Form 8832 - Entity Classification Election Page 3
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Form 8832 (Rev. 12-2013)
Page
Part II
Late Election Relief
11
Provide the explanation as to why the entity classification election was not filed on time (see instructions).
Under penalties of perjury, I (we) declare that I (we) have examined this election, including accompanying documents, and, to the best
of my (our) knowledge and belief, the election contains all the relevant facts relating to the election, and such facts are true, correct,
and complete. I (we) further declare that I (we) have personal knowledge of the facts and circumstances related to the election. I (we)
further declare that the elements required for relief in Section 4.01 of Revenue Procedure 2009-41 have been satisfied.
Signature(s)
Date
Title
8832
Form
(Rev. 12-2013)
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