Form 5s - Wisconsin Tax-Option (S) Corporation Franchise Or Income Tax Return - 2011 Page 2
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42 of 4
2011 Form 5S
Page
20 Interest, penalty, and late fee due (from Form 4U, line 17 or 26) .
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00
If you annualized income on Form 4U, check (
)
the space after the arrow . . . . . . . . .
20
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21 Tax due. If the total of lines 13 and 20 is larger than line 19, enter amount owed . . . . . . . . . . .
21
00
.
22 Overpayment. If line 19 is larger than the total of lines 13 and 20, enter amount overpaid . . .
22
00
.
00
23
23
Enter amount of line 22 you want credited to 2012 estimated tax
.
24 Subtract line 23 from line 22 . This is your refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
24
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00
25 Enter total company gross receipts from all activities (see instructions) . . . . . . . . . . . . . . . . . .
25
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26 Enter total company assets from federal Form 1120S, item F . . . . . . . . . . . . . . . . . . . . . . . . . .
26
27 If the tax-option corporation paid withholding tax on income distributable to nonresident
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00
shareholders, enter total amount paid for all shareholders for the taxable year . . . . . . . . . . . .
27
Schedule Q - Additional Tax on Certain Built-In Gains
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1 Excess of recognized built-in gains over recognized built-in losses (attach schedule) . . . . . . . .
1
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00
2 Wisconsin taxable income before apportionment (attach computation schedule) . . . . . . . . . . .
2
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3 Enter the smaller of line 1 or line 2 . This is the net recognized built-in gain (see instructions) . .
3
4 Wisconsin apportionment percentage (from Form 4A-1 or Form 4A-2) . This is a
.
required field. If percentage is from Form 4A-2, check (
%
)
the space after the arrow
4
.
00
5 Multiply line 3 by line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
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6 Wisconsin net business loss carryforward (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
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00
7 Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
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8 Enter 7 .9% (0 .079) of the amount on line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
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9 Community development finance credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
9
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10 Subtract line 9 from line 8 . This is the additional tax to enter on Form 5S, page 1, line 9 . . . . . 10
Schedule S - Economic Development Surcharge
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00
1 Enter net income (loss) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 Wisconsin apportionment percentage (from Form 4A-1 or Form 4A-2) . This is a
.
required field. If percentage is from Form 4A-2, check (
%
)
the space after the arrow .
2
.
00
3 Multiply line 1 by line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Enter the greater of $25 or 0 .2% (0 .002) of the amount on line 3, but not more than $9,800 .
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This is the economic development surcharge to enter on Form 5S, page 1, line 10 . . . . . . . . .
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Additional Information Required
1 Person to contact concerning this return:
Phone #:
Fax #:
2 City and state where books and records are located for audit purposes:
3 Are you the sole owner of any QSubs or LLCs?
Yes
No
If yes, attach a list of the names and federal EINs of your
solely owned QSubs and LLCs . Did you include the incomes of these entities in this return?
Yes
No
4 Did you purchase any taxable tangible personal property or taxable services for storage, use, or consumption in Wisconsin with-
out payment of a state sales or use tax?
Yes
No
If yes, you owe Wisconsin use tax . See instructions for how to
report use tax .
5 Did any adjustments made by the Internal Revenue Service to your income for prior years become finalized during this year?
Yes
No
If yes, see instructions and indicate years adjusted:
6 List the locations of your Wisconsin operations:
Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best of my knowledge and belief .
Signature of Officer
Title
Date
Preparer’s Signature
Preparer’s Federal Employer ID Number
Date
You must file a copy of your federal Form 1120S with Form 5S, even if no Wisconsin activity.
Go to Page 3
If you are not filing electronically, make your check payable to and mail your return to:
Wisconsin Department of Revenue
PO Box 8908
Madison WI 53708-8908
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