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Form 8832 (Rev. 1-2012)
Page
Part I
Election Information (Continued)
6
Type of entity (see instructions):
a
A domestic eligible entity electing to be classified as an association taxable as a corporation.
b
A domestic eligible entity electing to be classified as a partnership.
c
A domestic eligible entity with a single owner electing to be disregarded as a separate entity.
d
A foreign eligible entity electing to be classified as an association taxable as a corporation.
e
A foreign eligible entity electing to be classified as a partnership.
f
A foreign eligible entity with a single owner electing to be disregarded as a separate entity.
7
If the eligible entity is created or organized in a foreign jurisdiction, provide the foreign country of
organization
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8
Election is to be effective beginning (month, day, year) (see instructions) .
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9
Name and title of contact person whom the IRS may call for more information
10 Contact person’s telephone number
Consent Statement and Signature(s) (see instructions)
Under penalties of perjury, I (we) declare that I (we) consent to the election of the above-named entity to be classified as indicated
above, and that I (we) have examined this election and consent statement, and to the best of my (our) knowledge and belief, this
election and consent statement are true, correct, and complete. If I am an officer, manager, or member signing for the entity, I further
declare under penalties of perjury that I am authorized to make the election on its behalf.
Signature(s)
Date
Title
8832
Form
(Rev. 1-2012)