification for tax benefits issued by WEDC and a
statement from WEDC verifying the amount of your credits for property taxes paid, capital investments made, and
wages paid for jobs created in a technology zone or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Woody biomass harvesting and processing credit – Attach a copy of your certification issued by DATCP and the notice
of the amount of credit allocated to you by DATCP or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Other – Attach any other documents you were instructed to attach when e-filing.
Purpose of Form
Note Individuals and tax practitioners filing on behalf of
individuals required to send the Form W-RA attachments to the
Use Form W-RA to submit supporting documentation when
department may transmit this data in an electronic file over the
you electronically file an income or franchise tax return and
Internet. Further information can be found on the department’s
claim any of the credits or items listed. Many of the above
website at: revenue.wi.gov/eserv/w-ra.html.
items require documentation from the Wisconsin Economic
Development Corporation (WEDC), or the Department of
Agriculture, Trade and Consumer Protection (DATCP).
Where to File
Legislators making the special section 162(h) election must
Send Form W-RA and all attachments to:
mail the Model Form to the department when using electronic
Wisconsin Department of Revenue
filing software that does not submit the Model Form as part of
PO Box 8977
the electronic return.
Madison WI 53708-8977
Paper clip your attachments to Form W-RA. Refunds
Failure to mail Form W-RA timely to the correct address with
can be processed faster if you use paper clips instead
all attachments will result in a delay in issuing a refund or
of staples.
closing certificate for fiduciaries.
Note: Use Form W-RA only to submit supporting documen-
Do not send this form if you are filing a paper return or
tation required for the box(es) checked. Do not submit other
paper homestead credit claim.
correspondence or appeals or a paper copy of your tax return
or homestead credit claim with Form W-RA.
Note If you use a mail service provider that is not the U.S.
Postal Service, deliver to: Wisconsin Department of Revenue,
Mail Stop 1-151, 2135 Rimrock Road, Madison WI 53713.
When to File
The W-RA and required attachments must be mailed to the
department within 48 hours of receipt of your Wisconsin
acknowledgment. Refunds may not complete processing until
the W-RA and attachments have been received.
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