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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.)

8883 (Rev. 10-2017) Form 8883 (Rev. 10-2017) Page . 2 Part V Original Statement of Assets Transferred 9. Assets Aggregate fair market value (actual amount for Class I) Allocation of AGUB or ADSP; Class I $ $ Class II $ $ Class III $ $ Class IV …

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