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4
Form
Wisconsin Non-Combined Corporation
Franchise or Income Tax Return
2015
For 2015 or taxable year beginning
and ending
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Complete form using BLACK INK.
Due Date: 15th day of 3rd month following close of taxable year.
Corporation Name
Number and Street
Suite Number
ZIP (+ 4 digit suffix if known)
City
State
A Federal Employer ID Number
B Business Activity (NAICS) Code
D Check
if applicable and attach explanation:
1
Amended return
4
Short period - change in accounting period
C State of Incorporation
and
Year
Enter abbreviation of
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First return - new corporation or entering Wisconsin
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Short period - stock purchase or sale
state in box, or if a
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foreign country, enter
below.
3
Final return - corporation dissolved or withdrew
Check
if applicable and see instructions:
If you have an extension of time to file. Enter extended due date
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F
If no business was transacted in Wisconsin during the taxable year,
attach a complete copy of your federal return.
If you have related entity expenses and are required to file Schedule RT with this return.
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H
If this return is for an insurance company.
►
IRS adjustments became final during the year. Years adjusted
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IF NO ENTRY ON A LINE, LEAVE BLANK
(1000)
–1000
NO COMMAS; NO CENTS
NOT LIKE THIS
ENTER NEGATIVE NUMBERS LIKE THIS
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1 Enter the amount from Form 1120, line 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
.
00
2 Additions (from Schedule 4V, line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
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3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
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4 Subtractions (from Schedule 4W, line 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
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00
5 Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Total company net nonapportionable and separately apportioned income
.
00
(from Form(s) N, line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
.
00
7 Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Wisconsin apportionment percentage. Enter the apportionment percentage from Form A-1 or
.
%
Form A-2. If the percentage is from Form A-2, check () the space after the arrow . .
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If 100% apportionment, check () the space after the arrow . . . . . . . . . . . . . . . . . . .
If using separate accounting, check () the space after the arrow . . . . . . . . . . . . . . .
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9 Multiply line 7 by line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
10 Wisconsin net nonapportionable and separately apportioned income
.
00
(from Form N, line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
.
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11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
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12 Loss adjustment for insurance companies (from Schedule 4I, line 20) . . . . . . . . . . . . . . . . . . 12
00
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13 Add lines 11 and 12. This is the Wisconsin income before net business loss carryforwards . . 13
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14 Wisconsin net business loss carryforward from Form 4BL, line 30(f). Do not enter more than
.
00
line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
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15 Subtract line 14 from line 13. This is Wisconsin net income or loss . . . . . . . . . . . . . . . . . .
00
15
IC-040
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