Michigan Department of Treasury
4752 (Rev. 04-21), Page 1 of 4                                                                                    Attachment 25

2021 MICHIGAN Business Tax Unitary Business Group  
Combined Filing Schedule for Financial Institutions
Issued under authority of Public Act 36 of 2007.
,03257$17   Read the instructions before completing this form
Designated Member Name                                                                )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU  )(,1  RU 75 1XPEHU

P$57    81,7$5< %86,1(66 *5283  8%*  0(0%(56
List the UBG members whose activity is included on the combined return supported by this form, beginning with the Designated Member (DM). Include all 
UBG members (with or without nexus), except those excluded in Part 3. If more than one page is needed, repeat the DM’s name and FEIN or TR Number 
LQ WKH ¿HOG DW WKH WRS RI WKH SDJH  EXW QRW RQ OLQH   
1.                                              A                                                       B
                               Member Name                                                 FEIN or TR Number

3$57  $  APPORTIONMENT DATA FOR COMBINED RETURN
If more than one page is needed to complete Part 1, duplicate answers on lines 2 and 3 on all copies of this page.

                                                                       ABC
                                                                       Combined Total                             Combined Total 
                                                                       Before Eliminations Eliminations           After Eliminations

   2. Michigan Gross Business. Carry 2C to Form 4590, line 10a .......

   3. Total Gross Business. Carry 3C to Form 4590, line 10b ...........

+ 0000 2021 85 01 27 8                                                                                            Continue on Page 2.

2021 Form 4752, Page 2 of 4                                Designated Member FEIN or TR Number

3$57  %  0(0%(5 '$7$ )25 &20%,1(' 5(7851
Complete a separate copy of Part 2B for each UBG member listed in Part 1. Add the amount on line 24 for all members and carry the total to  
Form 4590, line 19. See instructions for additional guidance on completing Form 4752 and Form 4590.

4. Member Name                                                                     7. Organization Type

5. Member FEIN or TR Number                                                             Fiduciary                                                              S Corporation /  
                                                                                                                                                               LLC S Corporation
6. Member Address (Street)                                                              C Corporation /                                                        Partnership /  
                                                                                        LLC C Corporation                                                      LLC Partnership
 City                                                State ZIP/Postal Code

                                                Beginning       Ending
8. Federal Tax Period Included in                                                  12.             Check if Nexus with Michigan
   Return (MM-DD-YYYY) ........................
9. If part year member, enter                                                      13.             Check if Registered for MBT
   membership dates (MM-DD-YYYY) .....
10. NAICS Code                                      ,I GLVFRQWLQXHG  HႇHFWLYH GDWH 14.             Check if New Member

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)5$1&+,6( 7$; %$6( ² Lines 16 and 18-20: If less than zero, enter zero.
                                                A          B                       C                   D                                                       E
                                                2017       2018                    2019                2020                                                    2021

16. Equity Capital ......................    16.
17. Eliminations (enter as a 
   positive number) ..................       17.

18. Goodwill ............................... 18.
19. Average daily book value
   of Michigan obligations ........          19.
20. Average daily book value
   of U.S. obligations ...............       20.
21. Subtract lines 17, 18, 19, 
   and 20 from line 16 ..............        21.
22. a. Authorized insurance co.
      subsidiary: enter actual 
      capital fund amount ........ 22a.
   b. Minimum regulatory
      amount required ............ 22b.
   c. Multiply line 22b by
      125% (1.25) ................... 22c.
   d. Subtract line 22c from
      22a.  If less than zero,
      enter zero ...................... 22d.

23. Add lines 21 and 22d ..........          23.

24. Add lines 23A, 23B, 23C, 23D and 23E ................................................................................................................. 24.                  00

25. Net Capital for Current Taxable Year. Divide line 24 by number of tax years reported above ................................                            25.                  00

+ 0000 2021 85 02 27 6                                                                                                                                         Continue on Page 3.

2021 Form 4752, Page 3 of 4                               Designated Member FEIN or TR Number
                                                          Member FEIN or TR Number

CREDIT CARRYFORWARDS AND PAYMENTS.  See instructions

26. There is no amount to be entered on this line. Skip to line 28................................................................................                   26. X X X X X X X X 00

27. There is no amount to be entered on this line. Skip to line 28................................................................................                   27. X X X X X X X X 00

28. Unused MBT Basic/Enhanced Historic Preservation Credit carryforward ..............................................................                               28.                 00

29. Unused MBT Special Consideration Historic Preservation Credit carryforward .....................................................                                 29.                 00

30. Unused MBT Individual or Family Development Credit carryforward .....................................................................                            30.                 00

31. 8QXVHG 0%7 %URZQ¿HOG 5HGHYHORSPHQW &UHGLW FDUU\IRUZDUG ...............................................................................                           31.                 00

32. Unused MBT Film Infrastructure Credit carryforward .............................................................................................                 32.                 00

33. Overpayment credited from prior MBT return .........................................................................................................             33.                 00

34. Estimated tax payments ......................................................................................................................................... 34.                 00

35. There is no amount to be entered on this line. Skip to line 36................................................................................                   35. X X X X X X X X 00

36. Tax paid with request for extension ........................................................................................................................     36.                 00

+ 0000 2021 85 03 27 4                                                                                                                                                   Continue on Page 4.

2021 Form 4752, Page 4 of 4                   Designated Member FEIN or TR Number

3$57    $)),/,$7(6 (;&/8'(' )520 7+( &20%,1(' 5(7851 2) ),1$1&,$/ ,167,787,216
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not included in the combined return. If any persons listed here are part of a federal consolidated group, attach a copy of federal Form 851.  
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37. AB                                                                             CDEF
  Number From                                                                               Reason    Check (X) if 
 Federal Form 851                                                                           Code for  Nexus with 
    (if applicable)                      Name                             FEIN or TR Number Exclusion Michigan                             NAICS Code

3$57    3(56216 ,1&/8'(' ,1 7+( 35,25 &20%,1(' 5(7851  %87 (;&/8'(' )520 &855(17 5(7851
List persons included in the immediately preceding combined return of this Designated Member that are not included on the return supported by this form.  
Persons that satisfy the criteria of Part 3 and Part 4 should be listed in each part. See column C instructions for a list of reason codes.
38.                           ABC
                              Name                                        FEIN or TR Number         Reason This Person Is Not on Current Return

+ 0000 2021 85 04 27 2

                                             Instructions for Form 4752 
                    Michigan Business Tax (MBT) Unitary Business Group 
                        Combined Filing Schedule for Financial Institutions
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