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8883 Asset Allocation Statement - IRS tax forms

form 8883 (Rev. October 2017)Department of the Treasury Internal Revenue Service Asset Allocation Statement Under Section 338 Attach to your income tax return. Go to for instructions and the latest No. 1545-0123 Part IFiler s Identifying Information1a Name as shown on return1b Identifying number as shown on return1cCheck applicable box (see instructions):Old targetNew target1d Was a valid and timely form 8023 filed? ..YesNoIf "Yes," enter the date filed Part IIOther Party s Identifying Information2a Name of other party to the transaction2b Other party s identifying numberAddress (number, street, and room or suite no.)City or town, state, and ZIP codePart IIIT arget Corporation s Identifying Information3a Name and address of target corporation3b Employer identification number3c State or country of incorporationPart IVGeneral Information4a Acquisition date4b What percentage of target corporation stock was purchased:(i) During the 12-month acquisition period?

Target liabilities $ 5d. AGUB/ADSP $ Yes No 6. Was the filer listed in Part I, above, a member of an affiliated group of corporations before the acquisition date? . 7. Was the target corporation a member of an affiliated group before the acquisition date? . . . . . . . . . 8. Is the target corporation or any target affiliate: a. A controlled ...

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