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A-1
Wisconsin Apportionment Data for
Form
Single Factor Formulas
2015
File with Wisconsin Form 1NPR, 2, 3, 4, 4T, 5S, or 6
Wisconsin Department
Read instructions before filling in this form
of Revenue
Name
Identifying Number
Round Amount to Nearest Dollar
Part I Sales Factor (Note: If Part I applies, you only need to complete page 1 of this form)
(a) Wisconsin
(b) Total Company
1 Sales of tangible personal property delivered or shipped to
Wisconsin purchasers:
.00
a Shipped from outside Wisconsin . . . . . . . . . . . . . . . . . . . . 1a
.00
b Shipped from within Wisconsin . . . . . . . . . . . . . . . . . . . . . . 1b
2 Sales of tangible personal property shipped from
Wisconsin to:
.00
a The federal government within Wisconsin . . . . . . . . . . . . . 2a
b The federal government in a state where the
.00
taxpayer would not be taxable under P .L . 86-272 . . . . . . . . 2b
c Purchasers in a state where the taxpayer would not be
.00
taxable under P .L . 86-272 . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
3 Double throwback sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a
.00
4 Total sales of tangible personal property (for column (a), add
lines 1 through 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a
.00
4b
.00
5 Gross receipts from the use of computer software if the
.00
purchaser or licensee used the software in Wisconsin . . . . . . 5a
6 Total gross receipts from the use of computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6b
.00
7 Gross receipts from services provided to a purchaser who
received the benefit of the service in Wisconsin . . . . . . . . . . . 7a
.00
.00
8 Total gross receipts from services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8b
9 Other apportionable gross receipts . . . . . . . . . . . . . . . . . . . . . 9a
9b
.00
.00
10 For column (a), add lines 4a, 5a, 7a and 9a . For column (b),
add lines 4b, 6b, 8b, and 9b . . . . . . . . . . . . . . . . . . . . . . . . . 10a
.00
10b
.00
Separate return filers and pass-through entities skip to line 17.
11
Enter sales included above, if any, that are
intercompany sales between combined group members . . . . 11a
.00
11b
.00
12 Enter sales included above, if any, that are not included
.00
.00
in the computation of combined unitary income . . . . . . . . . . . 12a
12b
.00
.00
13 Add lines 11 and 12 for each column . . . . . . . . . . . . . . . . . . . 13a
13b
14 Subtract line 13 from line 10 for each column . . . . . . . . . . . . . 14a
14b
.00
.00
15 Enter intercompany sales previously excluded from the sales
factor due to the deferral of income, if the deferred income is
.00
.00
included in combined unitary income on this return . . . . . . . . 15a
15b
16 Add lines 14 and 15 for each column . Enter col . (a) amount
on Form 6, Part III, line 1a . Enter col . (b) amount on Form 6,
Part III, line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16a
.00
16b
.00
17 Separate return filers and pass-through entities:
Divide line 10a, by line 10b, and multiply by 100 . This is the
.
Wisconsin apportionment percentage . . . . . . . . . . . . . . . . . . . 17a
%
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IC-043