Michigan Department of Treasury                                                                                                                                                 This form cannot be used  
4891 (Rev. 06-21), Page 1 of 2                                                                                                                                                  as an amended return; use  
                                                                                                                                                                                the CIT Amended Return  
                                                                                                                                                                                (Form 4892).
2021 MICHIGAN Corporate Income Tax Annual Return 
Issued under authority of Public Act 38 of 2011. 
                                                                                               MM-DD-YYYY                                                                           MM-DD-YYYY 

1.  Return is for calendar year 2021 or for tax year beginning:                                                   and ending: 
2.  Taxpayer Name (print or type)                                                              3. Federal Employer Identification Number (FEIN) 

4. Street Address 

City                                                                                           State           ZIP/Postal Code                                                      Country Code 

5.  NAICS (North American Industry Classification System) Code 6. If a Final Return, Enter Effective End Date 
                                                                                                               8.                                          Check if a special sourcing formula  
     Check if Filing Michigan Unitary Business Group Return.   7b. Affiliated Group Election year (MM-DD-YYYY)                                             for transportation services is used in  
7a.  (Include Form 4896, if applicable, and Form 4897.)                                                                                                    the sourcing of Sales to Michigan. 
Important:  If the tax liability on line 40 is less than or equal to $100, or the gross receipts on line 11 are less than $350,000, you are not required to file this 
return or pay the tax. Short period filers, see instructions. 
   9.  Apportionment Calculation — If any amount in line 9a through 9e is zero, enter zero. All lines must be completed. 
     a.  Michigan sales of the corporation/Unitary Business Group (UBG) (if no Michigan sales, enter zero)  ......  9a.                                                                          00
     b.  Proportionate Michigan sales from unitary Flow-Through Entities (FTEs) (include Form 4900) ...............  9b.                                                                         00
     c.  Michigan sales. Add lines 9a and 9b  .........................................................................................................  9c.                                     00
     d.  Total sales of the corporation/UBG ............................................................................................................  9d.                                    00
     e.  Proportionate total sales from unitary FTEs (include Form 4900) ...............................................................                      9e.                                00
     f.  Total sales. Add lines 9d and 9e ................................................................................................................    9f.                                00
     g.  Apportionment percentage. Divide line 9c by line 9f  .................................................................................  9g.                                             % 

10.  a.  Gross receipts from corporate activities (see instructions) ..........  10a.                             00 
10.  b.  Apportioned gross receipts from FTEs ........................................  10b.                      00 
11.  REQUIRED: Total gross receipts for filing threshold purposes. Multiply line 10a by line 9g, and add  
     line 10b ............................................................................................................................................................  11.                  00 

PART 1: CORPORATE INCOME TAX 
Unitary Business Groups: Amounts reported for all members on Form 4897 must be summed and carried to the corresponding line on Form 4891. 
12.  Federal taxable income. (Amount includes agricultural activities. See instructions.)  .......................................  12.                                                          00 
13.  Miscellaneous (see instructions)  .....................................................................................................................  13.                                00 
14.  Adjustments due to decoupling of Michigan depreciation from IRC § 168(k). If adjustment is negative,  
     enter as negative: 
     a.  Net bonus depreciation adjustment .............................................  14a.                    00 
     b.  Gain/loss adjustment on sale of eligible depreciable asset(s) .....  14b.                                00 
     c.  Add lines 14a and 14b.  If negative, enter as negative..............................................................................  14c.                                              00 
15.  Add lines 12, 13 and 14c. If negative, enter as negative .................................................................................  15.                                             00 
16.  For a UBG, total group eliminations from business income (see instructions). All other filers, enter zero  ......  16.                                                                      00 
17.  Business Income. Subtract line 16 from line 15. (UBGs, see instructions.) If negative, enter as negative ...  17.                                                                           00 

Additions to Business Income 
18.  Interest income and dividends derived from obligations or securities of states other than Michigan ................                                      18.                                00 
19.  Taxes on or measured by net income including tax imposed under CIT  ..........................................................  19.                                                         00 
20.  Any carryback or carryover of a federal net operating loss (enter as a positive number) .................................  20.                                                              00 
21.  Royalty, interest, and other expenses paid to a related person that is not a UBG member of this taxpayer  ....  21.                                                                         00 
22.  Expenses from the production of oil and gas, and/or minerals (see instructions)  ............................................  22.                                                          00 
23.  Miscellaneous (see instructions)  .....................................................................................................................  23.                                00 
24.  Total Additions to Income.  Add lines 18 through 23.........................................................................................  24.                                           00 
25.  Corporate Income Tax Base After Additions.  Add lines 17 and 24. If negative, enter as negative............                                           25.                                   00 

+ 0000 2021 12 01 27 1                                                                                                                                                          Continue and sign on Page 2 

2021 Form 4891, Page 2 of 2                                                               Taxpayer FEIN 

PART 1: CORPORATE INCOME TAX (Continued) 
Subtractions from Business Income 
26.  Income from non-unitary FTEs (Enter loss as negative; include Form 4898; see instructions)  .........................  26.                                         00 
27.  Dividends and royalties received from persons other than U.S. persons and foreign operating entities  ........  27.                                                00 
28.  Interest income derived from United States obligations  ..................................................................................  28.                    00 
29.   Income from the production of oil and gas, and/or minerals (see instructions)  ................................................  29.                              00 
30.   Miscellaneous (see instructions)  .....................................................................................................................  30.      00 
31.  Total Subtractions from Income.  Add lines 26 through 30  ..............................................................................  31.                      00 

32.   Corporate Income Tax Base.  Subtract line 31 from line 25. If negative, enter as negative  .........................  32.                                         00 
33.  Apportioned Corporate Income Tax Base. Multiply line 32 by percentage on line 9g  .....................................  33.                                       00 
34.  Apportioned Income from non-unitary FTEs from Form 4898 (see instructions).............................................  34.                                       00 
35.  Total apportioned Corporate Income Tax Base. Add line 33 and line 34 .........................................................  35.                                00 
36a.  Available CIT business loss carryforward (see instructions). Enter as positive. ..............................................  36a.                              00 
36b.  Check if any loss on line 36a was acquired in this filing period in an IRC 381(a)(1) or (2) transaction (see instructions) 
37.  Subtract line 36a from line 35. If negative, enter here as negative. A negative number here is the available 
      business loss carryforward to the next filing period (see instructions)  ............................................................  37.                        00 
38.   Corporate Income Tax Before Credit. Multiply line 37 by 6% (0.06). If less than zero, enter zero  ..............  38.                                             00 
PART 2: TOTAL CORPORATE INCOME TAX 
39.  Small Business Alternative Credit (SBAC) from Form 4893, line 14 or line 18, whichever applies .................  39.                                              00 
40.   Tax Liability after SBAC. Subtract line 39 from line 38. If less than or equal to $100, enter zero.  
      If apportioned or allocated gross receipts are less than $350,000, enter zero (see instructions)  ...................  40.                                        00 
41.  Total Recapture of Certain Business Tax Credits from Form 4902 ..................................................................  41.                             00 
42.  Total Tax Liability. Add lines 40 and 41  ............................................................................................................  42.        00 
PART 3: PAYMENTS AND TAX DUE 
UBGs include on lines 43 through 46 payments from all members as reported on Form 4897. 
43.  Overpayment credited from prior period return (MBT or CIT)  .........................................................................  43.                         00 
44.  Estimated tax payments  ..................................................................................................................................  44.    00 
45.  Tax paid with request for extension  .................................................................................................................  45.        00 
46.  Michigan tax withheld  ......................................................................................................................................  46. 00 
47.  Payment total. Add lines 43 through 46. ..........................................................................................................  47.            00 
48.   TAX DUE. Subtract line 47 from line 42. If less than zero, leave blank ...........................................................  48.                           00 
49.  Underpaid estimate penalty and interest from Form 4899, line 38 ..................................................................  49.                            00 
50.  Annual Return Penalty (see instructions)  ........................................................................................................  50.            00 
51.  Annual Return Interest (see instructions)  ........................................................................................................  51.           00 
52.   PAYMENT DUE.  If line 48 is blank, go to line 53. Otherwise, add lines 48 through 51 ..................................  52.                                      00 
PART 4: REFUND OR CREDIT FORWARD 
53.   Overpayment. Subtract lines 42, 49, 50 and 51 from line 47. If less than zero, leave blank (see instructions)  ..                                        53.      00 
54.   CREDIT FORWARD. Amount on line 53 to be credited forward and used as an estimate for next CIT tax year ...                                               54.      00 
55.   REFUND. Subtract line 54 from line 53 ...........................................................................................................  55.            00 

Taxpayer Certification.   I declare under penalty of perjury that the information in this Preparer Certification.   I declare under penalty of perjury that this 
return and attachments is true and complete to the best of my knowledge.                  return is based on all information of which I have any knowledge. 
                                                                                          Preparer’s PTIN, FEIN or SSN 
      By checking this box, I authorize Treasury to discuss my return with my preparer. 
Authorized Signature for Tax Matters                                                      Preparer’s Business Name (print or type) 

Authorized Signer’s Name (print or type)                    Date                          Preparer’s Business Address and Telephone Number (print or type) 

Title                                          Telephone Number 

              Return is due April 30 or on or before the last day of the 4th month after the close of the tax year. 
WITHOUT PAYMENT. Mail return to:         WITH PAYMENT. Pay amount on line 52. Mail check and return to: Michigan Department of Treasury,  
  Michigan Department of Treasury,       PO Box 30804, Lansing MI  48909. Make check payable to “State of Michigan.” Print taxpayer’s FEIN, the tax 
PO Box 30803, Lansing MI  48909          year, and “CIT” on the front of the check. Do not staple the check to the return. 

