Form 8916 - Reconciliation Of Schedule M-3 Taxable Income With Tax Return Taxable Income For Mixed Groups

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8916
Reconciliation of Schedule M-3 Taxable Income with Tax
Return Taxable Income for Mixed Groups
Form
OMB No. 1545-0123
(Rev. October 2017)
Attach to Schedule M-3 for Forms 1120, 1120-L, or 1120-PC.
▶
Department of the Treasury
Go to for the latest information.
Internal Revenue Service
▶
Name(s) as shown on return
Employer identification number
Enter total tax reconciliation amount from the applicable line of
1
Schedule M-3. See instructions
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1
2 a Life/non-life loss limitation amount
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2a
b Limitation on non-insurance losses (Form 1120-L, page 1, line 25)
2b
c Amount subtracted from policyholders surplus account (Form
1120-L, page 1, line 26) .
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2c
d (1) Non-life capital loss limitation .
2d(1)
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(2) Life capital loss limitation . .
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2d(2)
e (1) Non-life charitable deduction limitation .
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2e(1)
(2) Life charitable deduction limitation . .
2e(2)
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f
(1) Non-life dual consolidated loss amount disallowed .
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2f(1)
(2) Life dual consolidated loss amount disallowed . .
2f(2)
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3
Combine lines 1 through 2f(2) .
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3
4a (1) Non-life net operating loss deduction .
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4a(1)
(2) Life operations loss deduction .
4a(2)
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b (1) Non-life dividends received deduction
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4b(1)
(2) Life dividends received deduction .
4b(2)
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c (1) Non-life capital loss carryforward used .
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4c(1)
(2) Life capital loss carryforward used
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4c(2)
d (1) Non-life charitable deduction carryforward used .
4d(1)
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(2) Life charitable deduction carryforward used
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4d(2)
e Small life insurance company deduction (Form 1120-L, page 1, line
23) .
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4e
5
Add lines 4a(1) through 4e . .
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5
6
Subtract line 5 from line 3 . .
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6
7
7
Other adjustments to reconcile to taxable income on tax return (attach schedule) .
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Total. Combine lines 6 and 7. This amount must equal the amount reported on the “Taxable
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income” line of the consolidated Form 1120, Form 1120-L, or Form 1120-PC. See instructions
8
8916
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 10-2017)
Cat. No. 37727E

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