Form 8832 (Rev. December 1996)

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8832
Form
Entity Classification Election
OMB No. 1545-1516
(December 1996)
Department of the Treasury
Internal Revenue Service
Name of entity
Employer identification number (EIN)
Please
Number, street, and room or suite no. If a P.O. box, see instructions.
Type
or
Print
City or town, state, and ZIP code. If a foreign address, enter city, province or state, postal code and country.
1
Type of election (see instructions):
a
Initial classification by a newly-formed entity (or change in current classification of an existing entity to take effect on
January 1, 1997)
b
Change in current classification (to take effect later than January 1, 1997)
2
Form of entity (see instructions):
a
A domestic eligible entity electing to be classified as an association taxable as a corporation.
b
A domestic eligible entity electing to be classified as a partnership.
c
A domestic eligible entity with a single owner electing to be disregarded as a separate entity.
d
A foreign eligible entity electing to be classified as an association taxable as a corporation.
e
A foreign eligible entity electing to be classified as a partnership.
f
A foreign eligible entity with a single owner electing to be disregarded as a separate entity.
/
/
3
Election is to be effective beginning (month, day, year) (see instructions)
4
Name and title of person whom the IRS may call for more information
5
That person’s telephone number
Consent Statement and Signature(s) (see instructions)
Under penalties of perjury, I (we) declare that I (we) consent to the election of the above-named entity to be classified as indicated above, and that
I (we) have examined this consent statement, and to the best of my (our) knowledge and belief, it is true, correct, and complete. If I am an officer,
manager, or member signing for all members of the entity, I further declare that I am authorized to execute this consent statement on their behalf.
Signature(s)
Date
Title
8832
For Paperwork Reduction Act Notice, see page 2.
Cat. No. 22598R
Form
(12-96)

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