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Business Tax 

                      (MBT) 

INSURANCE COMPANIES 

          This booklet contains information    
                  on completing a Michigan    
            Corporate Income Tax return for    
                      calendar year 2022. 

   E-filing  your  return      is easy,  fast, and       secure!  

    Visit  Treasury’s  Web  site      at             
www.MIfastfile.org  for      a    list   e-file   of       
resources  and  how      tofind an   e-file             
provider. 

WWW.MIFASTFILE.ORG 

            FILING DUE DATE:                                       

ALL FILERS — ON OR BEFORE                                           

                      MARCH 1, 2023 

          WWW.MICHIGAN.GOV/TAXES 
This booklet is intended as a guide to help complete your return. It does not take the place of the law.              MICHIGAN 2022
Michigan Department of Treasury — 4592 (Rev. 01-23) 



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                                                                       Important Information for 2023 
Michigan Business Tax (MBT) Election                                                                         certificate,      or reassignment              certificate           is issued     under  section                
                                                                                                             435          to a taxpayer,       beginning         on      or after  January               1, 2012,     the  
Only those      taxpayers         that  have       been          approved            to receive,  have       taxpayer   may  elect to             claim     an  accelerated          refund        for 90                     
received,      or   have  been assigned                    a certificated        credit  that has            percent      of the amount               of that certificate.    
not   yet   fully  been claimed           or      utilized      may     elect              to be   MBT       
taxpayers.          If a taxpayer         files   an  MBT  return for               its   first  tax             If section 437            or 435 provides     that    payment                  of a credit will       be   
year   beginning  after December                   31,   2011,         the     taxpayer      makes           made over             a period      of years      or limits     the     annual  amount                       of a
the election           to file and  pay    under     the     MBT          until   the    certificated        payment,        an    accelerated  refund may               only    be   claimed            for  the          
credit    and  any carryforward              of  that    credit        are exhausted.                        amount payable                 in the year   claimed.       
Except      for taxpayers         with    certain      qualifying            brownfield                      However,      a taxpayer claiming                   the  Special      Consideration                            
redevelopment          or  historical preservation                     certificated       credits,           Historic Preservation               Credit     under     section      435(20)          may        elect     to   
the election      must     be   made       for     the  first      tax   year    beginning          after    claim  an  accelerated refund                 for   the  balance                of the    credit,  but           
December  31,  2011.           Once  the election                       is made     and   the  return        the amount              of that   refund    shall  be equal               to 86  percent      of the  
   is submitted, the       taxpayer        may     not    amend           the   return          to revoke    amount      of the credit.         
the   election.     Find         a list      of certificated        credits           in the  General      
                                                                                                             For   more  details, see           the         Request  for         Reduced  Refundable  
Information         for  Standard Taxpayers                     in  the        MBT Forms and 
Instructions for Standard Taxpayers (Form 4600).                                                             Credit  Payout  for  the  Brownfield  Redevelopment  Credit  and 
                                                                                                                                                                                                                           
                                                                                                             Historic Preservation Credit                    (Form     4889).     Michigan            Tax      Forms        
   If  an insurance        company         does      not  have               a certificated  credit,         are  online        at   www.michigan.gov/taxes                      . An     accelerated           credit  
   it cannot      make     the   MBT      election  and                   is subject     to  the CIT         refund will             be paid within           60 days after  Form       4889             is filed. 
beginning January                 1, 2012. 
                                                                                                             Brief Overview of the CIT 
Helpful Hints for Completing an MBT Return                                                                   The  CIT  takes effect            January       1,      2012, and   replaces          the   MBT,               
Estimates                                                                                                    except   for  certain businesses                 that   wish   to retain       certain                        
   If making        estimated        payments        by     Electronic  Funds Transfer                       certificated                                                                               
                                                                                                                                credits. Among the highlights of   the CIT:
(EFT),      the associated         vouchers        are  not required             to be                       The   CIT applies          to     all  insurance      companies          unless  the                          
submitted.                                                                                                   insurance  company      isable to   and                does     make      the   MBT          election.       
Amended Returns                                                                                              Taxpayers  may      berequired to   file               quarterly         estimated           payments         
   A return         cannot  be     amended  to revoke                  a      valid election    to           as   well  as  an annual          return.     Annual       payments       will  still be                      
remain      taxable  under  the MBT.                To   amend           a      current or  prior            due   on  the prescribed             date   of   the  annual     return.      Estimated                       
year  annual  return, complete               the    Form          4588     that  is      applicable          payments        will  still be       due    on   the  prescribed         due  dates         for               
for   that  year,  check the         box     in      the upper-right           corner     of the             quarterly estimated               returns.     
return,     and  attach      a separate sheet            explaining            the  reason      for          IMPORTANT NOTE: Public Act                                 222   2018   of     amended            MCL         
the   changes.  Include  an amended                    federal         return    or  a signed                206.635,        which  levied a      tax on         insurance    companies               equal                
and   dated  Internal Revenue                Service        (IRS)       audit    document.                   to  1.25%      of gross direct           premiums       written      on   risk     located       or            
Include        all  schedules filed       with      the  original          return,   even       if           residing      inMichigan. Beginning                 Jan.   1, 2019,            for CIT filers                 , 
not amending           that  schedule.        Enter       the      figures      on   the   amended           gross direct       premiums            attributable   qualified   to          health       insurance          
return   they   as     should     be.   Do       not   include      a    copy of   the        original       premiums  are  taxed at          a rate that          may      change     annual.         For    tax          
return with     your       amended      return.                                                              year  2022,  that rate           is      0.9391%.  The  remaining portion                        of      the  
                                                                                                             tax  base      is still taxed     at      1.25%. To     calculate       CIT    tax      liability             
Accelerated Credits 
                                                                                                             for   the  purpose of            completing      the    “Schedule        of Corporate                         
    A taxpayer        with      a certificated credit             under        section    435                Income     Tax  Liability for              an  MBT      Insurance        Filer”       (Form                   
(Historic)      or437 (Brownfield)              of      the Michigan           Business       Tax            4974)  the  taxpayer must                complete       a      worksheet included              in      the    
Act  (MBTA),   any   or           unused          carryforward of   such                 certificated        instructions for         Form      4974.     
credit    that  may be       claimed       in a    tax      year ending          after                     
December  31,  2011,  may  elect to      pay the                       tax   imposed        by  the          Insurance                                                                                                       
                                                                                                                               companies may             claim     the   Workers’         Disability                      
MBTA       inthe tax      year     in      which that    certificated          credit     may                Supplemental                                                                                                    
                                                                                                                                     Benefit      (WDSB) Credit and                  certain       insurance              
be  claimed      in lieu of      the CIT.         If          a person with    a certificated                specific                                                          
                                                                                                                      credits under the CIT, if   eligible.
credit under         section     435   437   or    that       elects   pay   to      the    MBT          is aAn  entity  that has          received,       has    been   approved         to      receive, or               
member           of a Unitary       Business        Group          (UBG),        the     Designated          has   been  assigned  certain certificated                     tax  credits     under          MBT            
Member      ofthe UBG,         and   not     the  member,              shall   file a     UBG                may  elect      tocontinue to   file           and     pay      under    the   MBT      inlieu of      
return and      pay     the   tax,   any,   if     under         the  MBTA        and      claim      that   the   CIT.      This  election must           be    made       with  the  annual          return              
certificated credit.                                                                                         filed   for  the first     tax    period      beginning        after    2011    for most                      
For       a tax  year beginning           after   December              31, 2011,         if a               certificated                                                                                                    
                                                                                                                                credits.  The election is   also made if a     taxpayer files 
certificate      completion,of          assignment                certificate,   component   or                                     Claim for Accelerated Credit. 
                                                                                                                a Form 4889,        
completion  certificate   issued   is               under  section  437     taxpayer,     to a             
or   if      a certificate of  completed          rehabilitation,              assignment                  

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                                  2022 General Information for Insurance Companies 
Standard Taxpayers and Financial Institutions:   See the Michigan Business Tax (MBT) Instruction Booklet for Standard Taxpayers  
              (Form 4600) or the MBT Instruction Booklet for Financial Institutions (Form 4599) at www.michigan.gov/taxes. 
This booklet is intended as a guide to help complete the MBT                                            • MEGA   Photovoltaic  Technology  Credit, as                assignee       only        
return. It does not take the place of the law.                                                            (Form  4574) 
Who Files an Insurance Return?                                                                        Using This Booklet 
An   insurance  company is            defined        to mean         an authorized                    This   MBT  booklet includes          forms  and    instructions   for all                
insurer   as  defined  in sections             106      and  108     of  the  insurance               insurance   filers.  Read the      General   Information         first.  It is            
code      of 1956, 1956  PA        218,   MCL         500.106         and   500.108.    Public        recommended   that  taxpayers and            tax  preparers      also  briefly            
Act  276  of  2016  amended  the  insurance  code  effective                                          review   the  instructions for      all  forms  listed  below.   There                    
July 1, 2016, which now includes a health maintenance                                                 are   both  nonrefundable and         refundable    credits   available       for         
organization (HMO) as an “insurer.” If an HMO is an                                                   insurance   companies      to help reduce       the   initial  calculation       of         
“authorized” “insurer” under the insurance code, is not                                               tax.  This  includes a      limited  allowance  for  Single  Business  Tax  
otherwise exempt from tax, and has made a valid MBT                                                   (SBT)  credit  carryforwards. 
election,  that  HMO  is  required  to  file  an  MBT  insurance                                      The   Michigan Association          and  Facilities   Credit     and the                  
return.  In  the case    that     an     HMO         would       file as   an  MBT                    Michigan Examination            Fees   Credit  are   claimed      on  Form       4588.    
standard  taxpayer  for      a federal  tax  year  that  straddles  PA  276’s                         All  remaining  credits are      claimed    on  the       MBT Miscellaneous 
effective  date,  two short-year               returns      (one     short-year  standard             Credits for Insurance Companies                (Form    4596).  Some  credits             
return  and  one  insurance  return)  will      be required  for  that  year.                         are  calculated on     additional     forms,   indicated   as   below.    
Only  those  taxpayers  that  have  been  approved      to receive,  have                             Forms listed        below  are  available  on  the    Web      atwww.michigan. 
received,      or have  been  assigned                    a certificated      credit  that  was       gov/taxes. 
awarded  but  not yet    fully     claimed                    or paid  prior      to January      1,
2012,   may  elect       to be    MBT  taxpayers. For                  most   certificated            Nonrefundable Credits: 
credits,   the  election must         be    made        with     the  taxpayer’s     first              • SBT   Credit Carryforwards           (calculated  on the     Single                   
tax   year  ending after        December          31,     2011.      The   election   is                  Business  Tax  Credit  Carryforwards  (Form  4569)). 
irrevocable     once  the return         is  submitted           to the    Michigan                     • Compensation  Credit  (calculated  on  Form  4596). 
Department      of Treasury  (Treasury).          If a taxpayer  files  an  MBT                         •                  Zone        Credit    (calculated        on   the   MBT  
                                                                                                          Renaissance
return,  the  taxpayer  makes  the  election      to file  and  pay  under  the                                           Zone    Credit   Schedule     (Form    4595)).    
                                                                                                          Renaissance
MBT until     the  certificated           credit      and     any     carryforward           of that  
credit are    exhausted.                                                                                • Brownfield   Redevelopment           Credit  (calculated  on the          MBT         
                                                                                                          Election of      Refund or      Carryforward of      Credits  (Form  4584)). 
All   insurance  companies that                hold                a certificated credit    or          •                Preservation  Credit (calculated       on  the  Michigan               
                                                                                                          Historic
agreement  for  certificated credit               and       wish           to claim  that  credit                       Preservation  Tax  Credit  (Form  3581)). 
                                                                                                          Historic
must file   the   Insurance Company Annual Return for Michigan                                    
Business and Retaliatory Taxes (Form  4588).                                                            • Film Infrastructure         Credit  (as assignee    only;  Form 4596).           
All   insurers,  domestic and            foreign,       must       submit     copies  of              Refundable Credits: 
Schedule      T and  the  Michigan  Business Page                       when   filing     this          • Michigan          Economic         Growth         Authority             (MEGA)  
return.                                                                                                   Employment Tax          Credit   (claimed   on   Form   4596).    
                                                                                                        • Workers’       Disability  Supplemental Benefit         (WDSB)          Credit        
What is a Certificated Credit
                                                                                                          (claimed on     Form    4596).   
Certificated   credits are        defined         at MCL         208.1107.     The                 
                                                                                                        • Historic Preservation        Credit   (calculated   on  Form      3581).      
certificated   credits  are either             nonrefundable          or refundable                 
credits.    Below            is a list      of the  certificated  credits potentially                   • MEGA        Photovoltaic     Technology  Credit (as          assignee     only;       
available      to insurance companies,                and     the     respective   form      used         Form 4596).     
for their  calculation.                                                                                 • Brownfield Redevelopment            Credit   (calculated   Form   on         4584).  
Nonrefundable Certificated Credits:                                                                     • Film  Production  Credit (as         assignee only;    Form     4596).       
  • Renaissance Zone         Credit       (Forms           4595     and  4573)                        Overview of MBT for Insurance Companies 
  • Historic Preservation           Credit  (Forms  4584  and  4573)                                  MBT    imposes      a tax on    insurance   companies      equal   to 1.25                
  • Brownfield  Redevelopment Credit                         (Forms     4584    and    4573)          percent       ofgross direct  premiums    written     on  property     or risk            
  • Film Infrastructure          Credit,             as assignee  only  (Form 4573)                   located   Michigan.   in     There   no   is filing  threshold    for     insurance       
                                                                                                      companies. 
Refundable Certificated Credits: 
                                                                                                      Direct premiums        do   not  include:  
  • Historic  Preservation  Credit  (Form  4573) 
  • Brownfield  Redevelopment Credit                         (Forms     4584    and    4573)            • Premiums on        policies   not  taken.  
  • MEGA  Employment  Tax  Credit  (Form  4574)                                                         • Returned premiums           on  canceled   policies.   
  • Film Production      Credit,               as assignee  only  (Form  4574)                          • Receipts from      the   sale   annuities.   of 

