Form 8594 - Asset Acquisition Statement Under Section 1060 Page 2
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Form 8594 (Rev. 12-2012)
Page
Part III
Supplemental Statement—Complete only if amending an original statement or previously filed supplemental
statement because of an increase or decrease in consideration. See instructions.
7 Tax year and tax return form number with which the original Form 8594 and any supplemental statements were filed.
8
Assets
Allocation of sales price as previously reported
Increase or (decrease)
Redetermined allocation of sales price
Class I
$
$
$
Class II
$
$
$
Class III
$
$
$
Class IV
$
$
$
Class V
$
$
$
Class VI and VII
$
$
$
Total
$
$
9 Reason(s) for increase or decrease. Attach additional sheets if more space is needed.
8594
Form
(Rev. 12-2012)
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