PDF document
- 1 -
Michigan Department of Treasury                                                                                                                                                Attachment 12
4595 (Rev. 04-21), Page 1 of 2

2021 MICHIGAN Business Tax Renaissance Zone Credit Schedule
Issued under authority of Public Act 36 of 2007.

Taxpayer Name (If Unitary Business Group, Name of Designated Member)                                                  )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU  )(,1  RU 75 1XPEHU

Unitary Business Groups Only: Name of Unitary Business Group Member Reporting on This Form                            )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU  )(,1  RU 75 1XPEHU

 1. Tax liability before Renaissance Zone Credit. Enter amount from Form 4573, line 13, or Form 4596, line 14 ......                                                      1.                      00
 2.  (QWHU SURSHUW\ LQIRUPDWLRQ EHORZ  ,I RSHUDWLQJ LQ PXOWLSOH =RQHV  ¿OH D VHSDUDWH )RUP      IRU HDFK =RQH 
     Street Address                                    Zone or Subzone
                                                                                                                                                                               Check if a  
     City                                              Parcel Number                                                                                                           FHUWL¿FDWHG FUHGLW 
                                                                                                                                                                               (see instructions)
 3. Average value of property owned within the Zone .................................................................................................                     3.                      00
 4. Multiply rent paid for property within the Zone by 8 and enter the result ................................................................                            4.                      00
 5. Total property value within the Zone. Add lines 3 and 4 .........................................................................................                     5.                      00
 6. Average value of all property owned in Michigan ...................................................................................................                   6.                      00
 7. Multiply rent paid for property in Michigan by 8 and enter the result ......................................................................                          7.                      00
 8. Total property value in Michigan. Add lines 6 and 7 ...............................................................................................                   8.                      00
 9. Divide line 5 by line 8 and enter as a percentage...................................................................................................                  9.                      %
 10. Total payroll for services performed within the Zone ..............................................................................................                  10.                     00
 11. Total Michigan payroll ............................................................................................................................................. 11.                     00
 12. Divide line 10 by line 11 and enter as a percentage ...............................................................................................                  12.                     %
 13. Add lines 9 and 12 and enter as a percentage .......................................................................................................                 13.                     %
 14. Business Activity Factor. Divide line 13 by 2 and enter as a percentage ...............................................................                              14.                     %
 15. Credit based on the Business Activity Factor. Multiply line 14 by line 1 .................................................................                           15.                     00
Adjusted Services Performed in the Renaissance Zone
 16. Enter amount from line 10 ................................................................................ 16.   00
 17. Enter depreciation for tangible property in the Zone exempt under MCL 
          ႇ  &ODLP SURSHUW\ H[HPSW LQ WD[ \HDU  DOVR FODLP QHZ SURSHUW\ WKDW ZLOO 
     be exempt in immediately following tax year (see instructions)........................                     17.   00
 18. Add lines 16 and 17 ...........................................................................................................................................      18.                     00
 19. Partnerships, S Corporations and Individuals Only (see instructions); UBGs, see instructions
     a. Business income from Form 4567, line 28. If less than zero, enter zero ........ 19a.                          00
     b. Apportionment percentage from Form 4567, line 11c ................................. 19b.                                                           %
     c. Enter percentage from line 14 ..................................................................... 19c.                                           %
     d. Multiply line 19a by line 19b by line 19c ...................................................... 19d.         00
     e. Add lines 18 and 19d ................................................................................... 19e. 00
 20. Enter amount from line 18, or, if taxpayer is a Partnership, 
     S Corporation or Individual, enter amount from line 19e ..................................                 20.   00
 21. &UHGLW EDVHG RQ DGMXVWHG VHUYLFHV SHUIRUPHG LQ WKH =RQH  0XOWLSO\ OLQH    E\            ...............................                                              21.                     00
 22. 7D[SD\HUV ¿UVW ORFDWHG ZLWKLQ WKH 5HQDLVVDQFH =RQH EHIRUH            21/< 
     (All others, leave lines 22a-e and line 23 blank.)
     a. Renaissance Zone Credit allowed in 2007 .................................................. 22a.               00
     b. Michigan payroll in 2007 .............................................................................. 22b.  00
     c. Business Activity Factor for tax year 2007 and enter as a percentage........ 22c.                                                                  %
     d. Divide line 11 by line 22b and enter as a percentage .................................. 22d.                                                       %
     e. Divide line 14 by line 22c and enter as a percentage .................................. 22e.                                                       %
 23. Multiply line 22a by line 22d by line 22e ...........................................................................................................                23.                     00
 24. 7HQWDWLYH 5HQDLVVDQFH =RQH &UHGLW  7D[SD\HUV ¿UVW ORFDWHG LQ =RQH EHIRUH             HQWHU WKH JUHDWHU RI  
     (i) line 23 or (ii) the lesser of lines 15 and 21. All others, enter the lesser of lines 15 and 21 ...............................                                   24.                     00
 25. a. Reduced credit percentage from Reduced Credit Table on page 2 ............. 25a.                                                                   %
     b. Reduced Renaissance Zone Credit. Multiply line 24 by the reduced credit percentage on line 25a. 
        Carry amount to Form 4573, line 14, or Form 4596, line 15............................................................................                             25b.                    00

