Form 926 - Return By A U.s. Transferor Of Property To A Foreign Corporation Page 2

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2
Form 926 (Rev. 12-2013)
Page
Part III
Information Regarding Transfer of Property (see instructions)
(a)
(b)
(c)
(d)
(e)
Type of
Date of
Description of
Fair market value on
Cost or other
Gain recognized on
property
transfer
property
date of transfer
basis
transfer
Cash
Stock and
securities
Installment
obligations,
account
receivables or
similar property
Foreign currency
or other property
denominated in
foreign currency
Inventory
Assets subject to
depreciation
recapture (see
Temp. Regs. sec.
1.367(a)-4T(b))
Tangible property
used in trade or
business not listed
under another
category
Intangible
property
Property to be leased
(as described in final
and temp. Regs. sec.
1.367(a)-4(c))
Property to be
sold (as
described in
Temp. Regs. sec.
1.367(a)-4T(d))
Transfers of oil and
gas working interests
(as described in
Temp. Regs. sec.
1.367(a)-4T(e))
Other property
Supplemental Information Required To Be Reported (see instructions):
926
Form
(Rev. 12-2013)

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