Wisconsin Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)


Extracted from PDF file 2021-wisconsin-form-spl-01.pdf, last modified October 2021Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)
2021 Model Form – Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) Name Residence within Legislative District Address Social Security Number For the tax year 2021 I have elected my district home as my tax home and I am now applying section 162(h) of the Internal Revenue Code which allows a per diem expense for living expenses attributable to my work as a state legislator for every legislative day. The number of miles between my residence within my legislative district and the capitol building is . The number of my legislative days for tax year 2021 includes: Session days (including recesses of four consecutive days or less) Committee meeting days Total legislative days The per diem rate I am using is $170 for the period January 1, 2021, through March 31, 2021; $192 for the period April 1, 2021, through September 30, 2021; $195 for the month of October, 2021; and $173 for the period November 1, 2021, through December 31, 2021. This is the federal employee per diem rate which was in effect for Madison for 2021. 1. Enter reimbursements received from your employer that weren’t reported to you in box 1 of Form W-2. Include any reimbursements reported under code “L” in box 12 of your Form W-2 . . . . . . . . . . . . . . 2a. Legislative days at $170 per day . . . . . . . . . . . . . 2b. Legislative days at $192 per day . . . . . . . . . . . . . 2c. Legislative days at $195 per day . . . . . . . . . . . . . 2d. Legislative days at $173 per day . . . . . . . . . . . . . 2e. Total per diem expenses. Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . 3. Expenses not reported on line 2e (See instructions on page 3) . . . . . . . . . . . 4. Total expenses. Add lines 2e and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Subtract line 4 from line 1. If zero or less, enter -0- (no deduction is allowed). However, if line 1 is greater than line 4, report the excess as income on federal Forms 1040, 1040-SR, or 1040NR. See the instructions for these forms for the lines on which to report these amounts . . . . . . . . . . . . . . . . . Note: Do not include on lines 2a through 2e any legislative day for which you are claiming actual expenses on line 3. SPL-01 (R. 9-21) Wisconsin Department of Revenue
2021 SPL-01 2021 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)
More about the Wisconsin Form SPL-01 Other
We last updated the Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) in April 2022, and the latest form we have available is for tax year 2021. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Wisconsin Department of Revenue. You can print other Wisconsin tax forms here.
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Form Code | Form Name |
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Form A-222 | Power of Attorney and Instructions |
Form SPL-01 | Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) |
Form Rent Certificate | Homestead Credit Rent Certificate |
Schedule HR | Wisconsin Historic Rehabilitation Credits |
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 SPL-01 from the Department of Revenue in April 2022.
Historical Past-Year Versions of Wisconsin Form SPL-01
We have a total of ten past-year versions of Form SPL-01 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2021 SPL-01 2021 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)

2020 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) (fillable)

2019 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) (fillable)

2018 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)

2017 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)

2016 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)

2015 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) (fillable)

2013 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election) (fillable)

2012 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(h) Election)

2011 SPL-01 Model Form - Wisconsin Legislators (For Making Internal Revenue Code Section 162(6) Election)
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