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  •    Receipts  on  reinsurance premiums                            if the tax  had     been    paid          January                                                                                              
                                                                                                                          15 of   the following year. Fiscal year taxpayers should 
       on  the  original  premiums.                                                                            make                                                                                                  
                                                                                                                       returns and payments by the appropriate due date which 
                                                                                                                  is fifteen days   after      the   end   each   of       fiscal  quarter.     The     sum      of
  •    The   first  $190,000,000 of          disability           insurance        premiums               
                                                                                                               estimated      payments        for  each quarter           must    always      reasonably             
       written   in Michigan        other    than         credit       insurance     and                  
                                                                                                               approximate the         liability      for  the  quarter.        
       disability   income  insurance premiums.                           This  exemption                 is   
       reduced      by  two  dollars for        every        dollar       that  an  insurance                  NOTE:        Your   debit  transaction will                be   ineligible     for  EFT      if          
       company’s  gross  direct premiums                     everywhere           (both  within                the   bank  account used           for  the    electronic        debit   is funded      or            
       and  outside      of Michigan)  exceed  $280,000,000.                                                   otherwise associated             with   foreign   a          account   the   to      extent     that   
                                                                                                               the   payment  transaction would               qualify          as an  International                  
An     insurance  company                 is subject      to tax  as  calculated under                    
                                                                                                               ACH  Transaction (IAT)                under    NACHA            Rules.     Contact     your           
MBT       or  the retaliatory       tax  under         Michigan           Compiled      Law               
                                                                                                               financial    institution  for questions           about         the  status    of your                
(MCL) 500.476a,            whichever               is greater. The         tax   imposed        under     
                                                                                                               account.     Contact  the Michigan              Department             of Treasury’s                  
Chapter 2A             of the MBT     Act              is in lieu      of all other  privilege    and     
                                                                                                               (Treasury)     EFT  Unit      at 517-636-6925 for                  alternate      payment             
franchise fees             or taxes,  except       for  real and          personal      property          
                                                                                                               methods. 
taxes and      sales    and    use  taxes.    
                                                                                                               The  estimated  payment made                   with  each       quarterly      return  must           
Required CIT Comparison                                                                                        be computed        on   the     actual   CIT    for   the       quarter,   25   or    percent      of
MBT       liability is    calculated      as the       higher          of MBT      or                          the estimated       total     liability      ifpaying a   CIT         liability.   
hypothetical  CIT  liability.                 A taxpayer           must  pay  the higher                of   
                                                                                                               To avoid     interest   and     penalty      charges,         estimated     payments          must    
the two          or take the  lesser  refund.                                                                                                                                                                        
                                                                                                               equal    at least      85   percent   of the total liability            for    the    tax year       
       A taxpayer      calculates    the  premiums tax                    of  the  MBT   and                   and   the  amount  of each           estimated    payment            must    reasonably               
applies  all  credits, including             certificated            credits,   deductions,                    approximate        the  tax liability       for   that     quarter.    If the   prior                 
and    exemptions  available under                    the   MBT.          Then,    as           if they        year’s   tax  under  the MBT            Act    is      $20,000 or  less,       estimated              
were      subject  to the     CIT,    taxpayers           calculate         the  premiums                      tax  may  be  based on         the    prior    year’s      total  tax  liability      paid   in          
tax    under  the  CIT and         apply     deductions              available      under   the                four   equal  installments. (“Four             equal         installments”        describes           
CIT. The       hypothetical        CIT    liability               is then reduced      (not     below          the   minimum  pace of           payments        that      will  satisfy    this safe                 
zero) by      the    amount          of certificated nonrefundable                    credit    used           harbor.)       If the  prior  year’s tax        liability       was    reported       for a               
to     offset  the MBT        liability.  The      hypothetical               CIT  liability                   period    less  than  12 months,           this   amount         must   be   annualized               
offset    by   certificated nonrefundable                    MBT        credits             is further         for   purposes  of  both the           $20,000    ceiling        and   calculating      the           
reduced by        the    total  amount             of certificated refundable                credits           quarterly payments             due   under      this  method.          Payments     more     at a     
claimed       under  the MBT          liability        calculation,           resulting  in                    accelerated  pace  also will            qualify.  If      the year’s      tax  liability      is         
the    taxpayers’  final hypothetical                 CIT     liability.        Taxpayers’                     $800   less,   or  estimates      are    not    required.        
final     MBT  liability consists            of  the      higher       of the     calculated              
MBT       and  hypothetical CIT           liabilities.          If both         MBT  and                       NOTE:                                                                                                 
                                                                                                                           For those continuing               to file     MBT,      reliance     on the             
                                                                                                               tax  liability      of the prior    year   as          a means to      avoid interest    and          
hypothetical         CIT  liabilities result              in  tax    refunds      (negative               
                                                                                                               penalty  charges   only   is         allowed   you   if        had    business        activity      in
liability), taxpayers          are   entitled            to the lower        refund    amount.          
                                                                                                               Michigan   that   in       prior   year.   return   A         must    be   filed   establish   to      
Specific      forms  are provided            to  perform           the  MBT        to CIT                      the tax  liability      for    that  prior   year,     even   gross   if       receipts   the   in    
comparison          and determine         the    tax liability            or refund.                           prior year    were   less      than     $350,000.      Inaddition, if   your           business       
Michigan Schedule of Corporate Income Tax Liability for                                                        was   not  in existence        in   the  preceding           year,   no safe      harbor               
a Michigan Business  Tax Filer                              (Form  4946) is          used   for                exists.   In  such      a case, estimates        must        be  based     on  the  MBT                
the    standard taxpayer          comparison.                      Michigan Schedule of                        liability  for  the current        year.   For    those       filing   CIT,    there   is no           
Corporate  Income  Tax  Liability  for a  Michigan  Business                                                   safe  harbor   this   in     first   year   CIT   of        filing.   The   estimates         must    
Tax Insurance            Filer  (Form  4974)                    is used  for the     insurance                 equal       at least      percent85of   the     total      liability   stated   as   above.        
company’s  comparison.                  Michigan  Schedule  of  Corporate 
                                                                                                               Amending Estimates 
Income Tax Liability for a Michigan Business  Tax Financial 
Filer  (Form 4975)            is  used  for  the financial                institution’s                        If,   after  making payments,            the   estimated         tax   is substantially                
comparison.                                                                                                    different    than  originally estimated,                 recompute       the   tax and                
                                                                                                               adjust the     payment   the   in       next    quarter.      
Filing MBT/CIT Quarterly Tax Estimates 
                                                                                                               Electronic Filing of MBT Returns 
       If estimated     liability  for  the     year      is reasonably expected               to         
exceed  $800,   taxpayer   a         must     file     estimated            returns.   taxpayer   A            Michigan       has  an enforced         MBT       e-file      mandate.      Software                  
may       remit  quarterly estimated            payments               by  check     with  a                   developers     producing MBT               tax  preparation            software     and               
Corporate Income Tax Quarterly Return                                   (Form  4913)      or may               computer-generated             forms  must  support e-file               for   all    eligible        
remit     monthly      or quarterly estimated                 payments          electronically                 Michigan forms          that    are    included   their   in      software      package.         All   
by Electronic        Funds     Transfer       (EFT).          When         payments      are    made           eligible  MBT  returns prepared                using       tax  preparation         software          
by EFT,     Form       4913   not   is required.                                                               or computer-generated             forms       must   e-filed.   be      
                                                                                                               Treasury     will  be enforcing          the   MBT         e-file    mandate.       The               
Estimated        returns  and payments                for    calendar         year  taxpayers             
                                                                                                               enforcement includes            not      processing         computer-generated             paper      
are    due  to Treasury       by   April     15,      July    15,  October          15, and               

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returns that     are  eligible            to be e-filed.      A notice  will      be mailed   to             •    Leave lines/boxes blank                           if they   do   not     apply  or              if the    
the taxpayer,      indicating     that        the      taxpayer’s        return   was   not     filed             amount      is zero, unless        otherwise        instructed.            
in  the  proper form       and  content       and        must    be  e-filed.       Payment                  •                                                                           . 
                                                                                                                  Do not enter data in boxes filled with Xs
received with           a paper return        will     be    processed          and   credited        to   
the taxpayer’s     account       even         when     the   return           is not processed.              •    Do  not write  extra numbers, symbols, or  notes                                         on  the          
                                                                                                                  return,   such  as cents,         dashes,       decimal     points         (excluding                   
Treasury   will  continue to         accept           certain    Portable        Document                         percentages),         or  dollar signs        unless     otherwise         instructed.                    
Format  (PDF)  attachments  with  MBT  e-filed  returns.      A current                                           Enclose      any explanations            on              a separate sheet           unless              
list   of  defined  attachments                    is available      in the    “Michigan  Tax                     instructed      to write explanations              on  the   return.         
Preparer   Handbook  for Electronic                      Filing      Programs,”      which               
       is available  on    the  Treasury      Web           site   at   www.MIfastfile.orgDate  format          , unless      otherwise        specified,         should  be              in the  
by   clicking  on  “Tax Professionals”                      and  then      “Tax    Preparer.”                     following       format:  MM-DD-YYYY. Use                         dashes          (-)  rather            
Look  for  the  handbook  for  the  applicable  tax  year.  Follow  your                                          than slashes       (/).   
software  instructions  for  submitting  attachments  with  an  e-filed                                      •    Enter phone numbers using dashes  (e.g.,  517-555-5555);  do  
return.                                                                                                           not use  parentheses.            
       If the  MBT   return includes         supporting              documentation            or             •    Stay within the lines             when entering              information               in boxes.  
attachments  that  are  not      on the  predefined  list      of attachments,  the                          •                                                                     with      a negative           sign  
                                                                                                                  Report losses and negative amounts 
return  can  still  be  e-filed.  Follow  your  software  instructions  for                                       in front       of the number       (do    not   use   parentheses).            For     example,         
including  additional  attachments.  The tax                         preparer              or taxpayer               a loss    in  the  amount of          $22,459      should     be  reported          as                 
should  retain  file  copies          of all documentation      or attachments.                                   -22,459.  
For    more information         and  program                updates,    including                            •                                                                                             to  the          
                                                                                                                  Percentages should be  carried out four  digits 
exclusions  from             e-file,   visit            the   e-file         Web        site       at             right      of the  decimal  point. Do             not  round     percentages.             For           
www.MIfastfile.org  .                                                                                             example,      24.154266  percent becomes                    24.1542           percent.                  
The taxpayer       may      be   required                to e-file its   federal  return.  Visit                  When converting                 a percentage          to a decimal            number,        carry  
the    Internal  Revenue  Service (IRS)                     Web      site     at   www.irs.gov                    numbers out        six     digits        to the right       of the decimal           point.   For         
for  more  information  on  federal  e-file  requirements  and  the  IRS                                          example, 24.154266               percent     becomes         0.241542.          
Federal/State  Modernized  e-File  (MeF)  program.                                                           •                                                                                  . Round     down          
                                                                                                                  Report all amounts in whole dollars
Complete Federal Tax Forms First                                                                                  amounts      of 49 cents              or less. Round        up   amounts               of 50 cents        
                                                                                                                  or  more.          If cents  are entered        on   the    form,       they    will  be                  
Before  preparing  MBT  returns,  complete  all  federal  tax  forms.  
                                                                                                                  treated      as whole dollar        amounts.         
These  forms  may  include:  
  •    Fiduciaries  —  U.S.  Form  1041,  1065,  and  related  Schedules                                   Suggested Order of Analysis and Preparation of  
       C,  C-EZ, D, E, K,              4797,  and  8825.                                                   an Insurance Company Annual Return 
  •    Corporations  —  U.S.  Form  1120,  1120-S,  and  Schedules  D,                                     First, determine              whether     the    taxpayer      has    certificated   a            credit.        
       K,  851,  940,  4562,  4797,  and  8825.                                                                   If the insurance    company          taxpayer       does     not  have              a certificated  
  •    Limited  Liability  Companies  (LLCs)  —  federal  forms  listed                                    credit,          it is subject      to the CIT.  
       above,  depending  on  how  federal  returns  have  been  filed.                                    Complete Form              4588,     lines         1 through 23.        At  that      point,           if any  
Reference  these  federal  forms      completeto                       Form  4588.                         miscellaneous  credits  will be                 claimed,        begin   with         Form     4596,            
                                                                                                           which serves          several     important         functions:          
Copies   of  certain pages        from       these          federal     forms    must  also               
be  attached to      the  annual  return  filed.  See  the  instructions  for                                     Acts                                                                                                     
                                                                                                             •           as   a checklist for           all   miscellaneous          credits          for                
Form  4588  for  further  details.                                                                                insurance                         
                                                                                                                                 companies
                                                                                                             •    Calculates refundable              credits      
Completing Michigan Forms                                                                                    •    Identifies the         order       in which nonrefundable                 credits      must         be    
Treasury   captures  the information                     from    paper     MBT       returns                      claimed 
using   an Intelligent     Character          Recognition               process.     If                      •    Identifies    the     form  on which          each    nonrefundable              credit               is   
completing      a paper  return, avoid                unnecessary          delays      caused                     calculated  
by   manual  processing by           following              the  guidelines        below                  
so  the  return      is processed  quickly  and  accurately.                                                      Tracks                                                                                                 
                                                                                                             •             tax liability       as it is reduced by each credit   in proper 
                                                                                                                  order 
  •    Use black or blue ink            . Do  not  use  pencil,  red  ink,      or felt  tip                 •    Identifies  (where  applicable)  the  point                       at which          tax  liability  
       pens.  Do  not  highlight  information.                                                                    reaches      zero     and  no further       nonrefundable               credits     may    be           
  •    Print using capital letters             (UPPER  CASE).  Capital  letters                                   claimed      in the current        filing    period.      
       are  easier      to recognize.                                                                        •    Complete Form            4596      according             to its instructions.          For    each      
  •    Print numbers like this:               012345678   . Do                   not  put      a slash            applicable       credit,  calculate the           credit    as   identified         on  the             
       through  the  zero  (     )      or seven      (7).                                                        appropriate form           and    bring      the   result    back        to the appropriate             
                                                                                                                  line on  Form       4596.      
  •    Fill check boxes with an [X]    . Do not                      use   a   check  mark      [a    ].
                                                                                                           After      total  nonrefundable credits                amount       is determined             on               
                                                                                                           Form 4596,        line     28,    carry   the    figure         to Form 4588,         line    24.  Total       

