Form 4i - Wisconsin Insurance Company Franchise Tax Return - 2006

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4I
Form
Wisconsin Insurance Company
2006
Franchise Tax Return
For 2006 or taxable year beginning
and ending
.
M
M
D
D
Y
Y
Y
Y
M
M
D
D
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Y
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Y
Complete form using BLACK INK.
Due Date: 15th day of 3rd month following close of taxable year.
Corporation Name
A Federal Employer ID Number
Number and Street
B Business Activity (NAICS) Code
City
State
ZIP Code
C State of Incorporation
and
Year
D Check box if applicable and attach explanation:
1
First return - new corporation or entering Wisconsin
3
Short period - change in accounting period
*C14I06991*
2
Final return - corporation dissolved or withdrew
4
Short period - stock purchase or sale
Check box if applicable and see instructions:
E
If this is an amended return, attach an explanation of the changes.
F
If you have an extension of time to file, enter the extended due date
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D
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Y
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Y
G
If no business was transacted in Wisconsin during the taxable year, attach a complete copy of your federal return and annual statement.
H
If you filed a federal consolidated return, enter Parent’s federal EIN
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1 Federal taxable income from federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
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2 Additions (from Schedule 1, line 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
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3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
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00
4 Subtractions (from Schedule 2, line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Subtract line 4 from line 3. If the insurer writes life and nonlife premiums, check box
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00
and fill in lines 6 through 9. Otherwise, enter the amount from line 5 on line 9 . . . . . . . . . . . .
5
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6 Net gain from operations, other than life insurance . . . .
6
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7 Total net gain from operations . . . . . . . . . . . . . . . . . . . .
7
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%
8 Divide line 6 by line 7 and multiply by 100 (carry to 4 places to the right of the decimal point) .
8
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00
9 Multiply line 5 by line 8. This is the total income other than life insurance income . . . . . . . . . .
9
10 Wisconsin apportionment percentage from Schedule 3, line 11 (carry to 4 places to the
.
%
right of the decimal point) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
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00
11 Multiply line 9 by line 10. This is Wisconsin income (loss) before net business loss offset . . .
11
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12 Wisconsin net business loss carryforward (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . .
12
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13 Subtract line 12 from line 11. This is Wisconsin apportionable net income . . . . . . . . . . . . . . .
13
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14 Gross tax (see instructions). If subject to 2% maximum tax, check box
. . . . . . . . . . . . . .
14
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15 Multiply the amount on Schedule 2, line 4, by 7.9% (0.079) and enter the result . . . . . . . . . . .
15
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16 Add lines 14 and 15. This is the total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
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17 Nonrefundable credits (from Schedule C1, line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
00
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00
18 Subtract line 17 from line 16. If line 17 is more than line 16, enter zero (0). This is net tax . . .
18
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19 Recycling surcharge (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
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20 Endangered resources donation (decreases refund or increases amount owed) . . .
20
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21 Veterans trust fund donation (decreases refund or increases amount owed) . . . . .
21
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22 Add lines 18 through 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
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23 Estimated tax payments less refund from Form 4466W.
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If this is an amended return, see instructions . . . . . . . . 23
00
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24 Wisconsin tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . 24
00
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25 Refundable credits (from Schedule C2, line 3) . . . . . . . 25
00
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00
26 Add lines 23 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
27 Interest, penalty, and late fee due (from Form 4U, line 17 or 26).
.
If you annualized income on Form 4U, check box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
00
IC-020i
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