Schedule 5k-1 - Tax-Option (S) Corporation Shareholder'S Share Of Income, Deductions, Credits, Etc. - 2015

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Schedule
5K-1
Tax-Option (S) Corporation Shareholder's Share of Income,
Deductions, Credits, etc.
2015
Wisconsin Department
For 2015 or taxable year beginning
and ending
of Revenue
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
Part I: Information About the Corporation
Corporation's Name
Corporation's FEIN
Corporation's Address
Corporation's City
Corporation's State
Corporation's Zip Code
Part II: Information About the Shareholder
Business Name
FEIN
Individual's Last Name
First Name
M.I.
Individual's SSN
Shareholder's State
Shareholder's Zip Code
Shareholder's Address
Shareholder's City
If the shareholder is a disregarded entity, estate, or trust, enter the name and identifying number of the taxpayer to whom this income will be reported:
Trust Name
FEIN
Last Name
First Name
M.I.
SSN
A Type of entity of shareholder:
1
Individual
2
Estate
3
Trust
4
Exempt organization
5
Other
B Check if applicable:
1
Final 5K-1
2
Amended 5K-1
C Shareholder's percentage of stock ownership for taxable year
.
%
D Shareholder's state of residence (if a full-year Wisconsin resident, items E, F, and G do not apply).
E
Check if shareholder's Wisconsin amount is determined by apportionment. Apportionment percentage.
.
%
F
Check if shareholder's Wisconsin amount is determined by separate accounting.
Check if the shareholder is a nonresident and filed form PW-2 to opt out of pass-through entity withholding, or received a continuous PW-2 exemption.
G
Go to Page 2
IC-056

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