1 1
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86
3 3
FINAL DRAFT 10/2/23
4 4
5 5
6 6
7 7
8 2023 AFF, Affiliations for Combined Returns 8
9 • Enter the designated filer’s name and address in block B1. See “Filing a Combined Return” in the M4 instructions. 9
10 • Beginning with line B2, list only corporations with nexus in Minnesota. 10
11 • List corporations in the same order as they are shown on Forms M4A and M4T. Each corporation must have a Minnesota tax ID number. 11
12 Attach additional forms if necessary. 12
13 • Attach a copy of federal Form 851 and a list of any other corporations whose income is included on Form M4I, line 1a. 13
14 B1 Designated filer name and mailing address Abbreviation used on M4A and M4T FEIN 14
15 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 15
16 Minnesota tax ID 16
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
17 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 17
18 B2 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 18
19 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 19
20 Minnesota tax ID 20
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
21 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 21
22 B3 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 22
23 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 23
24 Minnesota tax ID 24
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
25 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 25
26 B4 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 26
27 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 27
28 Minnesota tax ID 28
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
29 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 29
30 B5 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 30
31 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 31
32 Minnesota tax ID 32
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
33 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 33
34 B6 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 34
35 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 35
36 Minnesota tax ID 36
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
37 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 37
38 B7 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 38
39 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 39
40 Minnesota tax ID 40
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
41 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 41
42 B8 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 42
43 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 43
44 Minnesota tax ID 44
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
45 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 45
46 B9 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 46
47 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 47
48 Minnesota tax ID 48
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
49 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 49
50 B10 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 50
51 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 51
52 Minnesota tax ID 52
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
53 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 53
54 B11 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 54
55 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 55
56 Minnesota tax ID 56
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
57 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 57
58 B12 Corporation name and mailing address Abbreviation used on M4A and M4T FEIN 58
59 MAILING NAME AND MAILING ADDRESS XXXX XXXXXXXXXXXXXX 0123456789 59
60 Minnesota tax ID 60
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX
61 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX 0123456789 61
62 62
63 63
9995
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86
65 65