Form 8916 - Reconciliation Of Schedule M-3 Taxable Income With Tax Return Taxable Income For Mixed Groups

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8916
Reconciliation of Schedule M-3 Taxable Income
Form
with Tax Return Taxable Income for Mixed Groups
OMB No. 1545-2062
(Rev. December 2008)
Department of the Treasury
Attach to Schedule M-3 for Forms 1120, 1120-L, or 1120-PC.
Internal Revenue Service
Name of common parent
Employer identification number
1
Enter the tax reconciliation amount from the applicable line of Schedule
1
M-3 (see instructions)
2a
2a
Life/non-life loss limitation amount
2b
b
Limitation on non-insurance losses (Form 1120-L, page 1, line 25)
c
Amount subtracted from policyholders surplus account (Form 1120-L,
2c
page 1, line 26)
2d(1)
d
(1) Non-life capital loss limitation
2d(2)
(2) Life capital loss limitation
2e(1)
e
(1) Non-life charitable deduction limitation
2e(2)
(2) Life charitable deduction limitation
2f(1)
f
(1) Non-life dual consolidated loss amount disallowed
2f(2)
(2) Life dual consolidated loss amount disallowed
3
3
Combine lines 1 through 2f(2)
4a(1)
4a
(1) Non-life net operating loss deduction
4a(2)
(2) Life operations loss deduction
4b(1)
b
(1) Non-life dividends received deduction
4b(2)
(2) Life dividends received deduction
4c(1)
c
(1) Non-life capital loss carryforward used
4c(2)
(2) Life capital loss carryforward used
4d(1)
d
(1) Non-life charitable deduction carryforward used
4d(2)
(2) Life charitable deduction carryforward used
4e
e
Small life insurance company deduction (Form 1120-L, page 1, line 23)
5
5
Add lines 4a(1) through 4e
6
6
Subtract line 5 from line 3
7
7
Other adjustments to reconcile to taxable income on tax return (attach schedule)
8
Total. Combine lines 6 and 7. This amount must equal the amount reported on the “Taxable
income” line of the consolidated Form 1120, Form 1120-L, or Form 1120-PC (see instructions)
8
8916
For Paperwork Reduction Act Notice, see page 2.
Cat. No. 37727E
Form
(Rev. 12-2008)

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