4 



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refundable  credits  amount calculated                        on   Form      4596,     line                   5, is Insurance   companies  are not               specifically       excluded       from    the           
carried      to Form 4588,           line 52.                                                                       statutory  definition          of a UBG,          and   thus    may  be      members          of a
                                                                                                                    UBG.   However,           the  tax on   authorized         insurance       companies                
Insurance         companies  that are               foreign    or  alien     insurers        must           
                                                                                                                       is equal      to 1.25  percent      of gross    direct  premiums written                 on      
calculate      a retaliatory               tax  on  Form  4588,  lines 30             through       46.     
                                                                                                                    property      or risk     located      or residing      in Michigan.           There           is no  
The  retaliatory  tax requires                        a foreign    insurer      to pay       the    same  
                                                                                                                    traditional   apportionment for              insurance        companies.        Thus,                
type      of obligation  that   a   similar            Michigan      insurer              is required   to   
                                                                                                                    even     when  an  authorized insurance            company                 is unitary  with          
pay      in the   company’s                state      of domicile.     Domestic        insurers  do         
                                                                                                                    another authorized          insurance       company,         this  will     have      no  effect     
not  calculate   a   retaliatory              tax.   
                                                                                                                    in   calculating  the  tax. As               a result,      a combined         return        is not  
Further General Guidance                                                                                            required  and  each  insurance company                    member                  of a UBG      will  
                                                                                                                    file separately      on   Form      4588.  
For  purposes      of MBT,  person means                      an   individual,        firm,    bank,        
financial   institution,  insurance company,                        limited         partnership,                    General Information About UBGs 
limited   liability  partnership, copartnership,                           partnership,        joint                Unitary      Business  Group means                      a group of   United          States         
venture,  association,  corporation,      S corporation, LLC,                                receiver,              persons, other       than        a foreign operating         entity,  that      satisfies     the   
estate,  trust,   any   or        other        group      orcombination of   groups               acting            following criteria:        
as       a unit.                                                                                                             of  the  persons owns        or  controls,     directly   or indirectly,                   
                                                                                                                    One
       A taxpayer        includes      a single       person          or a UBG  liable for          tax,            more     than  50  percent of        the  ownership         interest   with     voting              
interest,      orpenalty. A   UBG                must      file   combined   a         MBT        return            rights (or    rights   comparable             to voting rights)         of the other    United       
(addressed   the   in        “UBGs            and    Combined        Filing”        section   this   of             States persons;       AND     
General Information).                
                                                                                                                    The UBG       has    operations        that  result          in a flow      of value between         
Limited Liability Company.                             An  LLC      is classified for          MBT                  persons      included  in the      UBG       or has   operations        that are                    
purposes         according to              its  federal  tax classification.          The                           integrated   with,  are dependent              upon,    or  contribute         to each               
following         terms,  whenever  used in      MBT forms,                       instructions,                     other.  Flow      of value      is determined  by  reviewing  the  totality      of
and statute,       include         LLCs   indicated:   as                                                           facts  and  circumstances      of business  activities  and  operations. 
  •       S Corporation            includes      an     LLC  federally taxed           as    an   S                 United  States  person      is defined      in Internal  Revenue  Code  (IRC)  
       Corporation,  and      a    member   this   of            LLC     shareholder.     is a                         § 7701(a)(30).      A foreign  operating  entity      is defined  by  statute      in
  •         C Corporation          includes         an   LLC  federally taxed             as  a C                   MCL  208.1109(5). 
       Corporation,  and      a     member of   this               LLC          is ashareholder. A                  For  more  information on            the  control    and      relationship       tests   for        
       member      orother person              performing      duties      similar     to those                     UBGs,   see  Revenue Administrative                   Bulletin     (RAB)         2010-1,            
       of      anofficer in     true     a   corporation          is anofficer in   this      LLC.                  MBT—Unitary  Business  Group Control                          Test,  and       RAB     2010-  
NOTE:   thisIn            booklet,          the  term     “corporation,”           used     without      a          2,                                                                                                  
                                                                                                                        MBT—Unitary Business Group Relationship                              Tests,       on  the       
C     generally     or S,    refers   both   to       types.                                                        Treasury                              www.michigan.gov/treasury/                                    
                                                                                                                                   Web site at                                                               , under 
                                                                                                                    “Reports  and  Legal  Resources.” 
Disregarded Entities:                          Public    Act  305 was        enacted         into           
                                                                                                                    Exemption Guidelines 
law      on  December  27, 2011,                 to      add Michigan      Compiled          Law            
208.1512         to  the MBT.            This   section      provides      that     a person                        The                                                                                                 
                                                                                                                          tax imposed and levied under the MBT Act does not apply 
that       is classified         as      a disregarded  entity for         federal     purposes                     to                                                                                                 
                                                                                                                       an insurance company authorized under Chapter 46   or 47   of
       is classified     as      a disregarded        entity   for  MBT purposes.                 This              the                                                                                                
                                                                                                                        Insurance Code   of 1956, PA 218   of 1956, MCL 500.4601   to
means       that      a disregarded entity              for  federal   tax purposes,                                500.4673,                                                        
                                                                                                                                  and MCL 500.4701   to 500.4747.
including       a single           member        LLC  or Q-Sub,            must     file     as  if          it     Filing the Correct Form 
were       a sole  proprietorship        owned       if it is        by     an    individual,           or a           A different  primary  return  and  instruction  booklet  are  required  
branch      ordivision if   the              branch      ordivision is   owned          by    another               for   standard  taxpayers  (Form 4567)               and      financial     institutions            
business entity.                                                                                                    (Form  4590). 
Unitary Business Groups (UBGs)                                                                                      Due Dates of Annual Returns 
and Combined Filing                                                                                                 The  tax  year   an   of   insurance         company      theis      calendar  year.  An  
Special UBG Instructions for Insurance Companies                                                                    insurance      company  must  file the            annual      return   on      or before             
By  definition   UBG   a            (as       defined     below)    can     include        insurance                March       1 after    the  end      of the tax   year.     The   extension          that  is         
companies,        standard taxpayers,                    and  financial    institutions.                            available       tothe standard     taxpayer       under     MCL    208.1505(4)            is          
However,      in some              cases       not  all  members             of the   UBG      will  be             not  available   insurance   to        companies.        
included   on        the  same return.            All    standard      taxpayer       members               
                                                                                                                    Amending a Return 
in      a UBG  (except  those  owned  by  and  unitary  with      a financial  
institution)  file             a single      combined        return on     the        MBT Annual                       A taxpayer        may   not     amend     to   revoke  the  election to            remain        
Return (Form  4567).  Financial institution                         members                      of a UBG           taxable under        the  MBT.     Once     the   taxpayer      makes   a   valid       election    
(and   any  standard taxpayer                   owned       by  and    unitary      with                     a      to   claim      a certificated     credit,   the  taxpayer  must remain                      in the  
financial  institution      in the  group)  file      a combined  return  on  the                                   MBT      until  the  certificated  credit  and any            carryforward                   of that  
MBT Annual Return for Financial Institutions (Form  4590).                                                          credit   are   exhausted.       Most  certificated  credits  must be                  claimed       
                                                                                                                    for the   taxpayer’s      first  tax  year  ending     after     December        31,    2011.    

                                                                                                                                                                                                                      5 



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To amend           a current      or prior  year  annual return,                    complete            Form       Print   the  name  of the      authorized        signer    and      preparer        in the            
4588 that          is applicable       for     that  year  and check               the   box             in the    appropriate area         on  the  return.     
upper-right        corner  of  the return,               and  attach                  a separate  sheet         
                                                                                                                   Assemble       the  returns and     attachments          (in  sequence           order)               
explaining   the  reason for                 the  changes.         Include       all    schedules                
                                                                                                                   and   staple      in the upper-left    corner.      (Do    not      staple  a check        to         
filed   with  the original           return,      even      if not         amending      that                   
                                                                                                                   the   return.)  In  an e-filed     return      the  preparation         software        will          
schedule.   Enter  the figures                 on    the    amended          return     as they                  
                                                                                                                   assemble  the  forms and          PDF       attachments       in      the proper        order         
should   be.    Do  not  include                   a copy      of the        original  return with               
                                                                                                                   automatically. 
your  amended  return. 
Current  and  past year           forms        are   available             on  Treasury’s          Web             IMPORTANT REMINDER:                                                                                  
                                                                                                                                                                     Failure to        include      all the             
                                                                                                                   required  forms  and  attachments  will  delay  processing  and  may  
site      at www.michigan.gov/treasuryforms. 
                                                                                                                   result in      reduced or      denied  refund or      credit  forward or a          bill  for  
To  amend      areturn            to claim      arefund,       file   within  four  years      of the              tax  due. 
original return’s       due     date.      Interest       will       be paid beginning                   45 days  
after the     claim         is filed      or the  due  date,  whichever      is later.                             Signing an e-file return                     
    If amending      a return      to report      adeficiency,                 penalty  and  interest              As   with  any  tax return       submitted        to  Treasury        on paper,         an            
may   apply  from the          due        date   of   the     original        return.                    If any    electronic   tax  return must       be      signed     by  an authorized               tax            
changes  are  made          to a federal  income  tax  return  that  affect  an                                    return   signer,  the Electronic            Return     Originator       (ERO),          if            
MBT  tax  base,  filing  an  amended  return      is required.  To  avoid                                          applicable,  and  the paid        tax  preparer,               if applicable.          NOTE:      If
penalty,  file  the  amended  return  within  120  days  after  the  final                                         the  return  meets  one      of the  exceptions      to the  e-file  mandate  and  
determination      by the  IRS.                                                                                       is being  filed  on  paper,      it must      be manually  signed  and  dated  by  
                                                                                                                   the  taxpayer      or the  taxpayer’s  authorized  agent. 
Computing Penalty and Interest                                                                                     The  MBT  Fed/State  e-file  signature  process          is as follows: 
Annual       and   estimated returns               filed      late  or     without      sufficient              
payment      of the tax         due     are   subject                   to a penalty          of 5 percent   of    Fed/State Returns:                                                                                   
                                                                                                                                                 Michigan will accept the federal signature                             
the  tax  due, for     the     first   two     months.        Penalty          increases         by  an            method.                                                                                              
                                                                                                                                Michigan does not         require         any additional         signature              
additional      5 percent         per  month, or              fraction        thereof,   after      the            documentation. 
                                                                                                                                           
second  month,          to a maximum          of 25 percent.                                                       State Stand Alone Returns:                    State  Stand  Alone returns                  must       
Compute      penalty  and interest                 for      underpaid         estimates          using             be                                                                                                   
                                                                                                                       signed using Form          MI-8879         (also    called      the Michigan                     
                                                                                                                   e-file   Authorization for        Business        Taxes    MI-8879,         Form                      
the   MBT Penalty and Interest Computation for Underpaid 
Estimated Tax (Form 4582).                               If a taxpayer prefers         not       to file this      4763).                                                                                               
                                                                                                                           Returns are signed         by   entering        the   taxpayer      PIN               in the 
form, Treasury         will     compute           the     penalty           and  interest         and   send       software                                                                                             
                                                                                                                                 after reading the perjury           statement         displayed              in the 
   a bill.                                                                                                         software.                                                                                            
                                                                                                                                The taxpayer PIN will   be selected by the taxpayer,   or
                                                                                                                   the taxpayer     may     authorize     his          or her tax  preparer            to select the     
The following          chart    shows         the     interest      rate      that  applies              to each   taxpayer  PIN. 
filing period.           A new    interest         rate      is set          at 1 percent        above        the  
adjusted prime         rate     for   each      six-month           period.                                        Form                                                                                                 
                                                                                                                          MI-8879 will be         printed       and    contain      the  taxpayer          PIN.         
                                                                                                                   The tax   preparer       will  retain  Form        MI-8879              in his      or her records    
   Beginning Date                                Rate                              Daily Rate                      as  part      of the  taxpayer’s  printed  return.  MBT  State  Stand  Alone  
   January 1, 2022                             4.25%                               0.0001164                       e-filings  submitted  without      a taxpayer  PIN  will  be  rejected  by  
                                                                                                                   Treasury.  Do  not mail        Form    MI-8879                   to Treasury        and  do  not      
      July 1, 2022                             4.27%                               0.0001170 
                                                                                                                   include Form         MI-8879             as an attachment with        the    e-file      return.    
   January 1, 2023                             5.65%                               0.0001548 
                                                                                                                   Mailing Addresses 
For       a complete list      of      interest      rates,    see the         Revenue                                    the  annual      return  and   all    necessary      schedules          to:      
                                                                                                                   Mail
Administrative  Bulletins                      on       Treasury’s                Web        site          at   
www.michigan.gov/treasury/                            , under      “Reports and            Legal                   With payment: 
Resources.”                                                                                                           Michigan  Department   Treasury   of                  
                                                                                                                      PO Box      30113     
Signing the Return                                                                                                    Lansing MI          48909   
All   returns  must  be signed               and     dated     by       the   taxpayer     or the               
                                                                                                                   Without payment: 
taxpayer’s      authorized  agent.  This may                       be      the  owner,     partner,             
                                                                                                                      Michigan  Department   Treasury   of                  
corporate    officer,  or association                    member.           The  corporate                        
officer may      be    the      president,        vice       president,        treasurer,         assistant           PO                     
                                                                                                                           Box 30783
treasurer,   chief  accounting officer,                       or  any      other   corporate                          Lansing MI          48909   
officer  (such   tax   as       officer)       authorized   sign   to            the     corporation’s             Mail quarterly estimate payments (Form 4913) to: 
tax return.                                                                                                           Michigan  Department   Treasury   of                  
    If someone        other    than  the above                prepared        the  return,       the                  PO Box      30774      
preparer  must  give his             or      her business         address       and     telephone                     Lansing MI          48909-8274     
number. 

6 



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Courier delivery service mail should be sent to: 
   Michigan  Department      of Treasury 
   7285  Parsons  Dr. 
   Dimondale  MI  48821 
Make   all checks         payable    to “State    of Michigan.”     Print                
taxpayer’s  FEIN      or TR       Number,       the  tax  year, and    “MBT”       on    
the front          of the check.  Do  not  staple  the  check       to the return.  
Correspondence 
An   address change        or     business  discontinuance     can be                    
reported     online  by using     Michigan        Treasury  Online     (MTO),            
Business     Tax  Services. See             www.michigan.gov/mtobusiness 
for   information.  In the        alternative,          Notice of Change or             
Discontinuance  (Form  163), can              be   found  online    at           www. 
michigan.gov/treasuryforms. 
Mail correspondence to: 
   Business Tax            Division,   MBT  Unit 
   Michigan Department                  of Treasury 
   PO Box        30059     
   Lansing MI          48909  
To Request Forms 
Internet 
Current  and  past year          forms  are  available  on  Treasury’s       Web         
site    at   www.michigan.gov/treasuryforms. 
TTY 
Assistance      is available  using  TTY through           the  Michigan        Relay    
Service      by calling 711.      

                                                                                         7 



- 10 -
8 



- 11 -
Michigan Department of Treasury 
4588 (Rev. 04-22), Page 1 of 2 

2022 Insurance Company Annual Return for                                                                                                                                     Check if this is an 
                                                                                                                                                                             amended return.
Michigan Business and Retaliatory Taxes                                                                                                                                      See instructions. 
Issued under authority of Public Act 36 of 2007. 

