Tab to navigate within form. Use mouse to check                             Save                  Print   Clear
applicable boxes, press spacebar or press Enter.

Schedule
                      Wisconsin Adjustments for
                      Insurance Companies 
    4I                                          File with Wisconsin Form 4                              2024
    Wisconsin 
Department of Revenue Read instructions before filling in this schedule
Corporation Name                                                                 Federal Employer ID Number

Part I  Additions Specific to Insurance Companies

1   Loss carryforward deducted in the calculation of federal taxable income...........         1

  2 Dividend income received to the extent not included in the amount on Form 4,
    line 1 ..............................................................                      2

  3 Additional federal deduction for insurers required to discount unpaid losses........       3

4   Add lines 1 through 3. Enter this amount on Schedule 4V, line 9.................           4

Part II  Nontaxable Income from Life Insurance Operations

5   Insurance company's federal taxable income as reported or included on
    Form 4, line 1 ........................................................                    5

  6 Insurance company's total addition modifications from Schedule 4V, line 11 . . . . . . . .   6

  7 Add lines 5 and 6 .....................................................                    7

8   Insurance company's total subtraction modifications from Schedule 4W,
    lines 1 through 15i ....................................................                   8

  9 Subtract line 8 from line 7...............................................   9

10a Enter net gain from operations other than life insurance  ....................... 10a

10b Enter total net gain from operations ....................................... 10b

11  Divide line 10a by line 10b and enter result as a percentage (see instructions) ...... 11           .      %

12  Multiply line 9 by line 11 ................................................ 12

13  Subtract line 12 from line 9. Enter this amount on Schedule 4W, line 16 ...........   13

Part III  Net Business Loss Adjustment for Insurance Companies

14  Enter net income or loss from Form 4, line 9.  ............................... 14

15   Enter the net income or loss from Form 4, line 10.  ............................ 15

16  Add lines 14 and 15. If the amount is positive, there is no net business loss
    adjustment. If the amount is negative, complete lines 17 to 20................... 16

17   Enter the total dividends received deduction from Schedule 4Y, computed as
    explained in the instructions. Enter as a negative number ...................... 17

18  Enter the apportionment percentage from Form 4, line 8........................ 18                   .      %
IC-020C (R. 6-24)
                                                                                                  Go to Page 2

2024 Schedule 4I                                                                                                                  Page 2 of 2

19    Multiply line 17 by line 18 ............................................... 19

20    If the absolute value of the amount on line 19 exceeds the absolute value of the
      amount on line 16, enter the amount from line 16 as a positive number. If the absolute
      value of the amount on line 16 exceeds the absolute value of the amount on line 19,
      enter the amount from line 19 as a positive number. Enter or include this amount on
      Form 4, line 12 ....................................................... 20                                                  

Part IV  Tax Adjustment for Insurance Companies

 21   Insurance company's Wisconsin net income from Form 4, line 15. ............... 21

22    Multiply line 21 by 7.9% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

  23a Insurance company's gross premiums as defined in s. 76.62, Wis. Stats. . . . . . . . . . . 23a

  23b Multiply line 23a by 2%.................................................   23b

24a   Wisconsin income realized from lottery prizes as reported on Form N, line 5 ......... 24a

24b   Multiply line 24a by 7.9% ...............................................   24b

25    Add lines 23b and 24b .................................................  25

  26  If line 25 is greater than line 22, enter $0 on line 26. If line 25 is less than line 22,
      subtract line 25 from line 22 and enter the result on line 26. This is the tax
      adjustment to enter or include on Form 4, line 17 ............................. 26                                          

                                                                                                                                  Return to Page 1