Schedule 4y - Wisconsin Subtraction Modification For Dividends - 2015
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Wisconsin Subtraction Modification for
Schedule
4Y
Dividends
2015
File with Wisconsin Form 4
Wisconsin Department
of Revenue
Read instructions before filling in this schedule
Corporation Name
Federal Employer ID Number
Dividends Received
Name of Payer Corporation
Date Acquired by Payee
M M
D
D
Y
Y
Y
Y
1a
Payee's Ownership of Payer (check (√) one)
Name of Payee Corporation
> 70%
.
00
> 50% but < or = 70%
1a
Name of Payer Corporation
Date Acquired by Payee
M M
D
D
Y
Y
Y
Y
1b
Payee's Ownership of Payer (check (√) one)
Name of Payee Corporation
> 70%
.
> 50% but < or = 70%
00
1b
Name of Payer Corporation
Date Acquired by Payee
M M
D
D
Y
Y
Y
Y
1c
Payee's Ownership of Payer (check (√) one)
Name of Payee Corporation
> 70%
.
> 50% but < or = 70%
00
1c
Name of Payer Corporation
Date Acquired by Payee
M M
D
D
Y
Y
Y
Y
1d
Payee's Ownership of Payer (check (√) one)
Name of Payee Corporation
> 70%
.
> 50% but < or = 70%
00
1d
Name of Payer Corporation
Date Acquired by Payee
M M
D
D
Y
Y
Y
Y
1e
Payee's Ownership of Payer (check (√) one)
Name of Payee Corporation
> 70%
.
> 50% but < or = 70%
00
1e
Name of Payer Corporation
Date Acquired by Payee
1f
M M
D
D
Y
Y
Y
Y
Payee's Ownership of Payer (check (√) one)
Name of Payee Corporation
> 70%
.
1f
00
> 50% but < or = 70%
.
00
1g Add lines 1a through 1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1g
.
00
1h Total of line 1g from additional Schedules 4Y (see instructions) . . . . . . . . . . . . . . . . . . . . . 1h
.
00
2
Add lines 1g and 1h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
.
00
3
Enter foreign taxes paid on dividends included on line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.
00
4
Subtract line 3 from line 2 . Enter this amount on Schedule 4W, line 1 . . . . . . . . . . . . . . . . 4
IC-025
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