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Michigan Department of Treasury                                                                                                                                                   Attachment 04
4570 (Rev. 06-21), Page 1 of 4                         

2021 MICHIGAN Business Tax Credits for Compensation, 
Investment, and Research and Development
Issued under authority of Public Act 36 of 2007.

Taxpayer Name                                                                        )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU  )(,1  RU 75 1XPEHU

 1. Tax liability before the Compensation and Investment Tax Credits from Form 4568, line 3 .............................                                                     1.  00

PART 1:  COMPENSATION CREDIT.  If not claiming this credit, go to Part 2.

 2. Michigan Compensation ...................................................................................................................................                 2.  00

 3. Multiply line 2 by 0.37% (0.0037). ....................................................................................................................                   3.  00

PART 2:  INVESTMENT TAX CREDIT
Read instructions to ensure eligibility before claiming this credit.  If not claiming this credit, carry amount from line 3 to line 21.
Capital Investments
 4. Total eligible depreciable tangible assets located in Michigan that were acquired during the tax year  
     (from line 35). ........................................................................................................................................................ 4.  00
 5. Total eligible depreciable tangible assets purchased or acquired for use outside of Michigan in a tax year 
     beginning after December 31, 2007, that were transferred into Michigan during the tax year (from line 36) ....                                                           5.  00

 6. Total eligible depreciable mobile tangible assets that were acquired during the tax year (from line 37) ............                                                      6.  00
 7.  Mobile Tangible Assets   ,I VXEMHFW WR DSSRUWLRQPHQW  PXOWLSO\ OLQH   E\ WKH SHUFHQWDJH IURP )RUP       
     OLQH   F   ,I QRW VXEMHFW WR DSSRUWLRQPHQW  HQWHU DPRXQW IURP OLQH    .....................................................................                              7.  00

 8.  Total Capital Investments.  Add lines 4, 5 and 7 .................................................................................................                       8.  00

 9. Total cost paid or accrued of all depreciable real and personal property located everywhere that was acquired 
     during the tax year (authorized under MCL 208.1513(3)) ....................................................................................                              9.  00
     /,1(   ,6 )25 67$7,67,&$/ 385326(6 21/< $1' 6+28/' 127 %( 86(' ,1 $1< &$/&8/$7,21 21 7+,6 )250 

Recapture of Capital Investments Acquired or Transferred into Michigan During the Tax Year
 10. $GMXVWHG 3URFHHGV IURP UHFDSWXUH RI HOLJLEOH GHSUHFLDEOH WDQJLEOH DVVHWV ORFDWHG LQ 0LFKLJDQ WKDW ZHUH 
     acquired or transferred into Michigan during the tax year and were also sold or otherwise disposed of during 
     the tax year (from line 39)......................................................................................................................................        10. 00

     If subject to apportionment, complete lines 11 and 12; otherwise, go to line 13.

 11. Apportioned gains/losses. Multiply line 38, column F, by the percentage from Form 4567, line 11c .....................                                                   11. 00
 12. $SSRUWLRQHG $GMXVWHG 3URFHHGV  ,I OLQH    LV D JDLQ  VXEWUDFW LW IURP OLQH     FROXPQ (  ,I OLQH    LV D ORVV  DGG 
     its positive value to line 38, column E....................................................................................................................              12. 00
 13. $GMXVWHG 3URFHHGV IURP UHFDSWXUH RI HOLJLEOH GHSUHFLDEOH PRELOH WDQJLEOH DVVHWV DFTXLUHG GXULQJ WKH WD[ \HDU 
     that were sold or otherwise disposed of during the tax year (from line 41) ..............................................................                                13. 00

     If subject to apportionment, complete line 14; otherwise, go to line 15.

 14. $SSRUWLRQHG $GMXVWHG 3URFHHGV   0XOWLSO\ OLQH    E\ SHUFHQWDJH IURP )RUP       OLQH   F .................................                                                14. 00
 15. $GMXVWHG )HGHUDO %DVLV RI HOLJLEOH GHSUHFLDEOH WDQJLEOH DVVHWV  RWKHU WKDQ PRELOH WDQJLEOH DVVHWV  DFTXLUHG 
     during the tax year that are eligible for the Investment Tax Credit and are transferred outside Michigan during 
     the tax year (from line 42)......................................................................................................................................        15. 00
 16. Recapture of Capital Investments.  Add lines 10, 13, and 15.  Or, if taxable in another state, 
     add lines 12, 14, and 15 ........................................................................................................................................        16. 00

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2021 Form 4570, Page 2 of 4                                                       FEIN or TR Number

Net Capital Investments
 17. Net MBT Capital Investment.  Subtract line 16 from line 8 .................................................................................                      17.                 00
 18. Multiply line 17 by 2.9% (0.029) ............................................................................................................................    18.                 00
 19. Net Recapture Amount. Enter sum of amounts from Worksheet 2, total of column U, and Form 4585, line 7 ......                                                     19.                 00
 20. Subtract line 19 from line 18.  If negative, carry amount to Form 4568, line 4b ....................................................                             20.                 00

