Form 4910 - Michigan Corporate Income Tax Unitary Business Group Combined Filing Schedule For Financial Institutions - 2012

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Michigan Department of Treasury
Attachment 13
4910 (Rev. 03-12), Page 1
2012 MICHIGAN Corporate Income Tax Unitary Business Group
Combined Filing Schedule for Financial Institutions
Issued under authority of Public Act 38 of 2011.
IMPORTANT: Read the instructions before completing this form
Federal Employer Identification Number (FEIN) or TR Number
Designated Member Name
PART 1: UNITARy BUSINeSS GROUP (UBG) MeMBeRS
List the UBG members whose activity is included on the combined return supported by this form, beginning with the Designated Member. Include all UBG
members (with or without nexus), except those excluded in Part 3. If more than one page is needed, on each additional page repeat the DM’s name and
FEIN or TR Number in the field at the top of the page, but not on line 1.
1.
A
B
Member Name
FEIN
PART 2A: APPORTIONMeNT DATA FOR COMBINeD ReTURN
If more than one page is needed to complete Part 1, duplicate answers on lines 2 and 3 on all copies of this page.
A
B
C
Combined Total
Combined Total
Before eliminations
eliminations
After eliminations
2. Michigan Gross Business. Carry 2C to Form 4908, line 9a ....
3. Total Gross Business. Carry 3C to Form 4908, line 9b .........
+
0000 2012 46 01 27 9
Continue on Page 2

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