Fillable Printable 2012 Form 5 - Wisconsin Department Of Revenue

2012 Form 5 - Wisconsin Department Of Revenue

2012

For 2012 or taxable year beginning and ending

Wisconsin Corporation

Franchise or Income Tax Return

Form

MY Y C C MY

C C

D D MMD D

IC-055i

DO NOT STAPLE OR BIND

Check if applicable and see instructions:

Ifyouhaveanextensionoftimetole,enterextendedduedate

M D

M D Y C C

FIfnobusinesswastransactedinWisconsinduringthetaxableyear,attachacompletecopyof

your federal return.

GIfyouhaverelatedentityexpensesandarerequiredtoleScheduleRTwiththisreturn.

HIfyouledafederalconsolidatedreturn,enterParentCompany’sfederalemployer

ID number ►

D Check  if applicable and attach explanation:

2 Firstreturn-newcorporationorenteringWisconsin

1 Amended return

4 Shortperiod-changeinaccountingperiod

5 Shortperiod-stockpurchaseorsale

Complete form using BLACK INK.

CorporationName

NumberandStreet

CityState

Due Date: 15th day of 3rd month following close of taxable year.

BBusinessActivity(NAICS)Code

AFederalEmployerIDNumber

ZIP(+4digitsufxifknown)

CStateofIncorporationandYear

Enter abbreviation of

stateinbox,orifa

foreigncountry,enter

below.

3 Finalreturn-corporationdissolvedorwithdrew

CCYY

SuiteNumber

IF NO ENTRY ON A LINE, LEAVE BLANK

NOT LIKE THIS(1000)

ENTER NEGATIVE NUMBERS LIKE THIS–1000

NO COMMAS; NO CENTS

1FederaltaxableincomefromForm1120,line28................................ . .1

2Additions(fromScheduleV,line13).......................................... . .2

3Add lines 1 and 2 ........................................................ . .3

4Subtractions(fromScheduleW,line16)....................................... . .4

5Subtractline4fromline3.Thisisnetincome(loss)beforenetbusinesslossoffset ..... . .5

6Wisconsinnetbusinesslosscarryforward(fromForm4BL,PartI,line30(f))butnotmore

than line 5.............................................................. . .6

7Subtractline6fromline5.ThisisWisconsinnetincome(loss) .....................7

8Enter7.9%(0.079)ofWisconsinnetincomeonline7.Thisisgrosstax .............. . .8

9Nonrefundablecredits(fromScheduleCR,line51).............................. . .9

10Relocatedbusinesscredit.Ifqualied,subtractline9fromline8.

Ifnotqualied,enter0.(Seeinstructions) ...................Checkhereifclaimed10

Subtractlines9and10fromline8.Iflines9and10aremorethanline8,enterzero(0).

Thisisnettax .............................................................11

12 Economicdevelopmentsurcharge(seeinstructions) ...............................12

Endangeredresourcesdonation(decreasesrefundorincreasesamountowed) ....13

Veteranstrustfunddonation(decreasesrefundorincreasesamountowed) ...........14

Addlines11through14 .....................................................15

16 EstimatedtaxpaymentslessrefundfromForm4466W.16

Wisconsin tax withheld ......................... 17

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PAPER CLIP check or money order here

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IInternalRevenueServiceadjustmentsbecamenalduringtheyear.

Enteryearsadjusted►

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applicable boxes, press spacebar or press Enter.

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18Refundablecredits(fromScheduleCR,line54) ........ 18

AmendedReturnOnly–amountpreviouslypaid .......19

Addlines16through19...................................................... 20

21 AmendedReturnOnly–amountpreviouslyrefunded...21

Subtractline21from20 .....................................................22

Interest,penalty,andlatefeedue(fromForm4U,line17or26)

IfyouannualizedincomeonForm4U,check()thespaceafterthearrow ......23

Tax Due.Ifthetotaloflines15and23isgreaterthanline22,subtractline22fromthetotal

of lines 15 and 23 .......................................................... 24

25Overpayment.Ifline22islargerthanthetotaloflines15and23,subtractthetotalof

lines 15 and 23 from line 22 ...................................................25

Enter amount from line 25 you want credited on 2013 estimated tax ...................26

Subtractline26fromline25.This is your refund ................................. 27

28Entertotalcompanygrossreceiptsfromallactivities(seeinstructions) ................. 28

29EntertotalcompanyassetsfromfederalForm1120 ............................... 29

30 Ifthecorporationisthesoleownerofanylimitedliabilitycompanies(LLCs),enterthenamesandFEINsofthoseLLCsbelow.

Submitanadditionalscheduleifnecessary.

31 DidyouincludetheincomeoftheLLCslistedonline30onthisreturn?YesNo

32DidyoulefederalScheduleUTP–UncertainTaxPositionStatementwiththeInternalRevenueService?

YesNoIfyes,enclosefederalScheduleUTPwithyourWisconsintaxreturn.

33DidyoulefederalForm8886–ReportableTransactionDisclosureStatementwiththeInternalRevenueService?

YesNoIfyes,enclosefederalForm8886withyourWisconsintaxreturn.

2012Form5Page2 of 2

Name of LLC

FEIN

Ifyouarenotlingyourreturnelectronically,

makeyourcheckpayabletoandmailyourreturnto:

WisconsinDepartmentofRevenue

POBox8908

Madison,WI53708-8908

You must le a copy of your federal return with Form 5, even if no Wisconsin activity.

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Ofcer

Preparer’sSignature

Date

Title

Preparer’sFederalEmployerIDNumber

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Didyoupurchaseanytaxabletangiblepersonalpropertyortaxableservicesforstorage,use,orconsumptioninWisconsinwithout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.

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