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   H-EZ                                                                     Wisconsin
                                                                            homestead credit
                                                                                                                                   2008
                Check	here	if	an	amended	return
                                                    Claimant’s	social	security	number Spouse’s	social	security	number


                                                                                                                                 Legal first name
                                                    Claimant’s	legal	last	name                                                                                                                     M .I .
                                                                                                                                                                                                                Check below then fill in either the name of city, village,
                                                                                                                                                                                                                or	town,	and	the	county	in	which	you	lived	at	the	end	
                                                                                                                                                                                                                of	2008 .
                                                                                                                                 Spouse’s legal first name
                                                    Spouse’s	legal	last	name                                                                                                                       M .I .                         City            Village          Town
                                                                                                                                                                                                                City,	village,
                                                                                                                                                                                                                or	town
                                                    Home	address	(number	and	street)

                                                                                                                                                                                                                County	of	
                                                    City or post office                                                                             State            Zip	code
                                                                                                                                                                                                                Special                                     (See	page	7	of	the	
                                                                                                                                                                                                                conditions                                  Schedule	H	instructions)

                                               	 1 a	 What	was	your	age	as	of	December	31,	2008?	(If	you	were	under	18,	you	do	not	qualify	for	homestead	credit	for	2008 .)		 	1a	                                                                                          Fill	in	age
                                               	 	b	 If	you	are	married	and	your	spouse	was	age	65	or	over	as	of	December	31,	2008,	check	where	indicated		 .  .  .  .  . 	1b	                                                                                              Check	here
                                                         Were you a legal resident of Wisconsin from 1-1-08 through 12-31-08? (If “No,” you do not qualify.) 	 .  .  .  .  .  .  .  .  . 	2                                                                                     Yes       No
                                               	2
                                               	 3		 Were	you	claimed	or	will	you	be	claimed	as	a	dependent	on	someone	else’s	2008	federal	income	tax	return?
                                                     (If “Yes” and you were under age 62 on December 31, 2008, you do not qualify.) 	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	3                                                                 Yes       No
                                               Household Income                                  Print numbers like this                                                                                              NO COMMAS; NO CENTS
                                                                                                                                                                                                                                                                                             .00
                                               	 4		 Wisconsin	income	from	line	12	of	Form	1A	or	line	13	of	Form	1	(see	instructions)	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	4
ATTACH rent certificate or property tax bill




                                               	 5		 If	not filing a 2008 Wisconsin return, fill in Wisconsin taxable	income	below .
                                                                             .00 +	 Interest	                   .00 +	 Dividends	                                                                                                          .00                                               .00
                                               	 	a	 Wages	                                                                                                                                                                                          = 	 .  .  . 5a
                                                                                                                                                                                                                                                                 	
                                                                                                                                                                                                                                                                                             .00
                                               	 	b	 Other	taxable	income	(list	type	and	amount)	                                                                                                                                                   5
                                                                                                                                                                                                                                                    	b
                                               	 6		 Nontaxable income not included on line 4, 5a, or 5b.
                                                                                                                                                                                                                                                                                             .00
                                               	 	a	 Unemployment	compensation	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6a
                                                                                                                                                                                                                                                                                             .00
                                               	 	b	 Social	security,	federal	and	state	SSI,	SSI-E,	SSD,	and	caretaker	supplement	payments 	 .  .  .  .  .  .  .  .  . 	6b
                                                                                                                                                                                                                                                                                             .00
                                               	 	c Railroad retirement benefits 	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6c
                                                                                                                                                                                                                                                                                             .00
                                               	 	d	 Pensions,	annuities,	and	other	retirement	plan	distributions	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6d
                                                                                                                                                                                                                                                                                             .00
                                               	 	e	 Contributions	to	deferred	compensation	plans	(see	box	12	of	wage	statements)		  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6e
                                                                                                                                   .
