Instructions For 2009 Schedule 4i: Wisconsin Adjustments For Insurance Companies Page 3

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Schedule 4I Instructions
to be added back to the corporation’s net business
loss, even if they otherwise qualify for the dividends
received deduction under sec. 71.26)(3)(j), Wis.
Part IV: Tax Adjustment
Stats. See the Schedule Y instructions for how to de-
termine if a dividend qualifies to be eliminated from
Since the tax liability of an insurance company is
combined unitary income under sec. 71.255(4)(f),
generally the lesser of 7.9% of its net income or 2%
Wis. Stats.
of its gross premiums, this is where you compute an
adjustment to the insurance company’s tax liability in
Dividend Income from Separate Entity Items. If a
cases where the 2% of gross premiums computation
dividend is not otherwise includable in combined uni-
applies.
tary income, for example, if it is excluded from com-
bined unitary income under the water’s edge rules,
■ Line 25. Wisconsin Net Income – For insurance
do not include it in the computation of line 19 of
companies that are combined group members, Wis-
Schedule 4I. You will account for it on line 22 instead.
consin net income is computed from the amounts on
the member’s Form 4M, as follows:
■ Line 20. Apportionment Percentage – If this isn’t
a combined return, enter the company’s apportion-
Share of combined unitary income (= line L1 + L2)
ment percentage from line 8 of Form 4. If this is a
+ Income from separate entity items (line M)
combined return, enter the company’s Wisconsin per-
-
Net capital loss adjustment (line N)
centage of combined unitary income from Part II, col-
-
Net business loss carryforward (line P)
umn c of Form 4A.
Wisconsin net income
CAUTION: Do not enter the entire combined
(The line references L1, L2, M, N, and P refer to lines
group’s Wisconsin apportionment percentage on
of Form 4M.)
line 20. Enter only the insurance company’s
Wisconsin percentage of combined unitary income.
■ Line 27a. Gross Premiums – The franchise tax
measured by net income attributable to all lines of
insurance in Wisconsin may not exceed 2% of the
■ Line 22. Dividends Received Deduction from
gross Wisconsin premiums as defined in sec. 76.62,
Separate Entity Items – Complete this line if any of
Wis. Stats. On line 27a, enter the amount of gross
the insurance company’s dividend income met the
premiums, other than life insurance premiums, re-
first two criteria in the list presented in the instructions
ceived for direct insurance less return premiums and
for line 19, but was not otherwise includable in com-
cancellations and returns from savings and gains on
bined unitary income. From this dividend income,
all insurance other than reinsurance by the insurer
subtract any foreign taxes on those dividends
during the preceding year in Wisconsin.
claimed as a deduction elsewhere on your return,
and multiply the resulting amount by the apportion-
Attach a schedule detailing the computation of Wis-
ment percentage from Part II of Form 4N. Enter the
consin gross nonlife premiums, including references
total on line 22 as a negative number.
to the applicable schedules, columns, and lines of
your annual statement.
■ Line 24. Net Business Loss Adjustment – If this
is a combined return, enter this amount on line O of
■ Line 30. Tax Adjustment – If this is a combined
the insurance company’s Form 4M.
return, the amount on Form 4, line 14b should equal
the sum of the amounts on Schedule 4I, line 30 for
each applicable insurance company in the combined
group.
3

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