Form 4cs - Sharing Of Research Credits For Combined Group Members - 2012 Page 2

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2012 Form 4CS

Page

Part II Computation of Combined Group’s Tax Eligible for Shared Credits

(a)

(b)

(c1)

(f)

(d)

(e)

(g)

Name of Member

Member’s

Member’s Share

Amount in (d)

Member’s

Member’s Own

Lesser of

with Tax Liability

FEIN

of Combined

minus

Gross Tax

Credits Used

(c2) or (f)

(abbreviate as necessary)

Unitary Income

amount in (e)

(from Form 4M,

This is the

Part III, Line 3)

(from Form 4M,

line Q)

member’s tax

line L1 + L2)

liability eligible

(c2)

for shared

Amount in (c1)

credits

multiplied by 7.9%

3h Total from additional companies reported on separate schedules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3h

Add the amounts on lines 3a through 3h of column g. Enter this amount on page 1, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

IC-448