Fillable Form 3115 - Application For Change In Accounting Method (Page 3 of 8) in pdf

Form 3115 (Rev. 12-2009)

Page

Information For All Requests (continued)

Part II

Yes No

If the applicant is either (i) not changing its overall method of accounting, or (ii) is changing its overall method of

accounting and also changing to a special method of accounting for one or more items, attach a detailed and

complete description for each of the following:

a The item(s) being changed.

b The applicant’s present method for the item(s) being changed.

c The applicant’s proposed method for the item(s) being changed.

d The applicant’s present overall method of accounting (cash, accrual, or hybrid).

Attach a detailed and complete description of the applicant’s trade(s) or business(es), and the principal business

activity code for each. If the applicant has more than one trade or business as defined in Regulations section

1.446-1(d), describe: whether each trade or business is accounted for separately; the

goods and services

provided by each trade or business and any other types of activities engaged in that generate gross income; the

overall method of accounting for each trade or business; and which trade or business is requesting to change its

accounting method as part of this application or a separate application.

Will the proposed method of accounting be used for the applicant’s books and records and financial statements?

For insurance companies, see the instructions

If “No,” attach an explanation.

15a Has the applicant engaged, or will it engage, in a transaction to which section 381(a) applies (e.g., a

reorganization, merger, or liquidation) during the proposed tax year of change determined without regard to any

potential closing of the year under section 381(b)(1)?

b If “Yes,” for the items of income and expense that are the subject of this application, attach a statement identifying

the methods of accounting used by the parties to the section 381(a) transaction immediately before the date of

distribution or transfer and the method(s) that would be required by section 381(c)(4) or (c)(5) absent consent to

the change(s) requested in this application.

Does the applicant request a conference with the IRS National Office if the IRS proposes an adverse response?

If the applicant is changing to either the overall cash method, an overall accrual method, or is changing its method

of accounting for any property subject to section 263A, any long-term contract subject to section 460, or

inventories subject to section 474, enter the applicant's gross receipts for the 3 tax years preceding the tax year of

change.

1st preceding

2nd preceding

3rd preceding

yr.

year ended: mo.

Information For Advance Consent Request

Part III

Yes No

Is the applicant’s requested change described in any revenue procedure, revenue ruling, notice, regulation, or

other published guidance as an automatic change request? .

If “Yes,” attach an explanation describing why the applicant is submitting its request under advance consent

request procedures.

Attach a full explanation of the legal basis supporting the proposed method for the item being changed. Include a

detailed and complete description of the facts that explains how the law specifically applies to the applicant’s

situation and that demonstrates that the applicant is authorized to use the proposed method. Include all authority

(statutes, regulations, published rulings, court cases, etc.) supporting the proposed method. Also, include either a

discussion of the contrary authorities or a statement that no contrary authority exists.

Attach a copy of all documents related to the proposed change (see instructions).

Attach a statement of the applicant’s reasons for the proposed change.

If the applicant is a member of a consolidated group for the year of change, do all other members of the

consolidated group use the proposed method of accounting for the item being changed? .

If “No,” attach an explanation.

23 a Enter the amount of user fee attached to this application (see instructions).

b If the applicant qualifies for a reduced user fee, attach the required information or certification (see instructions).

Section 481(a) Adjustment

Part IV

Yes No

Does the applicable revenue procedure, revenue ruling, notice, regulation, or other published guidance require the applicant to

implement the requested change in method of accounting on a cut-off basis rather than a section 481(a) adjustment? .

If “Yes,” do not complete lines 25, 26, and 27 below.

Enter the section 481(a) adjustment. Indicate whether the adjustment is an increase (+) or a decrease (-) in

income.

Attach a summary of the computation and an explanation of the methodology

used to determine the section 481(a) adjustment. If it is based on more than one component, show

the

computation for each component. If more than one applicant is applying for the method change on the same

application, attach a list of the name, identification number, principal business activity code (see instructions), and

the amount of the section 481(a) adjustment attributable to each applicant.

3115

Form

(Rev. 12-2009)

Form 3115 - Application For Change In Accounting Method Page 3

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