+ 0000 2021 95 01 27 7



- 2 -
2021 Form 4595, Page 2 of 2

                                    REDUCED CREDIT TABLE

  If this tax period begins in the:                               The reduced credit is:

  Final year of designation as a Renaissance Zone.................25 percent (0.25) of tentative credit on line 24.

  <HDU LPPHGLDWHO\ SUHFHGLQJ WKH ¿QDO \HDU RI GHVLJQDWLRQ  
  as a Renaissance Zone .........................................................50 percent (0.50) of tentative credit on line 24.

  6HFRQG \HDU EHIRUH WKH ¿QDO \HDU RI GHVLJQDWLRQ DV D 
  Renaissance Zone................................................................ 75 percent (0.75) of tentative credit on line 24.

  7KLUG  RU JUHDWHU  \HDU EHIRUH WKH ¿QDO \HDU RI GHVLJQDWLRQ 
  as a Renaissance Zone ........................................................ 100 percent (1.00) of the tentative credit on  
                                                                  line 24.

+ 0000 2021 95 02 27 5



- 3 -
                                       Instructions for Form 4595 
         Michigan Business Tax (MBT) Renaissance Zone Credit Schedule
Purpose                                                                &HUWL¿FDWHG &UHGLWV  )RUP       
                                                                       EXAMPLE 1: 7D[SD\HU HQWHUV LQWR D TXDOL¿HG FROODERUDWLYH 
7R DOORZ HOLJLEOH  WD[SD\HUV  WR FDOFXODWH DQG FODLP WKH 
                                                                       DJUHHPHQW  ZLWK  WKH  06)  DQG  ORFDWHV  DQG  EHJLQV  FRQGXFWLQJ 
5HQDLVVDQFH =RQH &UHGLW  )RU VWDQGDUG WD[SD\HUV DQG ¿QDQFLDO 
                                                                       EXVLQHVV LQ D WRRO DQG GLH UHQDLVVDQFH ]RQH RQ -DQXDU\          
LQVWLWXWLRQV   WKH  FUHGLW  LV  FDOFXODWHG  RQ  )RUP        DQG  WKHQ 
                                                                       7D[SD\HU PD\ HOHFW WR FRQWLQXH XQGHU WKH 0%7 RQ WKH EDVLV RI 
FDUULHG  WR  WKH MBT Miscellaneous Nonrefundable Credits 
                                                                       WKLV FHUWL¿FDWHG UHQDLVVDQFH ]RQH FUHGLW 
 )RUP        ,QVXUDQFH FRPSDQLHV ZLOO FDUU\ WKLV FUHGLW WR WKH 
Miscellaneous Credits for Insurance Companies  )RUP                    EXAMPLE 2:  7D[SD\HU  ORFDWHG  DQG  EHJDQ  FRQGXFWLQJ 
                                                                       EXVLQHVV LQ D GHVLJQDWHG UHQDLVVDQFH ]RQH RQ -DQXDU\          
NOTE:  ,I  D  SHUVRQ  LV  ORFDWHG  DQG  KDV  EXVLQHVV  DFWLYLW\  LQ 
                                                                       KRZHYHU  WKH UHQDLVVDQFH ]RQH GRHV QRW TXDOLI\ DV D FHUWL¿FDWHG 
PRUH WKDQ RQH 5HQDLVVDQFH =RQH  XVH D VHSDUDWH )RUP      WR 
                                                                       FUHGLW  IRU  SXUSRVHV  RI  WKH  0%7  HOHFWLRQ   VHH  WKH  FHUWL¿FDWHG 
FDOFXODWH WKH FUHGLW IRU HDFK =RQH  )RU HDFK OLQH WKDW UHTXLUHV 
                                                                       UHQDLVVDQFH ]RQH FUHGLWV OLVWHG SUHYLRXVO\ LQ WKHVH LQVWUXFWLRQV   
=RQH VSHFL¿F GDWD  HQWHU GDWD EDVHG RQO\ RQ EXVLQHVV DFWLYLW\ 
                                                                       7KH WD[SD\HU  DOVR  KROGV  D FHUWL¿FDWHG  DQFKRU  FRPSDQ\ FUHGLW  
LQ WKH =RQH LGHQWL¿HG RQ OLQH   RI WKLV FRS\ RI WKH IRUP 
                                                                       7D[SD\HU  PD\  PDNH  WKH  HOHFWLRQ  WR  UHPDLQ  WD[DEOH  XQGHU  WKH 
                                                                       0%7 RQ WKH EDVLV RI LWV FHUWL¿FDWHG DQFKRU FRPSDQ\ FUHGLW DQG 
Renaissance Zone Credit                                                FRQWLQXH  WR  FODLP  WKH  QRQ FHUWL¿FDWHG  UHQDLVVDQFH  ]RQH  FUHGLW 
7KH  5HQDLVVDQFH  =RQH  &UHGLW  HQFRXUDJHV  EXVLQHVVHV  DQG            RQFH LW KDV SURSHUO\ HOHFWHG WKH 0%7 
LQGLYLGXDOV WR KHOS UHYLWDOL]H D GHVLJQDWHG =RQH E\ SURYLGLQJ D        7R REWDLQ WKH FUHGLW DQ RWKHUZLVH TXDOL¿HG WD[SD\HU PXVW ¿OH 
FUHGLW IRU EXVLQHVVHV ORFDWHG DQG FRQGXFWLQJ EXVLQHVV DFWLYLW\         DQ 0%7 DQQXDO UHWXUQ  7KH FUHGLW LV HTXDO WR WKH OHVVHU RI WKH 
ZLWKLQ  WKH  =RQH   7KH  PHWKRG  RI  FDOFXODWLQJ  WKH  FUHGLW  LV      IROORZLQJ 
GL൵HUHQW IRU EXVLQHVVHV ¿UVW ORFDWLQJ DQG FRQGXFWLQJ EXVLQHVV 
