Form 8621 - Information Return By A Shareholder Of A Passive Foreign Investment Company Or Qualified Electing Fund Page 4

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4
Form 8621 (Rev. 12-2016)
Page
Status of Prior Year Section 1294 Elections and Termination of Section 1294 Elections
Part VI
Complete a separate column for each outstanding election.
Complete lines 17 through
20 to report the status of
outstanding prior year
section 1294 elections.
(i)
(ii)
(iii)
(iv)
(v)
(vi)
17
Tax year of outstanding
election .
.
.
.
.
.
.
18
Undistributed earnings to
which the election relates
.
19
Deferred tax
.
.
.
.
.
20
Interest accrued on deferred
tax (line 19) as of the filing date
Complete lines 21 through 24
only if a section 1294
election is terminated in the
current year.
21
Event terminating election
.
22
Earnings distributed or
deemed distributed during the
tax year .
.
.
.
.
.
.
23
Deferred tax due with this
return
.
.
.
.
.
.
.
24
Accrued interest due with this
return. .
.
.
.
.
.
.
Complete lines 25 and 26
only if there is a partial
termination of a section
1294 election in the current
tax year.
25
Deferred tax outstanding after
partial termination of election.
Subtract line 23 from line 19 .
26
Interest accrued after partial
termination of election.
Subtract line 24 from line 20 .
8621
Form
(Rev. 12-2016)

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