Form 926
(Rev. November 2018)
Department of the Treasury
Internal Revenue Service
Return by a U.S. Transferor of Property
to a Foreign Corporation
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Go to www.irs.gov/Form926 for instructions and the latest information.
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Attach to your income tax return for the year of the transfer or distribution.
OMB No. 1545-0026
Attachment
Sequence No. 128
Part I U.S. Transferor Information (see instructions)
Name of transferor Identifying number (see instructions)
1 Is the transferee a specified 10%-owned foreign corporation that is not a controlled foreign corporation? . Yes No
2 If the transferor was a corporation, complete questions 2a through 2d.
a
If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) by
five or fewer domestic corporations? . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
b Did the transferor remain in existence after the transfer? . . . . . . . . . . . . . . . . .
Yes No
If not, list the controlling shareholder(s) and their identifying number(s).
Controlling shareholder
Identifying number
c
If the transferor was a member of an affiliated group filing a consolidated return, was it the parent
corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
If not, list the name and employer identification number (EIN) of the parent corporation.
Name of parent corporation EIN of parent corporation
d Have basis adjustments under section 367(a)(4) been made? . . . . . . . . . . . . . . . .
Yes No
3
If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),
complete questions 3a through 3d.
a List the name and EIN of the transferor’s partnership.
Name of partnership EIN of partnership
b Did the partner pick up its pro rata share of gain on the transfer of partnership assets? . . . . . . .
Yes No
c Is the partner disposing of its entire interest in the partnership? . . . . . . . . . . . . . . .
Yes No
d
Is the partner disposing of an interest in a limited partnership that is regularly traded on an established
securities market? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
Part II Transferee Foreign Corporation Information (see instructions)
4 Name of transferee (foreign corporation) 5a Identifying number, if any
5b Reference ID number
(see instructions)
6 Address (including country)
7 Country code of country of incorporation or organization (see instructions)
8 Foreign law characterization (see instructions)
9 Is the transferee foreign corporation a controlled foreign corporation? . . . . . . . . . . . . .
Yes No
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 16982D
Form 926 (Rev. 11-2018)