Reconciliation of Schedule M-3 Taxable Income With 
Form  8916                             Tax Return Taxable Income for Mixed Groups                         OMB No. 1545-0123
(Rev. September 2018)                  ▶ Attach to Schedule M-3 for Forms 1120,1120-L, or 1120-PC . 
Department of the Treasury  
Internal Revenue Service                 ▶ Go to www.irs.gov/Form8916 for the latest information. 
Name(s) as shown on return                                                                              Employer identification number

1     Enter total tax reconciliation amount from the applicable line of 
      Schedule M-3. See instructions      . .   .  .  . .   .   . . .   .     1

2 a   Life/non-life loss limitation amount   .  .  .  . .   .   . . .   .   2a 
b     Phased inclusion of balance of policyholders surplus account  
      (Form 1120-L, page 1, line 24)  .   . .   .  .  . .   .   . . .   .   2b

c  (1) Non-life capital loss limitation  .  .   .  .  . .   .   . . .   .   2c(1)

      (2) Life capital loss limitation .  . .   .  .  . .   .   . . .   .   2c(2) 

d (1) Non-life charitable deduction limitation .      . .   .   . . .   .   2d(1) 

      (2) Life charitable deduction limitation  .  .  . .   .   . . .   .   2d(2) 

e     (1) Non-life dual consolidated loss amount disallowed .     . .   .   2e(1) 

      (2) Life dual consolidated loss amount disallowed     .   . . .   .   2e(2) 

3     Combine lines 1 through 2e(2)  .    . .   .  .  . .   .   . . .   . . .  .  .    .  . .     . . . 3 

4a    (1) 1120-PC net operating loss deduction     .  . .   .   . . .   .   4a(1) 

      (2) 1120-L net operating loss deduction .    .  . .   .   . . .   .   4a(2) 

      (3) 1120 net operating loss deduction   .    .  . .   .   . . .   .   4a(3) 

b  (1) Non-life dividends received deduction  .       . .   .   . . .   .   4b(1) 

      (2) Life dividends received deduction     .  .  . .   .   . . .   .   4b(2) 

c     (1) Non-life capital loss carryforward used  .  . .   .   . . .   .   4c(1) 

      (2) Life capital loss carryforward used   .  .  . .   .   . . .   .   4c(2) 

d (1) Non-life charitable deduction carryforward used  .        . . .   .   4d(1) 

      (2) Life charitable deduction carryforward used  .    .   . . .   .   4d(2) 

5     Add lines 4a(1) through 4d(2)    .  . .   .  .  . .   .   . . .   . . .  .  .    .  . .     . . . 5

6     Subtract line 5 from line 3 .    .  . .   .  .  . .   .   . . .   . . .  .  .    .  . .     . . . 6

7     Other adjustments to reconcile to taxable income on tax return (attach schedule)  .   .     . . . 7
8     Total. Combine lines 6 and 7. This amount must equal the amount reported on the “Taxable
      income” line of the consolidated Form 1120, Form 1120-L, or Form 1120-PC. See instructions        8
For Paperwork Reduction Act Notice, see instructions.                     Cat. No. 37727E                 Form 8916 (Rev. 9-2018)

Form 8916 (Rev. 9-2018)                                                                                                      Page 2 

Section references are to the Internal Revenue Code unless        Line 2a. Life/non-life loss limitation amount. Enter any life/
otherwise noted.                                                  non-life loss limitation amount from the supporting workpapers. 
                                                                  See section 1503(c).
Future Developments                                               Line 4a. Net operating loss (NOL) deduction. Enter any NOL 
For the latest information about developments related to Form     deduction from supporting statements for each entity type 
8916 and its instructions, such as legislation enacted after they (Form 1120, 1120-L, and 1120-PC) as figured pursuant to 
were published, go to www.irs.gov/Form8916.                       section 172(b), as amended by P.L. 115-97, section 13302.
                                                                  Note: The 2-year carryback rule does not apply to NOLs arising 
General Instructions                                              in tax years ending after December 31, 2017. Exceptions apply 
                                                                  to certain farming losses and NOLs of property and casualty 
Purpose of Form                                                   insurance companies. See section 172(b), as amended by P.L. 
Use Form 8916 to reconcile Schedule M-3 taxable income to         115-97, section 13302. Separate tracking of the NOL for each 
tax return taxable income for a mixed group, which is a           entity type will be required.
consolidated tax group which uses two or more of the following    Line 7. Other adjustments to reconcile to taxable income on 
tax return forms: Form 1120, 1120-L, or 1120-PC. A mixed          tax return. Enter on line 7 any other adjustments necessary to 
group is a consolidated tax group that (1) includes both a        reconcile to taxable income reported on the consolidated 
corporation that is an insurance company, and a corporation       income tax return from the supporting workpapers and attach a 
that is not an insurance company, (2) includes both a life        short explanation of the adjustment.
insurance company and a property and casualty insurance 
company, or (3) includes a life insurance company, a property     Line 8. Total. The amount on line 8 must equal the “Taxable 
and casualty insurance company, and a corporation that is not     income” line of the applicable consolidated income tax return. 
an insurance company.                                             For example, see the 2018 Form 1120, page 1, line 30; 2018 
                                                                  Form 1120-L, page 1, line 25; or 2018 Form 1120-PC, Schedule 
Who Must File                                                     A, line 37.
Form 8916 must be filed by a mixed group consisting of filers of  Paperwork Reduction Act Notice.  We askfor      the information 
Form 1120, 1120-L, or 1120-PC that is required to file Schedule   on this form to carry out the InternalRevenue laws of the United 
M-3.                                                              States. You are required to giveus   the information. We need it 
                                                                  to ensure that you arecomplying   with these laws and to allow 
How To File                                                       us to figure andcollect the right amount of tax.
Attach Form 8916 to the consolidated Schedule M-3. Taxpayers      You are not required to provide the information requested on 
must summarize the taxpayer tax return taxable income             a form that is subject to the Paperwork Reduction Act unless 
calculation workpapers on Form 8916 and retain those              the form displays a valid OMB control number. Books or 
workpapers. The taxable income calculation workpapers need        records relating to a form or its instructions must be retained as 
not be submitted with the Form 8916.                              long as their contents may become material in the 
                                                                  administration of any Internal Revenue law. Generally, tax 
Specific Instructions                                             returns and return information are confidential, as required by 
                                                                  section 6103.
Note: All line references to Form 1120-L, Form 1120-PC, and 
Form 1120 are to the 2018 forms.                                  The time needed to complete and file this form will vary 
                                                                  depending on individual circumstances. The estimated burden 
Line 1. Schedule M-3 tax reconciliation amount. The amount        for business taxpayers filing this form is approved under OMB 
on line 1 must equal the tax reconciliation amount from the       control number 1545-0123.
applicable line of Schedule M-3. For example, this amount was 
reported on Part II, line 30, column (d), of the 2018 Schedule    If you have comments concerning the accuracy of these time 
M-3 for Form 1120, 1120-L, or 1120-PC.                            estimates or suggestions for making this form simpler, we would 
                                                                  be happy to hear from you. See the instructions for the tax 
                                                                  return with which this form is filed.