Form A-1 - Wisconsin Apportionment Data For Single Factor Formulas - 2015 Page 2

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2015 Form A-1
Name
ID Number
Page 2 of 4
Part II Receipts Factor for Interstate Financial Institutions (See section Tax 2 .49, Wis . Adm . Code)
(b) Total Company
(a) Wisconsin
1 Gross interest and other fees from loans secured by real
property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a
1b
.00
.00
2 Gross interest and other fees from loans secured by
.00
.00
tangible personal property . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
2b
.00
.00
3 Gross interest and other fees from unsecured loans . . . . . . .
3a
3b
4 Net gains from sales of loans secured by real property . . . . .
4a
.00
4b
.00
5 Net gains from sales of loans secured by tangible personal
.00
.00
property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5a
5b
.00
.00
6 Net gains from sales of unsecured loans . . . . . . . . . . . . . . . .
6a
6b
.00
.00
7 Gross receipts from credit card receivables . . . . . . . . . . . . . .
7a
7b
8 Net gains from sales of credit card receivables . . . . . . . . . . .
.00
.00
8a
8b
.00
.00
9 Credit card issuer’s reimbursement fees . . . . . . . . . . . . . . . .
9a
9b
.00
.00
10 Gross receipts from merchant discount . . . . . . . . . . . . . . . . . 10a
10b
.00
.00
11 Loan servicing fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11a
11b
12 Gross receipts from travelers checks, cashiers checks,
certified checks, and money orders . . . . . . . . . . . . . . . . . . . . 12a
.00
.00
12b
13 Gross receipts from automated teller machines and safety
.00
.00
deposit boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13a
13b
.00
.00
14 Gross receipts from maintaining accounts . . . . . . . . . . . . . . . 14a
14b
.00
.00
15 Gross receipts from electronic funds transfer . . . . . . . . . . . . . 15a
15b
.00
.00
16 Gross receipts from cash management services . . . . . . . . . . 16a
16b
17 Gross receipts from international trade services . . . . . . . . . . . 17a
17b
.00
.00
18 Gross receipts from data processing services and
document imaging services . . . . . . . . . . . . . . . . . . . . . . . . . 18a
18b
.00
.00
19 Gross receipts from research services . . . . . . . . . . . . . . . . 19a
19b
.00
.00
20 Gross receipts from trust services . . . . . . . . . . . . . . . . . . . . 20a
.00
20b
.00
21 Gross receipts from investment banking services . . . . . . . . 21a
21b
.00
.00
22 Gross receipts from brokerage services . . . . . . . . . . . . . . . 22a
.00
22b
.00
23 Gross receipts from services provided to regulated
investment companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23a
.00
23b
.00
.00
.00
24 Gross receipts from other services . . . . . . . . . . . . . . . . . . . 24a
24b
.00
.00
25 Gross receipts from the lease of real property . . . . . . . . . . . 25a
25b
26 Gross receipts from the lease of tangible personal
property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26a
.00
26b
.00
27 Gross receipts from computer software . . . . . . . . . . . . . . . . 27a
.00
27b
.00
28 Gross royalties and other gross receipts from intangibles
excluding securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28a
.00
28b
.00
29 Sales of tangible personal property (attach schedule) . . . . . 29a
.00
29b
.00
30 Gross receipts apportioned to a state where the taxpayer
would not be taxable under P .L . 86-272 . . . . . . . . . . . . . . . . 30a
.00
31 Add lines 1a through 30a for column (a) (1b through 29b
for column (b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31a
31b
.00
.00
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