+ 0000 2021 12 02 27 9 

                                                                     Instructions for Form 4891 
                                                      Corporate Income Tax Annual Return 
                                                                                                           Affiliated Group Election. 
Purpose 
To   calculate  the Corporate             Income     Tax      (CIT)     for standard                       In   Michigan,      a UBG with            members         that   are corporations                         
taxpayers.      Insurance companies             should        file   the                Insurance          must   file   Form  4891.      A Designated Member                      (DM)        must       file       
Company Annual Return for Michigan Corporate Income                                                        the return     on    behalf   the   of     standard         members   the   of           group.      In
and Retaliatory Taxes              (Form  4905) and             Financial            Institutions             a parent-subsidiary             controlled       group,     the  controlling  member                    
should        file  the   CIT Annual Return for Financial Institutions                                     must   serve  as  DM if          it has nexus        with    Michigan.          If it          does       
(Form  4908).                                                                                              not   have   nexus  with Michigan,                  the  controlling         member          may          
                                                                                                           appoint     any  member with              nexus      to serve      as DM.       When                        
   A standard taxpayer              is   an  entity  that                   is a C Corporation,       an   filling  out  the  forms supporting                 this  return,    fields     that   require            
entity that      has  elected          to be  taxed  federally              as a C Corporation             “taxpayer”        information  should be               filled    with   the     name       and            
for   the  tax year,      or           a Unitary  Business Group                 (UBG)        that         Federal Employer            Identification          Number         (FEIN)   the   of      DM.         
includes  members  that  are      C Corporations      or entities  that  have  
elected      to be   taxed  federally as                    a C Corporation            for    the  tax     Tax Year of a UBG:                      A  taxpayer       that          is a UBG must        file      a      
year.                                                                                                      combined return           using      the   tax      year   the   of   DM.       The   combined            
                                                                                                           return   the   of  UBG        must      include      each    tax     year   each   of       member          
Instructions for UBGs                                                                                      whose tax      year   ends        with   within   or      the  tax     year   the   of    DM.         For   
                                                                                                           example, Taxpayer              ABC     UBG     is a      comprised   three   of           standard        
NOTE:  UBGs must                 complete     a copy      of the                           Michigan        members:        Member         A,  the DM         with    a      calendar tax       year,    and           
Corporate Income Tax Data on Unitary Business Group                                                        Members       B and      C with fiscal             years    ending      March        31 and                 
Members  (Form               4897)  for each    member          of   the       UBG       before            September 30,         respectively.         Taxpayer         ABC’s       tax      year      isthat of      
completing  Form  4891.  Amounts reported                         for   all      members       on          its DM.      For  this     group   2021,   in        that  annual       return       will     include      
Form 4897        must      be    summed       and    carried   the   to           corresponding            Member  A’s        calendar  year  ending December                      31,    2021,       the     tax      
line on    Form      4891.                                                                                 year      ofMember B   ending              March       31,   2021,     and     the    tax      year      of
Under      the  CIT,         corporation  means  an entity                       that  is a   C            Member       C ending September                  30,  2021.   
Corporation   has   or          elected   file   to  federally       Corporation       as a C              The gross       receipts          ofUBGa  is   the       sum   the   of       gross    receipts      of
for   the  tax year.      A      taxpayer      is   a corporation, an                insurance             each member          included   the   in        UBG,      other      than   person   a        subject      
company,       a financial  institution,     UBG     or a           that   liable   is        for  tax,    to the   tax     insurance     as an      company   financial   or             institution,         less    
interest,   penalty.   or                                                                                  any gross     receipts      arising      from        transactions        between        members           
   A UBG  is a      group of United           States     persons     that are                              included       inthe UBG.         Gross   receipts       of      each member         should               
corporations,   insurance  companies, or                      financial          institutions,             reflect the    accounting           method       that   member          used      tocompute its      
other  than      foreigna       operating  entity,  that  satisfies  the  following                        federal taxable       income.         
criteria:                                                                                                  The    business  income  of a      UBG is      the sum               of the     business                  
  •  Control Test: One      theof             persons  owns      controls,or                   directly    income      of  each  member included                 in  the    UBG,        other   than      a              
     or  indirectly,  more  than  50  percent      theof               ownership  interest                 person  subject      to the tax        as      an insurance      company          or      financial       
     with  voting  rights  (or  rights  comparable      votingto                           rights)      of institution,    less  any items          of    income     and      related     deductions                 
     the  other  members;  AND                                                                             arising     from transactions           (including        dividends)          between                     
  •  Relationship Test:  The UBG                    has  operations              which       result        members                                                                                                  
                                                                                                                         included in the           UBG.        Business       income       of each                    
     in       a flow      of value  between   the    members      in the  UBG      or has                  member                                                                                                   
                                                                                                                        should reflect the accounting method that member used 
     operations   that       are  integrated with,        are     dependent            upon,   or          to                                                          
                                                                                                            compute its   federal taxable income.
     contribute   to  each other.           Flow   of  value      is      determined by                    In general,      components            used   determine   to          tax     liability      relate      to
     reviewing  the  totality      factsof        and  circumstances      businessof                       the  group          as a single taxpayer,         not  to      the individual       members                 
     activities  and  operations.                                                                          that   comprise  the  group. Exceptions                   to      this general      rule     are            
United States person                 is  defined      in the    Internal  Revenue  Code                    noted                                                                                                      
                                                                                                                    in instructions to           the  applicable        forms.     The       group      of            
(IRC)       § 7701(a)(30).                                                                                 members                                                                                                    
                                                                                                                        on the combined return                  is   treated as   the taxpayer              (a        
                                                                                                           distinct entity)      for    purposes   the   of       Income        Tax      Act.   
   A foreign operating entity              means      a United States                corporation        
                                                                                                                             information can be              found     at   
that   would  otherwise  be a      part of         a UBG        that  is taxable             in            Additional                                                           www.michigan.gov/ 
Michigan;  has  substantial  operations  outside  the  United  States,                                     taxes                                                                                                     
                                                                                                                    . Select    “Business          Taxes”       from    the     items near the top of   
the   District  of Columbia,             any  territory       or  possession           of the              the                                                                                                        
                                                                                                                 page,   and click on “Corporate                  Income        Tax.”     Also    review              
                                                                                                                         Administrative Bulletin                 (RAB)        2018-12,               
United  States  except  for  the  commonwealth of      Puerto  Rico, or                                    Revenue                                                                                      Unitary 
   a political  subdivision of      the  foregoing;  and at      least  80  percent                        Business Group Control Test And Relationship Tests                                                         
                                                                                                                                                                                                      . Click on 
of   its  income      is active foreign       business        income             as  defined   in          “Reports                                                                                                   
                                                                                                                        and Legal” from              the   items     near     the  top    of   the page,              
IRC       § 871(l   )(1)(B)(ii    ).                                                                       then                                                                               
                                                                                                                  click on “Revenue Administrative Bulletins.”
     A UBG      may       alternatively  be determined               by  making              an            Also                                                                                                       
                                                                                                                  see “Notice to   Taxpayers Regarding Labelle Management 
                                                                                                           Inc       v Department         of  Treasury.” This           notice     is      found under               

