Instructions For Form 8975 And Schedule A (Form 8975) - Country-By-Country Report Page 6

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Part III—Additional Information
CBC601 Revenues—unrelated party
CBC602 Revenues—related party
You can enter any relevant information or explanation that
CBC603 Revenues—total
you deem necessary or that would facilitate the
CBC604 Profit or loss
understanding of the information provided in Parts I and II.
CBC605 Income tax paid
The information may or may not relate to a specific
CBC606 Income tax accrued
constituent entity. The information may be used to explain
CBC607 Stated capital
the tax jurisdiction financial and employee information in Part
CBC608 Accumulated earnings
I, and you can use the item reference codes listed next to
CBC609 Number of employees
indicate if the additional information relates to a specific item
CBC610 Tangible assets
in Part I.
Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the
United States. You are required to give us the information. We need it to ensure that you are complying with these laws and to
allow us to figure and collect the right amount of tax.
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless
the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long
as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return
information are confidential, as required by section 6103.
The time needed to complete and file this form and related schedules will vary depending on individual circumstances. The
estimated burden for taxpayers filing this form is approved under OMB control number 1545-2272. The estimated burden for all
other taxpayers who file this form is shown below.
Form 8975 and Schedule A
1hr., 30 min.
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
If you have comments concerning the accuracy of these time estimates or suggestions for making this form and related
schedule simpler, we would be happy to hear from you. See the instructions for the tax return with which this form is filed.
-6-
Instructions for Form 8975 (June 2017)

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