3
Schedule M-3 (Form 1120-F) 2017
Page
Name of corporation
Employer identification number
Part II
Reconciliation of Net Income (Loss) per Income Statement of Non-Consolidated Foreign Corporations
With Taxable Income per Return (see instructions) (continued from page 2)
(d)
(e)
(a)
(b)
(c)
Other Permanent
Income (Loss) Items
Income (Loss) per
Temporary
Permanent
Differences
Income (Loss)
Income Statement
Differences
Differences
for Allocations to
per Tax Return
Non-ECI and ECI
21c
Gross capital losses from Schedule D,
excluding amounts from pass-through
entities,
abandonment
losses,
and
worthless stock losses
.
.
.
.
.
d
Net gain/loss reported on Form 4797,
line
17,
excluding
amounts
from
pass-through
entities,
abandonment
losses, and worthless stock losses .
.
e
Abandonment losses .
.
.
.
.
.
f
Worthless stock losses (attach statement)
g
Other gain/loss on disposition of assets
other than inventory .
.
.
.
.
.
22
Capital loss limitation and carryforward
used
.
.
.
.
.
.
.
.
.
.
23
Gross effectively connected income of
foreign banks from books that do not
give
rise
to
U.S.
booked
liabilities
.
.
.
.
.
.
.
.
.
24
Other
income
(loss)
items
with
differences (attach statement)
.
.
.
25
Total income (loss) items. Combine
lines 1 through 24 .
.
.
.
.
.
.
26
Total expense/deduction items (from
Part III, line 33)
.
.
.
.
.
.
.
27
Other items with no differences .
.
.
28
Reconciliation totals. Combine lines 25
through 27 .
.
.
.
.
.
.
.
.
Note. Line 28, column (a), must equal Part I, line 11, and column (e) must equal Form 1120-F, page 3, line 29.
Part III
Reconciliation of Net Income (Loss) per Income Statement of Non-Consolidated Foreign Corporations
With Taxable Income per Return (see instructions)
(d)
(e)
(a)
(b)
(c)
Other Permanent
Expense/Deduction Items
Expense per
Temporary
Permanent
Differences
Deduction per
Income Statement
Differences
Differences
for Allocations to
Tax Return
Non-ECI and ECI
1
U.S. current income tax expense
.
.
2
U.S. deferred income tax expense .
.
3
Non-U.S. current income tax expense
(other than foreign withholding taxes) .
4
Non-U.S.
deferred
income
tax
expense
.
.
.
.
.
.
.
.
.
5
Non-U.S. withholding taxes .
.
.
.
6
Compensation
with
section
162(m)
limitation
.
.
.
.
.
.
.
.
.
7
Salaries and other base compensation
8
Stock option expense
.
.
.
.
.
9
Other equity-based compensation .
.
10
Meals and entertainment .
.
.
.
.
11
Fines and penalties
.
.
.
.
.
.
12
Judgments, damages, awards, and
similar costs
.
.
.
.
.
.
.
.
Schedule M-3 (Form 1120-F) 2017