                                                                                                                                                                                                                                                                                             .00
                                               	 	f	 Contributions	to	IRA	and	SIMPLE	plans 	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6f
                                                                                                                                                                                                                                                                                             .00
                                               	 	g	 Interest	on	United	States	bonds	and	notes	and	state	and	municipal	bonds 	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6g
                                                                                                                                                                                                                                                                                             .00
                                               	 	h	 Child	support,	maintenance	payments,	and	other	support	money	(court	ordered) 	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	6h
                                                                                                                                                                                                                                                                                             .00
                                               	 	i	 Wisconsin	Works	(W2)	payments,	county	relief,	kinship	care,	and	other	cash	public	assistance	 .  .  .  . 	6i
                                                                                                                                                                                                                                                                                             .00
                                               	 7 a	 Add	lines	4	through	6i 	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	7a
                                                                                                                                                                                                                                                                                             .00
                                               	 	b	 Fill	in	number	of	qualifying	dependents	(do	not	count	yourself	or	your	spouse)		                                                                                                         x	$250	=	 7b
                                                                                                                                                                                                                                                                                             .00
                                               	 	c	 Household	income .	Subtract	line	7b	from	line	7a	(if	$24,500	or	more,	no	credit	is	allowed)	 	 .  .  .  .  .  .  .  .  .  .  .  . 	7c
                                                Taxes and/or Rent  Before	completing	this	section,	see	instructions	for	taxes	and/or	rent	(STEP	4) .
                                                                                                                                                                                                                                                                                             .00
                                               	 8		 Homeowners	–	Net	2008	property	taxes	on	your	homestead,	whether	paid	or	not	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	8
                                               	 9		 Renters – Rent from your rent certificate(s), line 13a (or Shared Living Expenses Schedule).
                                                                                                                                                                                                                         .00                                                                 .00
                                               	 		 Heat	included	(13b of rent certificate is “Yes”)		 .  .  .  .  .  .  .  .  .  .  .  . 9a	                                                                                     x	 .20	(20%)		=		 9 b
                                                                                                                                                                                                                         .00                                                                 .00
                                               	 		 Heat	not	included	(13b of rent certificate is “No”)		  .  .  .  .  .  .  .  .  . 9c	
                                                                                                         .                                                                                                                        x	 .25	(25%)		=		 9 d
                                                                                                                                                                                                                                                                                             .00
                                               1
                                               	 0		 Add	lines	8,	9b,	and	9d	(or	enter	amount	from	line	6	of	Taxes/Rent	Reduction	Schedule)		 .  .  .  .  .  .  .  . 	10
                                               Credit Computation
                                                                                                                                                                                                                                                                                             .00
                                               1
                                               	 1		 Fill	in	the	smaller	of	the	amount	on	line	10	or	$1,450	 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 	11
                                                                                                                                                                                                                                                                                             .00
                                                         Using the amount on line 7c, fill in the appropriate amount from Table A		(page	17)		 .  .  .  .  .  .  .  .  .  .  .  . 	12
                                               1
                                               	2
                                                                                                                                                                                                                                                                                             .00
                                               	 3		 Subtract	line	12	from	line	11	(if line 12 is more than line 11, fill in 0;	no	credit	is	allowable) 	 .  .  .  .  . 	13
                                               1
                                                                                                                                                                                                                                                                                             .00
                                                         Homestead credit – Using the amount on line 13, fill in the credit from Table B		(page	18)		 .  .  .  .  .  .  . 	14
                                               1
                                               	4
                                         Under penalties of law, I declare this homestead credit claim and all attachments are true, correct, and complete to the best of my knowledge and belief.
                                         Sign                   Claimant’s	signature	                                                        Spouse’s	signature	                                                  Date	                             Daytime	phone	number
                                                                                                                                                                                                                                                    (	             )
                                         Here
                                         I-015i                                                                                                                                                                   For Department Use Only
                                         Mail to:                                                                                                                                                                 C



                                                                                                                                       *I1HZ08991*
                                         	 Wisconsin	Department	of	Revenue
                                         	 PO	Box	34
                                         	 Madison	WI		53786-0001
Return to Page 1
Instructions for Schedule H-EZ
If	you	qualify	for	homestead	credit	(see	page	4	of	the	Schedule	H	         Renters	–	Complete	lines	9a	and	9b	if	heat	was	included	in	your	rent	
instructions), you may be able to use Schedule H-EZ to file your           and/or	lines	9c	and	9d	if	heat	was	not	included .	For	more	information,	
claim. See “Which Schedule to File” on page 4 to determine if              see	the	instructions	for	line	14	of	Schedule	H .
