Schedule
                                    Statement of Disallowed
                RT-1
                                    Related Entity Expenses
                                    File with Wisconsin Form 1, 1NPR, 2, 3, 4, 4T, 5S, or 6
Wisconsin Department                                                                                              2024
of Revenue                          Read instructions before filling in this schedule

Part I:  To Be Completed by Entity Which Paid, Accrued, or Incurred the Expense

Complete the information below and provide it to the related entity to which you paid, accrued, or
incurred the disallowed expense:

A. Identifying Information for Entity Which Paid, Accrued, or Incurred the Expense

     Taxpayer Name:

     Taxpayer Identification Number (FEIN or SSN):

     Type of Taxpayer (check one):  Corporation                          Individual
                                    Tax-Option (S) Corporation           Fiduciary
                                    Partnership                          Other (explain)

B. Identifying Information for Entity to Which the Corresponding Income Was Reported

     Taxpayer Name:

     Taxpayer Identification Number (FEIN or SSN):

C. Tax Year for Which Expenses Were Disallowed (Tax year of taxpayer in item A. above)

     Taxable Year Beginning                          and Ending

D. Amount of Expense Disallowed
     1  Disallowed Interest Expense ..................................                                           1
     2          Disallowed Rent Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  2
     3          Disallowed Intangible Expense ................................                                   3
     4          Disallowed Management Fees  ................................                                     4
     5          Total of lines 1 through 4 .....................................                                 5

Part II:  To Be Completed by Entity Named in Part I, Item B.

Complete item A. below.  Assuming you included the income in your Wisconsin income, you may claim a 
subtraction modification corresponding to the expenses disallowed in Part I, item D. for the taxable year 
that includes theDRAFTending date of the period stated in Part I, item C.  To substantiate09-03-2024the subtraction modi-
fication, you must file this schedule with your Wisconsin return.

A. Reporting of Income Eligible for Subtraction Modification

Specify the line(s) of your pro forma federal income tax return where you reported the income eligible
for the subtraction modification for the year you are eligible to claim the subtraction:

IC-076 (R. 8-24)