Wisconsin Rent Certificate Form – Fill Out and Use This PDF

The Wisconsin Rent Certificate form is a crucial document for renters when filing for a homestead credit claim with the Wisconsin Department of Revenue. It needs to be completed and signed by the landlord, providing a detailed record of the rent paid throughout the given tax year. Any alterations or errors can void the certificate, making it essential for both renters and landlords to handle the form with care. If you're ready to accurately report your rent payments and seek homestead credit, make sure to fill out the form by clicking the button below.

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Wisconsin Rent Certificate Form PDF Details

The Wisconsin Rent Certificate form is a crucial document for renters in Wisconsin, especially those looking to claim the homestead credit. Crafted by the Wisconsin Department of Revenue, this form plays a pivotal role in ensuring renters can accurately report their living expenses and potentially gain tax benefits. It requires detailed information about the rental property, including the period of residence in 2020, the total rent collected minus any governmental agency payments, and the number of occupants excluding spouses and children under 18. The form also touches on the division of shared living expenses when applicable, aiming to establish each renter's fair share of the total rent, adjusted for the value of food and services provided by the landlord if included in the rent. Completing this form accurately involves a joint effort between the renter and the landlord or authorized representative, with specific sections designated for each party to fill out. Alterations or errors could void the certificate, emphasizing the importance of precision. Additionally, if the landlord refuses to sign the form, renters are instructed to attach rent verification documents instead. Hence, the Wisconsin Rent Certificate form is not just a bureaucratic requirement; it is a vital tool for financial fairness and support for renters across the state.

Question	Answer
Form Name	Wisconsin Rent Certificate Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	2020 wi rent certificate, 2020 wisconsin rent certificate form, wi rent certificate get, rent certificate for 2020

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CAUTION:

Schedule H or H-EZ must be completed and filed with this rent certificate

Rent Certificate	2020
Wisconsin Department of Revenue

NOTE: • Attach to Schedule H or H-EZ

•Alterations (whiteouts, erasures, etc.) or errors void this rent certificate.

•Only attach rent certificate if filing a homestead credit claim

Renter (Claimant) – Enter Social Security Number AFTER your landlord fills in section below and signs.

Legal last name

Legal first name

M.I.

Social security number

Address of rental property (property must be in Wisconsin)

City

State Zip

Time you actually lived at this address in 2020 From

2020

M M

D D

M M D D

Do NOT sign your rent certificate.

If your landlord won’t sign, complete fields above and below and lines 1 to 8, attach rent verification (see instructions), and check here.

Landlord or Authorized Representative

Name of property owner

Telephone number

						(	)

Address		City				State		Zip

1	Is the rental property a long-term care facility, CBRF, or nursing home?		1			Yes			No
1			1			Yes			No
2a	Is the above rental property subject to property taxes?		2a			Yes			No
b If 2a is “No” and you are a sec. 66.1201 municipal housing authority
	that makes payments in lieu of taxes, check here		2b
3	Is this certificate for rent of a mobile/manufactured: a Home?		3a			Yes			No
		b Home site/Lot?	3b			Yes			No
		b Home site/Lot?	3b			Yes			No
c	Mobile or manufactured home taxes or municipal permit fees
	you collected from this renter for 2020	. . . . . . . . . . . . . . . . . . . .	. . . .	. . .	.	. . . . .	3c		.00
4a	Total rent collected for this rental unit for 2020 – do NOT include amounts received
	directly from a governmental agency, security deposits, or late fees . . . .		. . . .	. . .	.	. . . . .	4a		.00
b	If monthly rent paid didn’t change during 2020, enter monthly rent paid . . . .					. . . . .	4b		.00

cIf monthly rent changed during 2020, enter rent paid for each month below. Do not include security deposits or late fees.

Jan.	.00	Feb.	.00	Mar.	.00	Apr.	.00
May	.00	June	.00	July	.00	Aug.	.00
Sept.	.00	Oct.	.00	Nov.	.00	Dec.	.00
5a Number of occupants in this rental unit – do NOT count spouse or children under 18							. . .	. . . . . . . 5a

bRenters, if line 5a is more than 1, did each occupant pay an equal share of living

	expenses? (if no, complete shared living expenses schedule on page 2)	5b			Yes			No
6	This renter’s share of total 2020 rent	. . . .	6					.00
7	Value of food and services provided by landlord (this renter’s share) . . .	. . . .	7					.00
8a	Rent paid for occupancy only – Subtract line 7 from line 6	. . . .		. . .	. . . . . .	8a	.00
b Was heat included in the rent?		8b			Yes			No

I certify that the information shown on this rent certificate is true, correct, and complete to the best of my knowledge.

Signature (by hand) of landlord or authorized representative

Date

Print name (must match signature)

I-017i (R. 07-20)

2020 Rent Certificate	Renter’s	Renter’s
2020 Rent Certificate	name	SSN
	Address of rental property

Page 2 of 2

Shared Living Expenses Schedule – To be completed by renter only if line 5b on page one is “No.”

Step 1: List name(s) of other occupants:	Step 3: Using the amounts listed in Step 2, compute your allowable
	rent paid for occupancy only:

Step 2: List the total amount (not the monthly amount) of all shared living expenses (rent, food, utilities, and other) paid by all occupants and the amount that you paid:

Shared Living	Total Paid by			Amount
Expenses	All Occupants			You Paid

Rent	1a)	.00	1b)	.00
Food	2a)	.00	2b)	.00
Utilities	3a)	.00	3b)	.00
Other	4a)	.00	4b)	.00
Total	5a)	.00	5b)	.00

1 Total rent paid (line 1a)

.00

2Shared living expenses

	you paid (line 5b)	2	.00
3	Total shared living		.00
	expenses (line 5a)	3	.00
4	Divide line 2 by line 3. Fill
	in decimal amount	. . .	. . . . . . . . . 4 .