Schedule	H-EZ	is	right	for	you .
                                                                           Exception		Do	any	of	the	following	apply	to	you?	If	yes,	you	may	
Filling in Schedule H-EZ		Use	black	ink .	Round	off	cents	(drop	           be	required	to	reduce	your	net	property	taxes	and/or	rent	or	attach	
amounts	 under	 50¢	 and	 increase	 amounts	 from	 50¢	 to	 99¢	           additional	information	to	Schedule	H-EZ .
to	the	next	dollar) .	Do	not	use	commas	or	dollar	signs	when	
                                                                           • You owned/rented a mobile or manufactured home and/or the land
filling in amounts.
                                                                             on	which	it	was	located	(see	item	3	under	Exceptions:	Homeowners	
Amending Schedule H-EZ See “Amending Schedule H or                           on	 page	 12	 of	 the	 Schedule	 H	 instructions	 and	 item	 4	 under	
H-EZ” on page 6 of the Schedule H instructions.                              Exceptions:	Renters	on	page	13) .

                                                                           •	 There	are	names	on	the	property	tax	bill	other	than	yours	or	your	
STEP 1: CLAIMANT INFORMATION
                                                                              spouse’s	and/or	you	owned	your	homestead	with	others	in	2008	
Print	or	type	all	information	requested	in	the	spaces	provided .	             (see	items	1	and	2	under	Exceptions:	Homeowners	on	page	12	
Include	your	social	security	number	(and	your	spouse’s,	if	ap-                of	the	Schedule	H	instructions) .
plicable)	and	your	tax	district .	Do	not	use	an	address	label .
                                                                           •	 The	property	tax	bill	does	not	show	any	lottery	and	gaming	credit	
STEP 2: QUESTIONS                                                             (see	 item	 5	 under	 Exceptions:	 Homeowners	 on	 page	12	 of	 the	
                                                                              Schedule	H	instructions) .
Complete	 lines	 1	 through	 3 .	 For	 more	 information	 on	 legal	
                                                                           • You moved during 2008 (see item 2 under Exception: Homeowners
residency,	see	the	instructions	for	line	2	of	Schedule	H .
                                                                             and/or	Renters	on	page	13	of	the	Schedule	H	instructions) .
STEP 3: HOUSEHOLD INCOME
                                                                           • You received a) any Wisconsin Works (W2) payments or b) county
Note:		If	your	spouse	died	in	2008,	see	Part	5	on	page	16	of	                relief	of	$400	or	more	for	any	month	of	2008 .	Complete	the	Taxes/
the	Schedule	H	instructions	before	you	continue .                            Rent	Reduction	Schedule	below .
Line 4 – Income from Tax Return	 	 Fill	 in	 the	 income	 from	
your	2008	Wisconsin	income	tax	return .	For	more	information,	                                                         Taxes/Rent Reduction Schedule
including instructions for when you have already filed your
                                                                            1 Homeowners – fill in the net 2008
return,	see	the	instructions	for	line	7	of	Schedule	H .
                                                                            	 property	taxes	on	your	homestead	 . . . . . . . . . . . . . . . . . . . . . .	1
Line 5 – Income - No Tax Return		Fill	in	the	amount	of	your	(or	            2 Renters – if heat was included, fill in 20% (.20),
                                                                              or if heat was not included, fill in 25% (.25),
the	total	of	both	spouses,	if	married)	wages,	interest,	dividends,	
                                                                              of rent from line 13a of the rent certificate(s)	  . . . . . .	2
                                                                                                                               .
and	 other	 income	 taxable	 to	 Wisconsin	 on	 lines	5a	 and	 5b .	
                                                                            3 Add line 1 and line 2; fill in the smaller
Attach	a	separate	schedule	if	more	space	is	needed .	For	more	
                                                                            	 of	the	total	or	$1,450	 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	3
information,	including	an	available	subtraction	for	medical	and	
                                                                            4	 Divide	line	3	by	12	 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	4
long-term	care	insurance	costs,	see	the	instructions	for	line	8	
                                                                            5	     Number	of	months	in	2008	for	which	you	did
of	Schedule	H .