DFWLYLW\  ZLWKLQ  WKH  5HQDLVVDQFH  =RQH  EHIRUH  'HFHPEHU             7KH WD[ OLDELOLW\ DWWULEXWDEOH WR EXVLQHVV DFWLYLW\ FRQGXFWHG 
       DQG  WKRVH  EXVLQHVVHV  ¿UVW  ORFDWLQJ  DQG  FRQGXFWLQJ           ZLWKLQ WKH 5HQDLVVDQFH =RQH LQ WKH WD[ \HDU 
EXVLQHVV DFWLYLW\ ZLWKLQ WKH 5HQDLVVDQFH =RQH DIWHU 'HFHPEHU              SHUFHQW RI DGMXVWHG VHUYLFHV SHUIRUPHG LQ WKH GHVLJQDWHG 
                                                                         5HQDLVVDQFH =RQH 
8VH  WKLV  IRUP  WR  FDOFXODWH  ERWK  D  FHUWL¿FDWHG  DQG  QRQ         )RU D WD[SD\HU ORFDWHG DQG FRQGXFWLQJ EXVLQHVV DFWLYLW\ LQ 
FHUWL¿FDWHG  UHQDLVVDQFH  ]RQH  FUHGLW   &KHFN  WKH  FHUWL¿FDWHG       WKH 5HQDLVVDQFH =RQH EHIRUH 'HFHPEHU               the credit is 
FUHGLW ER[ LI  WKH  FUHGLW EHLQJ FDOFXODWHG  LV D FHUWL¿FDWHG          equal to the greater of the two results below 
UHQDLVVDQFH  ]RQH  FUHGLW   )LOH  D  VHSDUDWH  )RUP        IRU  HDFK     Result 1
]RQH DQG W\SH  FHUWL¿FDWHG RU QRQ FHUWL¿FDWHG  RI FUHGLWż 7KH                    OHVVHU RI    WKH EXVLQHVV DFWLYLW\ FRQGXFWHG ZLWKLQ 
%HJLQQLQJ  -DQXDU\             RQO\  WKRVH  WD[SD\HUV  ZLWK  D           WKH  ]RQH   IURP  OLQH       25      WKH  DGMXVWHG  VHUYLFHV 
FHUWL¿FDWHG FUHGLW  ZKLFK LV DZDUGHG EXW QRW \HW IXOO\ FODLPHG           SHUIRUPHG LQ WKH ]RQH  IURP OLQH    
RU XWLOL]HG  PD\ HOHFW WR EH 0%7 WD[SD\HUV  $ WD[SD\HU ZLWK              Result 2
D FHUWL¿FDWHG UHQDLVVDQFH ]RQH FUHGLW PD\ PDNH WKH HOHFWLRQ WR 
                                                                         ż 7KH   SURGXFW RI WKH IROORZLQJ 
UHPDLQ WD[DEOH XQGHU WKH 0%7 IRU LWV ¿UVW WD[ \HDU HQGLQJ DIWHU 
'HFHPEHU                                                                       7KH 6LQJOH %XVLQHVV 7D[  6%7  5HQDLVVDQFH 
                                                                            =RQH &UHGLW FODLPHG IRU WKH WD[ \HDU HQGLQJ LQ      
7KH FHUWL¿FDWHG UHQDLVVDQFH ]RQH FUHGLWV DUH WKH IROORZLQJ 
W\SHV  RI  ]RQHV  IRU  ZKLFK  WKH  WD[SD\HU  KDV  D  GHYHORSPHQW               7KH  UDWLR  RI  WKH  WD[SD\HU¶V  SD\UROO  LQ  WKLV 
agreement with the Michigan Strategic Fund (MSF) before                     6WDWH LQ WKH WD[ \HDU GLYLGHG E\ WKH WD[SD\HU¶V SD\UROO 
January 1, 2012:                                                            LQ WKLV 6WDWH LQ LWV 6%7 WD[ \HDU HQGLQJ LQ      
DJULFXOWXUDO SURFHVVLQJ                                                      7KH UDWLR RI WKH WD[SD\HU¶V 5HQDLVVDQFH =RQH 
                                                                            %XVLQHVV $FWLYLW\ )DFWRU IRU WKH WD[ \HDU GLYLGHG E\ WKH 
ERUGHU FURVVLQJ 
                                                                            WD[SD\HU¶V 5HQDLVVDQFH =RQH %XVLQHVV $FWLYLW\ )DFWRU 
IRUHVW SURGXFWV SURFHVVLQJ                                                IRU LWV 6%7 WD[ \HDU HQGLQJ LQ      
0LFKLJDQ  VWUDWHJLF  IXQG  GHVLJQDWHG  UHQHZDEOH  HQHUJ\ 
                                                                       7KH FUHGLW DOORZHG FRQWLQXHV WKURXJK WKH WD[ \HDU LQ ZKLFK WKH 
  UHQDLVVDQFH ]RQHV 
                                                                       5HQDLVVDQFH =RQH GHVLJQDWLRQ H[SLUHV DQG LV QRQUHIXQGDEOH  
$1'  WKH  WRRO  DQG  GLH  UHQDLVVDQFH  ]RQHV  IRU  ZKLFK 
  WKH  WD[SD\HU  KDV  HQWHUHG  LQWR  D  TXDOL¿HG  FROODERUDWLYH        %XVLQHVV  DFWLYLWLHV  UHODWLQJ  WR  D  FDVLQR   LQFOXGLQJ  RSHUDWLQJ 
  DJUHHPHQW ZLWK WKH 06) EHIRUH -DQXDU\                                D  SDUNLQJ  ORW   KRWHO   PRWHO   RU  UHWDLO  VWRUH   FDQQRW  EH  XVHG  WR 
                                                                       FDOFXODWH WKLV FUHGLW  %XVLQHVVHV GHOLQTXHQW LQ ¿OLQJ RU SD\LQJ 
$ WD[SD\HU ORFDWHG LQ D GHVLJQDWHG UHQDLVVDQFH ]RQH WKDW GRHV          3URSHUW\ 7D[  6%7  0%7 RU &LW\ ,QFRPH 7D[ DV RI 'HFHPEHU 
QRW KDYH D FHUWL¿FDWHG UHQDLVVDQFH ]RQH FUHGLW EXW ZKLFK PDNHV            RI WKH SULRU WD[ \HDU DUH QRW HOLJLEOH IRU WKLV FUHGLW  7D[SD\HUV 
WKH  HOHFWLRQ  WR  UHPDLQ  WD[DEOH  XQGHU  WKH  0%7  RQ  WKH  EDVLV    ZLOO EH QRWL¿HG LI D FODLPHG FUHGLW LV GLVDOORZHG  
RI  DQRWKHU  FHUWL¿FDWHG  FUHGLW  PD\  DOVR  FODLP  WKLV  FUHGLW   )RU 
PRUH  LQIRUPDWLRQ  RQ  FHUWL¿FDWHG  FUHGLWV  VHH  WKH Schedule of      )RU  PRUH  LQIRUPDWLRQ  RQ  5HQDLVVDQFH  =RQHV   FRQWDFW 




