Form 4 - Wisconsin Non-Combined Corporation Franchise Or Income Tax Return - 2015 Page 3
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2015 Form 4
Page
45
Is the corporation the sole owner of any limited liability companies?
Yes
No If yes, prepare and submit Schedule DE with this return.
46
Did you include the income of the LLCs listed for item 45 in this return?
Yes
No
47
Did you purchase, license, lease or rent any taxable tangible personal property, certain coins and stamps, certain leased property
affixed to real estate, certain digital goods, or taxable services, for storage, use or consumption in Wisconsin without paying a
state sales or use tax?
Yes
No
48 Person to contact concerning this return:
Last name:
First name:
Phone #:
Fax #:
49 City and state where books and records are located for audit purposes:
City
State
50
List the locations of Wisconsin operations:
51
Yes
No Are any manufacturing facilities located in Wisconsin?
Did you file federal Schedule UTP – Uncertain Tax Position Statement with the Internal Revenue Service?
52
Yes
No If yes, enclose federal Schedule UTP with your Wisconsin tax return.
Did you file federal Form 8886 – Reportable Transaction Disclosure Statement with the Internal Revenue Service?
53
Yes
No If yes, enclose federal Form 8886 with your Wisconsin tax return.
Third
Do you want to allow another person to discuss this return with the department?
Yes
Complete the following.
No
Party
Personal Identification Number (PIN)
Phone Number
Print
Designee’s
Designe
e
Name
Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best of my knowledge and belief.
Signature of Officer
Title
Date
Date
Preparer’s Signature
Preparer’s Federal Employer ID Number
You must file a copy of your federal return with Form 4, even if no Wisconsin activity.
If you are not filing your return electronically, make your check payable to and mail your return to:
Wisconsin Department of Revenue
PO Box 8908
Madison WI 53708-8908
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