Form 480.60 CI Rev. 05.13
Page 2
Part VI
TAXES PAID TO FOREIGN COUNTRIES AND THE UNITED STATES, ITS TERRITORIES AND POSSESSIONS
Foreign Country, Territory or Possession of the United States
United States
Total
C
A
B
Name of the country, territory or possession ...........................
1.
Net income from sources within the country, territory or possession ..
(1)
00
00
00
00
00
2.
Tax paid or accrued during the year .................................
00
00
00
00
(2)
00
Retention Period: Ten (10) years