PDF document
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 Form
         HR-T                      Transfer of Supplement to the
        Wisconsin                  Federal Historic Rehabilitation Credit                                                                                                                               2023
 Department of Revenue

A. Transferor Information
 Entity Legal Name (if applicable)                                                                Federal Employer ID Number
                                                                                                  XX - XXX  
 Legal Last Name                   Legal First Name                                        M .I . Social Security Number
                                                                                                  XXX - XX - 
 Address                                                                                                                                                                                                    Suite Number

 City                                                                                             State                                                                                             Zip Code

 Email                                                          Phone Number

 If LLC, how is LLC classified?    Partnership                  Corporation Disregarded entity 

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

B. Rehabilitated Property
 Address

 City                                                                                             State                                                                                             Zip Code

C. Transferee Information
 Entity Legal Name (if applicable)                                                                Federal Employer ID Number
                                                                                                  XX - XXX  
 Legal Last Name                   Legal First Name                                        M .I . Social Security Number
                                                                                                  XXX - XX - 

 If LLC, how is LLC classified?    Partnership                  Corporation Disregarded entity 

D. Credit Information
 1      Check the box to indicate the election chosen:

        a  This credit is claimed based on when the rehabilitation work was completed  . . . . . . . . . . . . .                                                                                 1a
        b  This credit is claimed based on when the expenditures are paid   . . . . . . . . . . . . . . . . . . . . . .                                                                          1b
        c  Enter the date on which the 24- or 60-month measuring period begins   . . . . . . . . . . . . . . . . .                                                                               1c
                                                                                                                                                                                                    M M     D D Y Y     Y Y
        d  Enter the date on which the 24- or 60-month measuring period ends    . . . . . . . . . . . . . . . . . .                                                                              1d
                                                                                                                                                                                                    M M     D D Y Y     Y Y
        e  Enter the total qualifying expenditures incurred on the project to date   . . . . . . . . . . . . . . . . . .                                                                         1e                      .00
        f  Enter the qualified rehabilitation expenditures on which the credit is computed 
         for the current taxable year   .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  1f                      .00
 2      Enter 20% of the amount on line 1f, round to the nearest dollar    . . . . . . . . . . . . . . . . . . . . . . . . .                                                                     2                       .00

IC-134  (R . 4-23)



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 Form HR-T                                                                                                                                        2023

D. Credit Information Continued
 3  If the credit is required to be claimed ratably over a five-year period, enter the amount of credit claimed each year (from
    Schedule HR-5):

    a  2023 – Multiply line 2 by 20% ( .20)   . . . . . . . .  .   3a                                  .00
    b  2024 – Multiply line 2 by 20% ( .20)   . . . . . . . .  .   3b                                  .00
    c  2025 – Multiply line 2 by 20% ( .20)   . . . . . . . .  .   3c                                  .00
    d  2026 – Multiply line 2 by 20% ( .20)   . . . . . . . .  .   3d                                  .00
    e  2027 – Multiply line 2 by 20% ( .20)   . . . . . . . .  .   3e                                  .00
    f  Total (add lines 3a through 3e)    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  3f          .00
 4  Historic rehabilitation credit passed through or transferred from other taxpayers or entities:
    4a  Entity Name

    FEIN                       Amount                                                                  .00

    4b  Entity Name

    FEIN                       Amount                                                                  .00

 4c  Total credits from additional schedule   . . . . . . . . .  . 4c                                  .00
 4d  Total credits (add lines 4a through 4c)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   4d          .00
 5  Carryover of unused supplement to the federal historic rehabilitation tax credits    . . . . . . . . . . . .                           5           .00
 6  Total credits available to be transferred . If the transition rule applies add lines 2, 4d and 5 .
    If the transition rule does not apply, add lines 3f, 4d and 5    . . . . . . . . . . . . . . . . . . . . . . . . . . . . .             6           .00

 7  Amount of credit from line 6 to be transferred    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        7           .00

E. 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

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