                                                                                                                                                                                                                  15 

“News  and  Information”   at   www.michigan.gov/taxes.                                                    4891      theyas  apply      theto     DM. 
Taxpayer Certification                                                                                     Amended Returns:                                                                                    
                                                                                                                                            To amend a   current or prior                  year                 
                                                                                                           annual   return:  complete the                   CIT Amended Annual  Return 
   A return   filed   by      a UBG  must be           signed     by     an  individual                    (Form   4892)  that is        applicable        for  the  year  that is        being                 
authorized      to sign    on  behalf            of the  DM.  Provide                 a telephone          amended.   Include      a copy of            an  amended      federal    return           or         
number     for  that  individual               at the  DM’s  office.  Treasury will                           a signed   and    dated Internal           Revenue     Service      (IRS)       audit             
only discuss   the    return        with  the     authorized     signer.                                   document,   if  applicable. Complete                 and  file    all schedules,                     
                                                                                                           all   forms  and all    attachments           filed  with   the   original       return,             
The Affiliated Group Election                                                                              even   if not  amending          information       on those       schedules.                         
The    affiliated  group  election allows                     a group    of  persons that                  Do not include a copy of the original return with the                                               
satisfy  the  definition            of “affiliated     group,”     (see   below)      to elect             amended return. 
to   be  treated  as       a UBG       under  the  CIT even                  if those     persons          Refund Only:    If          apportioned          or  allocated  gross receipts                are    
do   not  satisfy the   relationship         test   of  MCL     206.611(6).             The                less than    $350,000        and    there      nois  recapture      anyof        credits,      and   
relationship test          is discussed      in the     Instructions  for  UBGs on                         the  taxpayer      filingis     Form  4891      toclaim a      refund of      estimates  
this form   and  online          at   www.michigan.gov/taxes.                                              paid,  skip  lines      12through 43      and  lines      through49              53. 
The    term  “affiliated group”          means      that   term       as defined        in                 UBGs:    If     combined  apportioned      allocatedor                  gross  receipts      of
section   1504  of the       IRC         except that          1)  the term         includes                all  members      lessis      than $350,000          after    eliminations and               there   
all  United    States     persons         that      are   corporations,            insurance                  is  no recapture      of any        credits   and  the   taxpayer      is filing Form             
companies,      or  financial institutions,            other    than                  a foreign            4891  solely      toclaim a         refund of   estimates        paid,    the       UBG        may   
operating entity,      and          2) the entities     listed        in (1) are  commonly                 follow  the  “Refund Only”              instructions     for   claiming         a refund.            
owned, directly            or indirectly, by       any  member               of such affiliated            However, the       DM     must         include   Form   a   4896,   necessary,   if            and   
group    and  other  members                  of which   more  than 50          percent            of         a Form 4897   for  each      member          included   the   in   UBG.        
the   ownership  interests with            voting      rights   or ownership                               
interests  that    confer      comparable             rights          to voting  rights             of     Public Law 86-272:                  If      a taxpayer’s business       activity          is         
the  member          is directly         or  indirectly  owned             by           a common           protected     under  Public Law              (PL)  86-272,     and    the  taxpayer                  
owner     or  owners.                                                                                      wishes      toclaim a      refund, the    taxpayer    must      file  a Form        4891.              
                                                                                                           When  filing  this form,          leave    lines   12  through       41  and       lines    49       
   A taxpayer makes      the   election       by   affirmatively          indicating              so on    through     53  blank and        include      an   attachment        explaining           the        
the  annual  return (see      line     7b).   The   affiliated        group     members                    circumstances        of  the  PL 86-272            protection.    Lines        42  and      43       
are  treated      as members          of a UBG          for   all  purposes.  However,                     must      becompleted to   report          any     recapture   credits.   of        
the  affiliated  group election          does     not  affect   the      determination                   
of  the  flow-through entities            with     which    the    taxpayer              is unitary        UBGs:          If all  members          of   the  UBG    are  claiming PL            86-272           
for   apportionment  purposes.               Once an election is  made, it is                              protection,   then      the  UBG will          leave  lines    12    through       41  and           
irrevocable and binding for the tax year plus the next 9 tax                                               lines   49  through  53  blank            and  include          a statement        explaining         
years. See  MCL  206.691(2)  for  more  information.                                                       the   circumstances of         the     PL    86-272   protection       for each                      
                                                                                                           member  . Lines         42  and  43 must         be  completed        to  report          any        
                                                                                                           recapture      of credits.  However,      as long      as one  member          of a UBG  
General Instructions 
                                                                                                           has nexus    with    Michigan           and   exceeds    the    protections              of PL 86- 
Dates  must      beentered in      MM-DD-YYYY  format.                                                     272,  all  members            of the   UBG      —  including      members  protected                 
For  periods  less  than  12  months,  see  the  “General  Information                                     under                                                                                               
                                                                                                                   PL 86-272 — must                be   included     when       calculating          the       
for   Standard  Taxpayers” section                in  the  Michigan          CIT  for                      UBG’s                                                                                                
                                                                                                                    Corporate Income Tax base and apportionment formula. 
Standard  Taxpayers  booklet  (Form  4890).                                                                As                                                                                                  
                                                                                                                 a result, all UBG members must complete Form 4897 for the 
                                                                                                           purpose      of this return.       Members         with  PL     86-272        protection        are   
Every   standard  taxpayer with              nexus     in  Michigan        and  with                       not taxable;    however,        PL      86-272    will  only    remove          income         from   
apportioned      allocatedor            gross  receipts      of$350,000 or      more  and                  the  apportionable  CIT  tax base               when   all  members                  of the   UBG  
whose  CIT  tax  liability      greateris           than  $100  must  file      annualan                   are protected      under     PL   86-272.      
CIT  return.  (The  gross  receipts  filing  threshold  does  not  apply  
to   insurance  companies or            financial      institutions.)        Businesses                    Line-by-Line Instructions 
that   operate  less  than 12          months     must    annualize       their       gross                Lines not listed are explained on the form. 
receipts to      determine if a          filing  requirement  exists.  For a      UBG,  
the  $350,000  filing  threshold      calculatedis                after elimination      of                Line  1:   If   not      a calendar-year          taxpayer,  enter the           beginning            
intercompany  transactions.  See the                instructions         for    line    11  on             and   ending  dates (MM-DD-YYYY)                      that    correspond           to the             
calculating  gross  receipts  for  filing  theshold  purposes.                                             taxable  period  included      in this  return. 
   If the  taxpayer      is operating        business     for      a period     less  than  12             Tax  year  means  the  calendar year,                or  the   fiscal   year       ending             
months,   the  apportioned  or allocated               gross    receipts        for     filing             during  the  calendar year,            on  which     the  tax   base                   of a taxpayer  
purposes  must   annualized   be           and     then   compared   the   to          $350,000               is computed.          If a return      is made  for      a part          of a year,      tax  year  
threshold.                                                                                                 means   the  period  for which             the   return           is made.      Generally,               a
                                                                                                           taxpayer’s  tax  year             is for  the  same   period              as is covered       by   its  
UBGs:  Complete  Form 4897                   and,   if      necessary, Form           4896                 federal  income  tax  return. 
before  beginning  Form  4891.  Answer  lines 1      through 7 of          Form  

16 

Line 2: Enter  the  taxpayer’s  name.          If a UBG,  enter  the  name      of                      administered   by  Treasury, or                 continues    to exist      but has               
the  DM.                                                                                                stopped   doing  business                in Michigan,  do  not use          this  line.            A
Line  3:  Use  the  taxpayer’s FEIN.                  Be  sure   to  use   the  same                    discontinuance                                                                                  
                                                                                                                                may be processed          by    updating     the    account     by      
account number           on  all  forms.       Also,      the   taxpayer’s       FEIN     from          using                                                                                           
                                                                                                                   the Michigan Treasury               Online   (MTO)       Web      site. Visit        
line      3 must      be repeated      in the  proper  location  on  page    2.                         michigan.gov/mtobusiness                                                      
                                                                                                                                                 for more information.
NOTE:  Unless  already registered,                    taxpayers       must  register                    UBGs:                                                                                           
                                                                                                                     Leave this line       blank.       This information        will be                 
with   the  Michigan Department                 of  Treasury        before  filing                    a included,                                           
                                                                                                                        if needed, on Form 4897.
tax   return.  Taxpayers are         encouraged          to  register      online     at                Line  7a:  Check           this  box        if filing      a UBG   return  and include           
www.michigan.gov/businesstaxes   . Taxpayers                               that register                   a Form       4897   for  every  member (including               the     DM)   whose           
with   Treasury  online receive              their    registration       confirmation                   activity      is included      in this  UBG  return.  Also  file      a Form  4896,  
within  seven  days.                                                                                       if necessary. 
   If the   taxpayer       does  not      have  an FEIN,       the    taxpayer      must                NOTE:  Every  UBG                  must check             this  box, regardless         of       
obtain   an FEIN        before   filing     the CIT.     The   Web         site                         whether      it has  elected  under  PA  266      of 2013,      as described      in the  
www.michigan.gov/businesstaxes                           provides        information on                 line  7b  instructions. 
obtaining      an FEIN  (under  “New  Business  Registration”). 
                                                                                                        Line 7b:  Enter  here the             end   date  —     in an    MM-DD-YYYY                      
Returns received without a registered account number will                                               format      — of the tax year in which the affiliated group election 
not be processed until such time as a number is provided.                                               is first made    . The  election  lasts      10 years  and      is irrevocable. 
UBGs:  Enter  the  FEIN      of the  DM  for  this  UBG.                                                Calendar  year  filers  that  made  this  election  beginning  2013,  and  
Line 4:      Enter   the  complete  address, including                     the  two-letter              fiscal   filers  that  made this        election   beginning         with    the  2013-  
country  code.  See  the  list      of country  codes      in Form  4890.                               14  fiscal  year,  completed the                Michigan Corporate Income Tax 
                                                                                                        Affiliated Group Election to File as a Unitary Business Group  
NOTE:  Any  correspondence regarding                           the  return  filed     and/              (Form  5114)      to make  the  election.  Enter  here  the  end  date  —      in
or   refund  will  be sent             to the   address  provided on            this     form.          an  MM-DD-YYYY  format  —      of the  tax  year  for  which  Form  
The taxpayer’s      primary        address            in Treasury files,     identified          as     5114  was  filed. 
the  legal  address and      used       for  all  purposes     other       than   refund             
and  correspondence  on                 a specific    CIT      return,  will not      change            Taxpayers   that  first make          this      election     beginning     calendar              
unless the    taxpayer       files    a   Notice of Change or Discontinuance                            year   2014  or later           do not  use  Form 5114                     , which  is   now     
(Form 163)    with       Treasury.                                                                      discontinued.   Instead,  make the                election     on  this    line  of the          
                                                                                                        return  filed  for  the  first  year      of the  election,  by  entering  the  end  
UBGs: Enter the          address         of the DM        for  this  UBG.                               date      of that  filing  period          in an MM-DD-YYYY  format.  
FOREIGN FILERS:                   Complete the            address      fields         as follows:                      Check  this box        if  the  taxpayer      has sales     from                  
                                                                                                        Line 8: 
       Address: Enter  the  postal  address  for  this  taxpayer.                                       transportation   services.  Taxpayers that                   check   this    box  also           
                                                                                                        must  complete  lines      9a through  9g.  To  calculate  Michigan  Sales  
       City:  Enter  the  city name             for      this  taxpayer.   DO      NOT                  from   Transportation  Services, see               the     instructions      for  line               9
       include the       country    name              in this field.                                    and  the  table      in the  “Sourcing      of Sales      to Michigan”  section      of
       State:  Enter  the  two-letter  state      or province  abbreviation.                            the  general  instructions      in Form  4890. 
                                                                                                 
