Form 4a - Wisconsin Apportionment Data For Combined Groups - 2011
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4A
Wisconsin Apportionment Data for
Form
Combined Groups
2011
File with Wisconsin Form 4
Wisconsin Department
Read instructions before filling in this form
of Revenue
Designated Agent Name
Federal Employer ID Number
Part I Apportionment Factor Denominators
(a)
(b)
(c)
Denominator
Company Name
FEIN
(From column (b) of Form 4A-1
(abbreviate as necessary)
or Part II of Form 4A-2)
1
1a
2
2a
3
3a
4
4a
5
5a
6
6a
7 Total denominators from additional companies reported on separate schedules . . . . . 7a
8 Add lines 1a through 7a in column (c) . This is the combined group's apportionment
factor denominator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a
Part II Apportionment Factor Numerators and Members' Percentages
(a)
(c)
(b)
Member's Wisconsin Percentage of
Company Number
Numerator
Combined Unitary Income
(Corresponds to numbers 1 through 6 in Part I)
(From column (a) of Form 4A-1
or Part II of Form 4A-2)
(Divide amount in column (b) by
amount on Part I, line 8a)
.
1 . . . . . . . . . . . . . . . .
1b
1c
%
2 . . . . . . . . . . . . . . . .
2b
2c
.
%
.
3 . . . . . . . . . . . . . . . .
3b
3c
%
.
4 . . . . . . . . . . . . . . . .
4b
4c
%
.
5 . . . . . . . . . . . . . . . .
5b
5c
%
6 . . . . . . . . . . . . . . . .
6b
6c
.
%
7 Total from additional companies reported on separate schedules . . . . . . . 7c
.
%
Part III Combined Group's Wisconsin Apportionment Percentage
8 Add lines 1c through 7c in Part II, column c .
This is the apportionment percentage to enter on Form 4, line 8 . . . . . . . . 8c
.
%
IC-021
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