1.  Taxpayer Name                                                                                                           2. Federal Employer Identification Number (FEIN) or TR Number 

Address (Number, Street)                                               Check if  
                                                                       new address.                                         3. Check if Foreign Insurer 
                                                                       (See instructions) 
City                                             State ZIP/Postal Code Country Code  4. State of Incorporation (use 2 letter abbreviation) 

DIRECT PREMIUMS WRITTEN IN MICHIGAN 
  5.  Gross direct premiums written in Michigan.............................................................................................................             5.                      00 
  6.  Premiums on policies not taken.......................................................................            6.                  00
  7.  Returned premiums on canceled policies........................................................                   7.                  00
  8.  Receipts on sales of annuities .........................................................................         8.                  00
  9.  Receipts on reinsurance assumed  ..................................................................              9.                  00 
10.  Add lines 6 through 9.............................................................................................................................................. 10.                     00 
11.  Direct Premiums Written in Michigan.  Subtract line 10 from line 5. If less than zero, enter zero  .....................                                            11.                     00 

DISABILITY INSURANCE EXEMPTION 
12.  Disability insurance premiums written in Michigan, not including credit or disability income insurance,  
     OR $190,000,000, whichever is less ....................................................................................................................             12.                     00 
13.  Gross direct premiums from all lines of insurance carrier services
     received everywhere  ....................................................................................         13.                 00 
14.  Phase out  ...................................................................................................... 14.     280,000,000 00 
15.  Subtract line 14 from line 13.  If less than zero, enter zero  ...........................                        15.                 00 
16.  Exemption reduction. Multiply line 15 by 2  .............................................................................................................           16.                     00 
17.  Subtract line 16 from line 12. If less than zero, enter zero  .....................................................................................                 17.                     00 
18.  Adjusted Tax Base. Subtract line 17 from line 11  ...................................................................................................               18.                     00 
19.  Michigan Business Tax Before Credits. Multiply line 18 by 1.25% (0.0125) ......................................................                                     19.                     00 

CREDITS 
20.  Enter amounts paid from 1/1/2021 to 12/31/2021 to each of the following 
     a.  Michigan Workers’ Compensation Placement Facility ..............................                              20a.                00 
     b.  Michigan Basic Property Insurance Association .......................................                         20b.                00 
     c.  Michigan Automobile Insurance Placement Facility  .................................                           20c.                00 
     d.  Property and Casualty Guaranty Association ...........................................                        20d.                00 
     e.  Michigan Life and Health Insurance Guaranty Association  ......................                               20e.                00 
21.  Add lines 20a through 20e......................................................................................................................................     21.                     00 
22.  a.  Michigan Examination Fees  .....................................................................              22a.                00 
     b.  Credit. Multiply line 22a by 50% (0.50) ..............................................................................................................  22b.                            00 
23.  Tax Before Miscellaneous Nonrefundable Credits. Subtract lines 21 and 22b from line 19  .............................                                               23.                     00 
24.  Miscellaneous Nonrefundable Credits from Form 4596, line 28.............................................................................                            24.                     00 
25.  Michigan Business Tax After Nonrefundable Credits. Subtract line 24 from line 23. If less than zero, enter ..zero25.                                                                        00 
26.  Recapture of Certain Business Tax Credits and Deductions from Form 4587, line 13 ...........................................                                        26.                     00 
27.  Total Michigan Business Tax.  Add lines 25 and 26 ............................................................................................                      27.                     00 
28.  Corporate Income Tax Adjustment from Form 4974, line 20  ..................................................................................                         28.                     00 
29.  Tax Liability. Add lines 27 and 28..........................................................................................................................        29.                     00 

                                                       Return is due March 1, 2023. 
WITHOUT PAYMENT: Mail return to:                 WITH PAYMENT: Pay amount on line 58 and mail check and return to: 
Michigan Department of Treasury                  Michigan Department of Treasury                                            Make check payable to “State of Michigan.” Print taxpayer’s 
PO Box 30783                                     PO Box 30113                                                               FEIN or TR Number, the tax year, and “MBT” on the front of 
Lansing MI 48909                                 Lansing MI 48909                                                           the check. Do not staple the check to the return. 

+  0000 2022 83 01 27 0                                                                                                                                                  Continue and sign on Page 2 



- 12 -
2022 Form 4588, Page 2 of 2                                                                                      FEIN or TR Number 
Foreign and alien insurers complete lines 30 through 46. Domestic insurers, go to line 47. Use column A to report burdens that would be imposed by the taxpayer’s state 
of incorporation on a hypothetical Michigan company doing the same business in that state. Use column B to report actual burdens imposed by Michigan on the taxpayer. 
TAXES                                                                                                            A —  State of Incorporation                               B — Michigan 
30.  State of incorporation tax.......................................................................       30.                                                       X  X  X  X  X  X  X  X 
31.  Tax Liability from line 29  ........................................................................    31. X  X  X  X  X  X  X  X 
FEES AND ASSESSMENTS 
32.   Annual statement filing fee  ....................................................................      32.                                                       X  X  X  X  X  X  X  X
33.   Certificate of Authority renewal fee ........................................................          33.                                                       X  X  X  X  X  X  X  X 
34.   Certificate of Compliance  ......................................................................      34.                                                       X  X  X  X  X  X  X  X 
35.   Certificate of Deposit  .............................................................................  35.                                                       X  X  X  X  X  X  X  X 
36.   Certificate of Valuation ...........................................................................   36.                                                       X  X  X  X  X  X  X  X 

37.  Other fees. Include a detailed schedule of fees  ...................................                    37. 
38.  Fire Marshall Tax  ...................................................................................  38.                                                       X  X  X  X  X  X  X  X 
39.  Second Injury Fund  ...............................................................................     39. 
40.  Silicosis and Dust Disease Fund ...........................................................             40. 
41.  Safety Education and Training Fund  .....................................................               41. 
42.  Other assessments. Include a detailed schedule of assessments .......                                   42. 
TOTAL 
43.   Add lines 30 through 42  ............................................................................. 43. 
44.   Accelerated and Certificated Refundable Credits (see instructions)  .....                              44. X  X  X  X  X  X  X  X 
45.  Total Taxes, Fees and Assessments. Subtract line 44 from line 43 .......                                45. 
46.  Retaliatory Amount. Subtract line 45, column B, from column A. If less than zero, enter zero...............................                                       46.                 00 
47.   Total MBT Tax Liability. Add lines 29 and 46. Domestic insurers, enter amount from line 29  .............................                                        47.                 00 
PAYMENTS, REFUNDABLE CREDITS AND TAX DUE 
48.  Overpayment credited from prior MBT return .........................................................................................................              48.                 00 
49.  Estimated tax payments  ......................................................................................................................................... 49.                 00 
50.  There is no amount to be entered on this line. Skip to line 51................................................................................                    50. X X X X X X X X 00 
51.  Tax paid with request for extension  ........................................................................................................................     51.                 00 
52.  Refundable Credits (see instructions)  ....................................................................................................................       52.                 00 
53.  Total Payments. Add lines 48 through 52.  (If not amending, then skip to line 55.) ................................................                               53.                 00 
      AMENDED a.  Payments made with original and/or prior amended returns  .  54a.                                                       00 
54.   RETURN  b.  Overpayments from original and/or prior amended returns ..  54b.                                                        00 
      ONLY    c.  Add lines 53 and 54a and subtract line 54b from the sum  ...  ....................................................  54c.                                                 00 
55.   TAX DUE. Subtract line 53 (or line 54c, if amending) from line 47. If less than zero, leave blank .........................                                      55.                 00 
56.  Underpaid estimate penalty and interest from Form 4582, line 38. ........................................................................                         56.                 00 
57.  Annual return penalty  (a)           %  = (b)          00                plus interest of  (c)                   00 . Total .......  57d.                                             00 
58.   PAYMENT DUE. If line 55 is blank, go to line 59. Otherwise add lines 55, 56 and 57d .........................................                                    58.                 00 
OVERPAYMENT, REFUND OR CREDIT FORWARD 
59.  Overpayment. Subtract lines 47, 56 and 57d from line 53 (or line 54c, if amending). 
      If less than zero, leave blank (see instructions).....................................................................................................           59.                 00 
60.   CREDIT FORWARD. Amount on line 59 to be credited forward and used as an estimate for next MBT tax year                                 .... 60.                                      00 
61.   REFUND.  Amount on line 59 to be refunded..........................................................................................................              61.                 00 

Taxpayer Certification.  I declare under penalty of perjury that the information in                          Preparer Certification.  I declare under penalty of perjury that this 
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 

+  0000 2022 83 02 27 8 



- 13 -
                                                                         Instructions for Form 4588 
Insurance Company Annual Return for Michigan Business and Retaliatory Taxes 
                                                                                                              Do not    enter       data        in boxes filled     with      Xs.     
Purpose 
To calculate       the tax    liability and              to claim credits      for     insurance              Line                                                                                                            
                                                                                                                      1:  Enter the complete                   address      and,             if other than the              
                                                                                                              United  States,  enter           the     two-digit          abbreviation  for  the                 country     
companies  for  both  Michigan  Business  and  Retaliatory  Taxes. 
                                                                                                              code.   See     the  list         of country        codes           in the  Michigan Business 
NOTE: Beginning January                        1, 2012, only        those    taxpayers          with          Tax (MBT) Forms and Instructions for Insurance Companies 
   a certificated credit,    which           is awarded but           not   yet  fully    claimed             (Form 4592).          
or   utilized,  may elect       to  be   Michigan           Business       Tax      (MBT)                    
                                                                                                              Any   correspondence  regarding the                          return     filed   and/or          refund          
taxpayers.           If a taxpayer       files    an  MBT return            and      claims               a   
                                                                                                              will  be  sent          to the  address          used  here. Check          the        new      address        
certificated     credit,  the taxpayer           makes        the    election       to file                  
                                                                                                              box      if the address         used  on       this   line     has      changed         from        the  last   
and   pay   under  the MBT          until      the  certificated         credit     and    any           
                                                                                                              filing.   The  taxpayer’s  primary address                       in    the  Department              of         
carryforward      of that  credit  are  exhausted. 
                                                                                                              Treasury       (Treasury)  files,  identified as                  the    legal       address       and         
General Instructions                                                                                          used   for  all  purposes other                than    refund     and     correspondence                       
MBT Liability:              Beginning January               1,  2012,                  a taxpayer             on                                                                                                              
                                                                                                                   a specific        MBT      return, will not              change      until      the  customer            
calculates  MBT  liability                as the   greater            of MBT     liability     after          specifically                                                                                                    
                                                                                                                                  makes the change                on    their   Michigan             Treasury               
all   credits,  deductions, and          exemptions           or     hypothetical        CIT                  Online                                               michigan.gov/mtobusiness                                 
                                                                                                                         (MTO) account. Visit                                                                           for 
liability  minus  deductions and               credits      available      under      that     act            more                        . 
                                                                                                                     information
and   minus  certificated  credits allowed                    under      the  MBT.       This                 Line 2:     Use        the  taxpayer’s Federal                 Employer           Identification               
calculation   of  liability requires                     a taxpayer  to calculate              the            Number   (FEIN)  or the              Michigan           Treasury         (TR)        assigned                   
premiums  tax  base  and  apply  available  MBT  credits,  including                                          number.  Be  sure      to use  the  same  account  number  on  all  forms. 
certificated   credits, deductions,               and    exemptions           available                      
                                                                                                                 If the   taxpayer        does  not have           an      FEIN      or TR         number,                   
under   the  MBT.    Then, the         taxpayer          will      calculate     the CIT                 
                                                                                                              the  taxpayer           must           register        before            filing          this        form.     
comparison  on  the  Schedule of Corporate Income Tax Liability 
for an Insurance Filer (Form  4974).     A                         taxpayer      is permitted      to         Taxpayers             are       encouraged                   to        register           online              
                                                                                                                                                                                                                               at
reduce  hypothetical  CIT  liability  by  all  deductions  and  credits                                       www.michigan.gov/mtobusiness                                                                                  
                                                                                                                                                                        . Click on the quick link “New 
which  would  be  allowed under                  that    tax          as well      as the     amount          Business”                                                                                                     
                                                                                                                            for      information on how                 to   obtain     an   FEIN,         which             
                                                                                                                 is required      to submit      a return         through       e-file.   Taxpayers              usually  
of   certificated  credit allowed              under     the  MBT.         The    amount                     
of   certificated  credit allowed              under     the  MBT                 is the  amount              can                                                                                                           
                                                                                                                   obtain       an FEIN from the                 IRS    within       48 hours.        Taxpayers               
of  nonrefundable  credit needed                       to offset     MBT      liability             or the    registering                                                                                                   
                                                                                                                               with the State            online       usually      receive         an account                 
entire  amount          of a refundable  credit.                                                              number                                      
                                                                                                                         within seven days.
   If the   taxpayer’s      hypothetical          CIT      liability  would be           higher               Returns received             without             a registered account           number             will  not     
than   its  MBT  liability,  the taxpayer                will   add      the  difference                  to  be  processed  until  such  time          as a number      is provided.  
MBT  liability  on  line 28               of this   form      (4588).      This            is the  CIT        Line 3:     Check   this  box                 if the    company                   is a foreign     insurer.  
adjustment.        If     the  result      of both       steps      of the  calculation          is a         Alien insurers          are     considered          foreign     insurers,       unless        their    port      
negative number,           the  taxpayer        will    receive          a refund      of the lower           of entry          is Michigan,      in which case              the   company                 is considered  
negative;  but          a nonrefundable          credit     cannot  be  used                to reduce         domestic for          the   filing         of this return.     
liability below    zero.     Remaining            nonrefundable             certificated       credit    
may      be carried forward           to succeeding tax          years.                                       Line 4: Alien  insurers,  enter the                      two-letter        postal        code       for  the    
                                                                                                              U.S. state   that           is your port         of entry. 
Amended Returns:                To  amend              a current     or  prior  year annual              
return,  complete  the  Form  4588  that                        is applicable       for  that    year,        Line  5: Enter all           gross    direct        premiums            written       on    property      or
check the    box        in the upper-right        corner            of the return,    and      attach         risk located            or residing      in Michigan. 
   a separate sheet   explaining       the      reason      for  the    changes.      Include          an     Line  6:  Enter         premiums on              policies      not     taken   to  the       extent            
amended federal            return           or a signed and    dated        Internal      Revenue             these premiums              were    included              in line 5.   
Service  (IRS)  audit document.                Include        all  schedules        filed     with       
the   original   return,  even            if not  amending  that  schedule. Enter                             Line  7: Enter  returned premiums                         on   canceled        policies                  to the  
the   figures  on  the amended           return        as  they    should     be.    Do       not             extent these       premiums           were      included             in line 5.   
include      a copy      of the original        return    with      your    amended         return.           Line  8: Enter receipts               on    sales          of annuities      to the extent           these     
    A taxpayer     may      not  amend         to  revoke  the  election to              remain               receipts were         included             in line 5.   
taxable under      the     MBT.  Once        the   taxpayer          makes   a   valid    election       
to claim       a certificated credit,        the   taxpayer          must    continue               to file   Line  9:  Enter         receipts  on reinsurance                 premiums              assumed               to   
the MBT      until  the    credit  and     any     carryforward                  of that credit     are       the extent   these        receipts       were       included           in line      5, and only           if tax  
exhausted.                                                                                                    was paid     on    the    original       premiums.            
                                                                                                              Line 12:          Disability insurance                    is  insurance of           any     person            
Line-by-Line Instructions                                                                                     against bodily          injury          or death by      accident,             or against disability            
Lines not listed are explained on the form.                                                                   on account              of sickness      or accident          including        also  the  granting              

