Schedule                    Wisconsin Supplement to the Federal Historic 
             HR-5            Rehabilitation Tax Credit – Five-Year Credit Claim
 Wisconsin Department                                                                                                                                  2024
           of Revenue                    File with Wisconsin Form HR-T

A. Claimant Information
 1 . Name                                                                                                   2. FEIN or SSN
                                                                                                            XX - XXX - 
 3 . Address                                                                                                                                           Suite Number

 4 . City                                                                                                   State                              Zip Code

 5 . Email                                                                                                  Phone Number

                                                                                                            7. Disregarded entity FEIN
 6 . Check if the credit is being transferred by a single owner of a disregarded entity:                    XX - XXX - 

 8. Check if you want to allow the contact person listed below to discuss information about this form with the department:  
 9. Contact Person (May need Power of Attorney. See Instructions)      Email

B. Rehabilitated Property
 1. Name of the Property

 2. Address of the Rehabilitated Property

 3 . City                                                                                                   State                              Zip Code

C. Credit Information
 1         Total credit being claimed (add lines 3k or 3o, 4j, 5e and 6)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    1                              .00
           Fiduciaries Only: 
           a  Prorate the credit from line 1 between the entity and its beneficiaries in proportion to the  
             income allocable to each. Enter the beneficiary’s portion  . . . . . . . . . . . . . . . . . . . . . . . . . . . .             1a                        .00
           b  Subtract line 1a from line 1. This is the estate’s or trust’s portion of the credit   .  .  .  .  .  .  .  .  .  .  .  .      1b                        .00
 2         The credit being claimed is the total of the following:  Check all that apply 
           a  The credit was calculated from rehabilitation expenditures incurred by the claimant as  
             owner of the historic property. If this box is checked, line 3 is completed  . . . . . . . . . . . . . . . .                   2a
           b  The credit was allocated to the claimant as owner of a pass-through entity.   
             If this box is checked line 4 is completed    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  2b
           c  The claimant received the credit as a transferee in a credit transfer approved by the  
             Department of Revenue. If this box is checked line 5 is completed   . . . . . . . . . . . . . . . . . . . . . . . .  .         2c
 3         Claimant is Owner of the Rehabilitated Property
           For credits claimed for the first time on this form: 
           a  Enter the WEDC Contract number associated with this credit    . .  3a
           b  Enter adjusted basis in the historic property prior to incurring QREs . . . . . . . . . . . . . . . . . . . .                 3b                        .00
           c  The credit is calculated in the year the expenditures are paid  . . . . . . . . . . . . . . . . . . . . . . . . .             3c
           d  The credit is calculated in the year the rehabilitation property is placed in service  . . . . . . . . .                      3d
           e Enter the adjusted basis at the beginning of the measuring period (see the instructions)  . . . .  3e                                                    .00
           f Enter the date on which the 24- or 60-month measuring period begins . . . . . . . . . . . . . . . . . .                        3f
                                                                                                                                               M M D   D Y Y       Y Y
           g Enter the date on which the 24- or 60-month measuring period ends  . . . . . . . . . . . . . . . . . . .                       3g
                                                                                                                                               M M D   D Y Y       Y Y
IC-534 (R. 10-24)                                                   - 1 -

 Schedule HR-5                                                                                                                                           2024

 3 Claimant is Owner of the Rehabilitated Property (Cont.)
   h  Enter the total qualifying expenditures incurred on the project to date   . . . . . . . . . . . . . . . . . .                           3h              .00
   i  Enter the qualified rehabilitation expenditures on which the credit is computed for the  
     current taxable year  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  3i              .00
   j  Enter 20% of the amount on line 3i rounded to nearest dollar . This is the total credit  
     required to be claimed over 5 years beginning in this year   . . . . . . . . . . . . . . . . . . . . . . . . . . .                       3j              .00
   k  Enter the amount from line 3(j) being claimed and transferred   . . . . . . . . . . . . . . . . . . . . . . . .                         3k              .00
                  i.    Credit available in 2024 (Multiply line 3k by 20%)    . . . . .  .  4a                                                .00
                  ii.   Credit available in 2025 (Multiply line 3k by 20%)    . . . . .  .  4b                                                .00
                  iii.  Credit available in 2026 (Multiply line 3k by 20%)    . . . . .  .  4c                                                .00
                  iv.   Credit available in 2027 (Multiply line 3k by 20%)    . . . . .  .  4d                                                .00
                  v.    Credit available in 2028 (Multiply line 3k by 20%)    . . . . .  .  4e                                                .00

   For credits claimed on a Schedule HR in a previous year but not transferred until the current year: 
   l              Enter the WEDC Contract number associated with this credit                        3l
   m              Enter the total credit amount required to be spread over 5 years   . . . . . . . . . . . . . . . . . . . .                  3m                .00
   n              Enter the first tax year the credit was reported on Schedule HR  . . . . . . . . . . . . . . . . . . . . .                  3n
                                                                                                                                                 M M D D Y Y Y Y
   o              Enter the amount from line 3(m) being claimed and transferred in the current year . . . . . . .                             3o                .00
   p              Total credit claimed as a property owner (add lines 3(k) and 3(o))                 . . . . . . . . . . . . . . . . . . . .  3p                .00
 4 Historic Rehabilitation Credit Calculated using QREs Allocated from a Pass-through Entity 
   a              Enter the WEDC contract number associated with this credit                        4a
   b              Entity Name                                                   FEIN
   c              The credit is calculated in the year the rehabilitation property is placed in service   . . . . . . .                       4c
   d              The credit is calculated in the year the expenditures are paid  . . . . . . . . . . . . . . . . . . . . . . .               4d 
   e              The first tax year-end the claimant received an allocation  . . . . . . . . . . . . . . . . . . . . . . . . . .             4e
                                                                                                                                                 M M D D Y Y Y Y
   f              The last tax year-end the claimant received an allocation  . . . . . . . . . . . . . . . . . . . . . . . . . .              4f
                                                                                                                                                 M M D D Y Y Y Y
   g              The total credit allocated to the claimant   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  4g                .00
   h              Enter the amount of the credit from line 4(g) previously claimed  . . . . . . . . . . . . . . . . . . . . .                 4h                .00
   i              Subtract 4(h) from 4(g), this is the amount of the credit not yet claimed   . . . . . . . . . . . . . . .                   4i                .00
   j              Enter the amount from line 4(i) being claimed because it is being transferred . . . . . . . . . . .                         4j                .00

 5 Historic Rehabilitation Credit Received in a Previous Transfer 
   a              Transferor Name
                  Wisconsin Tax Account #
   b              Total received in previous transfer   . . . . . . . . . . . . . . . . . . .  .   $
                  Year previous transfer received

   c              Enter the date on the Notice of Certification issued for the previous transfer . . . . . . . . . . . .                      5c
                                                                                                                                                 M M D D Y Y Y Y
   d              Previously received transfer required to be claimed over 5 years   . . . . . . . . . . . . . . . . . . . .                  5d                .00
   e              Amount of previously received credit being transferred in the current year  . . . . . . . . . . . . .                       5e                .00

 6 Total credits from other Schedules HR-5  .........................................  6                                                                        .00

IC-534 (R. 10-24)                                    - 2 -