IRS Form 965 Schedule a - U.S. Shareholder's Section 965(A) Inclusion Amount

IRS Form 965 is a U.S. Department of the Treasury - Internal Revenue Service form also known as the "Schedule A - U.s. Shareholder's Section 965(a) Inclusion Amount". The latest edition of the form was released in January 1, 2019 and is available for digital filing.

Download an up-to-date IRS Form 965 in PDF-format down below or look it up on the U.S. Department of the Treasury - Internal Revenue Service Forms website.

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SCHEDULE A
U.S. Shareholder’s Section 965(a) Inclusion Amount
(Form 965)
OMB No. 1545-0123
(January 2019)
Attach to Form 965.
Go to www.irs.gov/Form965 for instructions and the latest information.
Department of the Treasury
Internal Revenue Service
Name of person filing this return
Identifying number
(a)
(b)
(c)
(d)
(e)
EIN or Reference ID
U.S. Tax Year End
Accumulated Post-1986
December 31, 2017 Spot Rate
Accumulated Post-1986
Name of Deferred Foreign Income Corporation
Number of the
(Year/Month) of DFIC
Deferred Foreign Income
Deferred Foreign Income
(DFIC)
Foreign Corporation
(see instructions)
in Functional Currency
in U.S. Dollars
(see instructions)
(see instructions)
(divide column (c) by column (d))
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Total (lines 1–15)
.
.
.
.
.
.
.
.
.
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Schedule A (Form 965) (1-2019)
Cat. No. 71324V
SCHEDULE A
U.S. Shareholder’s Section 965(a) Inclusion Amount
(Form 965)
OMB No. 1545-0123
(January 2019)
Attach to Form 965.
Go to www.irs.gov/Form965 for instructions and the latest information.
Department of the Treasury
Internal Revenue Service
Name of person filing this return
Identifying number
(a)
(b)
(c)
(d)
(e)
EIN or Reference ID
U.S. Tax Year End
Accumulated Post-1986
December 31, 2017 Spot Rate
Accumulated Post-1986
Name of Deferred Foreign Income Corporation
Number of the
(Year/Month) of DFIC
Deferred Foreign Income
Deferred Foreign Income
(DFIC)
Foreign Corporation
(see instructions)
in Functional Currency
in U.S. Dollars
(see instructions)
(see instructions)
(divide column (c) by column (d))
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Total (lines 1–15)
.
.
.
.
.
.
.
.
.
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Schedule A (Form 965) (1-2019)
Cat. No. 71324V
2
Schedule A (Form 965) (1-2019)
Page
(f)
(g)
(h)
(i)
(j)
(k)
U.S. Shareholder’s Pro Rata
Deficit Allocation Ratio
U.S. Shareholder’s Aggregate
Section 965(a) Inclusion Amount
Section 965(a) Inclusion Amount
Section 965(a) Inclusion Amount
Share of Column (e)
(column (f) amount divided
Foreign E&P Deficit
(column (f) less column (h))
Taken Into Account in the
Taken Into Account in the
by column (f), line 16)
(see instructions)
2017 Tax Year
2018 Tax Year
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Add schedules as needed.
Schedule A (Form 965) (1-2019)

Download IRS Form 965 Schedule a - U.S. Shareholder's Section 965(A) Inclusion Amount

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