Transcription of (Form 8975) Tax Jurisdiction and Constituent Entity ...
1 schedule A. (Form 8975) Tax Jurisdiction and Constituent Entity information (June 2017) For reporting period beginning , 20 , and ending , 20 OMB No. 1545-2272. Department of the Treasury A separate schedule A (Form 8975) is to be completed for each tax Jurisdiction of the multinational enterprise group. internal revenue Service information about schedule A (Form 8975) and its separate instructions is at Name of the reporting Entity EIN. Part I Tax Jurisdiction information . All financial amounts must be stated in dollars. See instructions. Tax Jurisdiction 1. Revenues 2. Profit (loss) before 3. Income tax paid 4. Income tax 5. Stated capital 6. Accumulated 7. Number of 8. Tangible assets income tax (on cash basis) accrued current earnings employees other than cash and (a) (b) (c).
2 Year cash equivalents Unrelated party Related party Total Part II Constituent Entity information 1. Constituent entities resident in 2. TIN 3. Tax Jurisdiction of 4. Main business activities the tax Jurisdiction organization or incorporation if different from tax (a) (b). Jurisdiction of Activity code If you entered the code for Other, describe the residence business activity For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 69310N schedule A (Form 8975) (6-2017). schedule A (Form 8975) (6-2017) Page 2. Part II Constituent Entity information (continued). 1. Constituent entities resident in 2. TIN 3. Tax Jurisdiction of 4. Main business activities the tax Jurisdiction organization or incorporation if different from tax (a) (b).
3 Jurisdiction of Activity code If you entered the code for Other, describe the residence business activity Part III Additional information Enter any additional information related to the information reported in Part I and II. schedule A (Form 8975) (6-2017).
