Schedule Fc - Farmland Preservation Credit - 2015 Page 2
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1
22015
Name
Page
2 of 2
FC
SSN or FEIN
.00
9 L Fill in the amount from line 9k (page 1) here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9L
.00
m Gain from sale of home excluded for federal tax purposes (see instructions) . . . . . . . . . . . . . . . . . . 9m
.00
n Nontaxable housing allowance provided to a member of the clergy . . . . . . . . . . . . . . . . . . . . . . . . . 9n
.00
o Income of a nonresident or part-year resident spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9o
.00
p Interest on state and municipal bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9p
.00
q Interest on United States securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9q
r IRA, SEP, and SIMPLE distributions, distributions from retirement plans, pension, annuity,
.00
railroad retirement, and veterans’ pension or disability payments . . . . . . . . . . . . . . . . . . . . . . . . . . 9r
.00
s Military compensation or cash benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9s
.00
t Nontaxable income from sources outside Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9t
.00
u Nontaxable income of a Native American . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9u
.00
v Rent reduction for a resident manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9v
.00
w Scholarships, fellowships, and grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9w
.00
x Social security and SSI payments (do not include Title XX payments) . . . . . . . . . . . . . . . . . . . . . . . 9x
.00
y Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9y
.00
z Workers’ compensation and nontaxable loss of time insurance (for example, sick pay) . . . . . . . . . . 9z
.00
10 TOTAL HOUSEHOLD INCOME – Add lines 9L through 9z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Complete lines 11 through 18, as applicable (see instructions, pages 8 through 10) .
Credit Computation
.00
11 a Fill in the net 2015 property taxes on which this claim is based . . . . .
11a
.00
b Fill in the SMALLER of the amount on line 11a or $6,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b
.00
12 Using the income amount on line 10, fill in the appropriate amount from TABLE 1, page 15 . . . . . . . . 12
.00
13 Subtract line 12 from line 11b (if line 12 exceeds line 11b, fill in 0) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
.00
14 Using the amount on line 13, fill in the appropriate amount from TABLE 2, page 16 . . . . . . . . . . . . . . 14
15 Regular Credit – Check below to indicate the percentage of credit for which you qualify:
.00
80% – Fill in 80% of line 14 amount . . . . . . . . . . . . . . . . . . . . . . . . 15a
a
.00
Multiple Percentages – From line 21 of WORKSHEET 2, page 12 15b
b
.00
16 10% Special Minimum Credit – Fill in 10% of line 11b . . . . . . . . . . . . . . . 16
17 Credit Based on Prior Year’s Law – Fill in amount from line 8 of
WORKSHEET 1, page 11 – available only if your agreement became
.00
effective between 7-1-90 and 8-15-91 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 FARMLAND PRESERVATION CREDIT – Fill in the LARGEST of line 15a through 17
on line 18. Fill in the credit from line 18 on line 43a of Form 1, line 68a of Form 1NPR,
.00
line 18a of Form 2, or (for corporations) line 45a of Schedule CR . . . . . . . . . . . . . . . . . . . . . . . . .
18
Certification If applicable, check to the right of line 19 to certify both of the following (see instructions, page 10) :
19 a None of the information on my previously submitted zoning certificate has changed, and
b I have notified the County Land Conservation Committee that I intend to file a 2015 Schedule FC
19
This farmland preservation credit claim and all enclosures are true, correct, and complete to the best of my knowledge.
Sign Here
Claimant’s signature ▲
Date ▲
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