Form 8926 Disqualified Corporate Interest Expense Disallowed Under

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I.R.S. SPECIFICATIONS

TO BE REMOVED BEFORE PRINTING

INSTRUCTIONS TO PRINTERS
FORM 8926, PAGE 1 of 2
MARGINS: TOP 1⁄ 2 ", CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
FLAT SIZE: 81⁄ 2 " 3 11"
PERFORATE: (NONE)

PRINTS: HEAD to HEAD
INK: BLACK

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

8926

Action

Date

Signature

O.K. to print
Revised proofs
requested

Disqualified Corporate Interest Expense Disallowed
Under Section 163(j) and Related Information

Form
(December 2008)
© Attach to the corporation’s income tax return.
Department of the Treasury
© See separate instructions.
Internal Revenue Service
Name of corporation (name of parent, if an affiliated group)

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OMB No. 1545-xxxx

Employer identification number

Check here if the form is being filed on behalf of an affiliated group described in section 1504(a)
1a Enter the total amount of the corporation’s money at the end
of the tax year

1a

b Enter the adjusted basis of all the corporation’s other assets
at the end of the tax year

1b

c Add lines 1a and 1b

1c

d Enter the total amount of the corporation’s indebtedness at the
end of the tax year (see instructions)

1d

e Subtract line 1d from line 1c. If zero or less, enter -0-

1e

f

1f

Debt to equity ratio. Divide line 1d by line 1e

g Is the corporation including as part of its assets on line 1b stock described in Regulations section
1.7874-1(d) that it holds in a corporation to whom it paid disqualified interest? (see instructions)
© $
If “Yes,” enter the adjusted basis of that stock
h Is the corporation including as part of its assets on line 1b stock it holds in foreign subsidiaries?
© $
If “Yes,” enter the adjusted basis of that stock
i

j

Is the corporation including as part of its assets on line 1b tangible assets it directly holds that are
located in a foreign country? (see instructions)
© $
If “Yes,” enter the adjusted basis of those tangible assets
Is the corporation including as part of its assets on line 1b any intangible assets? (see instructions)
© $
If “Yes,” enter the adjusted basis of those intangible assets

b Enter any interest includible in the gross income of the corporation for the tax year

2b

c Net interest expense. Subtract line 2b from line 2a (see instructions). If zero or less, enter -0-

2c

3a Enter the corporation’s taxable income (loss) before the application of section 163(j)

Yes

No

Yes

No

Yes

No

3a

b Enter the corporation’s net interest expense from line 2c

3b

c Enter any net operating loss deduction taken by the corporation under section 172

3c

d Enter any deduction taken under section 199

3d

e Enter any deduction taken for depreciation, amortization, or depletion

3e

Enter any additional adjustments the corporation has made to its taxable income (loss) (other
than those listed on lines 3b through 3e above) in arriving at its adjusted taxable income (see
instructions—attach schedule)

g Adjusted taxable income. Combine lines 3a through 3f. If zero or less, enter -0For Paperwork Reduction Act Notice, see separate instructions.

No

2a

2a Enter the interest paid or accrued by the corporation for the tax year

f

Yes

Cat. No. 37739W

3f
3g
Form

8926

(12-2008)

14
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8926, PAGE 2 of 2
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 11
PERFORATE: NONE
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 8926 (12-2008)

4a Multiply line 3g by 50%

Page

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4a

b Enter any unused excess limitation carried forward to the current tax year from the prior 3 tax
years (see instructions)

4b

c Add lines 4a and 4b

4c

d Excess interest expense. Subtract line 4c from line 2c. If zero or less, enter -0-

4d

5a Enter any disqualified interest paid or accrued by the corporation to a related person

5a

b Enter any disqualified interest paid or accrued by the corporation on indebtedness subject to
a disqualified guarantee

5b

c Enter any interest paid or accrued by a taxable REIT subsidiary (as defined in section 856(l))
of a real estate investment trust to such trust

5c

d Add lines 5a, 5b, and 5c

5d

e Enter any disqualified interest disallowed under section 163(j) for prior tax years that is treated
as paid or accrued in the current tax year

5e

f

5f

6

2

Total disqualified interest for the tax year. Add lines 5d and 5e
Information about related persons receiving disqualified interest:

Country of Incorporation
or Organization

Name, Address, and ZIP code

a

b

c

d

e

7

Amount of interest deduction disallowed under section 163(j) and carried forward to
the next tax year. If line 1f is 1.5 or less, enter -0-. If line 1f is greater than 1.5, enter the
smaller of line 4d or line 5f

8a Unused excess limitation carryforward from the prior 2 tax years
(see instructions)

8a

b Excess limitation for the current tax year. Subtract line 2c from
line 4a. If zero or less, enter -0- (see instructions)

8b

c Excess limitation carryforward to the next tax year. Add lines 8a and 8b (see instructions)

7

8c
Form

8926

(12-2008)