                                                                                                                                                                                                                        11 



- 14 -
of   specific  hospital benefits          and   medical,        surgical      and     sick-              Line  30:  Enter  the tax                        a Michigan company                     would         pay           
care benefits         to any   person,  family,              or group,      subject      to such         to     the  taxpayer’s state           of  incorporation                          if it conducted           the     
limitations    as  may be      prescribed         with   respect      thereto.        The                same      amounts  and types              of    business      there     as the         taxpayer                     
exclusion   for   disability  insurance premiums                   does       not   include                     is conducting        in  Michigan.  Attach                   a copy  of the            state       of        
credit insurance           or disability  income  insurance  premiums.                                   incorporation’s             tax  form  on which            this      pro   forma        tax    on  the              
                                                                                                         hypothetical Michigan                   company        was     calculated.            
CREDITS 
Line  20:  Enter  the amounts             paid      to the  listed        facilities                     Lines 32 through 42:                                                                                               
                                                                                                                                                   In column        A,       “State          of Incorporation,” 
or   associations from         January       1, 2020,    to December             31,                     enter                                                                                                              
                                                                                                                  the amounts that              would       be paid         by                  a hypothetical              
2020,     including  special assessments.              Net      the  amounts          paid               Michigan                                                                                                           
                                                                                                                            insurance company                doing     the      same       types       and                  
and     refunds  received during          2020      for  the    same       facility   or                 amounts                                                                                                            
                                                                                                                       of business in            the    taxpayer’s           home         state  that the                   
association.      If refunds received         exceed       the     amount          paid       in the     taxpayer                                             
                                                                                                                        is doing   in Michigan.
year for   the  same   facility           or association, enter       zero.                              Lines 37 and 39 through 42:                          In column                B, “Michigan,” enter                  
                                                                                                         the actual        amounts       paid          by the taxpayer              to Michigan. 
Line 20c:   For  tax  years beginning               on    and     after     January                 1,   
2020,  amounts  paid             to the  MAIPF        that  are attributable                  to the     Line 42:Attach      a detailed schedule                           of assessments. 
assigned claims       plan     shall   not    be   included             in the calculation          of                      Enter the      sum      of  accelerated            and certificated                              
                                                                                                         Line 44: 
this credit.                                                                                             refundable credits:             
Line  22a:  Enter  the  amount of               Michigan        Examination             Fees               •    Accelerated credits:                 The  amount from                  the            Request for 
paid      in 2018 (under  Michigan         Compiled        Law        500.224).                                 Accelerated  Payment  for  the  Brownfield  Redevelopment 
Line  24: Enter the       Miscellaneous              Nonrefundable              Credits     from                Credit  and  the  Historic  Preservation  Credit                                    (Form  4889),  
Michigan Business Tax Miscellaneous  Credits for Insurance                                                      line 10.    (If  the    taxpayer         has   filed    more      than         one     Form         4889     
Companies (Form 4596),               line  28.                                                                  during the       tax    year,    enter     here     the      combined          total          of credits  
                                                                                                                claimed on         all  Forms     4889,      line   10);        
Retaliatory Instructions Certificated  Refundable  credits: The                            sum               of the  amounts          
For foreign and alien insurers only; domestic  insurers skip                                                    reported on        Form     4596,        lines           2, 3, and   4.   
lines 30 through 46. 
                                                                                                         Line 46:         Subtract line          45,     column           B, from line         45,      column         A.    
Do    not  mail  this return      with    the   Michigan        Annual         Financial                        If less than  zero,   enter      zero.         If line 45,    column                        B, is a negative  
Statement,     and  do not     send    the   annual       statement          filing   fee                number,        add     column                 A to the   negative       number      in column                  B.  
with this     return.  The      taxpayer      will   be    billed     separately         for    the      This will       increase        the  retaliatory          amount        reported.           
annual statement       filing   fee    by     the  Department                 of Insurance and       
Financial Services.                                                                                      PAYMENTS, REFUNDABLE CREDITS, AND TAX DUE 
Foreign      insurers  must pay       to  Michigan        the  same          type of                     Line                                                                                                               
                                                                                                                  49:  Enter the total tax paid with the quarterly estimated 
                                                                                                         tax returns.         
obligation      a similar     Michigan       insurer         is required      to pay      in the  
company’s  state           of domicile.      Enter    all  items that         are   required             Line  51:  Enter            any  tentative payment                         of estimated         tax  made           
of      a Michigan  insurance       company.        Some  taxes  and  obligations                        with      a request for             an extension      of time      to file the        return.          
imposed      in other states    may     have       no  corresponding              requirement            Line  52:   If         claiming      a credit,  enter the               amount          from      Form              
in  Michigan;  however,  this  does not             relieve       the      foreign    insurer            4596, line        5.   
from the    obligation         of computing and        paying      the      tax.  
                                                                                                         Amended Returns Only: 
Do  not        include     the      following           Michigan              assessments,           
or   comparable assessments            in  the company’s             state of                            Line                   Enter                                                                               
                                                                                                                     54a:                payment made with the original return.
incorporation,      in the retaliatory        calculation:                                               Line  54b:             Enter overpayment               received         (refund        received            plus   
                                                                                                                                credit forward           created)         on the original            return.       
  • Michigan Workers’           Compensation            Placement            Facility    
  • Michigan Basic        Property      Insurance         Association                                    Line                   Add                                                                                      
                                                                                                                     54c:               lines 53     and 54a and subtract line 54b from 
                                                                                                                                the sum.      
  • Michigan Automobile              Insurance       Placement           Facility      
  • Property and      Casualty       Guaranty        Association                                         Line 56:                 If penalty     and     interest  are owed                for  not    filing                
  • Michigan Life      and      Health     Insurance       Guaranty           Association                estimated                                                                                                          
                                                                                                                            returns or     for    underestimating               tax, complete                               
                                                                                                         the    MBT Penalty and Interest Computation for Underpaid 
  • Catastrophic Claims            Association                                                                                      (Form  4582)  to compute                    penalty        and     interest              
                                                                                                         Estimated Tax 
  • Assessment under            Health     Insurance       Claims          Assessment         Act        due.          If a taxpayer  chooses  not      to file  Form  4582,  Treasury  will  
    (HICAA).                                                                                             compute  penalty  and  interest  and  bill  for  payment.  Form  4582  
California  insurers  must include              Bureau             of Fraudulent        Claims                  is available  on the     Web          atwww.michigan.gov/taxes. 
assessments. New          York     domiciled         companies        must        file  and   pay        Line  57: Enter  the  annual  return  penalty  rate      in line  57a.  Add  
    a tentative retaliatory     tax       to Michigan by         the   annual          due  date,        the overdue          tax  penalty             in line 57b         to the overdue              tax      interest     
March      1, 2022.   An  amended Form              4588        must      be  filed    after             in  line  57c.  Enter  total      in line  57d. 
the   actual  CT33          is filed  with  New York.             Transfer        the   CT33         
numbers onto       the    amended       Form       4588    and     attach           a copy      of the  
CT33      to substantiate the      taxpayer’s        claim.       

12 



- 15 -
Refer      to the “Computing         Penalty  and Interest”            section              in Form  4592         • MBT Renaissance Zone Credit Schedule              (Form  4595) 
       to determine       the annual      return     penalty         rate  and    use       the  following        • MBT Miscellaneous Credits for Insurance Companies                       
Overdue Tax     Penalty         and Overdue          Tax  Interest     worksheets.                                  (Form  4596) 
                                                                                                                  • Proof   of  payment  for any  items     listed  in  the  “Michigan”    
          WORKSHEET – OVERDUE TAX PENALTY                                                                           column  for  lines 39      through  42. 
A.     Tax  due  from  Form  4588,  line 55      ........                                                 00 
B.     Late/extension      insufficientor               
       payment  penalty  percentage................                                                       % 
C.     Multiply  line          A byline B.....................                                            00 
Carry  amount  from  line C to          Form  4588,  line  57b. 

          WORKSHEET – OVERDUE TAX INTEREST 
A.     Tax  due  from  Form  4588,  line 55      ........                                                 00 
B.     Applicable  daily  interest  percentage     ..                                                     % 
C.     Number      daysof       return  was  past  due...    
D.     Multiply  line          B byline C ....................        
E.     Multiply  line          A byline D ....................                                            00 
Carry  amount  from  line E to          Form  4588,  line  57c. 

Line  57c: NOTE:                  If the  late  period spans              more        than     one          
interest  rate  period, divide          the      late   period       into  the    number         of             
days       ineach of      the interest  rate     periods    identified       under          the             
“Computing   Penalty  and  Interest” section                         in      Form 4592          and         
apply   the  calculations      in the Overdue               Tax      Interest         worksheet             
separately       toeach portion         of  the  late   period.       Combine             these             
interest  subtotals  and  carry  the  total to      Form  4588,  line  57c. 
Line 59:    If     the    amount      of the  overpayment, less                       any   penalty         
and  interest  due  on  lines  56  and  57d, is      less  than  zero,  enter  the  
difference  (as      a positive number)              on  line        58.  If      the amount     is             
greater  than  zero,  enter  on  line  59. 
NOTE:    If       an  overpayment  exists, a      taxpayer must                       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  MBT  tax  year.  Complete  lines  60  and 61 as          applicable.  
Line 60:    If     the    taxpayer        anticipates  an MBT                liability         in      the  
filing   period  subsequent to            this   return,    some          or all      of  any               
overpayment  from  line  59  may  be  credited  forward to      the  next  
tax  year as      an  estimated  payment.  Enter  the  desired  amount to      
use as an          estimate  for  the  next  MBT  tax  year. 
Reminder:  Taxpayers must                     sign     and  date  returns.            Tax                   
preparers   must  provide a      Preparer Taxpayer                        Identification                    
Number   (PTIN),  FEIN or               Social       Security        number           (SSN),     a              
business  name,  and a      business  address  and  phone  number. 
Other Supporting Forms and Schedules 
The  following  forms  and  their  requested  attachments  should be      
included as      part of      this  return, as      applicable: 
  • Michigan Historic Preservation Tax Credit (Form  3581) 
  • MBT Single Business Tax (SBT) Credit Carryforwards  
    (Form  4569) 
  • MBT Penalty and Interest Computation for Underpaid 
    Estimated Tax  (Form  4582) 
  • MBT Election  of  Refund or Carryforward Credits  
    (Form  4584) 
  • MBT Schedule of Recapture of Certain Business Tax Credits 
    and Deductions  (Form  4587) 

                                                                                                                                                                                         13 



- 16 -
14 



- 17 -
Michigan Department of Treasury                                                                                                                                           Attachment 01 
4596 (Rev. 04-22), Page 1 of 2 

2022 MICHIGAN Business Tax Miscellaneous Credits for Insurance Companies 
Issued under authority of Public Act 36 of 2007. 
Taxpayer Name                                                                                   Federal Employer Identification Number (FEIN) or TR Number 

PART 1:   REFUNDABLE CREDITS 

Workers’ Disability Supplemental Benefit (WDSB) Credit.  If not claiming, skip to line 2. 

  1.  WDSB Credit allowed by the Workers’ Compensation Agency (attach document)  ...............................................                                      1.                  00 

MEGA Employment Tax Credit.  If not claiming, skip to line 3. 

  2.  Credit amount from MEDC Annual Tax Credit Certificate (attach)  ........................................................................                        2.                  00 

MEGA Photovoltaic Technology Credit.  If not claiming this credit, skip to line 4. 

  3.  Credit amount from Assignment Certificate provided by MEDC (attach)  ..............................................................                             3.                  00 

Film Production Credit.        If not claiming, skip to line 5. 

  4.  Assigned credit amount (see instructions).............................................................................................................          4.                  00 

  5. TOTAL REFUNDABLE CREDITS.  Add lines 1 through 4. Enter total here and carry to Form 4588, line 52. .....                                                        5.                  00 

PART 2:   NONREFUNDABLE CREDITS 

  6.  There is no amount to be entered on this line  .......................................................................................................          6.  X X X X X X X X 00 

Compensation Credit.           If not claiming, skip to line 14 and enter there the amount from Form 4588, line 23. 

  7.  Michigan Compensation ......................................................................................................................................... 7.                  00 

  8.  Compensation Credit. Multiply line 7 by 0.37% (0.0037)........................................................................................                  8.                  00 

Reduced Compensation Credit 

  9.  Enter amount from Form 4588, line 23 ..................................................................................................................         9.                  00 

10.  WDSB Credit from line 1 above.............................................................................................................................       10.                 00 

11.  Subtract line 10 from line 9.  If less than zero, enter zero  .....................................................................................              11.                 00 

12.  Multiply line 11 by 65% (0.65) ................................................................................................................................  12.                 00 

13.  Allowable Compensation Credit. Enter lesser of line 8 or line 12 ......................................................................                          13.                 00 

14.  Tax After Compensation Credit. Subtract line 13 from line 9. If less than zero, enter zero  ...................................                                  14.                 00 

+  0000 2022 97 01 27 1                                                                                                                                                   Continue on Page 2 



- 18 -
2022 Form 4596, Page 2 of 2                                                               FEIN or TR Number 

Renaissance Zone Credit.      If not claiming, carry amount from line 14 to line 16. 
If claiming, complete and include the MBT Renaissance Zone Credit Schedule (Form 4595). 

15. Renaissance Zone Credit.  Amount from Form 4595, line 25b  ............................................................................                           15.       00 

16.  Tax After Renaissance Zone Credit. Subtract line 15 from line 14. If less than zero, enter zero  ...........................                                     16.       00 

Historic Preservation Credit.  If not claiming, carry amount from line 16 to line 19. 

17. Historic Preservation Credit from Form 4584, line 28 .........................................................................................                    17.       00 

18a.  Recapture of Historic Preservation Tax Credit from Form 4584, line 2  ..................................................................  18a.                            00 
18b.  Historic Preservation Credit Net of Recapture. Subtract line 18a from line 17. If less than zero, enter as a 
    negative number .....................................................................................................................................................  18b. 00 

19.  Tax After Historic Preservation Credit. Subtract line 17 from line 16 and add line 18a  ..........................................                               19.       00 

Brownfield Redevelopment Credit.      If not claiming, carry amount from line 19 to line 21. 

20. Brownfield Redevelopment Credit from Form 4584, line 55..............................................................................                             20.       00 

21. Tax After Brownfield Redevelopment Credit. Subtract line 20 from line 19.  If less than zero, enter zero  ............                                            21.       00 

Film Infrastructure Credit.   If not claiming, carry amount from line 21 to line 26. 

