Form 8300 - Report Of Cash Payments Over 10,000 Dollars Received In A Trade Or Business Page 2
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5IRS Form 8300
2
FinCEN Form 8300
(Rev. 8-2014)
Page
(Rev. 8-2014)
Multiple Parties
(Complete applicable parts below if box 2 or 15 on page 1 is checked.)
Continued—Complete if box 2 on page 1 is checked
Part I
3
Last name
4 First name
5 M.I.
6 Taxpayer identification number
8 Date of birth .
.
.
7
Address (number, street, and apt. or suite no.)
M
M
D
D
Y
Y
Y
Y
▶
(see instructions)
9
City
10 State
11 ZIP code
12 Country (if not U.S.)
13 Occupation, profession, or business
a Describe ID
b Issued by
14
Identifying
▶
▶
document (ID)
c Number
▶
4 First name
3
5 M.I.
6 Taxpayer identification number
Last name
8 Date of birth .
.
.
7
Address (number, street, and apt. or suite no.)
▶
M
M
D
D
Y
Y
Y
Y
(see instructions)
9
City
10 State
11 ZIP code
12 Country (if not U.S.)
13 Occupation, profession, or business
14
Identifying
a Describe ID
b Issued by
▶
▶
document (ID)
c Number
▶
Continued—Complete if box 15 on page 1 is checked
Part II
16
17 First name
18 M.I.
19 Taxpayer identification number
Individual’s last name or organization’s name
20
Doing business as (DBA) name (see instructions)
Employer identification number
21
Address (number, street, and apt. or suite no.)
22 Occupation, profession, or business
23
24 State
25 ZIP code
26 Country (if not U.S.)
City
27
a Describe ID
b Issued by
Alien
▶
▶
identification (ID)
c Number
▶
16
Individual’s last name or organization’s name
17 First name
18 M.I.
19 Taxpayer identification number
20
Doing business as (DBA) name (see instructions)
Employer identification number
22 Occupation, profession, or business
21
Address (number, street, and apt. or suite no.)
23
City
24 State
25 ZIP code
26 Country (if not U.S.)
27
Alien
a Describe ID
b Issued by
▶
▶
identification (ID)
c Number
▶
Comments – Please use the lines provided below to comment on or clarify any information you entered on any line in Parts I, II, III, and IV
8300
8300
IRS Form
(Rev. 8-2014)
FinCEN Form
(Rev. 8-2014)
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