Wisconsin Required Attachments for Electronic Filing

Required Attachments for Electronic Filing
2023 I-041 Wisconsin Form W-RA, Required Attachments for Electronic Filing Fill-in Form
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Form

W-RA

Wisconsin
Department of Revenue

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Required
Attachments for
Electronic Filing

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2023

Taxpayer Information (Use BLACK Ink Only)
Your legal last name	

Legal first name	

M.I.

Your social security number

If joint return, spouse’s legal last name	

Spouse’s legal first name	

M.I.

Spouse’s social security number

Legal name of estate, trust, partnership, or corporation	

FEIN

Address (number and street)	
City or post office	

Apt. no.	
State	

Zip code	

Daytime phone number

Email address

Attachments – Submit this form only if you electronically filed your return or homestead credit claim.
Do NOT submit this form if you are filing a paper return or homestead credit claim.
Check the applicable box(es) to identify the attachments.
Amended return filed on Form 1, 1NPR, or X‑NOL – Attach forms, documents and/or schedules that support the item(s)
changed, as needed.
Angel investment credit (Schedule VC) – Attach a copy of the new business venture certification form provided by the
Wisconsin Economic Development Corporation (WEDC) and the tax credit verification form issued by WEDC. If credit is
from a pass-through entity, attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
Business development credit (Schedule BD) – Attach a copy of the certification form and the tax credit verification from
WEDC. If credit is from a pass-through entity, attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
Community rehabilitation program credit (Schedule CM) – Attach signed Part II of Schedule CM. If credit is from a passthrough entity, attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
Development zones credits (Schedule DC) – Attach a copy of your certification to claim tax benefits and the verification of
expenses from WEDC. Also attach a statement from WEDC verifying the amount of credit for environmental remediation and
job creation or retention. If credit is from a pass-through entity, attach a copy of your Schedule 5K‑1, 3K-1, or 2K-1 instead.
Early stage seed investment credit (Schedule VC) – Attach a copy of the certification issued by WEDC to the business
and to the fund manager and a statement from the fund manager containing (1) name and address of the fund manager
and (2) for each investment, the date, total amount of investment, amount invested in a qualified new business venture,
and amount of tax credit. If credit is from a pass-through entity, attach a copy of your Schedule 5K‑1, 3K-1, or 2K-1 instead.
Economic development tax credit (Schedule ED) – Attach a copy of your certification and the notice of eligibility to receive
tax benefits from WEDC. If credit is from a pass-through entity, attach a copy of your Schedule 5K‑1, 3K-1, or 2K-1 instead.

PAPER CLIP required attachments here

Electronics and information technology manufacturing zone credit (Schedule EIT) – Attach a copy of your tax benefit certification issued by WEDC. If credit is from a pass-through entity, attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
Eligible veterans and surviving spouses property tax credit – Attach real estate tax bill(s) for all taxes paid in 2023,
proof of payment, your Wisconsin Department of Veterans Affairs certification, if required, and any other documentation
requested in the instructions.
Employee college savings account contribution credit (Schedule ES) – If credit is from a pass-through entity, attach a copy
of your Schedule 5K-1, 3K-1, or 2K-1.
Enterprise zone jobs credit (Schedule EC) – Attach a copy of your certification to claim tax benefits and the verification of
your expenses from WEDC. If credit is from a pass-through entity, attach a copy of your Schedule 5K‑1, 3K-1, or 2K-1 instead.
Farmland preservation credit (Schedule FC or FC‑A) – See the instructions for the schedule you are filing for the required
attachments.
Historic rehabilitation credit (Schedule HR) – See Schedule HR for the required attachments.
Homestead credit (Schedule H or H-EZ) – Attach required documents (Form(s) W-2, W-2G, 1099-R, and 1098‑T, original
rent certificate(s), tax bill(s), legal documents, and statements). Attach a copy of Schedule GL if using electronic software
that does not submit the Schedule GL as part of the electronic return.
Jobs tax credit (Schedule JT) – Attach a copy of your certification to claim tax benefits issued by WEDC and the notice of
eligibility to receive tax benefits that reports the amount of tax benefit from WEDC. If credit is from a pass-through entity,
attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
I-041 (R. 08-23)

Refer to instructions on back.