22.  Assigned credit amount ......................................................................................................................................... 22.       00 

23.  Unused credit from previous period MBT return ....................................................................................................               23.       00 

24.  Total Available Credit.  Add lines 22 and 23  ..........................................................................................................         24.       00 

25. Film Infrastructure Credit. Enter the lesser of line 21 or 24  ...............................................................................                    25.       00 

26.  Tax After Film Infrastructure Credit.  Subtract line 25 from line 21.  If less than zero, enter zero..........................                                   26.       00 

27. Credit carryforward. If line 24 is greater than line 21, enter the difference ....... 27.                      00 

28. TOTAL NONREFUNDABLE CREDITS.   Add lines 13, 15, 18b, 20, and 25. 
    Enter total here and carry amount to Form 4588, line 24 ......................................................................................                    28.       00 

+  0000 2022 97 02 27 9 



- 19 -
                                                                             Instructions for Form 4596 
      Michigan Business Tax (MBT) Miscellaneous Credits for Insurance Companies 
Purpose                                                                                                           new   jobs    as  defined         in the  MEGA  Act,  and that             removes          51       
                                                                                                                  percent   or  more  of those         qualified     new      jobs  from     Michigan                  
To  allow  insurance  companies      to calculate  certain  miscellaneous                                         within   three  years after      the  first    year     in  which     the  taxpayer                  
credits.   There  are strict            eligibility       requirements,              so review                    claimed      a credit    must  pay  an  amount equal                    to the  total      of all  
the    descriptions          carefully  before  claiming                        a credit.     Follow     the      credits     claimed     no  later than     12  months       after  those     qualified               
instructions      on the form           for  each credit.                                                         new   jobs  are  removed from           Michigan.         Recapture                is reported  
                                                                                                                  on  the     MBT Schedule  of  Recapture  of  Certain  Business Tax 
Line-by-Line Instructions                                                                                         Credits and Deductions (Form 4587).                      
Lines not listed are explained on the form.                                                                       For  more       information,           call      the       Michigan            Economic              
NOTE: Beginning  January      1, 2012,  only  those  taxpayers  with                                              Development   Corporation  (MEDC)                         at (517)    373-9808      or visit  
     a certificated credit,         which         is awarded but          not    yet  fully    claimed            the  MEDC  Web  site      athttp://www.michiganbusiness.org/. 
or utilized,      may      elect             to be MBT taxpayers.                                                              Approved  businesses  receive      acertificate                 from  MEGA  
                                                                                                                  Line   2: 
PART  1:  REFUNDABLE  CREDITS                                                                                     each   year  showing the         total  amount      of tax     credit   allowed.                     
Workers’ Disability Supplemental Benefit (WDSB)                                                                   Attach  the  Annual  Tax  Credit  Certificate      to the  return.  (If  the  
Credit                                                                                                            certificate      is not  attached,  the  credit  will      be disallowed.) 
The    WDSB  Credit is                available      to an      insurance         company                       
                                                                                                                  MEGA Photovoltaic Technology Credit 
subject      to the       Workers’       Disability  Compensation  Act                              of 1969.  
The credit             is equal      to the amount         paid     during         that   tax   year      by      The    MEGA  Photovoltaic Technology                     Credit           is available          to a
the  insurance  company pursuant                                to Section      352      of the   act,   as       qualified  taxpayer  that  enters  into  an  agreement  with  MEGA  
certified by      the      director           of the Workers’        Compensation              Agency,            to   construct  and operate                a new  facility in     Michigan      which                
Department             of  Licensing and           Regulatory            Affairs     (LARA),                      serves   to develop         and  manufacture       photovoltaic         energy,                      
during   the  tax  year. The             amount                 of the    credit           is provided   to       photovoltaic  systems,      or other           photovoltaic  technology.                    This 
taxpayers      by LARA.                                                                                           credit is available to an insurance company as an assignee                                          
                                                                                                                  only.  Photovoltaic  energy, systems,               or    technology         rely  on                
For  more          information                on       WDSB                credit         eligibility,            solar     power.  The credit               is available  for 25     percent     of  the              
contact  LARA,                 Workers’              Compensation                     Agency,         at          taxpayer’s   capital  investment in            the  new      facility   during        the            
(517) 322-1879                  or 1-888-396-5041      or visit             the     LARA  Web  site               tax  year. 
   at www.michigan.gov/lara. 
                                                                                                                  The   credit  generally must         be    taken   in equal     installments                         
Line  1: Attach      a copy      of the document                     provided         by       LARA         to    over      a two-year  period beginning             in  the   tax  year     in which                  
the return             to substantiate the        claim    for      this   credit.                                the  certificate      is issued.      A taxpayer        may  make  an  irrevocable                   
MEGA Employment Tax Credit                                                                                        assignment      of all          or a portion      of the  credit      or may  convey  the  
                                                                                                                  right      to the  assignment     on      a form   provided        by  MEGA,  which                  
The  Michigan                Economic              Growth             Authority              (MEGA)            
                                                                                                                  will  then  issue  assignment  certificates      to the  assignee(s). 
Employment Tax                Credit     promotes          economic          growth         and   jobs      in   
Michigan.  For   a   period                 of time not         to exceed      20 years,   a   taxpayer              A taxpayer      or assignee    that  claims            a credit  and  subsequently                
that          is an authorized business                    or an eligible taxpayer       may    claim         a   fails      to meet  the  requirements      of the  act      or any  other  conditions  
credit equal           to the amount      certified        each     year          by MEGA.                        established   by  MEGA  in the             agreement        may,    as  determined                   
                                                                                                                  by   MEGA,  have  its credit         reduced       or  terminated       or have                       a
Beginning           January 1,        2012,      this   credit     is available         as                  a   
                                                                                                                  percentage      of the      credit   previously  claimed  added back                        to the  
certificated   credit      to the           extent  that the        taxpayer         has      entered            
                                                                                                                  tax liability        of the taxpayer       in the tax     year  that     the  taxpayer           or   
into   an  agreement with               MEGA          by  December              31,  2011,     but               
                                                                                                                  assignee fails           to comply. Credit     recapture           is reported on        Form        
the  credit  has not         been     fully     claimed                  or paid    prior      to January  
                                                                                                                  4587. 
    1, 2012.     This  credit must              be  claimed        beginning         with     the               
taxpayer’s   first  tax  year ending                  after     December             31,  2011,   in                 A taxpayer      certified  to take         the  polycrystalline         silicon                   
order   for      the  taxpayer              to remain     taxable  under the               MBT      and           credit    under  Michigan Compiled             Laws         (MCL)     208.1432          is           
claim  the  credit.                                                                                               disqualified from         taking  this   credit.    
NOTE:  MEGA  may  certify                               a credit    based  on an           agreement              Beginning      January 1,     2012,     this   credit     is available       as                  a   
entered into         prior         to January      1, 2008, under            the   Single      Business           certificated   credit      to the    extent  that the        taxpayer      has  entered              
Tax  (SBT).  The  number                       of years       for  which  the  credit may                be       into  an  agreement  with  MEGA  by  December  31,  2011,  but  the  
claimed   for       MBT  will be            equal               to the  maximum  number of                        credit   has  not  been fully        claimed             or paid  prior      to January      1,
years   designated      in the           resolution  reduced by                   the   number                 of 2012.   An  insurance  company  assignee   must  claim  this  credit  
years  for  which               a credit    has    been  claimed                  or could    have     been       beginning   with  it’s  first tax       year   ending        after  December          31,            
claimed  under  SBT.                                                                                              2011,      in order      to remain  taxable  under  the  MBT  and  claim  the  
                                                                                                                  credit. 
NOTE:   A           taxpayer       that     claimed      a credit           under    either  SBT            or   
MBT     that     had  an agreement               with     MEGA           based       on  qualified              

                                                                                                                                                                                                                17 



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Line 3: To  claim  this credit,           attach            a copy      of the    assignment             Payments   made to        a      pension plan,     retirement        or profit                         
certificate   received  from MEGA.                (If  the    certificate       is not                   sharing   plan, employee         insurance        plans,    and payments                               
attached, the     credit    will       be disallowed.)                                                   under       health and  welfare      benefit   plans,       as well     as    the                  
                                                                                                         administration  fees  paid  for  the  administration of      the                          health  
Film Production Credit                                                                                   and   welfare  benefit plan,        are   compensation.           Compensation                         
This credit         is available          to an insurance company                    as an assignee      also    includes certain   payments          made     by  licensed        taxpayers                
only.                                                                                                    that   are    statutorily  identified.  These           compensation  payments  
                                                                                                         are   calculated on     a      cash or  accrual    basis    consistent           with                  
The   Michigan         Film  Office,  with the        concurrence                  of the    State       the   taxpayer’s method          of  accounting       for federal        income                    
Treasurer,    may  enter into           an   agreement      with  an eligible                            taxes.   The  statute provides           for  certain     exclusions         from                      
production company             providing      the    company          with   refundable   a              compensation  including  employee  discounts  on  merchandise                                      
credit against      MBT      tax   liability   against   or    taxes     withheld         under          and  services, payments          for   state  and     federal    unemployment                          
Chapter     the     7 of  Michigan       Individual    Income        Tax     Act   1967.   of            compensation   and federal             insurance      contributions,             and                   
A  Post-Production  Certificate  of  Completion                            will  be issued               payments  made      independentto               contractors.  
verifying     the  amount of       the    credit    to  be claimed        once  the                      Expense  incurred  for  the  benefit      theof             taxpayer  rather  than  for  
Michigan      Film       Office      is satisfied that   company        expenditures                     the  benefit      of employees of      the taxpayer         is      not compensation.                  
and eligibility      are  adequately       met.                                                          Noncompensation   expenses  might  include payments                                reported        
The   credit  may be       assigned     in  the  tax year        in which         the                    on       a Form  1099      anto  employee  for  the  rental          of abuilding or      
Post-Production  Certificate      ofCompletion is   received                        but     such         for  interest  income.  
assignment       is irrevocable.        The      credit   must  first  be  claimed in                    This   credit  is calculated     against      the  taxpayer’s           Michigan                   
the  year   assignment.   of                                                                             compensation. 
Beginning      January 1,       2012,     this   credit   is available       as a                        Compensation       is “in        this  state”      if (a) the  individual’s           service      
certificated     credit      to the extent      that  the   taxpayer      has     entered                   is performed      entirely    within      Michigan,      or (b)      the  individual’s  
into   an  agreement with          the  Michigan       Film    Office      with    the                   service   is performed        both   within    Michigan          and outside                       
concurrence      ofthe State     Treasurer       by   December          31,  2011,       but             Michigan,   but  the services            performed      outside      Michigan           are        
the credit    has   not   been   fully    claimed   paid   or       prior      toJanuary 1,              incidental      theto  individual’s  service  within  Michigan. 
2012.  An     insurance        company        assignee        must     claim       this   credit      
beginning     with  it’s  first tax     year     ending       after   December           31,             Example 1:  Sales  Co. employs                Salesperson           whose        territory         
2011,      inorder to   remain      taxable       under    the  MBT         and    claim        the      includes  both  Detroit,  Michigan,  and  Toledo,  Ohio.  Salesperson  
credit.                                                                                                  calls   on   customers  located in        both    Michigan          and   Ohio.       The          
                                                                                                         compensation  paid to      Salesperson is      not  “compensation in      this  
For  more       information,              contact        the        Michigan              Film           state”   because  Salesperson’s  activity is      not limited                    solely   to           
Office  at      1-800-477-3456              or     visit        the     Web         site       at        Michigan,  and  calling  on  customers      inOhio is      not  incidental      to
www.michiganfilmoffice.org.                                                                              Salesperson’s  activity in      Michigan. 
Line 4:      To  claim  this credit,         include  a      copy of      the     MBT Film               Example 2:  Manufacturer  employs  Engineer                                   at its  Michigan     
Credit Assignment          (Form  4589)      theto        return.                                        facility.  Several  times      ayear,      Engineer  travels  out      of state      to meet  
PART   2:NONREFUNDABLE CREDITS                                                                           with  suppliers.  Although  Engineer  performs  services  both  within  
                                                                                                         Michigan  and  outside  Michigan,  Engineer’s  out-of-state  services  
Compensation Credit 
                                                                                                         are   incidental  to Engineer’s          services     within     Michigan.            The          
An   insurance company             may    claim     a credit      equal to      a                                            paid      to Engineer      is “compensation      in this  state.” 
                                                                                                         compensation
percentage   of  compensation in                Michigan,     not to       exceed                     
65  percent      theof     insurance  company’s  tax  liability  for  the  tax                           Renaissance Zone Credit 
year   after  claiming the       other       credits  allowed       under    Chapter                     The   Renaissance Zone           Credit     encourages      businesses             and             
2A      theof  MBT  Act.                                                                                 individuals      to move      into      a designated        Zone          to help     revitalize   
Line  7: Enter  compensation payments                     made      in      the tax  year                the   area  by providing               a credit  for businesses         located         and        
on   behalf  of or     for  the  benefit     of employees,          officers,      or                    conducting  business  activity  within  the  Zone.  
directors   as  defined in       MCL         208.1107(2).      Generally,          under                 Line 15:  Complete  and  include the                      MBT Renaissance Zone 
this   definition,       compensation  includes, but                  is  not   limited                  Credit Schedule  (Form  4595)      to claim                 this  credit.          NOTE  the  
to,   payments  that are        subject      to  or specifically      exempt       or                    changed  instructions  for  certain  taxpayers  for  line  24      of Form  
excepted   from  withholding under                Internal     Revenue          Code                     4595. 
(IRC)       § 3401  through §      3406. 
                                                                                                            If located    in  more  than  one zone,            complete      and      include                   a
Compensation   also           includes  fringe benefits           and   any     earnings                 separate   Form  4595  for each           zone.    Add      line  25b     from        each         
that  are  net earnings       from      self-employment,          as      defined under                  Form  4595  and  enter  the  sum  on  Form  4596,  line  15. 
IRC       § 402,      of the  taxpayer      or partner or      LLC member               of      the   
taxpayer.   Wages,  salaries, fees,             bonuses,      commissions,              and              NOTE:                                                                                             
                                                                                                                       Although Insurance          companies         do not normally                       
other   payments  made      in the tax          year  on    behalf    of      or for  the                calculate                                                                                         
                                                                                                                        business income,          or apportion       their tax base                        
benefit   of  employees, officers,           or  directors        as  well   as self-                    by                                                                                                  
                                                                                                             a sales factor, both         are   required       in the calculation            of              a
employment  earnings  must be      reported  on a      cash  basis.                                      Renaissance                                        Business Income Worksheet 
                                                                                                                           Zone credit. Use        the                                                         