PART 3: REDUCED COMPENSATION AND INVESTMENT TAX CREDITS
 21. Add lines 3 and 20.  If line 20 is negative, enter amount from line 3 ......................................................................                     21.                 00
 22. Enter amount from Form 4567, line 51, or Form 4590, line 22..............................................................................                        22.                 00
 23. There is no amount to be entered on this line. Skip to line 24................................................................................                   23. X X X X X X X X 00
 24. Enter amount from line 22 ...................................................................................................................................... 24.                 00
 25. Multiply line 24 by 52% (0.52) ................................................................................................................................  25.                 00
 26. Allowable Credit.  Enter lesser of line 21 or line 25. Carry amount to Form 4568, line 4a ...................................                                    26.                 00
 27. If line 20 is negative, enter amount from line 20 as a positive number. If line 20 is positive, leave this line blank ...                                        27.                 00
 28. Tax After Compensation and Investment Tax Credits. Subtract line 26 from line 1 and add line 27 ......................                                           28.                 00

PART 4: RESEARCH AND DEVELOPMENT CREDIT
 29. Research and development expenses in Michigan ................................................................................................                   29.                 00
 30. Multiply line 29 by 1.9% (0.019) .............................................................................................................................   30.                 00
 31. Multiply line 24 by 65% (0.65) ................................................................................................................................  31.                 00
 32. Ceiling for Research and Development Credit.  Subtract line 26 from line 31 .......................................................                              32.                 00
 33. Research and Development Credit. Enter the lesser of line 30 or line 32. Carry amount to Form 4568, line 5 ........                                              33.                 00
 34. Tax After Research and Development Credit.  Subtract line 33 from line 28.   
     (This line must be equal to Form 4568, line 6.) ......................................................................................................           34.                 00

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2021 Form 4570, Page 3 of 4                                                 FEIN or TR Number

Table 1 - Enter all eligible depreciable tangible assets located in Michigan that were acquired during the tax year.
                             ABCD
                                                                                  Date Acquired                                                              Cost Paid or Accrued 
                             Description                                    City  (MM-DD-YYYY)                                                               During Tax Year

 35. Total of column D.  Carry amount to line 4, page 1 ................................................................................................ 35.                00

Table 2 - Enter all eligible depreciable tangible assets purchased or acquired for use outside of Michigan in a tax year beginning after 
December 31, 2007, that were transferred into Michigan during the tax year.
                             ABCD
                                                                                  Date Physically 
                                                                                  Located in Michigan                                                        )HGHUDO $GMXVWHG %DVLV 
                             Description                                    City  (MM-DD-YYYY)                                                               as of Date Transferred

 36. Total of column D.  Carry amount to line 5, page 1 ................................................................................................ 36.                00

Table 3 - Enter all eligible depreciable mobile tangible assets that were acquired during the tax year.
                             ABCD
                                                                                  Date Acquired                                                              Cost Paid or Accrued 
                             Description                                    State (MM-DD-YYYY)                                                               During Tax Year

 37. Total of column D.  Carry amount to line 6, page 1 ................................................................................................ 37.                00

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2021 Form 4570, Page 4 of 4                                                             FEIN or TR Number

Table 4 - Enter all eligible depreciable tangible assets located in Michigan that were acquired or transferred into Michigan during the tax 
year and were also sold or otherwise disposed of during the tax year. (Enter dates as MM-DD-YYYY.)
               A                              BCD E                                                                                           F
           Description                        City            Date Acquired           Date Sold              Gross Sales Price                Gain/Loss

 38. Totals of columns E and F.  A loss in column F will increase recapture ............................ 38.                              00           00
 39. $GMXVWHG 3URFHHGV  ,I OLQH     FROXPQ )  LV D JDLQ  VXEWUDFW LW IURP OLQH     FROXPQ (  ,I OLQH     FROXPQ )  LV D 
     loss, add its positive value to line 38, column E. Carry amount to line 10, page 1 ................................................. 39.          00

Table 5 - Enter all eligible depreciable mobile tangible assets acquired during the tax year that were also sold or otherwise disposed of 
during the tax year. (Enter dates as MM-DD-YYYY.)
               A                              BCD E                                                                                           F
           Description                        State           Date Acquired           Date Sold              Gross Sales Price                Gain/Loss

 40. Totals of columns E and F.  A loss in column F will increase recapture ............................ 40.                              00           00
 41. $GMXVWHG 3URFHHGV  ,I OLQH     FROXPQ )  LV D JDLQ  VXEWUDFW LW IURP OLQH     FROXPQ (  ,I OLQH     FROXPQ )  LV D 
     loss, add its positive value to line 40, column E. Carry amount to line 13, page 1 ................................................. 41.          00

