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2024 Form 4T Page 2 of 3
20 Nonrefundable credits (from Schedule CR) ....................................... 20 .00
21 Net income tax paid to other states ............................................. 21 .00
22 Add lines 20 and 21 ......................................................... 22 .00
23 Subtract line 22 from line 19. If line 22 is greater than line 19, enter zero (0). This is net tax ... 23 .00
24 Tax from line 13 or 23 ........................................................ 24 .00
25 Economic development surcharge (see instructions) ........................... . . . . . . . 25 .00
26 Endangered resources donation (decreases refund or increases amount owed) .. . . ....... 26 .00
27 Veterans trust fund donation (decreases refund or increases amount owed) ..... . . ....... 27 .00
28 Add lines 24 through 27 ...................................................... 28 .00
29 Estimated tax payments less refund from Form 4466W. .. 29 .00
30 Wisconsin tax withheld ............................ 30 .00
31 Refundable credits (from Schedule CR) .............. 31 .00
32 Amended Return Only – amount previously paid ........ 32 .00
33 Add lines 29 through 32 ........................... 33 .00
34 Amended Return Only – amount previously refunded .... 34 .00
35 Subtract line 34 from 33 ...................................................... 35 .00
36 Interest, penalty, and late fee due (from Form U line 17 or 26, or Schedule U, line 15 or 29).
If you annualized income on Form U or Schedule U, check ( ) the spaceü after the arrow . 36 .00
37 Amount due. If the total of lines 28 and 36 is larger than line 35, subtract line 35 from the total
of lines 28 and 36 ........................................................... 37 .00
38 Overpayment. If line 35 is larger than the total of lines 28 and 36, subtract the total of lines
28 and 36 from line 35 ....................................................... 38 .00
39 Enter amount of line 38 you want credited on 2025 estimated tax .. 39 .00
40 Subtract line 39 from line 38. This is your refund ................................. 40 .00
41 Enter total gross receipts from all unrelated trade or business activities ................. 41 .00
Additional Information Required
1 Person to contact concerning this return: Phone #: Fax #:
2 City and state where books and records are located for audit purposes:
3 Are you the sole owner of any limited liability companies (LLCs)? Yes No If yes, complete Schedule DE and include with this
return. Did you include the incomes of these entities in this return? Yes No
4 Did you purchase any taxable tangible personal property or taxable services for storage, use, or con sumption in Wisconsin without payment
of a state sales or use tax? Yes No If yes, you may owe Wisconsin use tax. See instructions for how to report use tax.
(You will not be liable for Wisconsin use tax if you hold a Wisconsin Certificate of Exempt Status.)
5 List the locations of your Wisconsin operations:
Third Do you want to allow another person to discuss this return with the department? Yes Complete the following. No
Party Print Phone Number Personal Identification Number (PIN)
Designee’s
Designee Name
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.
Signature of Officer or Trustee Title Date
Preparer’s Signature Preparer’s Federal Employer ID Number Date
You must file a copy of your federal Form 990-T or 4720, including attachments, with your Form 4T.
If you are not filing your return Wisconsin Department of Revenue
electronically, make your check PO Box 8908
payable to and mail your return to Madison WI 53708-8908
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