Michigan Department of Treasury Attachment 09 4575 (Rev. 04-21) 2021 MICHIGAN Business Tax Loss Adjustment for the Small Business Alternative Credit Issued under authority of Public Act 36 of 2007. Taxpayer Name (If Unitary Business Group, Name of Designated Member) )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU )(,1 RU 75 1XPEHU Unitary Business Groups Only: Name of Unitary Business Group Member Reporting on This Form )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU )(,1 RU 75 1XPEHU INSTRUCTIONS: 8VH WKLV ZRUNVKHHW WR TXDOLI\ IRU DQ RWKHUZLVH GLVDOORZHG 6PDOO %XVLQHVV $OWHUQDWLYH &UHGLW E\ DGMXVWLQJ FXUUHQW \HDU DGMXVWHG EXVLQHVV LQFRPH 7KLV LV DYDLODEOH RQO\ LI D WD[SD\HU KDG D QHJDWLYH DGMXVWHG EXVLQHVV LQFRPH LQ DQ\ RI WKH ¿YH WD[ \HDUV immediately preceding this tax year and received an MBT Small Business Alternative Credit in the loss year. Partnerships and members of Unitary Business Groups, see instructions before completing. PART 1: CURRENT YEAR AMOUNTS 8VH WKLV VHFWLRQ WR GHWHUPLQH DPRXQW RI ORVV DGMXVWPHQW WR EXVLQHVV LQFRPH QHHGHG WR TXDOLI\ IRU WKH 6PDOO %XVLQHVV $OWHUQDWLYH &UHGLW $GMXVWHG %XVLQHVV ,QFRPH 'LVTXDOL¿HU 1. $GMXVWHG %XVLQHVV ,QFRPH IURP )RUP OLQH ................................................................................... 1. 00 2. %XVLQHVV ,QFRPH 'LVTXDOL¿HU Enter $180,000 for individuals, or $1,544,400 for all other organization types ......................................... 2. 00 3. /RVV DGMXVWPHQW UHTXLUHG 6XEWUDFW OLQH IURP OLQH ,I OHVV WKDQ ]HUR HQWHU ]HUR .................................. 3. 00 6KDUHKROGHU ,QFRPH 'LVTXDOL¿HU 4. Enter the amount from Form 4571, line 5 .................................................................................................. 4. 00 5. 6KDUHKROGHU ,QFRPH 'LVTXDOL¿HU 6HH FKDUW LQ LQVWUXFWLRQV ...................................................................... 5. 00 6. Enter compensation and director fees from Form 4577, column L, of the shareholder creating the GLVTXDOL¿HU RU UHGXFWLRQ ............................................................................................................................ 6. 00 7. Subtract line 6 from line 5. If less than zero, see instructions ................................................................... 7. 00 8. Divide line 7 by the percent of ownership from Form 4577, column G, for the shareholder on line 6 ....... 8. 00 9. /RVV DGMXVWPHQW UHTXLUHG 6XEWUDFW OLQH IURP OLQH ............................................................................... 9. 00 * Note: ,I FRPSHQVDWLRQ H[FHHGV IRU DQ\ & &RUSRUDWLRQ VKDUHKROGHU RU RႈFHU a Small Business Alternative Credit cannot be claimed nor can a ORVV DGMXVWPHQW EH XVHG WR UHGXFH FRPSHQVDWLRQ IURP )RUP FROXPQ / PART 2: AVAILABLE LOSS Read instructions before completing Part 2. 8VH 3DUW WR GHWHUPLQH WKH ORVV DYDLODEOH IURP WKH ¿YH SUHFHGLQJ SHULRGV 'R QRW HQWHU D negative sign in front of the loss amounts in lines 11 through 16. &RPSOHWH OLQH IRU WKH ¿YH LPPHGLDWHO\ SUHFHGLQJ WD[ \HDUV ROGHVW WR WKH OHIW 7KHQ FRPSOHWH OLQHV WKURXJK RQH FROXPQ DW D WLPH beginning with the oldest, but completing only those columns representing periods that reported a loss (either generated or used) AND received a Small Business Alternative Credit. 10. Tax year end date (MM-DD-YYYY) .......... 11. $GMXVWHG EXVLQHVV LQFRPH ....................... 12. Loss used on prior returns ....................... 13. Loss available for current return .............. 14. /RVV DGMXVWPHQW UHTXLUHG ........................ 15. 5HPDLQLQJ ORVV DGMXVWPHQW UHTXLUHG ....... 16. /RVV DGMXVWPHQW FDUU\IRUZDUG ................. + 0000 2021 43 01 27 6 |
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