Form 966 - Corporate Dissolution Or Liquidation - Department Of The Treasury
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1966
Corporate Dissolution or Liquidation
Form
OMB No. 1545-0041
(Rev. June 2001)
(Required under section 6043(a) of the Internal Revenue Code)
Department of the Treasury
Internal Revenue Service
Name of corporation
Employer identification number
Number, street, and room or suite no. (If a P.O. box number, see instructions below.)
Check type of return
1120
1120-L
City or town, state, and ZIP code
1120-IC-DISC
1120S
Other
1
Date incorporated
2
Place incorporated
3
Type of liquidation
4
Date resolution or plan of complete
or partial liquidation was adopted
Complete
Partial
5
Service Center where corporation filed
6
Last month, day, and year of
7a
Last month, day, and year of
7b
Was corporation’s final tax return
its immediately preceding tax return
immediately preceding tax year
final tax year
filed as part of a consolidated
income tax return? If “Yes,”
complete 7c, 7d, and 7e.
Yes
No
7c
Name of common parent
7d
Employer identification number
7e
Service Center where
of common parent
consolidated return was filed
Common
Preferred
8
Total number of shares outstanding at time of adoption of plan of liquidation
9
Date(s) of any amendments to plan of dissolution
10
Section of the Code under which the corporation is to be dissolved or liquidated
11
If this return concerns an amendment or supplement to a resolution or plan, enter the date
the previous Form 966 was filed
Attach a certified copy of the resolution or plan and all amendments or supplements not previously filed.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete.
Signature of officer
Title
Date
Instructions
corporation has a P.O. box, enter the box number instead of the
street address.
Who must file. A corporation must file Form 966 if it adopts a
Signature. The return must be signed and dated by the president,
resolution or plan to dissolve the corporation or liquidate any of its
vice president, treasurer, assistant treasurer, chief accounting officer,
stock. Exempt organizations and qualified subchapter S subsidiaries
or any other corporate officer (such as tax officer) authorized to sign.
are not required to file Form 966. These organizations should see the
A receiver, trustee, or assignee must sign and date any return
instructions for Form 990, Return of Organization Exempt from
required to be filed on behalf of a corporation.
Income Tax or Form 990-PF, Return of Private Foundation or
Paperwork Reduction Act Notice. We ask for the information on
Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private
this form to carry out the Internal Revenue laws of the United States.
Foundation and Form 8869, Qualified Subchapter S Subsidiary
You are required to give us the information. We need it to ensure
Election, respectively.
that you are complying with these laws and to allow us to figure and
Caution: Do not file Form 966 for a deemed liquidation (such as a
collect the right amount of tax.
section 338 election or an election to be treated as a disregarded
You are not required to provide the information requested by a
entity under Regulations section 301.7701-3).
form or its instructions that is subject to the Paperwork Work
When and where to file. File Form 966 within 30 days after the
Reduction Act unless the form displays a valid OMB control number.
resolution or plan is adopted to dissolve the corporation or liquidate
Books and records relating to a form or its instructions must be
any of its stock. If the resolution or plan is amended or
retained as long as their content may become material in the
supplemented after Form 966 is filed, file another Form 966 within 30
administration of any Internal Revenue law. Generally, tax returns and
days after the amendment or supplement is adopted. The additional
return information are confidential, as required by section 6103.
form will be sufficient if the date the earlier form was filed is entered
The time needed to complete and file this form will vary depending
on line 11 and a certified copy of the amendment or supplement is
on individual circumstances. The estimated average time is:
attached. Include all information required by Form 966 that was not
given in the earlier form.
Recordkeeping
5 hr., 1 min.
File Form 966 with the Internal Revenue Service Center where the
Learning about the law or the form
24 min.
corporation is required to file its income tax return.
Preparing and sending the form to the IRS
29 min.
Distribution of property. A corporation must recognize gain or loss
If you have comments concerning the accuracy of these time
on the distribution of its assets in the complete liquidation of its
estimates or suggestions for making this form simpler, we would be
stock. For purposes of determining gain or loss, the distributed
happy to hear from you. You can write to the Tax Forms Committee,
assets are valued at fair market value. Exceptions to this rule apply
Western Area Distribution Center, Rancho Cordova, CA 95743-0001.
to a liquidation of a subsidiary and to a distribution that is made
Do not send the tax form to this office. Instead, see When and
according to a plan of reorganization.
where to file on this page.
Address. Include the suite, room, or other unit number after the
street address. If mail is not delivered to the street address and the
966
Cat. No. 17053B
Form
(Rev. 6-2001)
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