Page 2 of 2

2023 Form W‑RA
Your legal name	

Social security number or FEIN

Low-income housing tax credit (Schedule LI) – Attach a copy of the allocation certificate issued by Wisconsin Housing and Economic Development Authority. If credit is from a pass-through entity, attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
Manufacturing and agricultural credit (Schedule MA‑M or MA‑A) – If credit is from a pass-through entity, attach a copy of
your Schedule 5K-1, 3K-1, or 2K-1.
Manufacturing investment credit (Schedule MI) – Attach a copy of the certification from the Department of Commerce. If
credit is from a pass-through entity, attach a copy of your Schedule 5K-1, 3K-1, or 2K-1 instead.
Model Form for legislators who make the sec. 162(h) election – If using electronic filing software that does not submit the
SPL‑01 Model Form as part of the electronic return, attach a copy of the 2023 Model Form.
Request for closing certificate for fiduciaries (Schedule CC) – Estates – Enter decedent’s social security number in the
box labeled “Your social security number” under Taxpayer Information on page 1. Attach a copy of the decedent’s will and
the probate inventory. Trusts – Attach a copy of the trust instrument and three years of accountings. (Submit attachments
and Form W‑RA only if Schedule CC was electronically filed.)
Sale of investment in a qualified Wisconsin business (Schedule QI) – Attach information showing your computation of the
allocation of gain eligible for the exclusion.
Tax-option (S) corporation, partnership, limited liability company, trust, or estate adjustments - Attach a copy of your
Schedule 5K-1, 3K-1, or 2K-1.
Tax paid to another state (Schedule ET-OS) – Attach a copy of the tax-option (S) corporation’s or partnership’s income or
franchise tax return(s) from the other state(s). If the entity is claiming credit for tax paid to another state on behalf of their
shareholder(s) or partner(s) on a composite income tax return, attach a copy of the composite income tax return from the
other state.
Tax paid to another state (Schedule OS) – Attach a copy of your income tax return from the other state(s) and withholding
statements or a copy of your Schedule 3K-1 or 5K-1 if credit is based on tax paid by a pass-through entity.
Other – Attach any other documents you were instructed to attach when e-filing.

Purpose of Form
Use Form W-RA to submit supporting documentation when you electronically file an income or franchise tax return and claim any of the
credits or items listed. Many of the above items require documentation from WEDC. Legislators making the special section 162(h) election
must mail the Model Form to the department when using electronic filing software that does not submit the Model Form as part of the
electronic return.
Paper clip your attachments to Form W‑RA. Refunds can be processed faster if you use paper clips instead of staples.
	

CAUTION Use Form W-RA only to submit supporting documentation required for the box(es) checked. Do not submit this form
with other correspondence or appeals or when filing a paper copy of your tax return or homestead credit claim.

When to File

Form W-RA and required attachments must be mailed to the department within 48 hours of receipt of your Wisconsin acknowledgment.
Refunds may not complete processing until Form W-RA and attachments have been received.
	 Individuals and tax practitioners filing on behalf of individuals required to send the Form W‑RA attachments to the department may transmit
this data in an electronic file over the internet. To submit Form W-RA attachments electronically, go to https://tap.revenue.wi.gov/WRA/.

Where to File
Send Form W-RA and all attachments to: Wisconsin Department of Revenue, PO Box 8977, Madison WI 53708-8977
Failure to mail Form W‑RA timely to the correct address with all attachments will result in a delay in issuing a refund.
	 If you use a mail service provider that is not the U.S. Postal Service, deliver to: Mail Stop 1-151, Wisconsin Department of Revenue,
2135 Rimrock Road, Madison WI 53713.
Applicable Laws and Rules
This document provides statements or interpretations of the following laws and regulations enacted as of August 15, 2023: ch. 71, Wis.
Stats.