Form 8023 - Elections Under Section 338 For Corporations Making Qualified Stock Purchases Page 2

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Form 8023 (Rev. 2-2006)

Page

Section E—Elections Under Section 338

Check here to make a section 338(h)(10) election for the target corporation listed in Section B on page 1

Check here to make a section 338 election (other than a section 338(h)(10) election) for the target corporation listed in Section B on

page 1

If the box on line 7 is checked for the target corporation listed in Section B on page 1, check here to make a gain recognition election

for that corporation (see instructions)

Check here if this form is filed to make a section 338 election for any target corporation in addition to the one listed in Section B on

page 1

Purchasing Corporation(s) Signature(s)

Under penalties of perjury, I state and declare that I am authorized to make the election(s) on lines 6, 7, 8, and 9 on behalf of the purchasing corporation(s).

Signature of authorized person for purchasing corporation(s)

Date

Title

Consolidated Selling Group or Selling Affiliate Signature (Section 338(h)(10) Election)

Under penalties of perjury, I state and declare that I am authorized to make the section 338(h)(10) election on line 6 on behalf of the common parent of the selling

consolidated group or on behalf of the selling affiliate.

Signature of authorized person for the common parent or selling

Date

Title

affiliate

S Corporation Shareholder(s) Signature(s) (Section 338(h)(10) Election)

Under penalties of perjury, I state and declare that I am a shareholder of the S corporation target or that I am authorized to make the section 338(h)(10) election on

line 6 on behalf of that shareholder. If more than one shareholder, attach a schedule with other signatures.

Signature of S corporation shareholder

Date

Title

8023

Form

(Rev. 2-2006)

Printed on recycled paper