Form 4i - Wisconsin Insurance Company Franchise Tax Return - 1998 Page 2
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2Page 2
1998 Form 4I
Schedule A – Computation of Adjusted Federal Taxable Income
(See instructions, page 2)
1
1 Federal taxable income ...................................................................................................................................
2 Additions to federal taxable income:
2a
a Loss carryforward deducted in the calculation of federal taxable income .................................................
2b
b Dividend income received to the extent used as a deduction in determining federal taxable income .......
2c
c
Interest income that is not included in federal taxable income ..................................................................
2d
d State taxes accrued or paid .......................................................................................................................
2e
e Environmental taxes accrued or paid ........................................................................................................
2f
f
Federal depreciation/amortization in excess of Wisconsin depreciation/amortization ...............................
2g
g Amount by which the federal basis of assets disposed of exceeds the Wisconsin basis ..........................
2h
h Additional deduction for insurers required to discount unpaid losses ........................................................
2i
i
Other ..........................................................................................................................................................
3
3 Add lines 1 through 2i ......................................................................................................................................
4 Subtractions from federal taxable income:
4a
a Wisconsin dividends received deduction ...................................................................................................
4b
b Wisconsin depreciation/amortization in excess of federal depreciation/amortization ................................
4c
c
Amount by which the Wisconsin basis of assets disposed of exceeds the federal basis ..........................
4d
d Other ..........................................................................................................................................................
5
5 Add lines 4a through 4d ..................................................................................................................................
6
6 Subtract line 5 from line 3. This is adjusted federal taxable income (enter on page 1, line 1) ........................
Schedule C1 – Nonrefundable Credits
1 Manufacturer’s sales tax credit (from Form 4, Schedule Z, line 13) ...............................................................
1
2 Research expense credit (from Schedule R, line 30) .....................................................................................
2
3 Development zones research credit (from Schedule DC, line 41) .................................................................
3
4 Research facilities credit (from Schedule R, line 34) ......................................................................................
4
5 Community development finance credit .........................................................................................................
5
6 Development zones jobs credit (from Schedule DC, line 51) .........................................................................
6
7 Development zones sales tax credit (from Schedule DC, line 54) .................................................................
7
8 Development zones investment credit (from Schedule DC, line 57) ..............................................................
8
9 Development zones location credit (from Schedule DC, line 60) ...................................................................
9
10 Development zones day care credit (from Schedule DC, line 63) ..................................................................
10
11 Development zones environmental remediation credit (from Schedule DC, line 66) .....................................
11
12 Development zones credit (from Schedule DC, line 5) ..................................................................................
12
13 Supplement to federal historic credit (from Schedule HR, line 7) ...................................................................
13
14 Add lines 1 through 13 (enter on page 1, line 19) ..........................................................................................
14
Schedule C2 – Refundable Credits
1 Farmland preservation credit (from Schedule FC, line 16) .............................................................................
1
2
2 Farmland tax relief credit (from Schedule FT, line 6) .....................................................................................
3
3 Add lines 1 and 2 (enter on page 1, line 24) ..................................................................................................
Additional Information Required
1
Person to contact concerning this return: Name
Phone #
Fax #
2
Location of books and records for audit purposes: City
State
3
Attach a list of LLCs of which you are the sole owner. Have you included the incomes of these entities in this return?
Yes
No
4
a
Attach a list of corporations in which you own, directly or indirectly, 50% or more of the outstanding voting stock.
b
Have the incomes of these affiliated corporations been included in this return?
Yes
No
5
a
Attach a list of corporations, individuals, partnerships, trusts, or associations which own 50% or more of your outstanding voting stock.
b
Have the incomes of these organizations been included in this return?
Yes
No
6
If your corporation has been involved in any reorganization during the period covered by this return, attach a detailed explanation.
7
Did you purchase any taxable tangible personal property or taxable services for storage, use, or consumption in Wisconsin without payment of a
state sales or use tax?
Yes
No
If yes, see General Instructions, page 2, for more information.
8
Did any adjustments made by the Internal Revenue Service to your income for prior years become finalized during this year?
al
Yes
No
If yes, see Gener
Instructions, page 1, and indicate years adjusted:
Under penalties of law, I declare that I have personally examined this return, including any accompanying schedules and statements,
and to the best of my knowledge and belief, it is true, correct, and complete.
Date
Title
Signature of Officer
SIGNATURES
Preparer’s Federal Employer ID Number
Date
Preparer’s Signature
Attach a copy of your federal return, related schedules, and annual statement.
MAILING
If the federal return is a consolidated return, enter Parent’s federal EIN ______________________________ and see instructions.
Make your check payable to and mail your return to: Wisconsin Department of Revenue, P.O. Box 8908, Madison, WI 53708-8908.
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