- 4 -
WKH    0LFKLJDQ (FRQRPLF        'HYHORSPHQW     &RUSRUDWLRQ              7UHDVXUHU PD\ UHTXLUH WKH SHULRGLF DYHUDJLQJ RI YDOXHV GXULQJ 
 0('&   DW                   RU  YLVLW  WKHLU  :HE  VLWH  DW             WKH  WD[  \HDU  LI  UHDVRQDEO\  UHTXLUHG  WR  UHÀHFW  SURSHUO\  WKH 
http://www.michiganadvantage.org/   )RU  LQIRUPDWLRQ  RQ  WKH            DYHUDJH YDOXH RI D WD[SD\HU¶V SURSHUW\  3URSHUW\ RZQHG E\ WKH 
0%7  FUHGLW   FRQWDFW  WKH  0LFKLJDQ  'HSDUWPHQW  RI  7UHDVXU\           WD[SD\HU LV YDOXHG DW LWV RULJLQDO FRVW  
&XVWRPHU &RQWDFW 'LYLVLRQ  0%7 8QLW  DW                
                                                                         Line 4: 3URSHUW\ UHQWHG E\ WKH WD[SD\HU LV YDOXHG DW HLJKW     
                                                                         WLPHV WKH QHW DQQXDO UHQWDO UDWH  1HW DQQXDO UHQWDO UDWH LV WKH 
Special Instructions for Unitary Business Groups
                                                                         DQQXDO UHQWDO UDWH SDLG E\ WKH WD[SD\HU OHVV DQ\ DQQXDO UHQWDO 
,I  WKH  HQWLW\  ORFDWHG  DQG  FRQGXFWLQJ  EXVLQHVV  DFWLYLW\  LQ  WKH   UDWH UHFHLYHG E\ WKH WD[SD\HU IURP VXEUHQWDOV 
5HQDLVVDQFH  =RQH  LV  D  PHPEHU  RI  D  8QLWDU\  %XVLQHVV  *URXS        ADJUSTED SERVICES PERFORMED IN THE 
 8%*    WKH  5HQDLVVDQFH  =RQH  &UHGLW  PXVW  EH  FDOFXODWHG  DW         RENAISSANCE ZONE 
WKH PHPEHU HQWLW\ OHYHO  &DOFXODWLRQ RI WKH 5HQDLVVDQFH =RQH 
                                                                         Line 17: (QWHU WKH DPRXQW  GHGXFWHG LQ  DUULYLQJ DW  IHGHUDO 
&UHGLW  VKRXOG  EH  GRQH  EHIRUH  HOLPLQDWLRQ  RI  LQWHUFRPSDQ\ 
                                                                         WD[DEOH  LQFRPH   DV  GH¿QHG  IRU  0%7  SXUSRVHV   IRU  WKH  WD[ 
WUDQVDFWLRQV   VXFK  DV  UHQW  SD\PHQWV  E\  WKH  PHPEHU  FODLPLQJ 
                                                                         \HDU IRU GHSUHFLDWLRQ  DPRUWL]DWLRQ  RU  DFFHOHUDWHG  ZULWH 
WKLV FUHGLW WR DQRWKHU PHPEHU RI WKH 8%* 
                                                                         R൵ IRU WDQJLEOH SURSHUW\ LQ D =RQH H[HPSW XQGHU 0LFKLJDQ 
,QFOXGH WKLV IRUP DV SDUW RI WKH 8%*¶V FRPELQHG DQQXDO UHWXUQ            &RPSLOHG  /DZ   0&/        ൵   &ODLP  SURSHUW\  H[HPSW  LQ 
,I PRUH  WKDQ  RQH  PHPEHU  LV HOLJLEOH  IRU  WKLV  FUHGLW  FRPSOHWH     WKH  WD[  \HDU   DOVR  FODLP  QHZ  SURSHUW\  WKDW  ZLOO  EH  H[HPSW 
RQH )RUP      IRU HDFK HOLJLEOH PHPEHU  RU PXOWLSOH IRUPV IRU            LQ  WKH  LPPHGLDWHO\  IROORZLQJ  WD[  \HDU   L H    SURSHUW\  WKDW 
D PHPEHU WKDW LV ORFDWHG DQG KDV EXVLQHVV DFWLYLW\ LQ PXOWLSOH           KDV  QRW  EHHQ VXEMHFW WR  RU  H[HPSW IURP  WKH FROOHFWLRQ  RI 
=RQHV   DQG  LQFOXGH  DOO  RI  WKHP  DV  SDUW  RI  WKH  8%*¶V  DQQXDO    WD[HV XQGHU WKH *HQHUDO 3URSHUW\ 7D[ $FW DQG KDV QRW EHHQ 
