Form A-1 - Wisconsin Apportionment Data For Single Factor Formulas - 2015 Page 4
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42015 Form A-1
Name
ID Number
Page 4 of 4
(a) Wisconsin
(b) Total Company
12 Add lines 10 and 11 for each column . . . . . . . . . . . . . . . . . . 12a
.00
12b
.00
.00
.00
13 Subtract line 12 from line 9 for each column . . . . . . . . . . . . . 13a
13b
14 Enter intercompany sales or receipts previously excluded
from the receipts factor due to the deferral of income, if
the deferred income is included in combined unitary
.00
.00
income on this return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a
14b
15 Add lines 13 and 14 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a
15b
.00
.00
16 Separate return filers and pass-through entities:
Divide line 9a, by line 9b, and multiply by 100 .
.
This is the Wisconsin apportionment percentage . . . . . . . . . 16a
%
Part IV Premiums Factor for Insurance Companies
(a) Wisconsin
(b) Total Company
1 Direct premiums written for insurance on property and
risks, other than life insurance . . . . . . . . . . . . . . . . . . . . . . . . 1a
.00
1b
.00
2 Assumed premiums from domestic insurance
companies written for reinsurance on property and
.00
.00
risks, other than life insurance . . . . . . . . . . . . . . . . . . . . . . . . 2a
2b
.00
.00
3 Add lines 1 and 2 for each column . . . . . . . . . . . . . . . . . . . . . 3a
3b
Separate return filers and pass-through entities skip to line 8.
4 Enter premiums included above, if any, that are
intercompany transactions between combined group
.00
.00
members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a
4b
5 Enter premiums included above, if any, that are not
.00
.00
included in the computation of combined unitary income . . . . 5a
5b
.00
.00
6 Add lines 4 and 5 for each column . . . . . . . . . . . . . . . . . . . . . 6a
6b
7 Subtract line 6 from line 3 for each column . Enter column (a)
amount on Form 6, Part III, line 1a . Enter column (b) amount
.00
.00
on Form 6, Part III, line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a
7b
8 Separate return filers and pass-through entities:
Divide line 3a, by line 3b, and multiply by 100 .
.
This is the Wisconsin apportionment percentage . . . . . . . . . . 8a
%
Return to Page 1
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