926
Return by a U.S. Transferor of Property
Form
OMB No. 1545-0026
to a Foreign Corporation
(Rev. December 2005)
Attachment
Department of the Treasury
Attach to your income tax return.
128
Sequence No.
Internal Revenue Service
Part I
U.S. Transferor Information (see instructions)
Name of transferor
Identifying number (see instructions)
1
If the transferor was a corporation, complete questions 1a, 1b, and 1c.
a
If the transfer was a section 361(a) or (b) transfer, was the transferor controlled (under section 368(c)) by
5 or fewer domestic corporations?
Yes
No
b
Did the transferor remain in existence after the transfer?
Yes
No
If not, list the controlling shareholder(s) and their identifying number(s):
Controlling shareholder
Identifying number
c
If the transferor was a member of an affiliated group filing a consolidated return, was it the parent
corporation?
Yes
No
If not, list the name and employer identification number (EIN) of the parent corporation:
Name of parent corporation
EIN of parent corporation
2
If the transferor was a partner in a partnership that was the actual transferor (but is not treated as such under section 367),
list the name and EIN of the transferor’s partnership:
Name of partnership
EIN of partnership
Part II
Transferee Foreign Corporation Information (see instructions)
3
Name of transferee (foreign corporation)
4
Identifying number, if any
5
Address (including country)
6
Country of incorporation or organization
7
Foreign law characterization (see instructions)
8
Is the transferee foreign corporation a controlled foreign corporation?
Yes
No
926
For Paperwork Reduction Act Notice, see page 4.
Form
(Rev. 12-2005)
Cat. No. 16982D