             If there   is no applicable two-letter abbreviation, leave this                            UBGs:        If at least     one  member of           the    UBG    has    sales  from           
       field  blank.                                                                                                            services,  check  this  box. 
                                                                                                        transportation
       ZIP/Postal Code:  Enter  the  ZIP  Code      or Postal  Code. 
                                                                                                        Line 9: For      a Michigan-based                 taxpayer,    all  sales  are  Michigan         
       Country Code:               Enter the       two-letter        country      code                  sales   unless  the  taxpayer               is subject      to tax      in another  state  or    
       provided      in Form  4890.                                                                     foreign  country.      A taxpayer      is subject          to a tax      in another  state      or
                                                                                                        foreign  country      if the  taxpayer      is subject          to a business  privilege  
Line 5:      Enter   the    entity’s  six-digit  North American                   Industry        
                                                                                                        tax,      a net  income  tax,      a franchise  tax  measured  by  net  income,  
Classification   System  (NAICS) code.                   For             a complete  list of      
                                                                                                           a franchise        tax  for  the  privilege      of doing     business,      a corporate  
six-digit   NAICS  codes, see             the   U.S.     Census       Bureau      Web             
                                                                                                        stock  tax,          or if the  state      or foreign   country     has  jurisdiction              to
site   at  www.census.gov/eos/www/naics/   , or                            enter  the same        
                                                                                                        subject   the    taxpayer          to one      or more      of the  above     listed  taxes,     
NAICS  code  used when             filing     the  entity’s    federal     Form       1120,       
                                                                                                        regardless      of whether  the  tax      is actually  imposed      on the  taxpayer. 
Schedule    K.
                                                                                                        The   CIT      is based  only on        business      activity     apportioned        or         
UBGs: Enter  here  the  NAICS  code  for  the  principal  activity      of                                                 to Michigan.      A taxpayer  that      is not  subject      to tax      in
                                                                                                        allocated
the  group.      If no  principal  activity      is available,  enter  the  NAICS                             other  state      or foreign  country      is subject      to CIT  on      its entire  
                                                                                                        one
code  used  when filing      the     DM’s       federal       Form    1120,     Schedule                                 income  tax  base. 
                                                                                                        corporate
K. 
                                                                                                           If the  taxpayer      is able      to apportion      its tax  base,  then      its tax  base  
Line  6:  Enter    the  date,            if applicable,        on  which the       taxpayer             will  be  apportioned      to Michigan  based  on  sales.                    Sale   or   Sales 
discontinued      its business      in Michigan      or went  out      of existence.                    means  the  amounts received                by   the  taxpayer             as consideration  
NOTE:  If the      taxpayer       is still      subject  to another        tax                          from  the  following: 

                                                                                                                                                                                                     17 

  • The    transfer  of  title to,      or  possession         of,   property       that              is   information      on eliminations, see                     the   instructions                 to line 17.   
    stock   in  trade or    other     property          of           a kind  which would                  
    properly  be  included              in the     inventory      of the         taxpayer      if on       An FTE                                                                                                               
                                                                                                                            is an entity that, for the applicable tax year,   is treated 
    hand      at the  close      of the  tax  period,      or property  held  by  the                      as                                                                                                                   
                                                                                                                  a subchapter   S Corporation under section 1362(a)   of the IRC, 
                                                                                                                a general     partnership,      a trust,      a limited               partnership,                a limited  
    taxpayer   primarily  for sale             to  customers         in  the  ordinary                    
    course      of its    trade      or business.       For    intangible  property,  the                  liability                                                                                                            
                                                                                                                         partnership,     or a limited                    liability       company           that   is not 
    amounts  received  will  be  limited      to any  gain  received  from                                 taxed                                                                                                     
                                                                                                                            as a C Corporation for federal income tax purposes.
    the  disposition      of that  property.                                                               A taxpayer is unitary with an FTE if the taxpayer: 
  • Performance      of services  which  constitute  business  activities.                                   •    Owns      or controls, directly                   or indirectly, more         than      50%             of the  
  • The      rental, leasing,   licensing,         or use      of   tangible       or                      ownership          interests      with  voting rights                (or   ownership            interests            
    intangible   property, including                 interest       that  constitutes                      that confer        comparable        rights              to voting rights)             of the FTE;       AND       
    business  activity.                                                                                      •    The   taxpayer  and  FTE have                   activities                or operations           which  
  • Any combination               of business activities             described       above.                result          in a flow      of value between              the   taxpayer          and    the     FTE,          or   
  • For  taxpayers  not engaged                      in any   other  business  activities,                 between                                                                                                              
                                                                                                                          the FTE and          another         FTE      unitary       with     the    taxpayer,                
    sales    include  interest, dividends,              and    other      income       from                or                                                                                                                   
                                                                                                                has business activities   or operations that are integrated with, 
    investment assets         and     activities         and   from      trading     assets    and         are                                                                                  
                                                                                                                   dependent upon,   or contribute   to each other.
    activities.                                                                                            The     determination  of whether                            a taxpayer      is unitary  with an                     
Complete     the  Apportionment Calculation                         using   amounts        for             FTE                                                                                                                
                                                                                                                      is made   at the        taxpayer level.                If the      taxpayer   at issue   is
                                                                                                                                                                                                                                
the  taxpayer’s  business activity             only.       Do  not     include      amounts                  a UBG,          the ownership            requirement            will     be made            at the      UBG 
received     from  an  interest                 in a Partnership,      S Corporation,   or                 level.                                                                                                               
                                                                                                                      So,   if the   combined ownership                            of the     FTE     by the UBG               
                                                                                                                                                                                                                                
                                                                                                                 is greater    than     50%,     then       the     ownership requirement will                         be      
LLC.
                                                                                                           satisfied. 
Use   the    information           in the   “Sourcing  of Sales                     to Michigan”  
section      of the general     instructions               in Form 4890.                                   NOTE:                                                                                                                
                                                                                                                          PA 266 of        2013       authorizes          an affiliated            group                       
                                                                                                           election       that  applies an          alternate          test  for  finding                        a unitary      
NOTE:  Only transportation                  services       are  sourced          using                     relationship         between  corporations. This                        act   DID       NOT        create            
revenue miles.       To    the  extent    the   taxpayer        has      business       activities              a corresponding           “affiliated          group”        test  for finding                   a unitary  
or revenue    streams      not   from     transportation             services,       those    sales        relationship between                     a corporation and               an  FTE.        The      existence          
should  be  sourced according                     to the   applicable       guidance      in the           of      a unitary  relationship between                              a corporation  and  an FTE                       
“Sourcing      of Sales      to Michigan” section                    of Form 4890.                                is still  based  exclusively             on    the    two-part         test  described                 in the  
                                                                                                           preceding bullet          points.         
Line 9a-9e:      NOTE:   If           any   amount               in line  9a  through 9e              is   
zero, enter   zero.     All  lines    must           be completed.                                         Line 9b:   If        the taxpayer               is unitary with          an    FTE           or FTEs, enter          
                                                                                                           on  this  line the     total      proportionate              amount                  of Michigan           sales  
Line 9a: Enter the         Michigan          sales       that  are   directly       attributable       
                                                                                                           attributed      to these        flow-through                entities           in column      J on        Form  
to the  taxpayer.     
                                                                                                           4900. For         more  information              see    the     instructions            for   Form        4900.      
Transportation         services  that source            sales    based     on  revenue                            If  an amount      is entered       on    this  line,  then Form                4900      must       be       
miles:    Enter  on  this line       the  taxpayer’s          total    sales     multiplied                completed and           included          with      the   filing           of this form.      
by   the  ratio of   Michigan        revenue         miles    over     revenue       miles                              Enter  on  this line          the     entire      amount                  of total    Michigan  
                                                                                                           UBGs: 
everywhere      as provided      in the “Sourcing                      of Sales      to Michigan”          sales attributed             to all flow-through              entities      that     are    unitary        with       
chart   for  that type    of   transportation           service.     Revenue           mile                     a member      of the group.          For    each        member              of the group,       add     the      
means      the  transportation for          consideration           of  one      net   ton  in             amount reported            on      Form       4897,       line     14,         of all members                 of the  
weight      or one passenger       the    distance            of one mile.                                 group, and         enter  the      sum      here.     
UBGs: Enter on          this   line    the   entire      amount               of Michigan sales            Line 9d: Enter  the total                 sales     that     are     directly      attributable                   to   
of   all  members in      the   group      after     eliminations.         For more                        the taxpayer.        
information see       the  instructions         for      Form     4897.     
                                                                                                           Transportation          services  that source                  sales     based      on  revenue                      
For   each  member reported             on  Form        4897,       calculate      the                     miles:      Enter  on this        line     the   total      sales  that are         directly                         
member’s Michigan            sales          as follows: from         the   amount        reported          attributable      to the taxpayer.               
on  Form  4897,  line 13,       subtract       the      amount      reported        on  Form           
4897, line    15.  Add     the   calculated         Michigan          sales       amount          of all   NOTE: Only  transportation  services  are  sourced  using  revenue  
members      of the group,       and     enter      the  total    sum      here.                           miles.      To    the  extent the          taxpayer         has   business          activities        or             
                                                                                                           revenue        streams  not  from transportation                         services,        those       sales          
Taxpayers that have a unitary relationship with a Flow-                                                    should  be  sourced according                            to the   applicable           guidance      in the  
Through Entity (FTE), but are not part of a CIT unitary                                                    “Sourcing      of Sales      to Michigan” section                             of Form 4890.         
group of corporations (i.e., line 7a is not checked):                                      Do  not  
include      on  this  line Michigan           sales    made     by    the  taxpayer                  to   UBGs:                                                                                                                
                                                                                                                        Enter on this line the entire amount   of total sales   of all 
an   FTE  that         is unitary  with  the taxpayer               and          is included       on      members                                                                                                              
                                                                                                                             in the group after eliminations. For more information 
FTEs that are Unitary with the Taxpayer  (Form 4900).                                         In other     see                                                                                                                  
                                                                                                                   the instructions for Form 4897. For each member reported 
words, enter      this  line  net       of eliminations with             the   FTE.     For   more         on                                                                                                                   
                                                                                                                  Form      4897, calculate the member’s                          total   sales      as    follows:             

