Form 4a-1 - Wisconsin Apportionment Data For Single Factor Formulas - 2012
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44A-1
Wisconsin Apportionment Data for
Form
Single Factor Formulas
2012
File with Wisconsin Form 1NPR, 2, 3, 4, 4T, or 5S
Wisconsin Department
Read instructions before filling in this form
of Revenue
Name
Identifying Number
Part I Sales Factor (Note: If Part I applies, you only need to complete page 1 of this form)
(a) Wisconsin
(b) Total Company
1 Sales of tangible personal property delivered or shipped to
Wisconsin purchasers:
a Shipped from outside Wisconsin . . . . . . . . . . . . . . . . . . . . 1a
b Shipped from within Wisconsin . . . . . . . . . . . . . . . . . . . . . . 1b
2 Sales of tangible personal property shipped from
Wisconsin to:
a The federal government within Wisconsin . . . . . . . . . . . . . 2a
b The federal government in a state where the
taxpayer would not be taxable under P .L . 86-272 . . . . . . . . 2b
c Purchasers in a state where the taxpayer would not be
taxable under P .L . 86-272 . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
3 Double throwback sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Total sales of tangible personal property (for column (a), add
lines 1 through 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Gross receipts from the use of computer software if the
purchaser or licensee used the software in Wisconsin . . . . . . 5
6 Total gross receipts from the use of computer software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Gross receipts from services provided to a purchaser who
received the benefit of the service in Wisconsin . . . . . . . . . . . 7
8 Total gross receipts from services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Other apportionable gross receipts . . . . . . . . . . . . . . . . . . . . . 9
10 For column a, add lines 4, 5, 7 and 9 . For column (b), add
lines 4, 6, 8, and 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Separate return filers and pass-through entities skip to line 17.
11
Enter sales included above, if any, that are
intercompany sales between combined group members . . . . 11
12 Enter sales included above, if any, that are not included
in the computation of combined unitary income . . . . . . . . . . . 12
13 Add lines 11 and 12 for each column . . . . . . . . . . . . . . . . . . . 13
14 Subtract line 13 from line 10 for each column . . . . . . . . . . . . . 14
15 Enter intercompany sales previously excluded from the sales
factor due to the deferral of income, if the deferred income is
included in combined unitary income on this return . . . . . . . . 15
16 Add lines 14 and 15 . Enter column (a) amount in Form 4A,
Part II . Enter column (b) amount in Form 4A, Part I . . . . . . . . 16
17 Separate return filers and pass-through entities: Divide
line 10, column (a) by line 10, column (b), and multiply by 100 .
.
This is the Wisconsin apportionment percentage . . . . . . . . . . 17
%
IC-043
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