                                                                            	      not	receive	a)	any	Wisconsin	Works	(W2)
Lines 6a through 6i – Nontaxable Income	 	 Fill	 in	 all	 non-              	      payments	or	b)	county	relief	payments	of
                                                                            	      $400	or	more	 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	5
taxable	 household	 income	 received	 in	 2008	 from	 any	 of	 the	
                                                                            6	 Multiply	line	4	by	line	5 .	Fill	in	here	and
sources	indicated .	If	you	are	married,	combine	the	incomes	of	
                                                                               on line 10 (do not fill in line 8 or 9)
both	spouses .	Do	not	include	amounts	reported	on	line	4,	5a,	
                                                                            	 of	Schedule	H-EZ		 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	6
or	5b .	For	more	information,	see	the	instructions	for	lines	9a	
through	9g,	9i,	and	9j	of	Schedule	H .		Note:	Include	Medicare	
premium	 deductions	 in	 any	 amounts	 entered	 on	 lines	6b	
                                                                           STEP 5: CREDIT COMPUTATION
or	6c .

Line 7b – Qualifying Dependents	 	 Fill	 in	 the	 number	 of	              Lines 11 through 14	–	Refer	to	Tables	A	and	B	on	pages	17	and	18	
qualifying	 dependents .	 Multiply	 that	 amount	 by	 $250 .	 Fill	 in	    of	the	Schedule	H	instructions	to	determine	your	homestead	credit .	
                                                                           If filing a Wisconsin income tax return, fill in the credit amount on
the	 result	 on	 line	 7b .	 For	 information	 on	 who	 is	 considered	
a	 qualifying	 dependent,	 see	 the	 instructions	 for	 line	 12b	 of	     line	32	of	Form	1A	or	line	48	of	Form	1 .	Do	you	want	the	department	
Schedule	H .                                                               to	 compute	 your	 credit?	 If	yes,	 do	 not	 complete	 these	 lines .	 The	
                                                                           department	will	notify	you	of	the	amount	of	your	credit .
Line 7c – Total Household Income		Is	your	household	income	
less	 than	 your	 rent	 or	 property	 taxes?	 If	 yes,	 attach	 a	 note	
                                                                           STEP 6: SIGNING AND FILING YOUR CLAIM
explaining	how	you	paid	your	rent	or	property	taxes	and	your	
                                                                           Sign and Date Your Claim You must sign and date your
other	living	expenses	(food,	utilities,	clothing,	etc .) .
                                                                           Schedule	H-EZ .	 If	 married,	 your	 spouse	 must	 also	 sign .	 	 Note:	A	
                                                                           homestead credit claim may not be signed for or filed on behalf of
STEP 4: TAXES AND/OR RENT
                                                                           a	deceased	person .
Homeowners	 –	 Fill	 in	 the	 net	 2008	 property	 taxes	 on	 your	
                                                                           How to Assemble Before filing Schedule H-EZ, see “How to
homestead on line 8. For more information, including a definition
                                                                           Assemble” on page 14 of the Schedule H instructions.
of “net property taxes,” see the instructions for line 13 of
Schedule	H .

