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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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Instructions for Form 4575, Michigan Business Tax (MBT) Loss Adjustment 
                      for the Small Business Alternative Credit
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Purpose 
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Part 1: Current Year Amounts                                               DQQXDOL]HG PHPEHU ¿JXUHV  ZKHQ DSSOLFDEOH  WR JHW WKH JURXS¶V 
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VKDUHKROGHU V   RU  SDUWQHU V   FUHDWLQJ  WKH  GLVTXDOL¿HU   7KH  ORVV             $ 160,000                      100% - no reduction
DGMXVWPHQW UHTXLUHG LV WKH ODUJHVW DPRXQW QHHGHG WR HOLPLQDWH                      $164,999                          80%
DOO DOORFDWHG LQFRPH GLVTXDOL¿HUV                                                  $169,999                          60%
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LW IRU D 3DUWQHUVKLS  PDNH WKHVH FKDQJHV                                           $180,000                          20%
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                                                                           Part 2: Available Loss
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