2013
Name
Page
2 of 4
Schedule FC‑A
SSN or FEIN
Fill in below the number of farms on which your claim is based.
Note:
Complete a separate schedule for each farm (see page 3).
QUALIFYING ACRES SCHEDULE 1 OF
County
Town
Village
City
of
Enter the primary location of the farm
Step 1
For each tax parcel that 1) is part of the farm and 2) has qualifying acres, as described below, enter:
Step 2
Column (A) tax parcel number
Column (B) number of qualifying acres in the parcel subject to an original or modified farmland preservation
agreement entered into after July 1, 2009, and located in a farmland preservation zoning district
Column (C) number of qualifying acres in the parcel located in a farmland preservation zoning district, but not
subject to an original or modified farmland preservation agreement entered into after July 1, 2009
Column (D) number of qualifying acres in the parcel subject to an original or modified farmland preservation
agreement entered into after July 1, 2009, but not located in a farmland preservation zoning district
Number of Acres from Each Category Above
Tax Parcel Number
(A)
(B)
(C)
(D)
Note: If the farm consists of more than 10 parcels, enclose page 4
Using the acres listed in Step 2, compute the qualifying acres on which your claim is based
Step 3
(B)
(C)
(D)
1 Enter the total acres from Columns (B), (C), and (D) above and,
if applicable, page 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Enter in all three columns your ownership percentage of the farm.
Enter as a decimal carried to four places (If 100%, enter “1.0000”) . .
.
.
.
3 Multiply line 1 by line 2, and round result to the nearest acre . . . . .
4 If your claim is based on more than one farm, fill in
the amount from line 3 of any additional schedules . . . . . . . . . . . . .
5 Add lines 3 and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fill in the number of acres from line 5 on page 1 . . . . . . . . . . . . . . . . . . . .
line 7
line 9
line 11
Wisconsin Department of Revenue