18 

from  the  amount reported                  on  Form     4897,    line  16,   subtract     the            EXCEPTION:  Do  not include                  imputed     gross   receipts     from       
amount  on  Form  4897,  line 18.                    Add   the  calculated      total  sales              any  FTE      in which  the  taxpayer          is a non-unitary  owner,  and  the  
amount      of all members                  of the group,   and    enter  the  total    here.             FTE  has  made      avalid     election      to file  the  Michigan  Business  Tax  
                                                                                                          (MBT)  for      a tax  year  that  ends  with      or within  the  taxpayer’s  tax  
Taxpayers that have a unitary relationship with an FTE, 
                                                                                                          year.  See  instructions  for  line      12 for  explanation      of 2013  PA  233. 
but are not part of a CIT unitary group of corporations 
(i.e., line 7a is not checked):                         Do  not include     on     this  line             Single   filers,  use the   “Worksheet           on  Flow-Through          Gross             
sales   made  by the         taxpayer          to  an  FTE    that              is unitary  with          Receipts”   (at  the end     of  the  following       “Gross     Receipts                    
the   taxpayer  and                is included       on  Form 4900.     In  other      words,             Checklist”)      to calculate      the  imputed  apportioned                or allocated  
enter   this  line net       of    eliminations         with   the  FTE.    For more                      gross  receipts  from  each  FTE. 
information  on  eliminations, see                     the  instructions          to line 17.  
                                                                                                          UBGs:  Add  the  amount  on  Form  4897,  line  20,  reported  for  all  
Line 9e:    If          the  taxpayer             is unitary  with an   FTE        or  FTEs,              members      of the  group,  and  enter  the  sum  here.  UBG  members  
enter  on  this line         the   total   proportionate       amount               of total  sales       reporting      a period  of less    than       12  months   with  this  group                
attributed      to these  FTEs      in column      O on Form                4900. For       more          return   must  annualize their         apportioned       FTE   gross     receipts            
information  see  the instructions                    for  Form   4900.             If an  amount         on      a member  by  member  basis.  Use  each  member’s  number      of
   is entered  on  this  line,  then  Form  4900  must  be  completed  and                                months   reported      in the   group’s  tax  year. Once            all  applicable      
included  with  the  filing      of this  form.                                                           members’   FTE gross         receipts    are  annualized,        carry all                   
                                                                                                          members’  gross  receipts  from  line          20 of Form  4897      to line  10b. 
UBGs:  Enter  on this                 line  the  entire    amount    of total      sales            
attributed      to all       flow-through  entities that             are  unitary      with             a Gross Receipts Checklist 
member      of the  group.  Add  the  amount  reported  on  Form  4897,                                   NOTE:  This  checklist      is not  intended          to be all  encompassing. 
line          17 of all  members      of the  group,  and  enter  the  sum  here. 
                                                                                                          Receipts  include,  but  are  not  limited  to: 
Line 10a:       Enter  the amount               of    total,  unapportioned         gross           
receipts   received  by the           taxpayer.              DO NOT           include flow-                   Receipts                                                                              
                                                                                                            •             (sales price) from       the     sale of assets   used      in            a
through  gross  receipts  on  this  line.                                                                     business               
                                                                                                                         activity.
                                                                                                            • Sale      of products. 
Gross receipts            means  the entire            amount        received   by the              
taxpayer   from  any activity,                 whether     in  intrastate,    interstate,                     Services                   
                                                                                                            •            performed.
or   foreign  commerce,  carried out                    for  direct  or  indirect      gain,                • Gratuities  stipulated  on      abill.       
benefit,      or advantage      to the  taxpayer          or to others,  with  certain                      • Sales  tax  collected  on  the  sale      of tangible  personal  property. 
exceptions.  Use  the  checklist      in the  instructions      to line  10b          as a                  • Dividend  and  interest  income. 
guide          to be sure  receipts  have  been  totaled  correctly.  Taxpayers  
                                                                                                            • Gross  commissions  earned. 
and   tax professionals               are  expected      to be    familiar    with                  
uncommon   situations  within  their experience,                          which      produce                • Rents. 
gross  receipts  not  identified      by the  checklist.                                                    • Royalties. 
Non-UBG taxpayers reporting for a period of less than 12                                                    • Professional  services  provided. 
months:  Report  actual  gross  receipts  on  this  line.                                                   • Sales      of scrap  and  other  similar  items. 
UBGs:     Enter  on  this  line  the  entire  amount      of gross  receipts      of                        • Receipts  from  the  production      of oil  and  gas. 
all  members      in the  group  after eliminations.  For  each  member                                     • Client   reimbursed  expenses not              obtained   in an   agency                 
reported  on  Form  4897, calculate                    the   member’s      gross       receipts               capacity. 
net   of  eliminations  as follows:                  from  the  amount      reported       on                         exclude: 
                                                                                                          Receipts
Form   4897,           line  19a, subtract        the   amount       reported      on  Form         
4897,   line  19b.  Combine the                 resulting     gross  receipts      net  of                  • Proceeds   from  sales by                a principal  that are  collected      in        
eliminations  amounts      of all               members      of the       group,  and  enter                  an   agency  capacity solely         on     behalf  of  the  principal      and          
the  total  here.                                                                                             delivered      to the  principal. 
                                                                                                            • Amounts   received  as an          agent     solely  on behalf    of the                 
UBG members reporting for a period of less than 12 months 
must   report          actual  gross receipts         on   Form      4897  line    19a,    and                principal   that  are  expended by           the  taxpayer    under     certain          
then   annualize  their gross               receipts     net  of  eliminations         on               a     circumstances. 
member  by  member  basis.  For  each  member  reporting      a period                                      • Amounts   excluded from            gross     income    of a foreign                  
of  less  than      12 months,  from  the  amount  reported  on  Form  4897,                                  corporation   engaged in        the  international        operation       of         
line  19a,  subtract  line 19b,             and      annualize    the  result      using   that               aircraft  under  section  883(a)      of the  IRC. 
member’s   number      of months                   reported      in the   group’s      tax  year.           • Amounts  received  by  an  advertising  agency  used      to acquire  
Once  all  applicable  members’  gross receipts                      net          of elimination              advertising   media  time, space,            production,     or talent      on           
are  annualized,  carry  the  sum      of all  members’  gross  receipts  net                                 behalf      of another  person. 
of  eliminations,  annualized      as applicable,      to Form  4891,  line  10a.                           •                 received  by       a person    that  manages  real property              
                                                                                                              Amounts
Line 10b:  Enter  the  allocated or                    apportioned      imputed        gross                  owned  by      a client  that  are  deposited  into      a separate  account  
receipts  from  all unitary                    or non-unitary        FTEs  from  which  the                   kept      in the  name      of the   client    and  that  are not  reimbursed            
taxpayer  receives      adistributive                  share      of income.                                  and   are  not indirect   payments           for  management      services               
                                                                                                              provided      to that  client. 

