Form 4c - Wisconsin Allocation And Separate Accounting Data - 2012

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Form
4C
Wisconsin Allocation and Separate Accounting Data
2012
Name
Federal Employer ID Number
Wisconsin Department
of Revenue
Part I
Allocation of Book Income or Net Income per Income Statement
1
2
3
Allocable
Allocable
Basis of
to
Outside
Allocation
Wisconsin
Wisconsin
Total
1 Enter items of income:
2 Enter total income
3 Enter expenses:
4 Enter total expenses
5 Enter book income or net income per income statement
The book income on line 5, column 3, must agree with either federal Schedule M‑1, line 1, or for Schedule M‑3 filers, the net income
per income statement, figured on a separate company basis.
IC-044
(over)

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