Form 5 - Wisconsin Corporation Franchise Or Income Tax Return - 2012
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1
2Form
5
Wisconsin Corporation
Franchise or Income Tax Return
2012
For 2012 or taxable year beginning
and ending
.
M
M
D
D
C
C
Y
Y
M
M
D D
C
C
Y
Y
Complete form using BLACK INK.
Due Date: 15th day of 3rd month following close of taxable year.
Corporation Name
Number and Street
Suite Number
State
A Federal Employer ID Number
ZIP (+ 4 digit suffix if known)
City
B Business Activity (NAICS) Code
D Check
if applicable and attach explanation:
Short period - change in accounting period
1
Amended return
4
and
Year
C State of Incorporation
Enter abbreviation of
First return - new corporation or entering Wisconsin
Short period - stock purchase or sale
state in box, or if a
2
5
C
C
Y
Y
foreign country, enter
below.
Final return - corporation dissolved or withdrew
3
Check
if applicable and see instructions:
If you have an extension of time to file, enter extended due date
E
M
M
D
D
C
C
Y
Y
If no business was transacted in Wisconsin during the taxable year, attach a complete copy of
F
your federal return.
If you have related entity expenses and are required to file Schedule RT with this return.
G
If you filed a federal consolidated return, enter Parent Company’s federal employer
H
►
ID number
Internal Revenue Service adjustments became final during the year.
I
►
Enter years adjusted
IF NO ENTRY ON A LINE, LEAVE BLANK
–1000
(1000)
NOT LIKE THIS
ENTER NEGATIVE NUMBERS LIKE THIS
NO COMMAS; NO CENTS
.
1 Federal taxable income from Form 1120, line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
1
.
2 Additions (from Schedule V, line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
.
00
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
.
4 Subtractions (from Schedule W, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
4
.
5 Subtract line 4 from line 3. This is net income (loss) before net business loss offset . . . . . . .
00
5
6 Wisconsin net business loss carryforward (from Form 4BL, Part I, line 30(f)) but not more
.
than line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
7 Subtract line 6 from line 5. This is Wisconsin net income (loss) . . . . . . . . . . . . . . . . . . . . .
.
7
00
8 Enter 7.9% (0.079) of Wisconsin net income on line 7. This is gross tax . . . . . . . . . . . . . . . .
.
8
00
9 Nonrefundable credits (from Schedule CR, line 51) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
9
00
10 Relocated business credit. If qualified, subtract line 9 from line 8.
If not qualified, enter 0. (See instructions) . . . . . . . . . . . . . . . . . . . Check here if claimed
10
.
00
11 Subtract lines 9 and 10 from line 8. If lines 9 and 10 are more than line 8, enter zero (0).
.
This is net tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
00
12 Economic development surcharge (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
.
00
13 Endangered resources donation (decreases refund or increases amount owed) . . . .
.
13
00
.
14 Veterans trust fund donation (decreases refund or increases amount owed) . . . . . . . . . . .
14
00
.
15 Add lines 11 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
00
16 Estimated tax payments less refund from Form 4466W. 16
.
00
.
17 Wisconsin tax withheld . . . . . . . . . . . . . . . . . . . . . . . . .
17
00
IC-055i
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