18 



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(Worksheet          4746) to    calculate         a pro  forma      business                                  be claimed          as either      a refundable accelerated                credit    (on    Form        
income,     and calculate          pro    forma     sales            in Michigan           and  sales         4889)  or        a non-refundable credit.                   Non-refundable credits                          
everywhere.         See  instructions for           the            MBT Annual  Return                         and   non-refundable  carryforwards of                   the     credit     are  claimed                
(Form      4567)  for guidance            on    the  definition      of sales        and                      here. The   credit      must    first    be   claimed             in the year        in which the       
applicable  sourcing  provisions.                                                                             certificate      of completion              is issued. 
For   more information             on  Renaissance           Zones,     contact                               Line  20:  Complete  Form 4584                to  claim          this credit      and                   
the   MEDC  at (517)         373-9808             or  visit  their  Web site           at                     carryforward  the  resulting  overpayment. 
http://www.michiganbusiness.org/                           . For    information  on the                  
MBT   credit,  contact the         Michigan           Department              of  Treasury,                   The   administration  of the           Brownfield        Redevelopment                 Credit           
Customer  Contact  Division,  MBT  Unit,      at (517)  636-6925.                                             program      is assigned      to MEGA.             For  more  information on                 the        
                                                                                                              approval  process,  contact  the  MEDC      at (517)  373-9808.  
Historic Preservation Credit 
                                                                                                              Film Infrastructure Credit 
The   Historic  Preservation Credit                 provides        tax  incentives           for      
homeowners,   commercial  property owners,                           and      businesses                      This  credit      is available          to an insurance  company          as an assignee  
to   rehabilitate historic         resources        located      in Michigan.                                 only. 
Rehabilitation  projects  must be                   certified  by   the       State    Historic        
                                                                                                              An   eligible   taxpayer  may claim                    a credit  for  investment in                       a
Preservation  Office  (SHPO). 
                                                                                                              qualified   film  and  digital media          infrastructure              project    equal              
Beginning  January      1, 2012,              the   historic  preservation credit                          is to   25  percent of     the   base     investment        expenditures          for the                  
available      to the    extent  that             a taxpayer   had      a Part      2 approval,               project,   provided      the  taxpayer enters            into    an   agreement         with            
approved   rehabilitation plan,               approved        high      community                             the  Michigan  Film  Office,   concurred      in by  the  State  Treasurer.  
impact   rehabilitation  plan  or preapproval                       letter    by  December                    The   credit  is reduced          by   the  amount      of any       Brownfield                         
31,   2011,   but   has  not fully        claimed       the  credit     before       January                  Redevelopment   Credit  claimed under                    Section          437  of the                   
    1, 2012.     The  credit    may       be  claimed as         either             a refundable              MBT  Act  for  the same           base    investment.                  If the  credit   exceeds         
accelerated   credit  on the                Request for  Accelerated Payment                                  the  taxpayer’s  tax  liability for          the  tax    year,    the     excess    may            be  
for  the  Brownfield  Redevelopment  Credit  and  the  Historic                                               carried  forward      to offset  tax  liability      in subsequent  years  for      a
Preservation   Credit           (Form  4889)  or                 a non-refundable  credit.                    maximum      of ten  years.  
Non-refundable   credits  and non-refundable                         carryforwards             of        
the  credit  are claimed        here.            A  taxpayer        may  elect             to claim      a    Upon                                                                                                   
                                                                                                                       verification that the          taxpayer       has   complied          with    the             
certificated   historic  preservation credit                  in    the  year      in which                   agreement                                                                                              
                                                                                                                            terms and investment               expenditures             and   eligibility            
   a credit      is available  and  will  be  taxable under                   the  MBT       until            are                                                                                                    
                                                                                                                   adequately met, the              Michigan     Film      Office       will  issue   an             
the   qualifying  credit and        any       carryforward          of  the   credit       are                Investment                                                                                             
                                                                                                                              Expenditure Certificate stating                      the  amount           of the 
extinguished.     The  credit must                  first  be  claimed        in the       year               credit.                                                                                              
                                                                                                                      The certificate         received must   be attached   to the return.
that   the  certificate         of completed          rehabilitation                of the   historic         The   credit  may be       assigned       in  the  tax year         in which        the                 
resource  was  issued.                                                                                        Investment  Expenditure  Certificate                         is received  but any          such         
Line 17:      Complete  Form 4584                   to  claim    this credit         and                      assignment      is irrevocable.           Form    4589       must  be  attached                  to the  
carryforward  the  resulting  overpayment,      if any.                                                       return  on  which  the  credit      is claimed. 
Line  18a: Recapture from Form 4584, line 2.    If                                     the resource           An                                                                                                     
                                                                                                                   assigned credit amount must                 first   be      claimed     against    the            
   is sold    or    the  certification of           completed       rehabilitation           or               assignee’s                                                                                             
                                                                                                                           MBT liability during             the      assignee’s         tax year      in             
preapproval  letter             is revoked  less than          five     years     after    the                which                                         
                                                                                                                      the credit was assigned.
historic  resource      is placed      in service,      a percentage      of the  credit                      Beginning   January 1,            2012,    this  credit     is available        as                      a
may      be subject      to recapture.                                                                        certificated   credit      to the      extent  that the          taxpayer      has   entered            
                                                                                                              into   an  agreement with            the  Michigan       Film        Office    with     the             
100  percent If            less  than      1 year                                                             concurrence      of the       State    Treasurer  by  December 31,                     2011,  but       
80  percent         If      at least      1 year,  but  less  than      2 years                               the  credit  has  not  been  fully  claimed      or paid  prior      to January      1,
60 percent          If      at least      2 years,  but  less  than      3 years                              2012. 
40  percent         If      at least      3 years,  but  less  than      4 years                              NOTE:  To  qualify for               the  credit,              a taxpayer  must not          be         
20  percent         If      at least      4 years,  but  less  than      5 years                              delinquent          in a tax      or other  obligation  owed      to Michigan  nor      be
                                                                                                              owned      or under  common  control          of an entity  that      is delinquent.  
Questions           regarding          federal           and        State            certification               A credit cannot         be claimed for     any   direct        expenditure         for   which       
may        be       directed                to      SHPO                   at   517-373-1630.                    a Film Production      Credit       was   claimed      against       either          an MBT   or   
For         additional             information,                     go          online               to       withholding tax         liability.     
www.michigan.gov/mshda                        , and click     on  “Preservation.”              
                                                                                                              For  more       information,              contact          the         Michigan           Film          
Brownfield Redevelopment Credit                                                                               Office  at    1-800-477-3456                   or   visit   the   Web   site   at  
Beginning   January  1, 2012,               the     brownfield       redevelopment                            www.michiganfilmoffice.org. 
credit   may  be  claimed as                    a certificated  credit                  if a taxpayer         Include completed Form 4596 as part of the tax return filing.                                         
has      a preapproval  letter by           December         31,    2011,     but      has   not         
fully  claimed  the credit         by     January                1, 2012.     The    credit  may       

                                                                                                                                                                                                               19 



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20 



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Michigan Department of Treasury                                                                                                                                           Attachment 27 
4974 (Rev. 04-22) 

2022 MICHIGAN Schedule of Corporate Income Tax Liability 
for a Michigan Business Tax Insurance Filer 
Issued under authority of Public Act 36 of 2007 and PA 39 of 2011. 
Taxpayer Name (print or type)                                                            Federal Employer Identification Number (FEIN) 

PART   1: CERTIFICATED          NONREFUNDABLE CREDITS                      

 1.  Tax Before Nonrefundable Credits from Form 4588, line 23  .............................................................................                          1.  00 

 2.  Noncertificated nonrefundable credits (see instructions)...................................................................................                      2.  00 

 3.  Tax After noncertificated nonrefundable credits. Subtract line 2 from line 1. If less than zero, enter zero  ........                                            3.  00 

 4.  Available Renaissance Zone Credit (see instructions)  ......................................................................................                     4.  00 

 5.  Renaissance Zone Credit. Enter lesser of line 3 or 4 ........................................................................................                    5.  00 

 6.  Tax After Renaissance Zone Credit. Subtract line 5 from line 3  ........................................................................                         6.  00 
 7.  Available Historic Preservation Credit Net of Recapture from Form 4596, line 18b. If negative, enter as a 
     negative number ................................................................................................................................................ 7.  00 

 8.  Historic Preservation Credit Net of Recapture. Enter lesser of line 6 or 7.........................................................                              8.  00 

 9.  Tax After Historic Preservation Credit Net of Recapture. Subtract line 8 from line 6 .........................................                                   9.  00 

10.  Available Brownfield Redevelopment Credit from Form 4596, line 20  ..............................................................  10.                               00 

 11. Brownfield Redevelopment Credit. Enter lesser of line 9 or 10 .........................................................................                          11. 00 

12.  Tax After Brownfield Redevelopment Credit. Subtract line 11 from line 9  .........................................................  12.                              00 

13.  Film Infrastructure Credit from Form 4596, line 25 ............................................................................................  13.                 00 

14.  Certificated Nonrefundable Credits for CIT. Add lines 5, 8, 11, and 13  .............................................................  14.                           00 

PART   2: CIT     LIABILITY 

15.  Enter amount from Worksheet A, line 24 (see instructions)  ..............................................................................  15.                       00 

16.  CIT  After Certificated Nonrefundable Credits. Subtract line 14 from line 15  .....................................................  16.                             00 

17.  Total Recapture of Certain Business Tax Credits for CIT from Form 4588, line 26  ...........................................  17.                                    00 

18.  CIT  After Recapture. Add lines 16 and 17 .........................................................................................................  18.             00 

PART   3: MBT     TAX COMPARED          AGAINST CIT FOR INSURANCE FILERS                  

19.  Total MBT liability from Form 4588, line 27  .......................................................................................................  19.            00 
20.  If line 18 is greater than line 19, enter the difference. If line 19 is greater than or equal to line 18, enter zero. 
     Carry to Form 4588, line 28 ...............................................................................................................................  20.     00 

+ 0000 2022 62 01 27 4 



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No text to extract.



- 25 -
                                                                              Instructions for Form 4974 
                                                         Schedule of Corporate Income Tax Liability 
                                                    for a Michigan Business Tax Insurance Filer 
                                                                                                             the checkbox        on  line              2 of Form 4595.      Enter       credit   amount         from   
Purpose 
                                                                                                             Form        4595,  line  25b,  for which             certificated         status            is properly  
The purpose              of this form                 is to determine the       Corporate  Income            claimed on       Form    4595,        line    2.   
Tax   (CIT)     liability                of an  insurance  company that              files   under         
the    Michigan  Business Tax                    (MBT).        The    CIT      liability  will               If      a taxpayer has    activity          in more      than one         certificated                    
be  compared  against the                   MBT     liability              in order      to determine        Renaissance Zone,                  a separate Form           4595    will     be    filed    for   each   
which  liability      is greater.                                                                            Zone.       In  that  case, report         here    the  combined           total               of credits  
                                                                                                             claimed      on  all Forms          4595,     line    25b,    for   which       certificated              
NOTE:              A credit      or recapture            should  not be        reported     on  this         status      is properly claimed             on    Form    4595,    line     2.   
form              if it is not  reported  on  one      of the  following  forms: 
                                                                                                             DO  NOT  use  the Renaissance                     Zone      credit  amount          from    Form          
  • Miscellaneous Credits for Insurance Companies                                              (Form         4573      or Form 4596             to complete this       line.    
4596). 
                                                                                                             Line 6: Subtract  line                   5 from    line      3 and  enter       amount      in field.  
  • Schedule of Recapture of Certain Business Tax Credits and 
                                                                                                             This      figure  represents the            MBT      liability    after      applying       the           
Deductions  (Form  4587). 
                                                                                                             Renaissance Zone           Credit.          
NOTE:  Beginning  January      1, 2012,  only  those  taxpayers  with  
   a certificated  credit,  which      is awarded  but  not  yet  fully  claimed                             Line 9:                                                                                                     
                                                                                                                          Subtract line            8 from       line   6 and     enter       amount   in field. 
                                                                                                             This      figure  represents the            MBT      liability    after      applying       the           
or  utilized,  may  elect          to be MBT  taxpayers. 
                                                                                                             Historic Preservation            Credit        Net         of Recapture. 
Line-by-Line Instructions                                                                                                  Subtract line               11 from line         9 and enter      amount            in field.  
                                                                                                             Line 12: 
Lines not      listed          are  explained       on    the  form.                                         This      figure  represents the            MBT      liability    after      applying       the           
Enter the      taxpayer’s            name      and        Federal   Employer         Identification          Brownfield                                                
                                                                                                                              Redevelopment Credit.
Number  (FEIN)   the   in              appropriate           field.                                          Line 14: Add lines                         5, 8, 11 and 13.  This         is the total    amount        of   
                                                                                                             Certificated Nonrefundable                    Credits     for   CIT.       
PART 1: CERTIFICATED NONREFUNDABLE CREDITS 
Line 2:        Combine the               total   amount        of noncertificated                            PART 2: CIT LIABILITY 
nonrefundable                  credits from      Form       4596,    line  6, and      the                   Line 15: Effective with                tax    years     beginning               in 2019, Public     Act   
amounts        from  Form 4596,                 lines    13  and     15.   Enter    the total                222      of 2018 amends         MCL         206.635,      which      alters      the   tax   liability    
combined  amount,      as this represents                      the   allowable       amount      of          calculation          of a Corporate              Income       Tax   (CIT)  filer.  Beginning              
noncertificated  nonrefundable  credits.                                                                     Jan.      1, 2019,  for      a CIT     filer,    gross    direct    premiums  attributable                
Line 3: Subtract  line   from   2                  line     less     1. If than  zero,   enter   zero.       to                                                                                                       
                                                                                                                qualified health insurance premiums are taxed   at 0.95%. The 
This       is the  MBT         liability  after  noncertificated nonrefundable                               remaining                                                                                  
                                                                                                                              portion   of the tax base   is still taxed   at 1.25%.
credits.                                                                                                     To   calculate  CIT  tax liability               for   the   purpose         of completing                
Line       4:      Not                all   Renaissance                   Zone       credits          are    Form                                                                                                     
                                                                                                                         4974, the taxpayer             must    complete       the “Michigan                          
certificated       credits       tobe reported              on  this  form.      See   special               Business                                                                                                    
                                                                                                                            Tax    Insurance Worksheet                   A”   in these       instructions.            
                                                                                                             Carry  the  amount from               Worksheet          A,    line  24,              to Form     4974,  
instructions       on  the            MBT Renaissance  Zone  Credit Schedule 
(Form      4595)   to determine                 which       Renaissance        Zone    credits               line         
                                                                                                                   15.
are    certificated.      A certificated Renaissance                       Zone     credit  will             Include      a copy      of Worksheet      A with the             MBT         return.     
be  identified  by  the checkbox                    on   line   2          of Form 4595.  Only       a       
credit      ofthat type        may    be  reported          here.  Enter      credit  amount                 Line 16:                                                                                                
                                                                                                                           Subtract line 14             from    line   15.    This           is the   amount   of
from       Form  4595, line           25b,      for      which  certificated        status   is              the                                                                                                
                                                                                                                 CIT liability after Certificated Nonrefundable Credits.
properly claimed                on   Form    4595,        line  2.                                           Line 18:  Add  lines 16               and     17.  This                is the  amount of          CIT     
If       a taxpayer  has activity               in  more    than  one certificated                           liability                                                                                             
                                                                                                                          after the Recapture   of Certain Business Tax Credits.
Renaissance  Zone,   separate   a                    Form     4595     will     be   filed   for  each       PART 3: MBT TAX COMPARED AGAINST CIT FOR 
Zone.      In  that  case, report           here    the     combined          total  of credits              INSURANCE FILERS 
claimed      on  all Forms            4595,      line    25b,   for   which        certificated              Line 20:        Carry  the amount                on  this   line  to the                  Insurance 
status       is properly claimed             on   Form       4595,    line     2.                            Company  Annual  Return for Michigan Business and 
DO NOT use the                  Renaissance               Zone  credit      amount      from    Form         Retaliatory Taxes (Form 4588),                      line     28.   This     amount             is used   to   
4596   complete   to            this   form.                                                                 calculate the      tax  liability         for       an MBT filer.     
Enter      the  available             Certificated   Renaissance  Zone Credit.                               Include completed Form 4596 as part of the tax return filing.                                           
Not  all  Renaissance Zone                  credits      are   certificated         credits  to      be    
reported  on  this form.              See     special       instructions       on   Form    4595           
to  determine  which Renaissance                         Zone    credits       are  certificated.          
       A certificated          Renaissance          Zone    credit    will  be identified            by    