                                                                                                                                                                                                 19 

  • Proceeds      from the        original     issue        of stock,      equity                             Gross Receipts Filing Threshold: Taxpayers with                                   allocated        or   
    instruments,      or debt instruments.                                                                    apportioned  gross  receipts      of less  than  $350,000  do  not  have      to
  • Refunds from        returned       merchandise.                                                           file      a CIT  return  and  do not       have            to pay  the  tax  imposed by                
                                                                                                              the  CIT.   For  periods  less  than  12  months,  this  amount  must      be
  • Cash and      in-kind      discounts.       
                                                                                                              annualized.   To  annualize  this  amount,  multiply  the  taxpayer’s  
  • Trade discounts.                                                                                          total  apportioned      or allocated             gross     receipts  by  12 and         divide         
  • Federal, State           or local tax  refunds.                                                           the  result  by  the  number      of months      in the  taxpayers’  tax  year.  
  • Security deposits.                                                                                        Do not enter  annualized  figures  on  this  line. 
  • Payment      of the principal         portion                 of loans.                                   UBGs:  Calculate  the apportioned                 gross        receipts  for filing               
  • Value      of property received                      in a like-kind exchange.                             threshold  purposes      by multiplying  the  amount  on  line  10a      by the  
                                                                                                              apportionment  percentage  on  line  9g,  and  adding      to that  product  
  • Proceeds  from              a sale,  transaction, exchange,                  involuntary               
                                                                                                              the  amount  on  line 10b.          Because       amounts       entered      on    lines   10a    
    conversion,      or  other disposition                  of  tangible,     intangible,                  
                                                                                                              and  10b  represent  the  sum      of annualized  member  figures  (when  
    or  real  property that                 is a capital        asset      as defined      in section  
                                                                                                              applicable),      no further  annualization      is required      on line  11. 
    1221(a)      of the  IRC  or  land that                qualifies    as    property        used         
    in the  trade         or business      as defined      in section 1231(b)                         of the                 1: CORPORATE                INCOME TAX 
                                                                                                              PART 
    IRC,   less   any  gain from         the     disposition                  to the    extent  that       
    gain      is included      in federal taxable            income.                                          Line 12:       Federal                                                                             
                                                                                                                                       taxable income, as reported                 on      this   line,          is
                                                                                                              defined   for     CIT  purposes               to include    carryback  and carryover                   
  • Proceeds      from  an  insurance policy,                     settlement                   of a claim,    of   federal  net  operating losses.             Note   that   these  amounts           will           
    or   judgment  in           a civil  action, less             any  proceeds         that    are           be  added  back,  for  CIT  purposes,      in the  Additions      to Business  
    included      in federal taxable            income.                                                       Income  section,  below. 
  • Proceeds      from the        taxpayer’s        transfer         of an    account                      
    receivable,      if the     sale  that  generated  the account                      receivable            For                                                                                                   
                                                                                                                      a tax-exempt     taxpayer, business income                  means          only  that         
    was   included  in gross      receipts          for  federal        income          tax                   part                                                                                                  
                                                                                                                      of federal    taxable income (as             defined      for CIT        purposes)            
    purposes.     This    provision  will not                 apply               to a taxpayer       that    derived                                                         
                                                                                                                           from unrelated business activity.
    both buys     and   sells      any  receivables             during    the  tax       year.                Agricultural activities:                 Include   income  from agricultural                      
                                                                                                              activities  on  line  12.  Farm  activity  by  entities  subject      to the  CIT  
    WORKSHEET ON FLOW-THROUGH GROSS                                              RECEIPTS                        is not  exempt. 
A taxpayer must complete the following calculation for each Flow-Through 
Entity (FTE), whether unitary or not, that does not elect to file an MBT                                      Exempt  income  (loss)  from  certain  flow-through  entities 
return for this tax year and from which the taxpayer receives distributive                                    (FTEs): 2013  Public  Act 233                 provides      that,         in the   case      of an  
share of income. The amount in line 5 of this worksheet for each FTE must                                     FTE  that  made  the  election      to remain  taxable  under  the  MBT,  
be added, and the sum carried to Form 4891, line 10b. 
                                                                                                              each  member      of the        FTE  that  does  not file                     as a member          of a
Do  not  include  imputed gross receipts from  any FTE  in which the                                          unitary  business  group with              the   FTE       shall  disregard        all  items          
taxpayer is a non-unitary owner and the FTE has made a valid election to 
file the MBT  for a tax year that ends with or within this member’s tax year.                                 attributable      to that  member’s  ownership  interest      in the  electing  
                                                                                                              FTE for      all  purposes          of the CIT.         If the taxpayer  filing      this   form       
    1.  FTE’s gross receipts that fall                                                                        owns   an      interest      in an  FTE  that  files an         MBT     return      for    the         
        with or within the taxpayer’s tax                                                                     FTE’s  tax  year  that  ends  with      or within  this  taxpayer’s  tax  year,  
        year included in this return ........                  1.                                     00      the   taxpayer’s     distributive share           of  income       (loss)  from     such               
    2.  Percentage of the FTE’s                                                                               FTE  will  be  exempt  from  the  taxpayer’s  corporate  income  tax.  
        income or loss received by the                                                                        However,       do not exclude the exempt income (loss) on line 12                                      . 
        taxpayer.....................................          2.                                     %       The  corporate  income  tax  base  attributable      to such  FTE  will      be
    3.  Gross receipts amount before                                                                          removed  via  Form  4891,  line  26,  and  Form  4898. 
        apportionment. Multiply line 1   
        by line 2   ......................................     3.                                     00      UBGs:       Add  Form  4897,  line  21,      of all  members  and  enter  sum  
    4.  FTE’s apportionment                                                                                   here. 
        percentage (Michigan sales                                                                            Line 13:  There  are currently                no  miscellaneous         items       to be         
        divided by total sales)*...............                4.                                     % 
                                                                                                              entered      on this  line.  Leave  this  line  blank. 
    5.  Flow-through gross receipts 
        to be imputed to the taxpayer.                                                                        Line 14:  Adjustments  are  required for                    all   assets  placed        into           
        Multiply line 3 by line 4 ..............               5.                                     00      service  after  December  31,  2007,  for which                    bonus     depreciation              
                                                                                                              was taken.      
*Line 4: If the FTE is unitary with the taxpayer, use the apportionment 
percentage from  line 9g. Otherwise, use the FTE’s  apportionment                                             UBGs:  Add  Form  4897,  line  23,      of all  members  and  enter  sum  
percentage.                                                                                                   here. 
                                                                                                              Line 14a:  For        the  computation of            business      income         for   CIT,              
Line 11:      Calculate  the taxpayer’s                     total    apportioned        gross                 persons   who  claimed                a federal  bonus  depreciation deduction                            
receipts   for  filing  threshold by             multiplying            Line  10a       by  the               under  IRC      § 168(k)  on  property  first  placed      in service      in 2008  
percentage       on  Line  9g, and       adding             that  amount                   to Line  10b.      or   later  must  calculate the          net  bonus        depreciation      adjustment                   
Do not leave  this  field  blank.                                                                             on  those  assets          as follows:     net    bonus  depreciation  adjustment                         
                                                                                                              in  tax  year  equals  the  total  federal  depreciation  claimed      in tax  

20 

year less       the   total    amount              of depreciation that           would              be claimed            CIT purposes).               Reduce      this     addition         by     any   expenses           related         to   
in  the  federal return                   in the   tax    year           if the  person        had  elected                the foregoing          income           that    were     disallowed            on    the   federal        return      
not      to utilize     the  bonus depreciation                    allowance            under        IRC                 § by IRC          § 265 and            § 291. 
168(k).      A person  may  not  elect  IRC      § 179  expensing          of an asset                                                Add Form             4897,          line     26       of all members          and     enter       sum      
                                                                                                                           UBGs: 
for MBT              or CIT purposes                   if it did not  elect       to use IRC               § 179 for       here.  
that asset      federally.        
                                                                                                                           Line  19: Enter all             taxes          on       or measured by          net     income         that      are   
Line 14b:  For             the  computation of                  business       income          for     CIT                
                                                                                                                           deducted        on    the  taxpayer’s federal                  return,        including         city     and          
purposes,         persons  who  claimed                         a federal  bonus  depreciation                       
                                                                                                                           state     taxes,  Foreign  Income Tax,                      and      Federal        Environmental                     
deduction          under  IRC               § 168(k)  on property                first      placed         in             
                                                                                                                           Tax.  This  includes, but                       is not   limited         to,  the  following,                  to the  
service        in  2008 or       later    and   subsequently                disposed        of that                  
                                                                                                                           extent deducted                   in arriving      at federal             taxable  income  for this                   
property       in  the current          tax     year      must     calculate          the gain/                          
                                                                                                                           tax period:          
loss    adjustment  on  the sale                of    those        assets   as  follows:          gain/                  
loss adjustment                  in tax   year  equals  the  total amount                            of federal              •  Tax imposed             under      the     Michigan          CIT       
depreciation  that  would be                    claimed            on  the  federal      return         over                 •  The Business            Income            Tax   portion       imposed           under       the    MBT        
the years       (starting         the  year      the    asset       was      placed            in service and        
                                                                                                                             •  The taxpayer’s             direct              or indirect share             of income taxes            paid     
ending      in the current           tax      year)             if the person     had     elected           not       to   
                                                                                                                           by      a flow-through  entity  and deducted                             by   that   flow-through                     
utilize the     bonus       depreciation            allowance             under        IRC           § 168(k) on     
                                                                                                                           entity      in arriving      at the net             income        included                in this taxpayer’s          
the property          being       disposed       LESS            the   total  federal        depreciation            
                                                                                                                           federal taxable           income.        
claimed        over     the  years (starting              the      year  asset        was   placed                  in   
service and         ending             in the current         tax      year).        A person may               not        UBGs: Add Form                  4897,          line     27,       of all members         and     enter       sum      
elect IRC            § 179 expensing                   of an asset for    MBT               or CIT purposes                here. 
if      it did not  elect        to use IRC           § 179 for     that     asset     federally.           
                                                                                                                           Line  20: Enter any              net    operating           loss   carryback               or carryover that          
Line 14c: UBGs: Add Form                         4897,           line    23c,       of all members              and        was deducted                in arriving      at federal taxable              income        (as   defined         for   
enter sum       here.                                                                                                      CIT  purposes).  Enter  this amount                                  as a positive number.       
Line 16: UBGs:                Add Form           4897,           line    24,       of all members               and        UBGs: Add  Form  4897,  line  28,                                of all   members            and   enter      sum  
enter sum       here.                                                                                                      here.  
NOTE:  Elimination,  where required,                                  applies     to    transactions                       Line  21:  Enter,      to the                 extent  deducted                   in arriving          at federal  
between  any  members                        of the       UBG.     For  example,                  if the     UBG           taxable   income  (as defined                       for  CIT     purposes),          any      royalty,                 
includes  standard  taxpayers (not                        owned         by  and       unitary        with             a    interest,   or  other expense                    paid   to              a person  related to             the          
financial institution                   in the  UBG),  an  insurance company,                                and           taxpayer  by  ownership                         or control     for       the  use          of an   intangible  
two     financial  institutions, transactions                           between                   a standard               asset      if the  person                  is not  included in           the  taxpayer’s           UBG.                
taxpayer       member  and  an insurance                           or  financial        member          are                Royalty,        interest,  or other              expense       described            here  is not                       
eliminated           whenever        elimination                   is required,       despite  the fact                    required          to be included      if the taxpayer                    can   demonstrate              that     the   
that  the  insurance and              financial           members           are  not     reported           on             transaction  has   a   nontax                  business      purpose         other      than     avoidance            
the combined             return      filed       by standard taxpayer                  members.                            of this    tax,          is conducted with              arm’s-length         pricing          and   rates      and     
However,  there                  is no  elimination with                an  otherwise             related                  terms      as applied      in accordance with                      IRC            § 482 and           § 1274(d),  
entity      if the  related entity                    is excluded  from the                 UBG.           For             and satisfies         one         of the following:          
example,  consider   a   group                  with   a   U.S.         parent,   a   U.S.      subsidiary,                  •  Is      a pass  through of            another         transaction        between                       a third  
and      a foreign operating               entity      subsidiary            that      would       otherwise               party and        the   related        person         with    comparable              rates    and   terms.         
be      a UBG, but       the   foreign        operating             entity        is excluded from              the   
UBG  by  definition.  The U.S.                     parent          filing          a UBG       return  may                      Results                                                                                                          
                                                                                                                             •                in double taxation. For this purpose, double taxation 
not eliminate           intercompany             transactions             between         itself        and     the        exists                                                                                                              
                                                                                                                                        if the transaction   is subject   to tax   in another jurisdiction.
foreign operating              entity.                                                                                       •       Is unreasonable      as determined      by the  state  treasurer. 
If      a transaction      between  two members                                    of a UBG      is reported                 •  The related          person        (recipient             of the transaction)                 is organized  
on  the  group’s  current return                   by     one      member        but     reported           on             under     the  laws of                  a foreign  nation which                   has   in force                      a
the preceding                 or succeeding group                return      by   the     other       member               comprehensive  income  tax  treaty  with  the  United  States. 
(due       to  differing year         ends      or  accounting              methods         of the                         UBGs: Add Form                   4897,  line  29,      of all  members  and enter                            sum       
members),          the  side           of that  transaction  that                    is included      in the               here.  
group’s current          filing      period      must              be eliminated. The              other      side   
of the      same     transaction         will    be        eliminated        on        the   group       return            Line 22:          Enter  on this           line     the  expenses           included         on line                   
for   the  filing  period in            which      the       other      member          reports      the                   12   that  resulted from               the    production          of  oil  and  gas                          if that  
transaction.                                                                                                               production      of oil  and  gas      is subject      to Michigan  severance  tax  
                                                                                                                           on oil          or gas      in 1929  PA  48. Also              enter        expenses related                   to the  
Additions to Business Income                                                                                               income   derived  from                       a mineral      to the         extent  that income                        is
Line  18:  Enter  any interest                  income             and  dividends           from                           included  on  line  30  and  that  expense  was  deducted      in arriving  
bonds and       similar        obligations                  or securities      of states other                than                at federal  taxable  income. 
Michigan  and  their political                  subdivisions                      in the    same  amount             
that  was  excluded  from federal                         taxable       income        (as   defined          for     