Table 6 - Enter all eligible depreciable tangible assets (other than mobile tangible assets) acquired during the tax year that are eligible 
for the Investment Tax Credit and were transferred outside Michigan during the tax year. (Enter dates as MM-DD-YYYY.)
                            ABCDE
                   Description                                City               Date Acquired               Date Transferred                 )HGHUDO $GMXVWHG %DVLV

 42. $GMXVWHG )HGHUDO %DVLV  7RWDO RI FROXPQ (  &DUU\ DPRXQW WR OLQH     SDJH   ......................................................... 42.          00

+ 0000 2021 23 04 27 2



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                 Instructions for Form 4570, Michigan Business Tax (MBT) 
      Credits for Compensation, Investment, and Research and Development

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PART 2: INVESTMENT TAX CREDIT                                            WKH VDPH IRU DOO HYHQWV FRPELQHG RQ D VLQJOH OLQH 
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                               Calculation of MBT ITC Credit Recapture Amount
Calculation of MBT ITC Credit Recapture Bases                          LQVWDOOPHQW  PHWKRG  IRU  IHGHUDO  LQFRPH  WD[  SXUSRVHV  FDXVHV 
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Worksheet 1a — Depreciable Tangible Assets
     AB CDEF
Taxable Year (End Date)                                                MBT Apportionment      Apportioned            MBT ITC Recapture
  In Which Disposed     Combined Sales Price                           Percentage from        Gain/Loss               (Base 1)
Assets Were Acquired    of Disposed Assets by   Net Gain/Loss From     Form 4567, line 11c,   Multiply Column C      Subtract Column E
  (MM-DD-YYYY)          Year of Acquisition     Sale of Assets         or Form 4590, line 10c by Column D            From Column B

Worksheet 1b — Depreciable Mobile Tangible Assets
     AB CDEF
Taxable Year (End Date)                                                                       MBT Apportionment      MBT ITC Recapture
  In Which Disposed     Combined Sales Price of                        $GMXVWHG 3URFHHGV      Percentage from         (Base 2)
Assets Were Acquired    Disposed Assets by      Net Gain/Loss From     Subtract Column C      Form 4567, line 11c,   Multiply Column D
  (MM-DD-YYYY)          Year of Acquisition     Sale of Assets         From Column B          or Form 4590, line 10c  by Column E

Worksheet 1c — Assets Transferred Outside Michigan
     A                         B
Taxable Year (End Date)        MBT ITC Recapture 
  In Which Disposed     &RPELQHG $GMXVWHG )HGHUDO %DVLV RI 
Assets Were Acquired    Disposed Assets by Year of Acquisition
  (MM-DD-YYYY)                 (Base 3)




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Worksheet 1b — Depreciable Mobile Tangible Assets
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- 10 -
Worksheet 2 — Calculation of MBT ITC Recapture Rates and Amounts
  ABCD
                         Allowable Michigan                                          ,7& WKDW RႇVHWV 0%7 OLDELOLW\ 
Taxable Year (End Date) in  compensation and ITC credit Michigan Compensation        Subtract column C 
which MBT ITC Disposed   amount from Form 4570,         Credit Amount from           from column B 
  Assets were acquired   line 26                        Form 4570, line 3            (Enter 0 if less than 0)

  EFGH
                         MBT Capital Investment         ITC rate                     Gross ITC Credit Amount 
  Taxable Year           Amount from Form 4570,         (2.32% for tax years ending  Multiply column F  
  (repeat from column A) line 8                         in 2008, or 2.9% otherwise)  by column G

  IJKLM
                         MBT Recapture of Capital       ITC rate                     Gross MBT ITC Recapture       MBT ITC Recapture Amount 
  Taxable Year           Investment Amount from         (2.32% for tax years ending  Multiply column J             2ႇVHW E\ &UHGLW /HVVHU 
  (repeat from column A) Form 4570, line 16             in 2008, or 2.9% otherwise)  by column K                   RI FROXPQ / DQG +

  NOPQR
                                                        SBT ITC Recapture Amount 
                         SBT ITC Credit Recapture       2ႇVHW E\ &UHGLW /HVVHU 
  Taxable Year           Amount from Form 4570,         of column O,                 Total MBT ITC Credit Used     Extent Credit Used Rate 
  (repeat from column A) line 19                        DQG FROXPQ  + ± 0            Add columns D, M, and P       'LYLGH FROXPQ 4 E\ FROXPQ +

  STU
                         Recapture base. 
                         Enter total amount of 
                         recapture from Worksheet 
                         1a, column F; Worksheet 1b,    Recapture Amount. 
  Taxable Year           column F; and Worksheet 1c,    Multiply column T by  
  (repeat from column A) column B.                      column G and by column R







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