Form 4909 - Michigan Corporate Income Tax Amended Return For Financial Institutions - 2014

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Michigan Department of Treasury
4909 (Rev. 02-14), Page 1
2014 MICHIGAN Corporate Income Tax Amended Return for Financial Institutions
(MM-DD-YYYY)
(MM-DD-YYYY)
Issued under authority of Public Act 36 of 2007.
Return is for calendar year 2014 or for tax year beginning:
and ending:
1.
Federal Employer Identification Number (FEIN)
2. Taxpayer Name (print or type)
Street Address
7. Organization Type
C Corp/
S Corp/
City
State
ZIP/Postal Code
Country Code
Fiduciary
LLC C Corp
LLC S Corp
8a. Tax year end of first Affiliated Group Election (see instructions)
3. Principal Business Activity
4. NAICS Code
5. Business Start Date in MI 6. If Discontinued, Effective Date
Reason code for amending (see instr.)
Check if filing Michigan Unitary Business Group (UBG)
8b.
return. (Include Form 4910.)
a. Michigan Gross Business
(if no Michigan Gross Business, enter zero)
00
9. Apportionment Calculation:
.
9a.
b. Total Gross Business ...................................................................
00
9b.
%
c. Apportionment Percentage. Divide line 9a by line 9b .................
9c.
PART 1: FRANCHISE TAX — Lines 10-12: If less than zero, enter zero.
Use the “Correct Amount” in lines 10 through 16, columns A through E. (See instructions.)
A
B
C
D
E
2010
2011
2012
2013
2014
10. Equity Capital .... 10.
11. Average daily
book value
of Michigan
obligations .........
11.
12. Average daily
book value of
U.S. obligations .. 12.
13. Subtotal. Add
lines 11 and 12 .. 13.
14. Net Capital.
Subtract line 13
from line 10 ........ 14.
15. a. Authorized
insurance co.
subsidiary:
enter actual
capital fund
amount ............ 15a.
b. Minimum
regulatory amt.
required .......... 15b.
c. Multiply line
15b by 125%
(1.25) ............... 15c.
d. Subtract line
15c from 15a.
If less than
zero, enter
zero................. 15d.
16. Add lines 14
and 15d.............. 16.
+
0000 2014 44 01 27 9
Continue and sign on Page 2

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