                                                                                                                                                                                                                                           21 

UBGs: Add  the  amount  on  Form  4897,  line  30      of all  members                                            income    was  included in                federal      taxable        income.        Also      enter           
and  enter  the  sum  here.                                                                                       income derived          from            a mineral      to the extent          included               in federal  
Line 23:   There  are currently                   no    miscellaneous              items    to be                 taxable                 
                                                                                                                             income.
entered on   this     line.   Leave      this      line     blank.                                                UBGs:  Enter  here the               sum      of  Form          4897,     line 34       of  all                
                                                                                                                  members.  
Subtractions from Business Income 
Subtractions  are       generally  available                       to the     extent  included in                 Line 30:                                                                                                      
                                                                                                                               Eligible licensed marihuana trades   or businesses may 
arriving      at federal  taxable  income (as               defined         for     CIT    purposes).             subtract                                                                                                        
                                                                                                                              ordinary and necessary                       expenses        paid     or incurred                 
                                                                                                                  during    the  tax year         that    would        be   allowed                       if section  280E          
Line  26:  Complete  all other                    subtractions           from        business                     of   the  internal revenue              code  were        not   in effect.        Under          the           
income,  lines  27  through  30,  before  completing  line  26.   Enter                                           Michigan        Regulation          and  Taxation of                Marihuana           Act      (which          
on  this  line  the  sum      of all  entries      in Column          C ofNon-Unitary                             allows  for  what            is often      referred          to as “recreational”      or “adult  
Relationships with Flow-Through Entities                                   (Form   4898).      If an              use”  marihuana),                 a marihuana  establishment licensed                               under      
amount      is entered       on  this  line,  Form 4898                   must        be  completed               that act        is allowed      a deduction              from   Michigan  income  tax for                         
and  included  with  the  filing      of this  form.                                                              certain   expenses  not allowed                     in   arriving      at federal          taxable                
To  calculate  apportionment  properly   , line                                 26     removes        from        income.  IRC  280E  prohibits                          a deduction        for     any  amount  paid              
the  corporate  income  tax base                  the   taxpayer’s           distributive         share           or   incurred  in carrying              on          a trade  or  business that                 consists        
of income    (loss)     attributable                 to a non-unitary flow-through                     entity     of trafficking            in Schedule      I and      II controlled               substances  (e.g.,           
(FTE).     Income       or  loss received            as            a distributive         share  from             marihuana).  However,                   the   IRC            is also structured                  to recognize  
   a non-unitary       FTE      is subtracted           here  (prior                to apportionment              the cost        of goods       sold     before      reaching  gross profit,                   regardless         
of the  CIT  tax     base     on  line      33),    and     apportioned                on  Form        4898       whether taxpayer                    is in the business             of trafficking      in marihuana.  
according      to  the FTE’s         apportionment              factor.       The       resulting                 Therefore, any         expenses            related           to cost      of goods sold           (and   any     
amount from        Form    4898            is then added         back          on line 34.                        other   expenses  already allowed                      in  reaching          federal        taxable            
                                                                                                                  income) may          not       be subtracted from                the   Michigan          base.       
Flow-through entity            means  an entity                 that     for  the     applicable                
tax year       is treated          as a subchapter      S corporation under                     section           There are no other miscellaneous subtractions that can be 
1362(a)   of   the  IRC,           a general  partnership,                         a trust,       a limited       entered on this line. 
partnership,      a limited liability              partnership,                    or a limited liability         Line 34: Enter on             this    line     the    sum             of entries from          Column           E   
company,  that  for  the tax          year              is not  taxed              as a C corporation             of Form    4898.            If an amount            is entered on         this     line,     Form        4898   
for federal  income        tax   purposes.                                                                        must      be completed and              included        with     the    filing          of this form.     
See   the  General Information                section           of  the   instructions         for                UBGs: The amount                 entered       on       Line     34    must        equal     the     sum      of   
Form 4898       for       an explanation      of FTEs with                  which   a   taxpayer             is   all entries        in Column          E of all Forms             4898     that     were      filed    by   the   
not unitary.                                                                                                      UBG. 
UBGs: The  amount entered                     on  line     26   must       equal       the  sum              of   Line  36a:  Enter            any  unused CIT              business          loss    carryforward               
all entries       in Column          C of all           Forms       4898      that     were  filed  by            that   was  reported on             the   CIT    return         for the     immediately                        
the   UBG.  The  amount also               will    equal        the    sum      of all    group                   preceding tax        period        on    the   appropriate             group       member            copy     of   
members’ Forms          4897,     line      31.                                                                   this form         as explained below.                Only     CIT      business          loss     incurred     
Line  27: Enter,      to the extent            included               in federal taxable        income            after December          31,     2011,      may         be entered on          this    line.    
(as   defined  for CIT       purposes),           any     dividends           and  royalties                      Business loss means      a negative business                              income       tax     base      after   
received   from  persons other                than      United       States        persons     and                allocation      or apportionment.                   The   business  loss  will be                   carried    
foreign operating        entities,     including,           but      not   limited       to,  amounts             forward      to the    year  immediately succeeding                              the  loss     year     as     
determined under          IRC       §       78 or IRC 951   §             to 965.                                 an offset        to the allocated                or apportioned Business                    Income       Tax   
NOTE:  To         the  extent  deducted                    in arriving      at federal            taxable         base,                                                                                                           
                                                                                                                          then successively   to the next nine taxable years following 
income, any        deduction      under        IRC       250(a)(1)(B)            should           be added        the                                                                                                           
                                                                                                                       loss   year       or until      the business loss                   is used      up,      whichever      
back on   this     line  (i.e.,  netted        against        subtractions              made       on   this      occurs                                                                                                           
                                                                                                                           first, but for        not      more     than     ten   taxable          years      after    the      
                                                                                                                  loss year.   
line).
UBGs: Add Form             4897,       line    32,         of all members             and   enter      sum        Under                                                                                                            
                                                                                                                           PA     13 of 2014,               a taxpayer          that acquires the               assets    of    
here.                                                                                                             another                                                                                                       
                                                                                                                              corporation in                 a transaction described under                          section     
                                                                                                                  381(a)(1)      or (2)      of the Internal        Revenue            Code       (IRC)        may      deduct   
Line  28: To  the  extent included                         in federal         taxable      income  (as            any   CIT   business  loss carryforward                         attributable                  to that   other  
defined for     CIT     purposes),       deduct          interest       income          derived        from       corporation.        Losses  acquired via                 IRC              § 381(a)         (1)  or  (2)  are   
United States      obligations.                                                                                   reported on      this   line.      
UBGs: Add Form             4897,       line    33,         of all members             and   enter      sum        NOTE: CIT  business loss                    carryforward                       is not   the    same               as a
here.                                                                                                             federal   net  operating loss               carryover           or           a Michigan          Business      
Line 29: Enter  on  this line              income         from      the    production                     of oil  Tax (MBT)        business        loss      carryforward,             neither            of which can          be   
and gas        if that production             of oil and      gas          is subject      to Michigan            claimed          as a deduction  on   a   CIT           return.      
severance  tax  on oil       and      gas           in 1929     PA       48,      to the    extent     that       UBGs:   If      the   group  created                a business           loss    carryforward                     in a

