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Form
Wisconsin Nonapportionable, Separately
N Accounted, and Separately Apportioned Income
File with Wisconsin Form 3, 4, 4T, 5S, or 6
Wisconsin Department 2024
of Revenue Read instructions before filling in this form
Name Federal Employer ID Number
Round Amounts to Nearest Dollar
Part I Total Nonapportionable and Separately Apportioned Income
(a) Wisconsin (b) Total Company
1 Rents and royalties from nonbusiness real and
tangible property ................................ 1
2 Expenses related to income on line 1 ................ 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Profits (losses) from disposal of nonbusiness real and
tangible property ................................ 4
5 Income realized from the sale of or purchase and
subsequent sale or redemption of lottery prizes if the
winning tickets were originally bought in Wisconsin ..... 5
6 Income allocable from businesses using separate
accounting (from Form C, line 16, columns 1 and 3)..... 6
7 For combined group members only:
7a Income excluded from unitary combination under water's edge rules ............... 7a .00
7b Income excluded from unitary combination due to a separate unitary business ....... 7b .00
8 Column (b) total. Enter and include this amount on Form 4, line 6 or Form 6, Part II,
line 6 ................................................................ 8 .00
9 Column (a) total. Enter this amount on line 12 below .... 9 .00
Part II Wisconsin Share of Apportionable Income Excluded from Unitary Combination
(for combined group filers only)
10a Net income excluded from unitary combination under water's edge rules ........... 10a
10b Enter applicable Wisconsin apportionment percentage (see instructions)........... 10b . %
10c Multiply line 10a by line 10b ............................................. 10c
11a Net income attributable to a separate unitary business......................... 11a
11b Enter applicable Wisconsin apportionment percentage (see instructions)........... 11b . %
11c Multiply line 11a by line 11b.............................................. 11c
Part III Wisconsin Amount of Nonapportionable and Separately Apportioned Income
12 Enter amount from line 9, column (a) ...................................... 12
13 Add lines 10c and 11c .................................................. 13
14 Add lines 12 and 13. Enter and include this amount on Form 4, line 10, Form 5S,
Schedule S, line 4; or Form 6, line 4 and Form 6, Part III, line 4 if filing as a member
of a combined group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 .00
IC-045 (R. 8-24)
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