×
tax forms found in
Tax Form Code
Tax Form Name

Wisconsin Free Printable 2019 I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form for 2020 Wisconsin Claim for Decedent's Wisconsin Income Tax Refund

It appears you don't have a PDF plugin for this browser. Please use the link below to download 2019-wisconsin-form-804.pdf, and you can print it directly from your computer.

Claim for Decedent's Wisconsin Income Tax Refund
2019 I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form

Tab to navigate within form. Use mouse to check applicable boxes, press spacebar or press Enter. Form 804 Wisconsin Department of Revenue Save Claim for Decedent’s Wisconsin Income Tax Refund Clear Print Address Mail To: Wisconsin Department of Revenue MS 3-164 Tax Operations Bureau PO Box 8903 Madison WI 53708-8903 See instructions below and on back. Tax year decedent was due a refund: Calendar year , or other tax year beginning Name of Decedent Please print or type , 20 , and ending Date of Death , 20 Decedent’s Social Security Number Name of Person Claiming Refund Your Social Security Number Home Address (number and street). Apt. No. City, Town or Post Office, State, and Zip Code. If you have a foreign address, see instructions. Part I Check the box that applies to you. Check only one box. Be sure to complete Part II below. Relationship to decedent: Court-appointed or certified personal representative. Attach a domiciliary letter showing your appointment, unless previously filed (see instructions). Claims will be given preference to relatives in the following order: 1. Surviving spouse 2. Child 3. Parent 4. Brother or sister 5. Creditor of decedent Part II Signature and verification. I request a refund of taxes overpaid by or on behalf of the decedent. Under penalties of perjury, I declare that I have examined this claim, and to the best of my knowledge and belief, it is true, correct, and complete. Signature of Person Claiming Refund Date General Instructions Purpose of Form Use Form 804 to claim a refund on behalf of a decedent (deceased taxpayer). Who Must File If you are claiming a refund on behalf of a decedent, you may be required to file Form 804. If you are unable to cash the refund check that was sent to you, you should return it with a completed Form 804. If you are a personal representative, you should also attach your domiciliary letter showing your appointment. Where To File Send this completed and signed form along with the decedent’s refund check to: Wisconsin Department of Revenue Mail Stop 3-164 Tax Operations Bureau PO Box 8903 Madison WI 53708-8903 I-804 (R. 9-19) Form 804 Page 2 Personal Representative For purposes of this form, a personal representative is the executor or administrator of the decedent’s estate, as appointed or certified by the court. A copy of the decedent’s will cannot be accepted as evidence that you are the personal representative. Specific Instructions Foreign Address If your address is outside the United States or its possessions or territories, enter the information in the following order: City, province or state, and country. Follow the country’s practice for entering the postal code. Do not abbreviate the country name. Court Appointed or Certified Personal Representative Check the box only if you are the decedent’s court-appointed personal representative claiming a refund for the decedent. You must attach a copy of the domiciliary letter showing your appointment. Line 1 Check the box on line 1 if you are a surviving spouse of the decedent and there is no court appointed personal representative. If you check the box on line 1, you must have proof of death. Line 2 Check the box on line 2 if you are a surviving child of the decedent and there is no court appointed personal representative. If you check the box on line 2, you must have proof of death. Line 3 Check the box on line 3 if you are the surviving parent of the decedent. If you check the box on line 3, you must have proof of death. Line 4 Check the box on line 4 if you are the surviving brother or sister of the decedent. If you check the box on line 4, you must have proof of death. Line 5 Check the box on line 5 if you are a creditor of the decedent. If you check the box on line 5, you must have proof of death. NOTE: The proof of death is either of the following: • The death certificate, or • The formal notification from the appropriate government office (for example, Department of Defense) informing the next of kin of the decedent’s death. Do not attach the death certificate or other proof of death to Form 804. Instead, keep it for your records and provide it if requested.
Extracted from PDF file 2019-wisconsin-form-804.pdf, last modified September 2004

More about the Wisconsin Form 804 Individual Income Tax TY 2019

We last updated the Claim for Decedent's Wisconsin Income Tax Refund in March 2020, so this is the latest version of Form 804, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form 804 directly from TaxFormFinder. You can print other Wisconsin tax forms here.

Other Wisconsin Individual Income Tax Forms:

TaxFormFinder has an additional 88 Wisconsin income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 1 Income Tax Return (Long Form)
Income Tax Instructions Wisconsin Form 1 Instructional Booklet
Schedule H-EZ Homestead Credit Claim (Easy Form)
Form 1-ES Estimated Income Tax Voucher
Schedule H Homestead Credit Claim

Download all WI tax forms View all 89 Wisconsin Income Tax Forms


Form Sources:

Wisconsin usually releases forms for the current tax year between January and April. We last updated Wisconsin Form 804 from the Department of Revenue in March 2020.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Wisconsin Form 804

We have a total of seven past-year versions of Form 804 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form 804

2019 I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form

2018 Form 804

2017|I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form May 2011

2017 Form 804

I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form May 2011

2016 Form 804

2011 I-804 Form 804 - Claim for Decendent's Wisconsin Income Tax Refund

Claim for Decedent's Wisconsin Income Tax Refund 2015 Form 804

I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form May 2011

2012 Form 804

I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form May 2011

2011 Form 804

I-804 Claim for Decedent's Wisconsin Income Tax Refund Fill-In Form May 2011


TaxFormFinder Disclaimer:

While we do our best to keep our list of Wisconsin Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By TaxFormFinder.org **
Source: http://www.taxformfinder.org/wisconsin/form-804