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NameFC Schedule 2024 Page 2 of 2
SSN or FEIN
9 k Fill in the amount from line 9j (page 1) here........................................... 9k .00
L Depletion expense and intangible drilling costs ........................................ 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 .00
r IRA, SEP, and SIMPLE distributions, distributions from retirement plans, pension, annuity,
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, federal and state SSI, SSI-E, SSD, and CTS payments. Include Medicare
premium deductions. (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 9k through 9z ................................. 10 .00
Credit Computation Complete lines 11 through 17, as applicable (see instructions).
11 a Fill in the net 2024 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 amount on line 10, fill in the appropriate amount from TABLE 1, in the instructions ........ 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 , in the instructions ...... 14 .00
15 Regular Credit – Check below to indicate the percentage of credit for which you qualify:
a 80% – Fill in 80% of line 14 amount ........................ 15a .00
b Multiple Percentages – line 21 of WORKSHEET 1, in the instructions 15b .00
16 10% Special Minimum Credit – Fill in 10% of line 11b ............... 16 .00
17 FARMLAND PRESERVATION CREDIT – Fill in the LARGEST of line 15a
through 16 on line 17. Fill in the credit from line 17 on line 31a of Form 1,
line 61a of Form 1NPR, line 14a of Form 2, Part III, line 13 of Form 6, or
(for Form 4 or 4T) line 45a of Schedule CR .......................................... 17 .00
Certification If applicable, check the box to the right of line 18 to certify both of the following (see instructions):
18 a None of the information on my previously submitted farmland preservation agreement has
changed, and
b I have notified the County Land Conservation Committee that I intend to file a 2024 Schedule FC 18
Under penalties of law, I declare that this farmland preservation credit claim and all enclosures are true, correct, and complete to the
best of my knowledge and belief.
Claimant’s signature Date
Sign
here
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