UHWXUQ  ,I ¿OLQJ PXOWLSOHV RI )RUP       HQWHU WKH WRWDO RI OLQH         VXEMHFW WR  RU H[HPSW IURP  DG YDORUHP SURSHUW\ WD[HV OHYLHG 
  E IRU DOO PHPEHUV RQ )RUP       OLQH                                   LQ  DQRWKHU  VWDWH   H[FHSW  WKDW  UHFHLYLQJ  DQ  H[HPSWLRQ  DV 
                                                                         LQYHQWRU\ SURSHUW\ GRHV QRW GLVTXDOLI\ SURSHUW\  
:KHQ WKLV IRUP UHIHUV WR ³WD[SD\HU ´ LW LV UHIHUULQJ WR WKH 8%* 
PHPEHU FRPSOHWLQJ WKLV IRUP                                              Line 19: 2QO\ D SHUVRQ UHSRUWLQJ XQGHU DQ 0%7 RUJDQL]DWLRQ 
                                                                         W\SH  RI  ,QGLYLGXDO   3DUWQHUVKLS   RU  6  &RUSRUDWLRQ  VKRXOG 
Line-by-Line Instructions                                                FRPSOHWH  OLQH       7KLV  LQFOXGHV  D  /LPLWHG  /LDELOLW\  &RPSDQ\ 
                                                                          //&   WKDW  ¿OHV  LWV  IHGHUDO  UHWXUQ  DV  D  3DUWQHUVKLS  RU  6 
Lines not listed are explained on the form.                              &RUSRUDWLRQ 
Name and Account Number:    (QWHU QDPH DQG DFFRXQW QXPEHU                NOTE: $ SHUVRQ WKDW LV D GLVUHJDUGHG HQWLW\ IRU IHGHUDO LQFRPH 
DV UHSRUWHG RQ SDJH   RI WKH DQQXDO UHWXUQ                               WD[ SXUSRVHV XQGHU WKH LQWHUQDO UHYHQXH FRGH VKDOO EH FODVVL¿HG 
UBGs:  &RPSOHWH  RQH  IRUP  IRU  HDFK  PHPEHU  IRU  ZKRP  WKLV           DV D GLVUHJDUGHG HQWLW\ IRU WKH SXUSRVHV RI ¿OLQJ WKH 0%7 DQQXDO 
VFKHGXOH DSSOLHV  RU PXOWLSOH IRUPV IRU D PHPEHU WKDW LV ORFDWHG         UHWXUQ   7KLV  PHDQV  WKDW  D  GLVUHJDUGHG  HQWLW\  IRU  IHGHUDO  WD[ 
DQG  KDV  EXVLQHVV  DFWLYLW\  LQ  PRUH  WKDQ  RQH  =RQH    (QWHU  WKH    SXUSRVHV  LQFOXGLQJ D VLQJOH PHPEHU //& RU 4 6XE  PXVW ¿OH DV LI 
'HVLJQDWHG 0HPEHU  '0  QDPH LQ WKH 7D[SD\HU 1DPH ¿HOG                    LW ZHUH D VROH SURSULHWRUVKLS LI RZQHG E\ DQ LQGLYLGXDO  RU D EUDQFK 
IROORZHG E\ WKH '0¶V )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU               RU GLYLVLRQ LI RZQHG E\ DQRWKHU EXVLQHVV HQWLW\ 
 )(,1    DQG  WKH  VSHFL¿F  PHPEHU  RI  WKH  8%*  IRU  ZKLFK  WKLV       Line 19a: UBGs:  (QWHU  WKH  EXVLQHVV  LQFRPH  IURP  WKH MBT 
IRUP LV ¿OHG  DQG LWV )(,1  RQ WKH OLQH EHORZ  2Q WKH FRS\ ¿OHG          UBG Combined Filing Schedule for Standard Members  
WR  UHSRUW  WKH  '0¶V  GDWD   LI  DSSOLFDEOH    HQWHU  WKH  '0¶V  QDPH   )RUP       3DUW  $  OLQH     IRU WKH PHPEHU ZKRVH DFWLYLW\ LV 
DQG DFFRXQW QXPEHU RQ HDFK OLQH                                          UHSRUWHG RQ WKLV FRS\ RI )RUP      
Line 1: (QWHU  WKH  WD[  OLDELOLW\  EHIRUH  WKH  5HQDLVVDQFH  =RQH       ,QVXUDQFH FRPSDQLHV DQG ¿QDQFLDO LQVWLWXWLRQV  7KHVH W\SHV 
