Form 4n - Wisconsin Nonapportionable And Separately Apportioned Income - 2012
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14N
Wisconsin Nonapportionable and
Form
Separately Apportioned Income
2012
File with Wisconsin Form 3, 4, 4T, or 5S
Wisconsin Department
Read instructions before filling in this form
of Revenue
Name
Federal Employer ID Number
Part I Total Nonapportionable and Separately Apportioned Income
(a) Wisconsin
(b) Total Company
1 Rents and royalties from nonbusiness real and
tangible property . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 Expenses related to income on line 1 . . . . . . . . . . . . .
2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . .
3
4 Profits (losses) from disposal of nonbusiness real and
tangible property . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Income realized from the sale of or purchase and
subsequent sale or redemption of lottery prizes if the
winning tickets were originally bought in Wisconsin . . .
5
6 Income allocable from businesses using separate
accounting (from Form 4C, line 16, columns 1 and 3) .
6
7 For combined group members only: Apportionable
income excluded from unitary combination
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Column (b) total. Enter or include this amount on
Form 4, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Column (a) total. Enter this amount on line 12 below .
9
Part II Wisconsin Share of Apportionable Income Excluded from Unitary Combination
(for combined group filers only)
10a Net income excluded from unitary combination under water's edge rules . . . . . . . . 10a
10b Enter applicable Wisconsin apportionment percentage (see instructions) . . . . . . . . 10b
.
%
10c Multiply line 10a by line 10b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10c
11a Net income attributable to a separate unitary business . . . . . . . . . . . . . . . . . . . . . . 11a
11b Enter applicable Wisconsin apportionment percentage (see instructions) . . . . . . . . 11b
.
%
11c Multiply line 11a by line 11b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11c
Part III Wisconsin Amount of Nonapportionable and Separately Apportioned Income
12 Enter amount from line 9, column (a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Add lines 10c and 11c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Add lines 12 and 13 . Enter or include this amount on Form 4, line 10 or on
Form 4M, Line M if filing as a member of a combined group . . . . . . . . . . . . . . . . . . 14
IC-045
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