Form 8621 - Information Return By A Shareholder Of A Passive Foreign Investment Company Or Qualified Electing Fund Page 2

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2
Form 8621 (Rev. 12-2016)
Page
Part III
Income From a Qualified Electing Fund (QEF).
All QEF shareholders complete lines 6a through 7c. If you are making
Election B, also complete lines 8a through 9c. (See instructions.)
6a
Enter your pro rata share of the ordinary earnings of the QEF .
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6a
b
Enter the portion of line 6a that is included in income under section 951 or that
6b
may be excluded under section 1293(g)
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c
Subtract line 6b from line 6a. Enter this amount on your tax return as ordinary income .
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6c
7a
Enter your pro rata share of the total net capital gain of the QEF
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7a
b
Enter the portion of line 7a that is included in income under section 951 or that
may be excluded under section 1293(g)
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7b
c
Subtract line 7b from line 7a. This amount is a net long-term capital gain. Enter this amount in Part II of the
Schedule D used for your income tax return. (See instructions.)
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7c
Complete lines 8 and 9 only if you are making a section 1294 election (Election B) for the current tax year.
8a
Add lines 6c and 7c .
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8a
b
Enter the total amount of cash and the fair market value of other property distributed
8b
or deemed distributed to you during the tax year of the QEF. (See instructions.) .
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c
Enter the portion of line 8a not already included in line 8b that is attributable to shares
in the QEF that you disposed of, pledged, or otherwise transferred during the tax year
8c
d
8d
Add lines 8b and 8c .
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e
Subtract line 8d from line 8a, and enter the difference (if zero or less, enter amount in brackets) .
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8e
Important: If line 8e is greater than zero, and no portion of line 6a or 7a is includible in income under section
951, you may make Election B with respect to the amount on line 8e.
9a
9a
Enter the total tax for the tax year (See instructions.)
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b
Enter the total tax for the tax year determined without regard to the amount
entered on line 8e .
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9b
c
Subtract line 9b from line 9a. This is the deferred tax, the time for payment of which is extended by
making Election B. See instructions .
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9c
Part IV
Gain or (Loss) From Mark-to-Market Election (See instructions.)
10a
10a
Enter the fair market value of your PFIC stock at the end of the tax year .
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b
Enter your adjusted basis in the stock at the end of the tax year
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10b
c
Subtract line 10b from line 10a. If a gain, do not complete lines 11 and 12. Include this amount as ordinary
income on your tax return. If a loss, go to line 11 .
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10c
11
11
Enter any unreversed inclusions (as defined in section 1296(d))
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12
Enter the loss from line 10c, but only to the extent of unreversed inclusions on line 11. Include this amount as
an ordinary loss on your tax return .
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12
13
If you sold or otherwise disposed of any section 1296 stock (see instructions) during the tax year:
a
Enter the fair market value of the stock on the date of sale or disposition
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13a
b
Enter the adjusted basis of the stock on the date of sale or disposition
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13b
c
Subtract line 13b from line 13a. If a gain, do not complete line 14. Include this amount as ordinary income on
your tax return. If a loss, go to line 14 .
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13c
14a
Enter any unreversed inclusions (as defined in section 1296(d))
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14a
b
Enter the loss from line 13c, but only to the extent of unreversed inclusions on line 14a. Include this amount as
an ordinary loss on your tax return. If the loss on line 13c exceeds unreversed inclusions on line 14a, complete
line 14c .
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14b
c
Enter the amount by which the loss on line 13c exceeds unreversed inclusions on line 14a. Include this amount
on your tax return according to the rules generally applicable for losses provided elsewhere in the Code and
regulations .
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14c
Note: See instructions in case of multiple sales or dispositions.
8621
Form
(Rev. 12-2016)

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