Form
             HR-T                      Transfer of Supplement to the
          Wisconsin                    Federal Historic Rehabilitation Credit                                                                              20
 Department of Revenue

A. Transferor Information
 1 . Name                                                                                                  2 . FEIN or SSN
                                                                                                           XX - XXX - 
 3 . Address                                                                                                                                                   Suite Number

 4 . City                                                                                                  State                                       Zip Code

 5 . Email                                                                                                 Phone Number

                                                                                                           7 . Disregarded entity FEIN
 6 . Check if the credit is being transferred by a single owner of a disregarded entity:                   XX - XXX - 

 8 . Check if you want to allow the contact person listed below to discuss information about this form with the department:  
 9 . Contact Person (May need Power of Attorney . See Instructions)           Email

B. Transferee Information
 1 . Entity Legal Name (if applicable)                                                                     2 . Federal Employer ID Number
                                                                                                           XX - XXX  
 3 . Legal Last Name                   Legal First Name                                             M .I . 4 . Social Security Number
                                                                                                           XXX - XX - 
                                                                                                           6 . Federal Employer ID Number
 5. If LLC, how is LLC classified?     Partnership                  Corporation    Disregarded entity      XXX - XX - 

C. Credit Information
 1         Total credit being claimed (add lines 3b and 4b)    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .           1                       .00
 2         The credit being claimed is the total of the following:  Check all that apply                                                             
           a      All or part of the transferred credit is reported on the attached Schedule HR-5 because the  
                  credit is required to be claimed over 5 years one of which is the current year .  
                  If checked complete line 3   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  2a
           b      All or part of the transferred credit is reported on the attached Schedule HR because the  
                  credit is claimed in the year calculated which is this year . If checked complete line 4    . . . .                               2b
           c      All or part of the transferred credit was claimed in a prior year and is included on Schedule CF                                  2c
 3         Transferred Credit reported on Schedule HR-5 
           a      Enter the number of Schedules HR-5 attached to this Form HR-T . . . . . . . . . . . . . . . . . . . .                             3a
           b      Enter the sum of Line 1 from all the attached Schedules HR-5 attached  . . . . . . . . . . . . . . .                              3b                      .00
 4         Transferred Credit reported on Schedule HR 
           a      Enter the number of Schedules HR attached to this Form HR-T  . . . . . . . . . . . . . . . . . . . . .                            4a
           b      Enter the sum of Line 1 from all the attached Schedules HR attached   . . . . . . . . . . . . . . . .                             4b                      .00

D. Signature of Transferor or Authorized Representative
 I hereby certify that to the best of my knowledge and belief 1) the above-listed expenditures were paid during the period specified 
 and are qualified under section 47(c)(2) of the Internal Revenue Code and 2) the above-listed transferee is subject to Wisconsin 
 income or franchise tax under s. 71.02, 71.08, 71.23, or 71.43, Wis. Stats. or is selling or otherwise transferring the credit to 
 another person who is subject to Wisconsin income or franchise tax under s. 71.02, 71.08, 71.23, or 71.43, Wis. Stats.
 Print Name                                                         Signature                                                                          Date

IC-134  (R . 2-24)