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RT-1
WisconsinDepartment ofRevenue
StatementofDisallowedRelatedEntity InterestExpenseorRentalExpense
2008
PartI:ToBeCompletedbyEntityWhichPaid,Accrued,orIncurredtheExpense
Complete the information below and provide it to the related entity to which you paid, accrued, or incurred the disallowed interest expense or rental expense: A. IdentifyingInformationforEntityWhichPaid,Accrued,orIncurredtheExpense
Taxpayer Name: TaxpayerIdentificationNumber(FEINorSSN): TypeofTaxpayer(checkone):
Corporation Tax-Option(S)Corporation Partnership Individual Fiduciary Other(explain)
B. IdentifyingInformationforEntitytoWhichtheCorrespondingInterestIncomeorRental IncomeWasReported Taxpayer Name: TaxpayerIdentificationNumber(FEINorSSN):
C. TaxYearforWhichExpensesWereDisallowed(TaxyearoftaxpayerinitemA.above) TaxableYearBeginning andEnding
D. AmountofExpenseDisallowed InterestExpense RentalExpense Total $ $ $ (Enter amounts before apportionment, if applicable)
PartII:ToBeCompletedbyEntityNamedinPartI,ItemB.
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 the ending date of the period stated in Part I, item C. To substantiate the subtraction modification, you must file this schedule with your Wisconsin return. A. Reporting of Income Eligible for Subtraction Modification
IC-076
Specifytheline(s)ofyourproformafederalincometaxreturnwhereyoureportedtheincomeeligible forthesubtractionmodificationfortheyearyouareeligibletoclaimthesubtraction: