Form 4m - Wisconsin Combined Group Member - Level Data - 2011 Page 2
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2011 Form 4M
Page
Name of Combined Group Member
Member’s FEIN
Part II
Wisconsin Net Business Loss Carryforward
.00
1 Member’s portion of combined unitary income from Part I, line L1 plus line L2 . . . . . . . . . . . . . . . . . .
1
00
2 Member’s net nonapportionable and separately apportioned income from Part I, line M . . . . . . . . . . .
2
.
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
.00
.00
4 Member’s net capital loss adjustment from Part I, line N (enter as a positive amount) . . . . . . . . . . . . .
4
.00
5 Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
.00
6 Member’s net business loss carryforward from Form 4BL, Part II, line 30, column (g) (Nonshareable)
6
.00
7 Enter the lesser of line 5 or line 6, but not less than zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
.00
8 Subtract line 7 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
.00
9 Member’s net business loss carryforward from Form 4BL, Part II, line 30, column (h) (Shareable) . . .
9
.00
10 Enter the lesser of line 8 or line 9, but not less than zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
.00
11 Subtract line 10 from line 9. This is your remaining Shareable net business loss carryforward . . . . . . 11
.00
12 Subtract lines 7 and 10 from line 5. This is your remaining income . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
.00
13 Shareable net business loss carryforward amount being shared with other members . . . . . . . . . . . . . 13
.00
14 Shareable net business loss carryforward amount being shared with this member . . . . . . . . . . . . . . . 14
.00
15 Member’s net business loss. Add lines 7, 10, and 14. Enter this amount on Part I, line P . . . . . . . . . 15
Part III
Nonrefundable Credits
For each credit, enter code from instructions and amount.
{
1 Summary of available nonrefundable credits from credit schedules
Enter total nonrefundable credits on line 1.
.
.
.
00
00
00
.
.
.
00
00
00
.
.
.
00
00
00
.00
1
00
.
2 Enter the member’s gross tax from Part I, line Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
.00
3 Enter the lesser of line 1 or line 2 (see instructions for exception). This is the credit used by the member .
3
4 If line 2 is less than line 1 and the remaining credit includes a research credit, enter the amount
.00
shared with other combined group members as computed on Form 4CS. . . . . . . . . . . . . . . . . . . . . . .
4
.00
5 Add lines 3 and 4. This is the amount to enter on Part I, line R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Part IV
Member-Level Payment Data
Complete Part IV only if the member is not the designated agent and has estimated payments made on a separate entity basis or
overpayments from a separate return year to apply to this combined return.
Enter the amount of the member’s overpayment from previously filed returns to be applied . . . . . . . .
.00
1
1
2
Estimated payments - Enter date and amount of each payment made on a separate entity basis
$
$
$
.00
Total . . . . . . . . . . . . . . . . . . . . .
2
$
$
3
Add lines 1 and 2. This is the total amount of credit from this member’s account to be included on
.00
Form 4, line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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