Michigan Department of Treasury
4908 (Rev. 03-16), Page 1
This form cannot be used
as an amended return;
2016 MICHIGAN Corporate Income Tax Annual Return
use the CIT Amended Return
for Financial Institutions
for Financial Institutions
(Form 4909).
(MM-DD-YYYY)
(MM-DD-YYYY)
Issued under authority of Public Act 38 of 2011.
Return is for calendar year 2016 or for tax year beginning:
and ending:
1.
2. Taxpayer Name (print or type)
Federal Employer Identification Number (FEIN)
Street Address
7. Organization Type
C Corp/
S Corp/
City
State
ZIP/Postal Code
Country Code
Fiduciary
LLC C Corp
LLC S Corp
3. Principal Business Activity
4. NAICS Code
8a. Affiliated Group Election year (MM-DD-YYYY) (see instructions)
5. Business Start Date in Michigan
6. If Discontinued, Effective Date
Check if filing Michigan Unitary Business Group (UBG)
8b.
return. (Include Form 4910.)
00
9. Apportionment Calculation:
a. Michigan Gross Business
..
9a.
(if no Michigan Gross Business, enter zero)
00
b. Total Gross Business ...................................................................
9b.
%
c. Apportionment Percentage. Divide line 9a by line 9b .................
9c.
PART 1: FRANCHISE TAX
Lines 10-12: If less than zero, enter zero.
A
B
C
D
E
2012
2013
2014
2015
2016
10. Equity Capital .... 10.
11. Average daily
book value
of Michigan
obligations .........
11.
12. Average daily
book value of
U.S. obligations .. 12.
13. Subtotal. Add
lines 11 and 12 .. 13.
14. Net Capital.
Subtract line 13
from line 10 ........ 14.
15. a. Authorized
insurance co.
subsidiary:
enter actual
capital fund
amount ............ 15a.
b. Minimum
regulatory amt.
required .......... 15b.
c. Multiply line
15b by 125%
(1.25) ............... 15c.
d. Subtract line
15c from 15a.
If less than
zero, enter
zero................. 15d.
16. Add lines 14
and 15d.............. 16.
00
17. Add line 16, columns A through E. If less than zero, enter zero, skip lines 18 and 19, and enter zero on line 20 ...
17.
+
0000 2016 42 01 27 9
Continue and sign on Page 2.