&UHGLW                                                                   RI WD[SD\HUV GR QRW FDOFXODWH EXVLQHVV LQFRPH DV WKHLU WD[ EDVH  
                                                                         )RU  5HQDLVVDQFH  =RQH  FUHGLW  SXUSRVHV   KRZHYHU   WKH\  PXVW 
UBGs: 7KLV PXVW EH D SUR IRUPD WD[ OLDELOLW\ RI WKH PHPEHU 
                                                                         FDOFXODWH  DQG  HQWHU  KHUH  SUR  IRUPD  EXVLQHVV  LQFRPH   8VH  WKH 
ZKRVH  DFWLYLW\  LV  UHSUHVHQWHG  RQ  WKH  IRUP   6HH  JXLGDQFH  RQ 
                                                                         Business Income Worksheet  :RUNVKHHW        LQ )RUP       
SUR  IRUPD  FDOFXODWLRQV  LQ  WKH  ³6XSSOHPHQWDO  ,QVWUXFWLRQV  IRU 
                                                                         WR  FDOFXODWH  EXVLQHVV  LQFRPH   $WWDFK  WKDW  ZRUNVKHHW  WR  WKH 
6WDQGDUG 0HPEHUV LQ 8%*V´ VHFWLRQ LQ WKH    MBT Forms and 
                                                                         UHWXUQ  6HH 0&/          IRU IXUWKHU JXLGDQFH 
Instructions for Standard Taxpayers  )RUP       
                                                                         Line 19b: UBGs:  (QWHU  WKH  SUR  IRUPD  DSSRUWLRQPHQW 
Line 2: (QWHU  WKH  VWUHHW  DGGUHVV  DQG  SDUFHO  QXPEHU  RI  WKH        SHUFHQWDJH IURP )RUP       3DUW  $  OLQH   D  IRU WKH PHPEHU 
SURSHUW\  (QWHU WKH QDPH RI WKH =RQH RU 6XE]RQH LQ ZKLFK WKH             ZKRVH DFWLYLW\ LV UHSRUWHG RQ WKLV FRS\ RI )RUP      
SURSHUW\ LV LQFOXGHG 
                                                                         ,QVXUDQFH  FRPSDQLHV  DQG  ¿QDQFLDO  LQVWLWXWLRQV  8QOLNH 
&KHFN  WKH  FHUWL¿FDWHG  FUHGLW  ER[  LI  WKH  5HQDLVVDQFH  =RQH         VWDQGDUG WD[SD\HUV  WKHVH W\SHV RI WD[SD\HUV GR QRW DSSRUWLRQ 
GHVLJQDWLRQ  LV  EDVHG  RQ  D  'HYHORSPHQW  $JUHHPHQW  RU  D             WKHLU  WD[  EDVH  E\  D  VDOHV  IDFWRU   )RU  5HQDLVVDQFH  =RQH  FUHGLW 
4XDOL¿HG &ROODERUDWLRQ $JUHHPHQW                                         SXUSRVHV   KRZHYHU   WKH\  PXVW  FDOFXODWH  SUR  IRUPD  VDOHV  LQ 
BUSINESS ACTIVITY CONDUCTED WITHIN                                       0LFKLJDQ  DQG  VDOHV  HYHU\ZKHUH   DQG  HQWHU  KHUH  D  SUR  IRUPD 
THE RENAISSANCE ZONE                                                     DSSRUWLRQPHQW  SHUFHQWDJH  EDVHG  RQ  WKRVH  ¿JXUHV   6HH 
                                                                         LQVWUXFWLRQV  IRU  )RUP        IRU  JXLGDQFH  RQ  WKH  GH¿QLWLRQ  RI 
Line 3: 'HWHUPLQH WKH average value RI SURSHUW\ E\ DYHUDJLQJ 
                                                                         VDOHV DQG DSSOLFDEOH VRXUFLQJ SURYLVLRQV 
WKH  YDOXHV  DW  WKH  VWDUW  DQG  HQG  RI  WKH  WD[  SHULRG   7KH  6WDWH 




