Credit Computation
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.00
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11 Fill in the smaller of the amount on line 10 or $1,460 .................................... 11
12 Using the amount on line 7c, ll in the appropriate amount from Table A
(page 24)
............. 12
13 Subtract line 12 from line 11
(if line 12 is more than line 11, ll in 0; no credit is allowable)
.......... 13
14 Homestead credit – Using the amount on line 13, ll in the credit from Table B
(page 25)
........ 14
Claimant’s signature Spouse’s signature Date Daytime phone number
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
Here
( )
2019 Schedule H-EZ
Page 2 of 2
SSNName
STEP 5: CREDIT COMPUTATION
Lines 11 through 14 – Refer to Tables A and B on pages 24
and 25 of the Schedule H instructions to determine your home-
stead credit. If filing a Wisconsin income tax return, fill in the
credit amount on line 39 of Form 1. Do you want the Department
of Revenue to compute your credit? If yes, do not complete these
lines. The department will notify you of the amount of your credit.
STEP 6: SIGNING AND FILING YOUR CLAIM
Sign and Date Your Claim You must sign and date your
Schedule H-EZ. If married, your spouse must also sign. See
“How to Assemble” on page 20 of the Schedule H instructions.
Mail to:
Wisconsin Department of Revenue
PO Box 34
Madison WI 53786-0001
For Department Use Only
C
Exception You may be required to reduce your net property
taxes and/or rent or attach additional information to Schedule
H-EZ. See pages 17 to 19 of the Schedule H instructions.
If you received a) any Wisconsin Works (W2) payments or
b) county relief of $400 or more for any month of 2019, complete
the Taxes/Rent Reduction Schedule below.
If you qualify for homestead credit, you may be able to use
Schedule H-EZ to file your claim. See page 5 of the Schedule H
instructions.
Filling in Schedule H-EZ Use black ink. Round off cents. Do
not use commas or dollar signs.
Amending Schedule H-EZ See “Amending Schedule H or
H-EZ” on page 9 of the Schedule H instructions.
STEP 1: CLAIMANT INFORMATION
Print or type all information requested in the spaces provided.
Include your social security number (and your spouse’s, if
applicable) and your tax district. Do not use an address label.
STEP 2: QUESTIONS
Complete lines 1 through 3. See Schedule H instructions.
STEP 3: HOUSEHOLD INCOME
Note: If your spouse died in 2019, see Part 5 on page 23 of the
Schedule H instructions before you continue.
Line 4 – Income from Tax Return Fill in the income from your
2019 Wisconsin income tax return.
Line 5 – Income - No Tax Return Fill in your total (and your
spouse’s total, if married) wages, interest, dividends, and other
income taxable to Wisconsin on lines 5a and 5b. Fill in your
medical and long-term care insurance subtraction on line 5c.
Attach a separate schedule if more space is needed. For more
information, see the instructions for line 8 of Schedule H.
Lines 6a through 6i – Nontaxable Income Fill in all nontaxable
household income received in 2019 from any of the sources
indicated. If you are married, combine the incomes of both
spouses. Do not include amounts reported on line 4, 5a, 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 or 6c.
Line 7a Is the amount on line 7a less than your rent or property
taxes? If yes, see the instructions for line 12a of Schedule H.
Line 7b – Qualifying Dependents Fill in the number of
qualifying dependents. Multiply that amount by $500. Fill in the
result on line 7b.
STEP 4: TAXES AND/OR RENT
Homeowners – Fill in the net 2019 property taxes on your
homestead on line 8. Renters – Complete lines 9a and 9b if heat
was included in your rent and/or lines 9c and 9d if heat was not
included. For more information, see the instructions for lines 13
and 14 of Schedule H.
Instructions for Schedule H-EZ
Taxes/Rent Reduction Schedule
1 Homeowners – fill in the net 2019
property taxes on your homestead ............... 1
2 Renters – if heat was included,
fill in 20% (.20)
,
or if heat was not included, fill in 25% (.25),
of rent from line 8a of the rent certificate(s) . 2
3 Add line 1 and line 2; fill in the smaller
of the total or $1,460 ..................................... 3
4 Divide line 3 by 12 ........................................ 4
5 Number of months in 2019 for which you did
not receive a) any Wisconsin Works (W2)
payments or b) county relief payments of
$400 or more ................................................ 5
6 Multiply line 4 by line 5. Fill in here and
on line 10 (do not fill in line 8 or 9)
of Schedule H-EZ ......................................... 6
Age 65 or older? The Property Tax Deferral Loan Program
can help pay your property taxes. See page 4 of Schedule H
for more information.
Applicable Laws and Rules
This document provides statements or interpretations of the
following laws and regulations in eect as of November 5,
2019: Chapter 71, Wis. Stats.
