Schedule A (Form 8975) - Tax Jurisdiction And Constituent Entity Information

Download a blank fillable Schedule A (Form 8975) - Tax Jurisdiction And Constituent Entity Information in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Schedule A (Form 8975) - Tax Jurisdiction And Constituent Entity Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.


Tax Jurisdiction and Constituent Entity Information
(Form 8975)
For reporting period beginning
, 20
, and ending
, 20
OMB No. 1545-2272
(June 2017)
A separate Schedule A (Form 8975) is to be completed for each tax jurisdiction of the multinational enterprise group.
Department of the Treasury
Information about Schedule A (Form 8975) and its separate instructions is at
Internal Revenue Service
Name of the reporting entity
Part I
Tax Jurisdiction Information. All financial amounts must be stated in U.S. dollars. See instructions.
Tax jurisdiction
1. Revenues
2. Profit (loss) before
3. Income tax paid
4. Income tax
5. Stated capital
6. Accumulated
7. Number of
8. Tangible assets
income tax
(on cash basis)
other than cash and
cash equivalents
Unrelated party
Related party
Part II
Constituent Entity Information
1. Constituent entities resident in
2. TIN
3. Tax jurisdiction of
4. Main business activities
the tax jurisdiction
organization or
incorporation if
different from tax
jurisdiction of
Activity code
If you entered the code for “Other,” describe the
business activity
For Paperwork Reduction Act Notice, see separate instructions.
Schedule A (Form 8975) (6-2017)
Cat. No. 69310N


00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Page of 2