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Form 8023 (Rev. 11-2016)
Page
Section E—Elections Under Section 338
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Check here to make a section 338(h)(10) election for the target corporation listed in Section B on page 1 .
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Check here to make a section 338 election (other than a section 338(h)(10) election) for the target corporation listed in Section B
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on page 1 .
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If the box on line 7 is checked for the target corporation listed in Section B on page 1, check here to make a gain recognition election for
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that corporation. See instructions .
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Check here if this form is filed to make a section 338 election for any target corporation in addition to the one listed in Section B
on page 1 .
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Purchasing Corporation(s) Signature(s)
Under penalties of perjury, I state and declare that I am authorized to make the election(s) on lines 6, 7, 8, and 9 on behalf of the purchasing corporation(s).
Date
Title
Signature of authorized person for purchasing corporation(s)
Consolidated Selling Group or Selling Affiliate Signature (Section 338(h)(10) Election)
Under penalties of perjury, I state and declare that I am authorized to make the section 338(h)(10) election on line 6 on behalf of the common parent of the selling
consolidated group or on behalf of the selling affiliate.
Signature of authorized person for the common parent or selling
Date
Title
affiliate
S Corporation Shareholder(s) Signature(s) (Section 338(h)(10) Election)
Under penalties of perjury, I state and declare that I am a shareholder of the S corporation target or that I am authorized to make the section 338(h)(10) election on line 6 on
behalf of that shareholder. If more than one shareholder, attach a schedule with other signatures.
Signature of S corporation shareholder
Date
Title
8023
Form
(Rev. 11-2016)