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Fill-In Form

  • 1. Instructions Tab to navigate within form. Use mouse to check Print Clear Save applicable boxes, press spacebar, or press Enter. H-EZ Wisconsin homestead credit 2008 Check here if an amended return Claimant’s social security number Spouse’s social security number Legal first name Claimant’s legal last name M .I . Check below then fill in either the name of city, village, or town, and the county in which you lived at the end of 2008 . Spouse’s legal first name Spouse’s legal last name M .I . City Village Town City, village, or town Home address (number and street) County of City or post office State Zip code Special (See page 7 of the conditions Schedule H instructions) 1 a What was your age as of December 31, 2008? (If you were under 18, you do not qualify for homestead credit for 2008 .) 1a Fill in age b If you are married and your spouse was age 65 or over as of December 31, 2008, check where indicated . . . . . 1b Check here Were you a legal resident of Wisconsin from 1-1-08 through 12-31-08? (If “No,” you do not qualify.) . . . . . . . . . 2 Yes No 2 3 Were you claimed or will you be claimed as a dependent on someone else’s 2008 federal income tax return? (If “Yes” and you were under age 62 on December 31, 2008, you do not qualify.) . . . . . . . . . . . . . . . . . . . . . . . . 3 Yes No Household Income Print numbers like this  NO COMMAS; NO CENTS .00 4 Wisconsin income from line 12 of Form 1A or line 13 of Form 1 (see instructions) . . . . . . . . . . . . . . . 4 ATTACH rent certificate or property tax bill 5 If not filing a 2008 Wisconsin return, fill in Wisconsin taxable income below . .00 + Interest .00 + Dividends .00 .00 a Wages = . . . 5a .00 b Other taxable income (list type and amount) 5 b 6 Nontaxable income not included on line 4, 5a, or 5b. .00 a Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a .00 b Social security, federal and state SSI, SSI-E, SSD, and caretaker supplement payments . . . . . . . . . 6b .00 c Railroad retirement benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c .00 d Pensions, annuities, and other retirement plan distributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6d .00 e Contributions to deferred compensation plans (see box 12 of wage statements) . . . . . . . . . . . . . . . 6e . .00 f Contributions to IRA and SIMPLE plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6f .00 g Interest on United States bonds and notes and state and municipal bonds . . . . . . . . . . . . . . . . . . . . 6g .00 h Child support, maintenance payments, and other support money (court ordered) . . . . . . . . . . . . . . . 6h .00 i Wisconsin Works (W2) payments, county relief, kinship care, and other cash public assistance . . . . 6i .00 7 a Add lines 4 through 6i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a .00 b Fill in number of qualifying dependents (do not count yourself or your spouse) x $250 = 7b .00 c Household income . Subtract line 7b from line 7a (if $24,500 or more, no credit is allowed) . . . . . . . . . . . . 7c Taxes and/or Rent Before completing this section, see instructions for taxes and/or rent (STEP 4) . .00 8 Homeowners – Net 2008 property taxes on your homestead, whether paid or not . . . . . . . . . . . . . . . 8 9 Renters – Rent from your rent certificate(s), line 13a (or Shared Living Expenses Schedule). .00 .00 Heat included (13b of rent certificate is “Yes”) . . . . . . . . . . . . 9a x .20 (20%) = 9 b .00 .00 Heat not included (13b of rent certificate is “No”) . . . . . . . . . 9c . x .25 (25%) = 9 d .00 1 0 Add lines 8, 9b, and 9d (or enter amount from line 6 of Taxes/Rent Reduction Schedule) . . . . . . . . 10 Credit Computation .00 1 1 Fill in the smaller of the amount on line 10 or $1,450 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 .00 Using the amount on line 7c, fill in the appropriate amount from Table A (page 17) . . . . . . . . . . . . 12 1 2 .00 3 Subtract line 12 from line 11 (if line 12 is more than line 11, fill in 0; no credit is allowable) . . . . . 13 1 .00 Homestead credit – Using the amount on line 13, fill in the credit from Table B (page 18) . . . . . . . 14 1 4 Under penalties of law, I declare this homestead credit claim and all attachments are true, correct, and complete to the best of my knowledge and belief. Sign Claimant’s signature Spouse’s signature Date Daytime phone number ( ) Here I-015i For Department Use Only Mail to: C *I1HZ08991* Wisconsin Department of Revenue PO Box 34 Madison WI 53786-0001
