Instructions For Form 8802 - 2016 Page 13

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THEN the Form
8802 penalties of
IF the applicant
perjury statement
STATING: “This certification is given under penalties of perjury and to the best of
is...
must include...
my knowledge and belief, the statements are true, correct, and complete.”
a statement from
[Insert name of corporation and EIN] is a U.S. resident and will continue to be throughout
a corporation
an officer of the
the current tax year.
corporation with the
authority to legally
bind the corporation
a statement from
[Insert name of organization and EIN] is a U.S. resident and will continue to be throughout
an exempt
an officer of the
the current tax year.
organization
organization with
authority to legally
bind the
organization
an exempt
a statement from
[Insert name of organization and EIN] is a U.S. resident and will continue to be
organization
an officer of the
throughout the current tax year and the following two tax years.
submitting a
organization with
Form 8802 under
authority to legally
the 3-year
bind the
procedure (in
organization
year 1)
a statement from
[Insert name of estate and EIN] is a U.S. resident and will continue to be throughout the
an estate of a
the personal
current tax year.
decedent
representative
an estate of a
a statement from
[Insert name of estate and EIN] is a U.S. resident and will continue to be throughout the
decedent
the personal
current tax year and the following two tax years.
submitting a
representative
Form 8802 under
the 3-year
procedure (in
year 1)
a statement from
[Insert name of plan/trust and EIN] is a U.S. resident and will continue to be throughout the
an employee
an officer of the
current tax year.
benefit plan/trust
plan/trust with
authority to legally
bind the plan/trust
an employee
a statement from
[Insert name of plan/trust and EIN] is a U.S. resident and will continue to be throughout
benefit plan/trust
an officer of the
the current tax year and the following two tax years.
submitting a
plan/trust with
Form 8802 under
authority to legally
the 3-year
bind the plan/trust
procedure (in
year 1)
a partnership
a statement from
[Insert name of partner and TIN] is a U.S. resident and will continue to be throughout the
under a section
each partner for
current tax year, and
761(a) election
which certification
is requested
a statement from a
a. [Insert name of partnership and EIN] has made an election pursuant to section 761(a).
general partner
As a result, it is not required to file Form 1065 on an annual basis and all of its partners
report their respective shares of income, gain, loss, deductions, and credits on their tax
returns as required.
b. The [insert name of partnership] 's entity classification has not changed since the filing of
the partners' returns.
Instructions for Form 8802 (Rev. 10-2017)
-13-

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Parent category: Financial