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  • Disclosure Statement: Identifying Number Shown On Return

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    Do not use this form to disclose items or positions contrary to Treasury regulations. Instead, use form 8275-R, Regulation Disclosure Statement. Attach to your tax return.

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    Do not use this form to disclose items or positions contrary to Treasury regulations. Instead, use form 8275-R, Regulation Disclosure Statement. Attach to your tax return.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    51 views2 pages

    Disclosure Statement: Identifying Number Shown On Return

    Uploaded by

    IRS
    Do not use this form to disclose items or positions contrary to Treasury regulations. Instead, use form 8275-R, Regulation Disclosure Statement. Attach to your tax return.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Form 8275 Disclosure Statement OMB No.

    1545-0889
    (Rev. May 2001) Do not use this form to disclose items or positions that are contrary to Treasury
    regulations. Instead, use Form 8275-R, Regulation Disclosure Statement.
    See separate instructions. Attachment
    Department of the Treasury Sequence No. 92
    Internal Revenue Service 䊳 Attach to your tax return.
    Name(s) shown on return Identifying number shown on return

    Part I General Information (see instructions)

    (b) (c) (d) (e)


    (a) (f)
    Item or Group Detailed Description Form or Line
    Rev. Rul., Rev. Proc., etc. Amount
    of Items of Items Schedule No.

    Part II Detailed Explanation (see instructions)

    Part III Information About Pass-Through Entity. To be completed by partners, shareholders, beneficiaries, or
    residual interest holders.
    Complete this part only if you are making adequate disclosure for a pass-through item.

    Note: A pass-through entity is a partnership, S corporation, estate, trust, regulated investment company (RIC), real estate investment
    trust (REIT), or real estate mortgage investment conduit (REMIC).
    1 Name, address, and ZIP code of pass-through entity 2 Identifying number of pass-through entity

    3 Tax year of pass-through entity


    / / to / /
    4 Internal Revenue Service Center where the pass-through entity filed
    its return

    For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 61935M Form 8275 (Rev. 5-2001)
    Form 8275 (Rev. 5-2001) Page 2
    Part IV Explanations (continued from Parts I and/or II)

    Form 8275 (Rev. 5-2001)

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