IRS Form 8275-R "Regulation Disclosure Statement"

IRS Form 8275-R or the "Irs Form 8275-r "regulation Disclosure Statement"" is a form issued by the U.S. Department of the Treasury - Internal Revenue Service.

Download a PDF version of the IRS Form 8275-R down below or find it on the U.S. Department of the Treasury - Internal Revenue Service Forms website.

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Download IRS Form 8275-R "Regulation Disclosure Statement"

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8275-R
Regulation Disclosure Statement
OMB No. 1545-0889
Form
Use this form only to disclose items or positions that are contrary to Treasury
(Rev. August 2013)
regulations. For other disclosures, use Form 8275, Disclosure Statement.
Attachment
Information about Form 8275-R and its separate instructions is at www.irs.gov/form8275.
92A
Sequence No.
Department of the Treasury
Attach to your tax return.
Internal Revenue Service
Identifying number shown on return
Name(s) shown on return
If Form 8275-R relates to an information return for a foreign entity (for example, Form 5471), enter:
Name of foreign entity
Employer identification number, if any
Reference ID number (see instructions)
Part I
General Information (see instructions)
(b)
(c)
(d)
(e)
(a)
(f)
Item or Group
Detailed Description
Form or
Line
Regulation Section
Amount
of Items
of Items
Schedule
No.
1
2
3
4
5
6
Part II
Detailed Explanation (see instructions)
1
2
3
4
5
6
Part III
Information About Pass-Through Entity. To be completed by partners, shareholders, beneficiaries,
or residual interest holders.
Complete this part only if you are making adequate disclosure for a pass-through item.
Note: A pass-through entity is a partnership, S corporation, estate, trust, regulated investment company (RIC), real estate investment
trust (REIT), or real estate mortgage investment conduit (REMIC).
1
2 Identifying number of pass-through entity
Name, address, and ZIP code of pass-through entity
3 Tax year of pass-through entity
/
/
to
/
/
4 Internal Revenue Service Center where the pass-through entity filed
its return
8275-R
For Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 8-2013)
Cat. No. 14594X
8275-R
Regulation Disclosure Statement
OMB No. 1545-0889
Form
Use this form only to disclose items or positions that are contrary to Treasury
(Rev. August 2013)
regulations. For other disclosures, use Form 8275, Disclosure Statement.
Attachment
Information about Form 8275-R and its separate instructions is at www.irs.gov/form8275.
92A
Sequence No.
Department of the Treasury
Attach to your tax return.
Internal Revenue Service
Identifying number shown on return
Name(s) shown on return
If Form 8275-R relates to an information return for a foreign entity (for example, Form 5471), enter:
Name of foreign entity
Employer identification number, if any
Reference ID number (see instructions)
Part I
General Information (see instructions)
(b)
(c)
(d)
(e)
(a)
(f)
Item or Group
Detailed Description
Form or
Line
Regulation Section
Amount
of Items
of Items
Schedule
No.
1
2
3
4
5
6
Part II
Detailed Explanation (see instructions)
1
2
3
4
5
6
Part III
Information About Pass-Through Entity. To be completed by partners, shareholders, beneficiaries,
or residual interest holders.
Complete this part only if you are making adequate disclosure for a pass-through item.
Note: A pass-through entity is a partnership, S corporation, estate, trust, regulated investment company (RIC), real estate investment
trust (REIT), or real estate mortgage investment conduit (REMIC).
1
2 Identifying number of pass-through entity
Name, address, and ZIP code of pass-through entity
3 Tax year of pass-through entity
/
/
to
/
/
4 Internal Revenue Service Center where the pass-through entity filed
its return
8275-R
For Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 8-2013)
Cat. No. 14594X
2
Form 8275-R (Rev. 8-2013)
Page
Part IV
Explanations (continued from Parts I and/or II)
8275-R
Form
(Rev. 8-2013)
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