Instructions For Form 1128 - Application To Adopt, Change, Or Retain A Tax Year Page 3

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Exempt organizations requesting a
CFC or 10/50 corporation must be
should not complete the “Paid
ruling should send Form 1128 and
signed by an authorized officer of the
Preparer's Use Only” section.
any applicable user fee to:
designated (controlling domestic)
Specific Instructions
shareholder that retains the jointly
Internal Revenue Service
executed consent as provided for in
1973 N Rulon White Blvd
Regulations section 1.964-1(c)(3)(ii).
Part I—General
M/S 6273
A schedule listing the name(s) and
Information
Ogden, Utah 84201
identifying number(s) of the controlling
All applicants must complete Part I.
domestic shareholder(s) must be
You can inquire about the status of
Attachments to Form 1128 must show
attached to the application. Also, the
an application for exempt
the applicant's name, identifying
controlling domestic shareholder(s)
organizations by calling
number, and the address. Also
must satisfy the requirements of
877-829-5500.
indicate that the statement is an
Regulations section 1.964-1(c)(3). If
attachment to Form 1128.
the designated (controlling domestic)
Who Must Sign
shareholder is a member of a
Name
Except as discussed below (regarding
consolidated group, then an
In general, the filer of the form is the
authorized officer of the common
automatic approval requests filed on
applicant. If filing a joint return, include
behalf of a CFC or 10/50 corporation),
parent must sign. Do not sign the
the names of both spouses. If the
Form 1128 must be signed by the filer
copy of Form 1128 filed with the
applicant is a corporation,
income tax return.
as discussed below. A valid signature
partnership, estate, trust, or
by the individual or an officer of the
Automatic approval request. An
tax-exempt organization, etc., enter
organization is required on Form
automatic ruling request application
the name of the entity or organization.
1128. If the form does not have a valid
that is filed on behalf of a CFC or
signature, it will not be considered.
Filer different from applicant. For
10/50 corporation does not have to be
members of a consolidated group of
signed. However, the controlling
Individuals
corporations and certain foreign
domestic shareholder completing the
If filing a joint return, both spouses
corporations, Form 1128 may be filed
form must satisfy the requirements of
must sign.
on behalf of the applicant. For a
Regulations section 1.964-1(c)(3) and
consolidated group of corporations,
Partnerships
retain the jointly executed consent
enter the name and employer
described in Regulations section
Include the signature, name and title
identification number (EIN) of the
1.964-1(c)(3)(ii).
of a general partner on behalf of a
parent corporation on the first line as
state law partnership, or a
All Other Filers
the filer and enter the name(s) and
member-manager on behalf of a
EIN(s) of the member corporations
If the filer is a corporation, the
limited liability company.
applying for a change in accounting
application must include the signature
Estates
period on the fourth line. For CFCs
of the president, vice president,
and 10/50 corporations, enter the
treasurer, assistant treasurer, or chief
Include the signature, name, and title
name and EIN of the controlling
accounting officer (such as tax officer)
of the fiduciary or other person legally
domestic shareholder(s) (common
authorized to sign, and their official
authorized to sign.
parent, if applicable) on the first line
title. Receivers, trustees, or assignees
Trusts
and the name and EIN, if any, of the
must sign any application they are
Include the signature, name, and title
foreign corporation on the fourth line.
required to file. For a consolidated
If there is more than one filer or
of the fiduciary or other person legally
group filing a consolidated return with
applicant, attach a statement listing
authorized to sign.
its common parent, Form 1128 should
each filer's or applicant's name and
be signed by an authorized officer of
Tax-Exempt Organizations
EIN.
the common parent corporation.
Include the signature, name, and title
Identifying Number
Paid Preparer
of a principal officer or other person
legally authorized to sign.
Individuals enter their social security
Generally, anyone who is paid to
number (SSN). If filing a joint income
prepare Form 1128 must sign it and fill
CFC or 10/50 Corporation
tax return, enter the SSN of both
in the “Paid Preparer Use Only” area.
For a CFC or 10/50 corporation with a
spouses. However, if one or both
The paid preparer must complete the
U.S. trade or business and filing Form
spouses are engaged in a trade or
required information and sign the
1128 as the applicant, follow the same
business and Form 1128 is filed on
return in the space provided for the
rules as other corporations (see
All
behalf of the business, enter the EIN
preparer's signature. However, if the
Other
Filers, later). If the form is being
instead of the SSNs. All other
applicant is requesting automatic
filed on behalf of a CFC or 10/50
applicants enter their EIN.
approval and a copy of Form 1128 is
corporation by its controlling domestic
attached to the income tax return, the
shareholder(s), follow the instructions
You can apply for an EIN online
copy of Form 1128 does not have to
(only for applicants in the United
below for ruling requests and
be signed.
automatic approval requests.
States or U.S. possessions), by
telephone (only for applicants outside
Note. Anyone who prepares Form
Ruling request. A ruling request
of the United States or U.S.
1128 but does not charge a fee
application that is filed on behalf of a
possessions), or by fax or by mail
-3-

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