                                                                                                                                                                                                                  23 



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Michigan Department of Treasury 
MBT Insurance Worksheet A (Rev. 04-22) 

2022 Michigan Business Tax Insurance Worksheet A 

Include a copy of Worksheet A with your MBT return. 
Taxpayer Name                                                                                                              Federal Employer Identification Number (FEIN) 

DIRECT PREMIUMS WRITTEN IN MICHIGAN                                                                                                         A                             B 
                                                                                                                               Qualified Health Ins. Policies             All Other Policies 
1.  Gross direct premiums written in Michigan................................................................              1.                                 00                             00 
2.  Premiums on policies not taken.................................................................................        2.                                 00                             00 
3.  Returned premiums on canceled policies..................................................................               3.                                 00                             00 
4.  Receipts on sales of annuities ...................................................................................     4.                                 00                             00 
5.  Receipts on reinsurance assumed (see instructions) ................................................                    5.                                 00                             00 
6.  Add lines 2 through 5................................................................................................. 6.                                 00                             00 
7.   Direct Premiums Written in Michigan.  Subtract line 6 from line 1.  
     If less than zero, enter zero ....................................................................................... 7.                                 00                             00 
DISABILITY INSURANCE EXEMPTION 
8.  Disability insurance premiums written in Michigan, not including credit or disability  
     income insurance premiums (see instructions) ...........................................................              8.                                 00                             00 
9.  Proportional share of limit and phase-out. 
     Column A: Divide line 8, column A, by the sum of line 8, columns A and B. 
     Column B: Divide line 8, column B, by the sum of line 8, columns A and B.............                                 9.                                 %                              % 
10.  Enter the sum of all disability insurance premiums from both columns of line 8  
     OR $190,000,000, whichever is less  ...............................................................................................  10.                             00 
11.  Gross direct premiums from insurance carrier services everywhere...............................................  11.                                                 00 
12.  Phase out  ........................................................................................................................................  12. 280,000,000 00 
13.  Subtract line 12 from line 11. If less than zero, enter zero  ..............................................................  13.                                    00 
14.  Exemption reduction. Multiply line 13 by 2 ......................................................................................  14.                               00 
15.  Subtract line 14 from line 10. If less than zero, enter zero ..............................................................  15.                                     00 
16.  Allocated reduced exemption. 
     Column A: Multiply line 15 by the percentage on line 9, column A. 
     Column B: Multiply line 15 by the percentage on line 9, column B .........................  16.                                                          00                             00 
17.  Adjusted tax base. 
     Column A: Subtract line 16, column A, from line 7, column A. 
     Column B: Subtract line 16, column B, from line 7, column B.................................  17.                                                        00                             00 
18.  Multiply line 17, column A, by 0.9391% and column B by 1.25% (0.0125) ....................                            18.                                00                             00 
19.  Tax before credits. Add line 18, columns A and B............................................................................  19.                                    00 
CREDITS 
20.  Enter amounts paid from 1/1/2021 to 12/31/2021 to each of the following: 
     a.  Michigan Workers’ Compensation Placement Facility .....................................................................................  20a.                                       00 
     b.  Michigan Basic Property Insurance Association ..............................................................................................  20b.                                  00 
     c.  Michigan Automobile Insurance Placement Facility  ........................................................................................  20c.                                    00 
     d.  Property and Casualty Guaranty Association ..................................................................................................  20d.                                 00 
     e.  Michigan Life and Health Insurance Guaranty Association  .............................................................................  20e.                                        00 
21.  Add lines 20a through 20e......................................................................................................................................  21.                    00 
22.  Michigan Examination Fees or Regulatory Fee......................................................................................................  22.                                  00 
23.  Credit. Multiply line 22 by 50% (0.50) .....................................................................................................................  23.                       00 
24.  Tax liability before recapture. Subtract line 21 and line 23 from line 19. If less than or equal to $100, enter zero. 
     Carry amount to Form 4974, line 15 .......................................................................................................................  24.                         00 



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                Instructions for the  Michigan Business Tax Insurance Worksheet A 
Purpose                                                                                                            The   exclusion  for disability        insurance     premiums        does  not          
                                                                                                                   include   credit insurance       or    disability  income        insurance              
To  calculate      a Corporate            Income          Tax  liability  for the            purpose               premiums. 
of completing       the    “Schedule               of Corporate Income              Tax         Liability       
for      a Michigan Business            Tax   Insurance            Filer”     (Form        4974).                  CREDITS 
                                                                                                                   Line 20:      Enter the amounts        paid     to the listed      facilities           
Line-by-Line Instructions 
                                                                                                                   or  associations from     January      1, 2021,     to December         31,                
Lines not     listed   are   explained           on     the     form.                                              2021,  including special assessments.              Net the       amounts   paid         
Enter the     taxpayer’s        name       and    Federal          Employer         Identification                 and  refunds received during           20       21  for the same     facility  or       
Number       (FEIN)  used on           the   “Insurance             Company           Annual                       association.       If refunds    received       exceed the     amount  paid      thein  
Return     for  Michigan  Business and                    Retaliatory          Taxes”          (Form               year for  the  same       facility   association,   or enter       zero. 
4588).                                                                                                             Line 20c: For tax        years    beginning      on  and  after      January   2021   1,  
Direct Premiums Written in Michigan                                                                                amounts  paid   the   to   Michigan     Automobile         Insurance  Placement  
                                                                                                                   Facility   (MAIPF)  that  are attributable           to      the assigned  claims       
NOTE: For  line 1 through line 9 and line  16 through 
                                                                                                                   plan shall   not      beincluded in      the  calculation      thisof  credit. 
line  18,  complete  Column  A  to  report  Qualified  Health 
Insurance  Policies and Column B  to report  all  other                                                            Line 22:    Enter  the amount      of      Michigan Examination           Fees    or      
policies.                                                                                                          Regulatory Fees         paid   2022   in (under     Michigan         Compiled       Law  
“Qualified health          insurance          policies”         means      policies        written        on       500.224). 
risk located          or residing      in this state            that  are           1 of the following             Line 24: Carry the         amount   from        Worksheet   line   A,     24,   Form   to  
types      of policies:                                                                                            4974, line   15.   Include      acopy      ofWorksheet A   with       your   return.  
         (a) Comprehensive  major  medical, regardless                                          of whether 
         the  policy           is eligible  for              a health  savings account                or         
         purchased on        the     health      insurance          marketplace.             
         (b) Student. 
         (c) Children’s health             insurance            program.      
         (d) Medicaid. 
         (e)  Employer comprehensive,                          regardless      of whether                      
         the  policy           is eligible  for              a health  savings account                or       
         purchased on        the     health      insurance          marketplace.             
         (f) Multiple employer                associations                or trusts and      any      other    
         employer associations                and    trusts. 
Qualified Health          Insurance           Policies          are  taxed             at a special rate,       
determined annually                 using   a   statutory       formula.           
Line 1: Enter all         gross      direct      premiums            written        on  property              or   
risk located         or residing      in Michigan. 
Line 2:  Enter  premiums on                  policies          not   taken     to  the  extent                    
these premiums         were         included      in line 1.   
Line 3:  Enter  returned  premiums on                          canceled        policies                  to the  
extent these     premiums            were     included               in line 1.   
Line 4: Enter receipts               on    sales         of annuities      to the extent              these       
receipts were     included                in line 1.   
Line 5:  Enter  receipts  on reinsurance                       premiums            assumed                    to   
the extent     these   receipts      were        included             in line      1, and only             if tax  
was paid     on  the   original      premiums.             
DISABILITY INSURANCE EXEMPTION 
Line 8: “Disability insurance”                      includes          any     policy            or contract  
of insurance     against     loss       resulting       from       sickness              or from bodily         
injury      or death by    accident,               or both, including         also     the      granting        
of   specific  hospital benefits             and       medical,         surgical      and    sick-  
care benefits          to any person,         family            or group, subject                 to certain  
exclusions. 

                                                                                                                                                                                                       25 



- 28 -
26 



- 29 -
                                                                   Country Codes 

Countries are  identified  by   two-letter codes       – Country Codes        – which  are required           on   some Michigan    Business  Tax  (MBT)  forms,  
including  the  annual  returns.  The  following          is a list      of countries  and  their  codes. 

AF   Afghanistan               CK   Cook Islands                   IN    India                            NR   Nauru                   SB   Solomon Islands 
AX   Åland Islands             CR   Costa Rica                     ID    Indonesia                        NP   Nepal                   SO   Somalia 
AL    Albania                  CI    Côte D’ivoire                 IR    Iran                             NL    Netherlands            ZA    South Africa 
DZ    Algeria                  HR   Croatia                        IQ    Iraq                             AN   Netherlands Antilles    GS   S. Georgia, Sandwich 
AS   American Samoa            CU   Cuba                           IE    Ireland                          NC   New Caledonia           KR   South Korea 
AD   Andorra                   CY   Cyprus                         IM   Isle Of Man                       NZ    New Zealand            ES    Spain 
AO   Angola                    CZ    Czech Republic                IL    Israel                           NI    Nicaragua              LK    Sri Lanka 
AI    Anguilla                 CD   Dem. Rep. of Congo             IT    Italy                            NE   Niger                   SD   Sudan 
AQ   Antarctica                DK   Denmark                        JM   Jamaica                           NG   Nigeria                 SR   Suriname 
AG   Antigua & Barbuda         DJ    Djibouti                      JP    Japan                            NU   Niue                    SJ    Svalbard, Jan Mayen 
AR   Argentina                 DM   Dominica                       JE    Jersey                           NF   Norfolk Island          SZ    Swaziland 
AM   Armenia                   DO   Dominican Republic             JO    Jordan                           KP   North Korea             SE   Sweden 
AW   Aruba                     EC   Ecuador                        KZ    Kazakhstan                       MP   N. Mariana Islands      CH  Switzerland 
AU   Australia                 EG   Egypt                          KE   Kenya                             NO   Norway                  SY    Syrian Arab Republic 
AT   Austria                   SV    El Salvador                   KI   Kiribati                          OM Oman                      TW  Taiwan 
AZ    Azerbaijan               GQ   Equatorial Guinea              KW   Kuwait                            PK    Pakistan               TJ    Tajikistan 
BS   Bahamas                   ER  Eritrea                         KG   Kyrgyzstan                        PW   Palau                   TZ    Tanzania 
BH  Bahrain                    EE   Estonia                        LA   Laos                              PS   Palestinian Occ. Terr.  TH   Thailand 
BD   Bangladesh                ET    Ethiopia                      LV   Latvia                            PA    Panama                 TL    Timor-Leste 
BB   Barbados                  FK    Falkland Islands              LB    Lebanon                          PG   Papua New Guinea        TG   Togo 
BY    Belarus                  FO   Faroe Islands                  LS    Lesotho                          PY    Paraguay               TK    Tokelau 
BE   Belgium                   FJ    Fiji                          LR    Liberia                          PE    Peru                   TO   Tonga 
BZ    Belize                   FI    Finland                       LY    Libya                            PH   Philippines             TT    Trinidad & Tobago 
BJ   Benin                     FR   France                         LI    Liechtenstein                    PN   Pitcairn                TN    Tunisia 
BM   Bermuda                   GF   French Guiana                  LT    Lithuania                        PL   Poland                  TR   Turkey 
BT    Bhutan                   PF    French Polynesia              LU    Luxembourg                       PT    Portugal               TM   Turkmenistan 
BO   Bolivia                   TF    Fr. Southern Terr.            MO   Macao                             PR   Puerto Rico             TC    Turks & Caicos 
BA  Bosnia, Herzegovina  GA         Gabon                          MK  Macedonia                          QA  Qatar                    TV   Tuvalu 
BW   Botswana                  GM   Gambia                         MG   Madagascar                        RE   Réunion                 UG   Uganda 
BV    Bouvet Island            GE  Georgia                         MW         Malawi                      RO  Romania                  UA  Ukraine 
BR   Brazil                    DE   Germany                        MY   Malaysia                          RU   Russian Federation      AE   United Arab Emir. 
IO   Brit. Ind. Ocean Terr.  GH     Ghana                          MV  Maldives                           RW  Rwanda                   GB  United Kingdom 
BN   Brunei Darussalam         GI    Gibraltar                     ML   Mali                              BL   St. Barthélemy          US   United States 
BG   Bulgaria                  GR   Greece                         MT   Malta                             SH   St. Helena              UM   U.S. Minor Out. Isl. 
BF    Burkina Faso             GL  Greenland                       MH  Marshall Islands                   KN   St. Kitts & Nevis       UY   Uruguay 
BI    Burundi                  GD   Grenada                        MQ   Martinique                        LC    St. Lucia              UZ    Uzbekistan 
KH  Cambodia                   GP  Guadeloupe                      MR  Mauritania                         MF  St. Martin               VU  Vanuatu    
CM  Cameroon                   GU  Guam                            MU  Mauritius                          PM  St. Pierre & Miquelon    VE   Venezuela    
CA  Canada                     GT  Guatemala                       YT   Mayotte                           VC   St. Vincent, Grenad.    VN  Vietnam    
CV   Cape Verde                GG  Guernsey                        MX  Mexico                             WS  Samoa                    VG    Virgin Islands, British 
KY  Cayman Islands             GN  Guinea                          FM  Micronesia                         SM  San Marino               VI    Virgin Islands, U.S. 
CF  Cent. African Repub.  GW Guinea-Bissau                         MD  Moldova                            ST   Sao Tome & Principe  WF      Wallis & Futuna 
TD   Chad                      GY   Guyana                         MC  Monaco                             SA    Saudi Arabia           EH   Western Sahara 
CL   Chile                     HT   Haiti                          MN   Mongolia                          SN   Senegal                 YE    Yemen 
CN   China                     HM  Heard, McDonald Isl.  ME   Montenegro                                  RS   Serbia                  ZM   Zambia 
CX   Christmas Island          VA    Holy See (Vatican)            MS   Montserrat                        SC   Seychelles              ZW   Zimbabwe 
CC   Cocos Islands             HN  Honduras                        MA   Morocco                           SL    Sierra Leone 
CO   Colombia                  HK   Hong Kong                      MZ   Mozambique                        SG   Singapore               XX Countries-Other 
KM   Comoros                   HU   Hungary                        MM   Myanmar                           SK   Slovakia 
CG   Congo                     IS    Iceland                       NA   Namibia                           SI    Slovenia 

                                                                                                                                                                  27 






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