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Form 4895 - Michigan Corporate Income Tax Loss Adjustment For The Small Business Alternative Credit - 2014

Michigan Department of Treasury

Attachment 4

4895 (Rev. 05-14), Page 1

2014 MIChIGAN Corporate Income Tax Loss Adjustment

for the Small Business Alternative Credit

Issued under authority of Public Act 38 of 2011.

Federal Employer Identification Number (FEIN)

Taxpayer Name

Use this form to qualify for an otherwise disallowed Small Business Alternative Credit by adjusting current year adjusted business income

(ABI) and/or allocated income. This is available only if a taxpayer had a negative adjusted business income in any of the five tax years (“loss

year”) immediately preceding this tax year and received a Michigan Business Tax Small Business Alternative Credit or Corporate Income

Tax Small Business Alternative Credit in the loss year. Unitary Business Groups (UBGs), see instructions.

PART 1: CURRENT YEAR AMOUNTS FOR ABI DISQUALIFIER

Use this section to determine amount of loss adjustment to business income needed to qualify for the Small Business Alternative Credit.

Adjusted Business Income Disqualifier

1. Adjusted Business Income from Form 4893, line 9 .....................................................................................

2. Business Income Disqualifier ......................................................................................................................

1,346,800

3. Loss adjustment needed. Subtract line 2 from line 1. If less than zero, enter zero .....................................

PART 2: AVAILABLE LOSS FOR ABI DISQUALIFIER

Read instructions before completing Part 2. Use Part 2 to determine the loss available from the five preceding periods. Do not enter

a negative sign in front of the loss amounts in lines 5 through 10.

Complete line 4 with the end dates of the five preceding tax periods (oldest at the left). Then complete lines 5 through 10, one column

at a time beginning with the oldest, but completing only those columns representing periods that reported a loss AND received a Small

Business Alternative Credit. UBGs, see instructions.

4. Tax year end date

(MM-DD-YYYY) ...........................

5. Adjusted business income ...........

6. Loss used on prior returns ...........

7. Loss available

for current return ..........................

8. Loss adjustment needed

for current return ..........................

9. Additional loss adjustment

needed.........................................

10. Loss adjustment carryforward .....

0000 2014 20 01 27 9

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Form 4895 - Michigan Corporate Income Tax Loss Adjustment For The Small Business Alternative Credit - 2014

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