Form 4h - Wisconsin Corporation Declaration Of Inactivity - 2011 Page 2
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22011 Form 4H
2
2
Page
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28 Person to contact concerning this return: Name
Telephone number ( )
Fax number ( )
I, the undersigned authorized officer, declare that the above named corporation has had no income or expense and has been completely
inactive for the entire taxable year shown above. I also declare that the above corporation balance sheets are true and correct.
Signature of Officer
Date
Officer’s State of Residence
Title
Mail to: Wisconsin Department of Revenue, PO Box 8908, Madison, WI 53708-8908.
Return to Page 1
Instructions for 2011 Form 4H
When to File
General Instructions
File Form 4H on or before the 15th day of the third month
Purpose of Form 4H
following the close of the taxable year. Any extension of
time allowed by either the Internal Revenue Service or
A corporation that has been completely inactive both
the Department of Revenue to file your return extends
in and outside Wisconsin for an entire taxable
the due date for filing Form 4H, provided you check line
year may file Form 4H instead of filing a corporate
C, enter the extended due date, and attach a copy of
franchise or income tax return. If the corporation is a
your extension to Form 4H. If Form 4H is not filed on
combined group member, it may file Form 4H instead
or before the due date or extended due date, a $150
of being included in the combined return . Thereafter,
late filing fee applies.
the corporation need not file a corporate franchise or
income tax return, be included in a combined return, or
file Form 4H for any subsequent year unless requested
to do so by the Department of Revenue or unless,
Specific Instructions
in a subsequent year, the corporation is activated or
reactivated .
Identifying Number
Note: By filing Form 4H, a corporation is relieved of the
Enter either of the following: federal employer
requirement to file an annual franchise or income tax
identification number (EIN) or Wisconsin tax number
return with the Department of Revenue. This exemption
(WTN). A federal EIN is not required to file this form if
does not extend to reports required by other agencies.
you have a WTN.
In order for the corporation to continue in good standing,
it must continue to file a Wisconsin Corporation Annual
Report each year with the Corporations Bureau,
Balance Sheets
Division of Corporate and Consumer Services,
Wisconsin Department of Financial Institutions. Failure
Complete the balance sheets for the first day and last
to file this report within a specified period of time may
day of the taxable year indicated at the top of Form 4H.
subject the corporation to administrative dissolution.
If the corporation had no assets or liabilities and capital
on either the first day or the last day of the taxable year,
enter zero (0) on line 14 and on line 27.
Who May Not File Form 4H
A corporation must file a corporate franchise or income
Signature on Form 4H
tax return instead of Form 4H in either of the following
cases:
The corporation president must sign Form 4H if the
president is a resident of Wisconsin. Otherwise, another
• The corporation’s balance sheet for the end of the
officer who is a Wisconsin resident should sign Form
taxable year differs from its balance sheet for the
4H. If none of the officers are residents of Wisconsin,
beginning of the taxable year.
Form 4H may be signed by any duly authorized officer.
• The corporation liquidates during the taxable year.
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