Form
         X‑NOL
                                                 Carryback of Wisconsin
    Check here if an amended return
                                                 Net Operating Loss (NOL)                              2023
    Check here if an estate or trust
 Legal last name – Individual                       Legal first name               M.I.        Social security number

 If married, spouse’s legal last name               Legal first name               M.I.        Spouse’s social security number

 Legal name – Estate/Trust                                                                     Estate’s / Trust’s federal EIN

 Address (number and street)                        City or post office         State          Zip code

 a. If you filed a joint return (or separate return) for one, but not both, of the tax years involved in figuring the carryback,
    list the years and specify whether joint (J) or separate (S) return for each

 b. If SSN for carryback year is different from above,
    enter                  Social Security Number

                                                                          Column A         2023        Column B
                  Computation of Decrease in Tax                          Before Carryback      After Carryback
 1   NOL deduction  ...............................                     1                  .00

 2   Wisconsin income   ...............................                 2                  .00                                  .00

 3   Standard deduction        ..............................           3                  .00                                  .00

 4   Subtract line 3 from line 2       .........................        4                  .00                                  .00

 5   Exemptions    ....................................                 5                  .00                                  .00

 6   Taxable income.  Subtract line 5 from line 4    ...........        6                  .00                                  .00

 7   Tax  ...........................................  7                                   .00                                  .00

 8   Nonrefundable credits     ............................             8                  .00                                  .00
 9   Subtract line 8 from line 7. If less than zero,
    fill in a 0 (zero).  This is your net tax  ..................       9                  .00                                  .00
 10  Enter amount from line 9 of Column B on
    line 10 of Column A        .............................. 10                           .00
 11  Decrease in tax.  Subtract line 10 from line 9.
    This is the amount of your refund  .................... 11                             .00
 12 AMENDED RETURN ONLY – Amount previously refundedDraft 08-02-24
    (see page 3)  .................................... 12                                  .00

 13  AMENDED RETURN ONLY – If line 11 is more than line 12,
    subtract line 12 from line 11. This is the amount of your
    refund  ......................................... 13                                   .00

 14 AMENDED RETURN ONLY – If line 12 is more than line 11,
    subtract line 11 from line 12. This is the amount you owe .. 14                        .00

 15 AMENDED RETURN ONLY – Interest (see page 3)   ..... 15                                 .00

I-002i (R. 06-24)                                                                               Wisconsin Department of Revenue

      Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best 
      of my knowledge and belief.
      Your Signature             Spouse’s Signature (If joint return)         Date
Sign
here

Third    Complete below to allow another person to discuss this return with the Wisconsin Department of Revenue.
                                                                      Personal
Party    Designee’s              Phone                                identification
Designee name (print)            no. (              )                 number (PIN)

                      Draft 08-02-24

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