- 5 -
Line 20: (QWHU DPRXQW IURP OLQH     RU  LI WKH WD[SD\HU LV DQ 
,QGLYLGXDO   3DUWQHUVKLS   6  &RUSRUDWLRQ   RU  DQ  //&  IHGHUDOO\ 
WD[HG  DV  D  3DUWQHUVKLS  RU  6  &RUSRUDWLRQ   HQWHU  DPRXQW  IURP 
OLQH   H 

  TAXPAYERS FIRST LOCATED WITHIN THE 
  RENAISSANCE ZONE BEFORE 12-31-2002 ONLY
  'XH WR Public Act 282 of 2014  LQVWUXFWLRQV WKDW DSSOLHG WR 
  WD[SD\HUV ¿UVW ORFDWHG ZLWKLQ WKH 5HQDLVVDQFH =RQH EHIRUH 
             QRZ DSSO\ WR WD[SD\HUV ¿UVW ORFDWHG ZLWKLQ WKH 
  5HQDLVVDQFH =RQH BEFORE 12-01-2002 

Line 22: 7D[SD\HUV ¿UVW ORFDWHG ZLWKLQ WKH 5HQDLVVDQFH =RQH 
EHIRUH  'HFHPEHU             21/<   DOO  RWKHUV   OHDYH  OLQHV    D 
WKURXJK   H EODQN   $ WD[SD\HU WKDW LV ORFDWHG DQG FRQGXFWLQJ 
EXVLQHVV DFWLYLW\ LQ WZR =RQHV ZLOO SUHSDUH WZR FRSLHV RI )RUP 
       %DVH  HDFK  FRS\  RQ  WKH  WD[SD\HU¶V  KLVWRU\  LQ  WKH  =RQH 
EHLQJ UHSRUWHG 

