Page 24 - IRS Individual Tax Forms
P. 24

Form 965-A (Rev.1-2020)                                                                                    Page 2
       Part II  Record of Amount of Net 965 Tax Liability Paid by the Taxpayer (continued)
                   (g)                 (h)                  (i)                  (j)                      (k)
                 Paid for Year 6     Paid for Year 7     Paid for Year 8  Net 965 Tax Liability Remaining Unpaid    Net 965 Tax
                                                                              (see instructions)  Liability  Paid for the
                                                                                                  Reporting Year
        1                                                                                                           1
        2                                                                                                           2
        3                                                                                                           3
        4                                                                                                           4
        5                                                                                                           5
        6                                                                                                           6
        7                                                                                                           7
        8                                                                                                           8

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                                                                     ▶
       Totals . . S Corporation Shareholder: Report of Calculation of Net 965 Tax Liability Related to 965 Amounts Allocated From an S Corporation and
       Part III  Election To Defer Such Net 965 Tax Liability
                                                                                                    (f)
            Yea              (a)               (b)          (c)            (d)             (e)     Deferr     (g)
            r  of        S Corporation Name  S Corporation    Taxpayer’s Net TaxLiability    Taxpayer’s Net TaxLiability    Net 965 Tax Liability    al    Deferred Net 965 Tax Liability  (if
            965                             TaxIdentification   with only 965 amounts  from   related to 965 amounts from    Electio  column (f) is “Yes,” enter
             (a)                              Number                   without 965 amounts          n     amount from column (e))
           Inclusion                                    this S Corporation  (see  (see instructions)  this S Corporation (subtract    Made
                                                          instructions)            column (d) from column (c))  Yes  No
        1   2017
       Total  .  .  . .  .  .  .  .  .  .  .  .  .  .  .  .  . .  .  .  .  .  . .  .  .  .  .  .  . .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  ▶
        2   2018
       Total  .  .  . .  .  .  .  .  .  .  .  .  .  .  .  .  . .  .  .  .  .  . .  .  .  .  .  .  . .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  ▶
        3   2019
       Total  .  .  . .  .  .  .  .  .  .  .  .  .  .  .  .  . .  .  .  .  .  . .  .  .  .  .  .  . .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  ▶ Form 965-A (Rev.1-2020)
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