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8938 Statement of Specified Foreign Financial Assets

8938 Statement of Specified Foreign Financial Assets OMB No. 1545-2195. 2017. Form Go to for instructions and the latest information. Attach to your tax return. Department of the Treasury Attachment Internal Revenue Service For calendar year 20 or tax year beginning , 20 and ending , 20 Sequence No. 175. If you have attached continuation statements, check here Number of continuation statements 1 Name(s) shown on return 2 TIN. 3 Type of filer a Specified individual b Partnership c Corporation d Trust 4 If you checked box 3a, skip this line 4. If you checked box 3b or 3c, enter the name and TIN of the Specified individual who closely holds the partnership or corporation. If you checked box 3d, enter the name and TIN of the Specified person who is a current beneficiary of the trust.

Number of Forms 5471: 18 : Number of Forms 8621: 19 : Number of Forms 8865: For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 37753A: Form : 8938 (Rev. 11-2021) Form 8938 (Rev. 11-2021) Page . 2 Part V: Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary

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