  Line 24: 7KH IROORZLQJ LV DQ DGMXVWPHQW GXH WR Public Act 
  282 of 2014 
  )RU WD[SD\HUV ¿UVW ORFDWHG ZLWKLQ WKH =RQH EHIRUH 
  December 1, 2002
  Step 1: 'HWHUPLQH WKH OHVVHU RI OLQH    DQG OLQH    
  Step 2: 'HWHUPLQH WKH JUHDWHU RI OLQH    DQG WKH UHVXOW RI 
  6WHS    (QWHU WKLV DPRXQW RQ OLQH    
  All other taxpayers
  (QWHU WKH OHVVHU RI OLQH    DQG OLQH    

Lines  25a and 25b:    )RU D WD[ \HDU WKDW EHJLQV ZLWKLQ RQH RI 
WKH ODVW WKUHH \HDUV RI WKH =RQH¶V GHVLJQDWLRQ  D UHGXFHG FUHGLW 
LV DOORZHG  DV IROORZV 
)RU D WD[ \HDU WKDW EHJLQV ZLWKLQ WKH VHFRQG \HDU EHIRUH WKH 
  ¿QDO \HDU RI GHVLJQDWLRQ DV D 5HQDLVVDQFH =RQH     SHUFHQW 
  RI WKH QRUPDOO\ FDOFXODWHG FUHGLW LV DOORZHG 
)RU  D  WD[  \HDU  WKDW  EHJLQV  ZLWKLQ  WKH  \HDU  EHIRUH  WKH  ¿QDO 
  \HDU RI GHVLJQDWLRQ DV D 5HQDLVVDQFH =RQH     SHUFHQW RI WKH 
  QRUPDOO\ FDOFXODWHG FUHGLW LV DOORZHG 
)RU  D  WD[  \HDU  WKDW  EHJLQV  ZLWKLQ  WKH  ¿QDO  \HDU  RI 
  GHVLJQDWLRQ  DV  D  5HQDLVVDQFH  =RQH       SHUFHQW  RI  WKH 
  QRUPDOO\ FDOFXODWHG FUHGLW LV DOORZHG 
Line 25b:  0XOWLSO\  OLQH      E\  WKH  UHGXFHG  FUHGLW  SHUFHQWDJH 
SURYLGHG LQ WKH 5HGXFHG &UHGLW 7DEOH  &DUU\ DPRXQW WR OLQH    
RI WKH MBT Miscellaneous Nonrefundable Credits  )RUP        
RU  OLQH      RI  WKH MBT Miscellaneous Credits for Insurance 
Companies  )RUP        
,I  ¿OLQJ  PXOWLSOH        IRUPV   HQWHU  WKH  WRWDO  RI  OLQH    E  IRU 
DOO  =RQHV  RQ  )RUP         OLQH       RU  )RUP         OLQH       DV 
DSSOLFDEOH 
,QFOXGH FRPSOHWHG )RUP      DV SDUW RI WKH WD[ UHWXUQ ¿OLQJ 







PDF file checksum: 765072211

(Plugin #1/9.12/13.0)