Form W-Ra - Required Attachments For Electronic Filing - 2015
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FORM
W-RA
Required
2015
Attachments for
Wisconsin
Electronic Filing
Department of Revenue
( Use BLACK Ink Only )
Taxpayer Information
Your legal last name
Legal first name
M.I.
Your social security number
If joint return, spouse’s legal last name
Spouse’s legal first name
M.I.
Spouse’s social security number
Legal name of estate, trust, partnership, or corporation
FEIN
Address (number and street)
Apt. no.
Daytime phone number
City or post office
State
Zip code
Email address
Attachments
– Submit this form only if you electronically filed your return or homestead credit claim.
Do NOT submit this form if you are filing a paper return or homestead credit claim.
Check the applicable box(es) to identify the attachments.
Homestead credit (Schedule H or H-EZ) – Attach required documents (W-2s, W-2Gs, 1099-Rs, 1098-Ts, original rent
certificate(s), tax bill(s), legal documents, and statements).
Tax paid to another state (Schedule OS) – Attach a copy of your income tax return from the other state and withholding
statements or a copy of your Schedule 3K-1 or 5K-1 if credit based on tax paid by a pass-through entity.
Request for closing certificate for fiduciaries (Schedule CC) – Estates – Attach a copy of the decedent’s will and the
probate inventory. Trusts – Attach a copy of the trust instrument and three years of accountings. (Submit attachments
and Form W-RA only if Schedule CC was electronically filed.)
Amended return filed on Form 1, 1A, 1NPR, WI-Z or X-NOL – Attach forms, documents and/or schedules that support the
item(s) changed, as needed.
Angel investment credit (Schedule VC) – Attach a copy of the new business venture certification form provided by the
WEDC and the tax credit verification form issued by the WEDC or a copy of your Schedule 3K-1 or 2K-1.
Community rehabilitation program credit (Schedule CM) – Attach signed Part II of Schedule CM or a copy of your
Schedule 5K-1, 3K-1, or 2K-1.
Development zones credit (Schedule DC) – Attach a copy of your certification to claim tax benefits and the verification of
expenses from WEDC. Also attach a statement from WEDC verifying the amount of credit for environmental remediation
and job creation or retention. If credit is from a pass-through entity, attach Schedule 5K-1, 3K-1, or 2K-1 instead.
Early stage seed investment credit (Schedule VC) – Attach a copy of the certification issued by WEDC to the business
and to the fund manager and a statement from the fund manager containing (1) name and address of the fund manager
and (2) for each investment, the date, total amount of investment, amount invested in a qualified new business venture,
and amount of tax credit or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Economic development credit (Schedule ED) – Attach a copy of your certification and the notice of eligibility to receive tax
benefits from the WEDC or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Eligible veterans and surviving spouses property tax credit – Attach real estate tax bill(s) for all taxes paid in 2015,
proof of payment, your Wisconsin Department of Veterans Affairs certification, if required, and any other documentation
requested in the instructions.
Enterprise zone jobs credit (Schedule EC) – Attach a copy of your certification to claim tax benefits and the verification of
your expenses from WEDC or a copy of your Schedule 5K-1, 3K-1, or 2K-1.
Farmland preservation credit (Schedule FC or FC-A) – See the instructions for the schedule you are filing for the required
attachments.
Historic rehabilitation credit (Schedule HR) – See Schedule HR for the required attachments.
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.
I-041i (R. 10-15)
Refer to instructions on back.
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