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Wisconsin Free Printable 2019 I-017 Rent Certificate for 2020 Wisconsin Homestead Credit Rent Certificate

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Homestead Credit Rent Certificate
2019 I-017 Rent Certificate

CAUTION:  Schedule H or H-EZ must be completed and filed with this rent certificate  A 2019 Schedule H or H-EZ may not be filed prior to January 1, 2020 2019 Rent Certificate 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 Address of rental property (property must be in Wisconsin) City M.I. Social security number State Time you actually lived at this address in 2019 From M M D D 2019 Zip To M M D D 2019 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 2 a Is the above rental property subject to property taxes? Yes No 3a Yes No b Home site/Lot? 3b Yes No 2a 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? c Mobile or manufactured home taxes or municipal permit fees you collected from this renter for 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3c .00 4 a Total rent collected for this rental unit for 2019 – 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 2019, enter monthly rent paid . . . . . . . . . 4b .00 c If monthly rent changed during 2019, 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 5 Number of occupants in this rental unit – do NOT count spouse or children under 18 . . . . . . . . . . . . . . . . 5 6 This renter’s share of total 2019 rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 .00 7 Value of food and services provided by landlord (this renter’s share) . . . . . . . . . . . . . . . . 7 .00 8 a 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 I-017i (R. 5-19) Date Print name (must match signature) Renter’s 2019 Rent Certificate name Renter’s SSN Address of rental property Page  2 of 2 Shared Living Expenses Schedule – To be completed by renter only if line 5 on page one is 2 or more and each occupant did not pay an equal share of the living expenses. 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: .00 1 Total rent paid (line 1a) . . . . . . . . . . . . . . . 1 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 Expenses Total Paid by All Occupants Amount 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 2 Shared living expenses you paid (line 5b). . . . . . . . 2 .00 3 Total shared living 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 6 Value of food and services provided by landlord (line 7 of page 1). . . . . . . . . . . . . . 6 .00 7 Subtract 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 . . . . . . . . . . . . . . . . . . . . . 7 .00 Instructions for Renter (Claimant) Instructions for Landlord/Authorized Representative Complete all fields in the “Renter (Claimant)” section except the social security number. Then give to your landlord to complete and sign. Lines 2a and 2b  If you checked “No” on line 2a, do not complete the rent certificate unless line 2b applies. 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 verified will not be allowed. Note: Do NOT sign the rent certificate yourself. Rent certificates 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 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 5 of the rent certificate shows 2 or more and each occupant did not pay an equal share of the living expenses. 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. Line 4a  Fill in the total rent collected from all occupants for this unit for the time occupied by this renter in 2019. 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 5  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, 2019. 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.
Extracted from PDF file 2019-wisconsin-form-rent-certificate.pdf, last modified May 2019

More about the Wisconsin Form Rent Certificate Other Tax Credit TY 2019

We last updated the Homestead Credit Rent Certificate in February 2020, so this is the latest version of Form Rent Certificate, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form Rent Certificate directly from TaxFormFinder. You can print other Wisconsin tax forms here.

Other Wisconsin Other 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 Rent Certificate Homestead Credit Rent Certificate
Form A-222 Power of Attorney and Instructions
Schedule HR Wisconsin Historic Rehabilitation Credits
Form SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)

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 Rent Certificate from the Department of Revenue in February 2020.

Show Sources >

Form Rent Certificate is a Wisconsin Other form. States often have dozens of even hundreds of various tax credits, which, unlike deductions, provide a dollar-for-dollar reduction of tax liability. Some common tax credits apply to many taxpayers, while others only apply to extremely specific situations. In most cases, you will have to provide evidence to show that you are eligible for the tax credit, and calculate the amount of the credit to which you are entitled.

Historical Past-Year Versions of Wisconsin Form Rent Certificate

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


2019 Form Rent Certificate

2019 I-017 Rent Certificate

2018 Form Rent Certificate

2018 I-017 Rent Certificate

2017 Form Rent Certificate

2017 I-017 Rent Certificate

2016 Form Rent Certificate

2015 I-017 Rent Certificate (fillable)

Homestead Credit Rent Certificate 2015 Form Rent Certificate

2015 I-017 Rent Certificate (fillable)

Homestead Credit Rent Certificate | Fill-In Form 2013 Form Rent Certificate

2013 I-017 Wisconsin Rent Certificate (fillable)


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