Form Cu - Wisconsin Credit Union Declaration Of Exempt Status - 2015
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Form
CU
Wisconsin
2015
Credit Union Declaration of Exempt Status
Wisconsin Department
of Revenue
Name of Credit Union
Number and Street
Zip Code (+ 4 digit suffix if known)
Suite Number
City
State
For Income Year
Year of Incorporation
Federal Employer I.D. Number
Wis. Employer I.D. (Withholding) Number
Seller’s Permit or Use Tax Number
Form CU Instructions
Purpose of Form CU
When to File
Form CU must be filed on or before March 15 of
Credit unions which are exempt from the Wisconsin
franchise or income tax under the provisions of Ch.
the year following the income year for which the
71, Wis. Stats., should file Form CU instead of filing
return is filed.
a Wisconsin corporation franchise or income tax re-
turn, Form 4. Thereafter, the credit union need not
file a corporation tax return (Form 4 or 6) or Form
Where to File
CU for any subsequent year unless requested to
Mail Form CU to the Wisconsin Department of
do so by the Department of Revenue or unless in
Revenue, PO Box 8908, Madison, WI 53708-8908.
a subsequent year the credit union acts as a public
depository.
Note: Credit unions that do not derive income from
public deposits are exempt from the Wisconsin tax
on unrelated business taxable income, as computed
under section 512 of the Internal Revenue Code.
I, the undersigned authorized officer of the credit union for which this declaration of exempt status is made, declare that the above
named credit union had no deposits of public funds during the income year shown above and I understand that a Wisconsin franchise
or income tax return must be filed for any future year for which the credit union’s deposits include public funds.
Signature
Title
Date
IC-081
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