  • 2. Return to Page 1 Instructions for Schedule H-EZ If you qualify for homestead credit (see page 4 of the Schedule H Renters – Complete lines 9a and 9b if heat was included in your rent instructions), you may be able to use Schedule H-EZ to file your and/or lines 9c and 9d if heat was not included . For more information, claim. See “Which Schedule to File” on page 4 to determine if see the instructions for line 14 of Schedule H . Schedule H-EZ is right for you . Exception Do any of the following apply to you? If yes, you may Filling in Schedule H-EZ Use black ink . Round off cents (drop be required to reduce your net property taxes and/or rent or attach amounts under 50¢ and increase amounts from 50¢ to 99¢ additional information to Schedule H-EZ . to the next dollar) . Do not use commas or dollar signs when • You owned/rented a mobile or manufactured home and/or the land filling in amounts. on which it was located (see item 3 under Exceptions: Homeowners Amending Schedule H-EZ See “Amending Schedule H or on page 12 of the Schedule H instructions and item 4 under H-EZ” on page 6 of the Schedule H instructions. Exceptions: Renters on page 13) . • There are names on the property tax bill other than yours or your STEP 1: CLAIMANT INFORMATION spouse’s and/or you owned your homestead with others in 2008 Print or type all information requested in the spaces provided . (see items 1 and 2 under Exceptions: Homeowners on page 12 Include your social security number (and your spouse’s, if ap- of the Schedule H instructions) . plicable) and your tax district . Do not use an address label . • The property tax bill does not show any lottery and gaming credit STEP 2: QUESTIONS (see item 5 under Exceptions: Homeowners on page 12 of the Schedule H instructions) . Complete lines 1 through 3 . For more information on legal • You moved during 2008 (see item 2 under Exception: Homeowners residency, see the instructions for line 2 of Schedule H . and/or Renters on page 13 of the Schedule H instructions) . STEP 3: HOUSEHOLD INCOME • You received a) any Wisconsin Works (W2) payments or b) county Note: If your spouse died in 2008, see Part 5 on page 16 of relief of $400 or more for any month of 2008 . Complete the Taxes/ the Schedule H instructions before you continue . Rent Reduction Schedule below . Line 4 – Income from Tax Return Fill in the income from your 2008 Wisconsin income tax return . For more information, Taxes/Rent Reduction Schedule including instructions for when you have already filed your 1 Homeowners – fill in the net 2008 return, see the instructions for line 7 of Schedule H . property taxes on your homestead . . . . . . . . . . . . . . . . . . . . . . 1 Line 5 – Income - No Tax Return Fill in the amount of your (or 2 Renters – if heat was included, fill in 20% (.20), or if heat was not included, fill in 25% (.25), the total of both spouses, if married) wages, interest, dividends, of rent from line 13a of the rent certificate(s) . . . . . . 2 . and other income taxable to Wisconsin on lines 5a and 5b . 3 Add line 1 and line 2; fill in the smaller Attach a separate schedule if more space is needed . For more of the total or $1,450 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 information, including an available subtraction for medical and 4 Divide line 3 by 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 long-term care insurance costs, see the instructions for line 8 5 Number of months in 2008 for which you did of Schedule H . not receive a) any Wisconsin Works (W2) Lines 6a through 6i – Nontaxable Income Fill in all non- payments or b) county relief payments of $400 or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 taxable household income received in 2008 from any of the 6 Multiply line 4 by line 5 . Fill in here and sources indicated . If you are married, combine the incomes of on line 10 (do not fill in line 8 or 9) both spouses . Do not include amounts reported on line 4, 5a, of Schedule H-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 or 5b . For more information, see the instructions for lines 9a through 9g, 9i, and 9j of Schedule H . Note: Include Medicare premium deductions in any amounts entered on lines 6b STEP 5: CREDIT COMPUTATION or 6c . Line 7b – Qualifying Dependents Fill in the number of Lines 11 through 14 – Refer to Tables A and B on pages 17 and 18 qualifying dependents . Multiply that amount by $250 . Fill in of the Schedule H instructions to determine your homestead credit . If filing a Wisconsin income tax return, fill in the credit amount on the result on line 7b . For information on who is considered a qualifying dependent, see the instructions for line 12b of line 32 of Form 1A or line 48 of Form 1 . Do you want the department Schedule H . to compute your credit? If yes, do not complete these lines . The department will notify you of the amount of your credit . Line 7c – Total Household Income Is your household income less than your rent or property taxes? If yes, attach a note STEP 6: SIGNING AND FILING YOUR CLAIM explaining how you paid your rent or property taxes and your Sign and Date Your Claim You must sign and date your other living expenses (food, utilities, clothing, etc .) . Schedule H-EZ . If married, your spouse must also sign . Note: A homestead credit claim may not be signed for or filed on behalf of STEP 4: TAXES AND/OR RENT a deceased person . Homeowners – Fill in the net 2008 property taxes on your How to Assemble Before filing Schedule H-EZ, see “How to homestead on line 8. For more information, including a definition Assemble” on page 14 of the Schedule H instructions. of “net property taxes,” see the instructions for line 13 of Schedule H .