5	Multiply line 1 by line 4 . . .	. . .	. . . . . . . . . 5	.00

6Value of food and services provided by

landlord (line 7 of page 1)

.00

7Subtract line 6 from line 5. This is your allowable rent. Fill in here and on the applicable rent line of Schedule H or

Schedule H-EZ

.00

Instructions for Renter (Claimant)

Complete all fields in the “Renter (Claimant)” section except the social security number. Then give to your landlord to complete and sign.

If your landlord won’t sign, place a checkmark in the designated area. Complete the “Landlord or Authorized Representative” section, and attach a copy of each canceled check or bank money order you have to verify your rent. Any portion not veri- fied will not be allowed.

Note: Do NOT sign the rent certificate yourself. Rent certifi- cates signed by you or someone other than the landlord or his/ her authorized representative will not be accepted.

After your landlord returns the completed rent certificate, enter your social security number, complete line 5b if applicable, and then fill in the allowable amounts from lines 3c and 8a (or line 7 of the above Shared Living Expenses Schedule – see instructions below) on Schedule H or H-EZ, as appropriate.

Renter Instructions for Shared Living Expenses Schedule

Complete this schedule if line 5b on page 1 is “No.” All lines on the schedule must be filled in. If all lines on the schedule are not filled in, paid rent will be divided by the number of occupants.

Instructions for Landlord/Authorized Representative

Lines 2a and 2b If you checked “No” on line 2a, do not complete the rent certificate unless line 2b applies.

Line 4a Fill in the total rent collected from all occupants for this unit for the time occupied by this renter in 2020. Include any separate amounts the renter paid to you for items such as parking, a garage, utilities, appliances, or furnishings. Do not include rent for a prior year, late fees, security deposit paid during the year, or amounts you received directly from a governmental agency through a subsidy, voucher, grant, etc., for the unit (except amounts an agency paid as a claimant’s representative payee).

Line 5a Fill in the number of adult occupants who lived in this rental unit during the rental period. Do not count the renter’s spouse or children under age 18 as of December 31, 2020.

Line 5b Do not complete this line. This will be completed by the renter.

Line 7 Fill in this renter’s share of the value of food and personal services (medical, laundry, transportation, counseling, grooming, recreational, therapeutic, etc.) you provided for this rental unit.

Signature Review the rent certificate to be sure that all applicable fields and lines have an entry. Sign (by hand) and date, print your name, and return the rent certificate to the renter. Only an original signature is acceptable.

Applicable Laws and Rules

This document provides statements for interpretations of the following provisions of Wisconsin Statutes in effect as of July 7, 2020: Chapter 71, Wis. Stats.

Laws enacted and in effect after July 7, 2020, new administrative rules, and court decisions may change the interpretations in this document. Guidance issued prior to July 7, 2020, that is contrary to the information in this document is superseded by this document, pursuant to sec. 73.16(2)(a), Wis Stats.

How to Edit Wisconsin Rent Certificate Form Online for Free

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Step 1: Click the "Get Form" button above. It's going to open our editor so that you could begin filling in your form.

Step 2: With this state-of-the-art PDF file editor, you'll be able to do more than just fill in blanks. Express yourself and make your docs seem perfect with customized textual content added in, or fine-tune the original content to excellence - all backed up by the capability to add just about any pictures and sign it off.

It really is simple to complete the pdf using this practical tutorial! Here is what you must do:

1. The 2020 wisconsin rent certificate form will require certain information to be inserted. Ensure that the next blanks are completed:

Part number 1 in completing rent certificate

2. Just after finishing the last part, head on to the subsequent part and complete the essential particulars in all these blank fields - a Total rent collected for this, b If monthly rent paid didnt, c If monthly rent changed during, Jan, May, Sept, Feb, June, Oct, Mar, July, Nov, Apr, Aug, and Dec.

July, Aug, and b If monthly rent paid didnt of rent certificate

3. The following step is focused on Rent Certificate, Renters name Address of rental, Renters SSN, Page of, Shared Living Expenses Schedule, Step List names of other occupants, Step Using the amounts listed in, Total rent paid line a, Step List the total amount not, Shared Living, Expenses, Total Paid by All Occupants, Amount You Paid, Shared living expenses you paid, and Total shared living expenses line - type in each one of these fields.

Total Paid by All Occupants, Expenses, and Shared living expenses you paid of rent certificate

Regarding Total Paid by All Occupants and Expenses, be sure that you double-check them in this current part. These are surely the most important ones in the document.

4. The subsequent section needs your input in the subsequent areas: Other, Total, Subtract line from line This is, Instructions for Renter Claimant, Instructions for, Complete all fields in the Renter, If your landlord wont sign place a, Note Do NOT sign the rent, After your landlord returns the, Renter Instructions for Shared, Complete this schedule if line b, Lines a and b If you checked No on, Line a Fill in the total rent, Line a Fill in the number of adult, and Line b Do not complete this line. Make sure that you fill out all of the required info to move further.

Line b Do not complete this line, Instructions for, and Line a Fill in the number of adult of rent certificate

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Wisconsin Rent Certificate Form – Fill Out and Use This PDF

Wisconsin Rent Certificate Form PDF Details

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