Fillable Printable Lc-220 - Wisconsin Department Of Revenue

Lc-220 - Wisconsin Department Of Revenue

If you are an owner of a manufactured/mobile home (unit) subject to a monthly municipal permit fee, you may qualify for

a Lottery and Gaming Credit which will reduce monthly municipal fees for 2017.

Who can claim this credit?

• You may claim this credit on your monthly municipal permit fee if both apply:

- You were the owner of the unit described below on January 1, 2017

- You use the unit as your primary residence

• You cannot claim – if the unit is not your primary residence. You can have only one primary residence. You cannot

claim the credit on business property, rental units, land, garages or other properties that are not your primary residence.

A non-Wisconsin resident cannot claim this credit.

• Note: If you do not qualify for this credit, do not return this form

Filing deadline – January 31, 2017

To claim this credit, you must submit this completed form to your Municipal Treasurer on or before January 31, 2017.

Your Municipal Treasurer will calculate the monthly credit and deduct it from your monthly municipal permit fee.

Questions? – if you have questions on the Lottery and Gaming Credit, contact your Municipal Treasurer or the Wisconsin

Department of Revenue at (608) 266-9457 or [email protected]v.

LC-220 (R. 12-16)

LC-220

Form

Manufactured / Mobile Home Municipal Permit

Wisconsin Lottery and Gaming Credit Application

2017

1. Net fair market value of unit (not to exceed $12,600) ......................... (1)

2. Equalized value school tax rate of district where unit is located ................ (2)

3. Lottery credit (1) x (2) ................................................ (3)

4. Monthly credit deduction (3) ÷ 12 months .................................

For Use By Taxation District Treasurer Only

Due date: Jan. 31, 2017

I attest, under penalty of law, that as of January 1, 2017, I was an owner of the unit described above and that as of that date I used the

unit as my primary residence. I understand that I must notify the municipal treasurer within 30 days of the date on which I no longer use

the unit as my primary residence.

Claimant’s name (please print) Email address

Signature Phone number Date (mm-dd-yyyy)

2017 Lottery and Gaming Credit Claim

– if you do not qualify for the credit, do not return this form

Unit address

Lot/Account number

Town

Village

City

County of

}

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