Form 5452 - Corporate Report Of Nondividend Distributions printable pdf download

Form 5452 - Corporate Report Of Nondividend Distributions

5452

Corporate Report of Nondividend Distributions

Form

OMB No. 1545-0205

(Rev. September 1997)

For calendar year ending December 31,

Department of the Treasury

Attach to the corporation’s income tax return.

Internal Revenue Service

Name

Employer identification number

Has the corporation filed a Form 5452 for a prior calendar year?

Yes

If “Yes,” indicate which year(s)

Are any of the distributions part of a partial or complete liquidation?

Yes

If “Yes,” discuss in a separate statement.

Shareholders at Date of Last Dividend Payment

Earnings and Profits

Number of individuals

Accumulated earnings and profits

Number of partnerships

(since February 28, 1913) at the

beginning of the tax year

Number of corporations and other

shareholders

Note: If there are 12 or fewer shareholders, attach copies of the

Actual earnings and profits for the

Forms 1099-DIV (or the information from that form) that the

current tax year

shareholders received.

E Corporate Distributions (See instructions.)

Amount Paid During

Amount Paid During Calendar Year From Earnings & Profits

Total Amount Paid

Calendar Year From

Amount

Since February 28, 1913

Percent

(Common (C),

Date Paid

Per

Other Than Earnings

Taxable

Nontaxable

Preferred (P),

From the

& Profits Since

Accumulated

Total

Other (O))

Current Year

February 28, 1913

Totals

5452

For Paperwork Reduction Act Notice, see the instructions on page 2.

Cat. No. 11881T

Form

(Rev. 9-97)

Form 5452 - Corporate Report Of Nondividend Distributions

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