22 

preceding   CIT          tax  period, Treasury             will    have     maintained            that            NOTE:   If         calculated  annual  liability         is less   than  or  equal             to
carryforward  on  the  DM’s  account.  Enter  unused  carryforwards                                               $100,  enter  zero. 
of  this  type  from  line          11 of the  DM’s  copy      of Form  4897.                                     UBGs:            If apportioned     or  allocated gross            receipts          after 
If      a member        created      a CIT    business  loss carryforward                      from               intercompany   eliminations  are  less than               $350,000,     enter     zero        
   a CIT    tax      period  prior to     joining       the    UBG,        Treasury        will                   on   this  line.  For  guidance on      how            to calculate     the  taxpayer’s       
maintain  that  carryforward on                 that    member’s           account,        subject                allocated      or apportioned  gross  receipts,  see  the  instructions      to
to  use  by  the  group,  until          it is fully  consumed      or that  member                               Line  11. 
leaves  the  group. Enter           unused         carryforwards                      of this  type  on           Line 41: Enter  the amount                of recapture    from  line  17            of Form  
the  copy      of Form        4897     filed  for  the member               that    brought         the           4902.      A taxpayer  subject to     recapture                 is required  to report        
carryforward      to the  group.                                                                                  and   pay  the  amount of      recapture     due  regardless         of whether               
Business   loss         carryforward consumed                  on             a return         is always          the  taxpayer  has  $350,000      or more      of apportioned      or allocated  
the   oldest  available on          that  return,       regardless         of whether                             gross receipts.       
the   oldest  business loss           carryforward           was  generated              by                
the   group,  brought by           an  incoming          member,           or acquired                            PART   3: PAYMENTS                AND TAX          DUE 
by      a member      of the     group      via  IRC             § 381.    For      a business          loss      Line  44: Enter  the total        estimated      CIT   tax  paid     with    the       CIT 
carryforward   acquired  via IRC                           § 381   transaction, the            years              Quarterly Tax Return  (Form  4913)      or the  amount      of estimated  
of   carryforward consumed                before       acquisition         should        be                       CIT   tax  paid  through Electronic          Funds     Transfer.        Include   all         
counted  when  determining  the  carryforward  period  remaining.                                                 payments  made  on  returns that         apply           to the    tax  year  included        
Business  loss  carryforward          of a UBG,  including  business  loss                                        in  this  return.  For  example,  calendar  year  filers  include  money  
carryforward   brought  by  an incoming                        member           and   business                    paid   with  the  above listed      returns   for  return   periods        January            
loss   carryforward  acquired by                   the  group      or   its  members           via                through  December.  
IRC      § 381,  ages  according      to the  tax  years      of the  group,  rather                                        Include  all  applicable  estimated payments                  made    by   the    
                                                                                                                  UBGs: 
than  tax  years      of any  particular  member.                                                                 members      of the  UBG  for  the  tax  year  included      in this  return.  The  
     If two  members          each     created     carryforwards              that  are  the  same                amount  entered  on  this line      will  equal    the    sum              of Form   4897,  
age,   and  together they           exceed      the  amount             allowable        in this                  line  36,  for      all members. 
filing   period,  those members’                respective         carryforwards             are                  Line 46:   Report  here Michigan             Tax  withheld         for  deferred              
used      in proportion      to the  amount  they  contributed      to the  group.                                compensation   plans,  life insurance            and/or     lottery     annuities             
If      a member        that  generated            a carryforward          in a prior               period        issued          to a business  account  number  through  MCL  206.703(1).  
leaves   the  group, that        member            will  take      with               it an  amount               Taxpayers can         enter  the  Michigan     Tax  withheld          reported     on   the   
equal      to the       group’s  remaining  carryforward from                         that   period               W-2G  and/or  1099R. 
multiplied   by  the amount            that     member           contributed          relative             
to  the  total amount         contributed          by  all   group         members       for   the                Also   report  any credit      for  the  taxpayer’s       allocated     share     of          
carryforward   in  that same              period.                    It is important     to  review               Michigan  flow-through  entity  (FTE)  tax  levied  on  and  paid  by  
   a carryforward         for  the     possibility  that some              or   all   of             it has       an  electing  flow-through  entity.  Such  an  electing  flow-through  
expired,      or that  some      or all          of it was  withdrawn  from  the  group                           entity  should  be indirectly       owned     by  this    taxpayer.     Include                a
by      a departing  member.                                                                                      copy      of the  Schedule  K-1  with  the  Schedule  K-1  notes,      or other  
                                                                                                                  supporting   documentation  received from                 the      electing   flow-  
Line  36a      is the  amount      of the  business  loss  carryforward  that may                                 through  entity,      to support  the  credit  claimed  on  this  line. 
be claimed          in this filing  period.     See  the  “Supplemental  Instructions  
for   Standard  Members in             UBGs”         in  Form           4890    for more                          UBGs:  Total  the  entry  for  all  members  on  Form  4987,  line  38,  
information      on the  effects      of members  leaving      or joining      aUBG.                              and  carry      to Form  4891,  line  46. 
Line 36b: Check  this box                       if any      of the  business        loss     reported             Line  49:   If     penalty  and/or interest      are   owed        for  not  filing           
on   line  36a  was  distributed                  or transferred      to this            taxpayer      in         estimated  returns      or for  underestimating  tax,  complete  the                   CIT 
an  IRC  381(a)  transaction during                  this    filing     period.       Attach                  to  Penalty and Interest Computation for Underpaid Estimated 
the  return      astatement            of the  name,  FEIN,  business  loss  amount                               Tax  (Form  4899),  to compute           penalty   and    interest      due.                   If a
of  each  such  distributor      or transferor  corporation,  and  year  the                                      taxpayer  chooses  not      to file  Form  4899,  Treasury  will  compute  
business  loss  was  created.                                                                                     penalty  and  interest  and  bill  for  payment. 
Line  37: Subtract  line  36a  from  line  35.  Any  negative  amount  on                                         Line  50:  Enter  the overdue         tax    penalty.     Use      the  following             
line              37 is a  businessCIT  loss  which  may      be carried  forward      to the                     “Overdue   Tax        Penalty”  worksheet.    Refer               to the  “Computing          
next  filing  period,  except      to the  extent  that  all      or some  portion      of                        Penalty   and      Interest”  section         in Form     4890      to determine       the  
this  business  loss  has  exceeded      its usable  life      of ten  tax  years.                                appropriate  penalty  percentage. 
PART   2: TOTAL               CORPORATE                      INCOME TAX 
Line  40:     IMPORTANT:   If                      apportioned  or allocated                 gross         
receipts   are  less  than $350,000,                 enter   zero       on  this  line.                       If a
business  operated  less  than      12 months,  annualize  gross  receipts  
to  determine          if a filing  requirement  exists.  For  instructions  on  
how      to calculate     the  taxpayer’s  allocated                      or apportioned            gross  
receipts,  see  the  instructions      to Line  11. 

                                                                                                                                                                                                           23 

                                                                                                               • Limited Liability Companies: Attach appropriate                   schedules     
         WORKSHEET – OVERDUE TAX PENALTY                                                                     listed   above      if the  business has  elected  to   be  taxed  as                  a C
A.  Tax due      from     Form        4891,    line     49.........                                00        Corporation. 
B.  Late/extension      or insufficient                                                                        • Federally Exempt Entities:              In  certain circumstances,             a
    payment penalty               percentage         ................                                 %      federally   tax  exempt  entity must      file        a CIT  return.    In those    
C.  Multiply  line          A by line    B.....................                                    00        cases, attach  federal       Form  990-T  (pages       1 through 5).  
Carry  amount  from  line          C to Form  4891,  line  50.                                                  * Do  not  send     copies  of  Federal  K-1s.  Treasury will      request       
                                                                                                                 them      if necessary. 
Line 51:  Enter  the overdue                  tax   interest.        Use  the  following                  
“Overdue   Tax        Interest”  worksheet. Refer                    to  the    “Computing               
Penalty   and     Interest”  section                   in Form     4890      to determine          the   
appropriate  penalty  percentage. 

         WORKSHEET – OVERDUE TAX INTEREST 
A.  Tax  due  from  Form  4891,  line  49.........                                                 00 
B.  Applicable  daily  interest  percentage     ..                                                    % 
C.  Number      of days  return  was  past  due    ...
D.  Multiply  line          B by line       C ....................                                    % 
E.  Multiply  line          A by line       D ....................                                 00 
Carry  amount  from  line          E to Form  4891,  line  51. 

Line 51 NOTE:   If               the  late  period  spans  more  than  one  interest  
rate  period,  divide the         late  period       into    the     number                 of days      in
each      of the  interest  rate  periods identified                         in the  “Computing  
Penalty   and Interest”           section     in Form        4890,     and apply                         
the   calculations  in the           “Overdue        Tax     Interest”     worksheet                     
separately      to each        portion  of the         late  period.      Combine          these         
interest  subtotals  and  carry  the  total      to line  51. 
PART   4: REFUND OR CREDIT FORWARD 
Line 53:       If  the amount         of    the  tax      overpayment,          less any                 
penalty  and  interest  due  on  lines  49,  50  and          51 is less  than  zero,  
enter   the   difference  (as               a positive     number)  on  line 52.                   If the  
amount      is greater  than  zero,  enter  on  this  line. 
NOTE:  If  an overpayment                     exists,              a taxpayer  may elect                    a
refund      of all          or a portion      of the  amount  and/or  designate  all      or
   a portion      of the  overpayment      to be  used      as an  estimate  for  the  
next  CIT  tax  year.  Complete  lines      54 and          55 as applicable.  
Line 54:        If the  taxpayer anticipates                       a CIT  liability in         the       
filing   period  subsequent to                this  return,  some        or all  of     any              
overpayment  from  line  53  may  be  credited  forward      to the  next  
tax  year          as an estimated  payment.  Enter  on  this  line  the  desired  
amount      to use          as an estimate  for  the  next  CIT  tax  year. 
Line 55:  Enter  the  amount      of refund  requested. 
Reminder:  Taxpayers                 must  sign and          date     returns.   Preparers               
must   provide      a Preparer Taxpayer                      Identification      Number                  
(PTIN),   FEIN        or  Social Security            number          (SSN),              a well  as      a
business name,         business        address       and      phone     number.        

Other Supporting Forms and Schedules 
Federal Forms: Include copies                          of these forms      with     the     return.    
  • C Corporations:  Federal                     Form  1120  (pages                   1 through    6),    
Schedule D,      Form           851,  Form     965,        Form       4562,  Form        4797,  and       
Form  5471.           If filing   as  part              of a consolidated       federal        return,  
attach      a pro forma           or consolidated schedule.             

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