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Schedule
Wisconsin Subtraction Modification for
Dividends
4Y File with Wisconsin Form 4 2023
Wisconsin
Department of Revenue Read instructions before filling in this schedule
Corporation Name Federal Employer ID Number
Dividends Received
Name of Payer Corporation
1a Name of Payee Corporation Date Acquired by Payee
M M D D Y Y Y Y 1a .00
Name of Payer Corporation
1b Name of Payee Corporation Date Acquired by Payee
M M D D Y Y Y Y 1b .00
Name of Payer Corporation
1c Name of Payee Corporation Date Acquired by Payee
M M D D Y Y Y Y 1c .00
Name of Payer Corporation
1d Name of Payee Corporation Date Acquired by Payee
M M D D Y Y Y Y 1d .00
Name of Payer Corporation
1e Name of Payee Corporation Date Acquired by Payee
M M D D Y Y Y Y 1e .00
Name of Payer Corporation
1f Name of Payee Corporation Date Acquired by Payee
M M D D Y Y Y Y 1f .00
1g Add lines 1a through 1f .................................................... 1g .00
1h Total of line 1g from additional Schedules 4Y (see instructions) ..................... 1h .00
2 Add lines 1g and 1h ....................................................... 2 .00
3 Enter foreign taxes paid on dividends included on line 2........................... 3 .00
4 Subtract line 3 from line 2. Enter this amount on Schedule 4W, line 1 ................ 4 .00
IC-025 (R. 8-23)
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