8831
Excise Taxes on Excess Inclusions of
Form
REMIC Residual Interests
OMB No. 1545-1379
(Rev. December 2013)
Department of the Treasury
Information about Form 8831 and its instructions is at
Internal Revenue Service
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Name
Identifying number
Please
Number, street, and room or suite no. (If a P.O. box, see instructions.)
Type or
Print
City or town, state or province, country, and ZIP or foreign postal code
Part I
Transfers to Disqualified Organizations. File a separate Form 8831 for each transfer of a residual interest.
Section A—Information on the Transfer
1
Enter the date the residual interest was transferred to a disqualified organization
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2
Within a reasonable time after discovering this transfer was subject to tax under section 860E(e)(1), were
steps taken so that the residual interest you transferred is no longer held by a disqualified organization?
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Yes
No
3
If you answered “Yes” to question 2, enter the date the disqualified organization disposed of the
residual interest .
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If you answered “Yes” to question 2, the tax due under section 860E(e)(1) will be waived if you pay the amount due under
Regulations section 1.860E-2(a)(7)(ii). Skip Section B and go to Section C to figure the amount due.
If you answered “No” to question 2, use Section B to figure the tax due under section 860E(e)(1). Do not complete Section C.
Section B—Tax Due Under Section 860E(e)(1). Complete this section only if you answered “No” to question 2.
4
Enter the present value of the excess inclusions allocable to the residual interest you transferred
that are expected to accrue in each calendar quarter (or part thereof) following the transfer of that
interest to the disqualified organization (see instructions) .
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4
5
Tax due. Multiply line 4 by 35%
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Section C—Amount Due Under Regulations Section 1.860E-2(a)(7)(ii). Complete this section only if you answered
“Yes” to question 2.
6
Enter the amount of excess inclusions allocable to the residual interest you transferred that
accrued during the period the disqualified organization held that interest .
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6
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Amount due. Multiply line 6 by 35% .
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7
Part II
Tax on Pass-Through Entities With Interests Held by Disqualified Organizations. File a separate Form
8831 for Part II if you owe tax in Part I.
8
Enter the ending date of the pass-through entity’s tax year for which
this return is being filed
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9
Enter the amount of excess inclusions allocable to interests in the pass-through entity for which
the record holder is a disqualified organization
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9
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Tax due. Multiply line 9 by 35%
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Part III
Tax and Payments
11
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Enter the amount from line 5, 7, or 10, whichever applies .
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12
Amount paid with Form 7004
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12
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Amount due. Enter the excess of line 11 over line 12
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Overpayment. Enter the excess of line 12 over line 11 .
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
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Date
Signature
Title (if any)
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
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Firm's address
Phone no.
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8831
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 12-2013)
Cat. No. 13377A