Form 6i - Wisconsin Adjustment For Insurance Companies - 2015 Page 2
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2015 Form 6I - Wisconsin Adjustment for Insurance Companies
Designated Agent Name
Federal Employer ID Number
Corporation Name:
Combined
FEIN:
Totals
Part III Net Business Loss Adjustment for Insurance
Companies
14 Enter amount from the insurance company’s
Form 6, Part III, line 2, net of any amount on
line 3 of that same form . . . . . . . . . . . . . . . . . . . . . 14
14
.00
.00
.00
.00
15 Enter amount from the insurance company’s
Form 6, Part III, line 4 . . . . . . . . . . . . . . . . . . . . . . 15
.00
.00
.00
15
.00
16 Add lines 14 and 15 . . . . . . . . . . . . . . . . . . . . . . . . 16
.00
.00
.00
16
.00
17 Enter net capital loss adjustment from Form 6,
Part III, line 5 (enter as a positive amount) . . . . . . 17
.00
.00
.00
17
.00
18 Subtract line 17 from line 16 . If the amount on
line 18 is positive, there is no net business loss
adjustment . If this amount is negative, complete
lines 19 to 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
18
.00
.00
.00
.00
19 Enter the total dividends received deduction from
Schedule 6Y, computed as explained in the
instructions . Enter as a negative number . . . . . . . 19
19
.00
.00
.00
.00
20 Enter the member’s Wisconsin percentage from
Form 6, Part III, line 1d, or if a member of a 100%
.
%
.
%
.
%
.
%
Wisconsin group, enter “100 .0000% .” . . . . . . . . . . 20
20
21 Multiply line 19 by line 20 . . . . . . . . . . . . . . . . . . . 21
.00
.00
.00
.00
21
22 Enter the dividends received deduction attributable
to dividends reported on Form N, computed as
explained in the instructions . Enter as a negative
number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
22
.00
.00
.00
.00
23 Add lines 21 and 22 . . . . . . . . . . . . . . . . . . . . . . . . 23
23
.00
.00
.00
.00
24 If the absolute value of the amount on line 23
exceeds the absolute value of the amount on line
18, enter the amount from line 18 as a positive
number . If the absolute value of the amount on
line 18 exceeds the absolute value of the amount
on line 23, enter the amount from line 23 as a
positive number . Enter or include this amount on
Form 6, Part III, line 6 . . . . . . . . . . . . . . . . . . . . . . 24
24
.00
.00
.00
.00
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