965, Schedule G Foreign Taxes Deemed Paid by Domestic Corporation whose

SCHEDULE G
(Form 965)
(January 2019)

Foreign Taxes Deemed Paid by Domestic Corporation
For tax years of foreign corporations whose last taxable year beginning before January 1, 2018, ends during the
U.S. shareholder’s 2017 tax year

Department of the Treasury
Internal Revenue Service

▶

OMB No. 1545-0123

▶ Attach to Form 965.
Go to www.irs.gov/Form965 for instructions and the latest information.

Identifying number

Name of person filing this return

a Separate Category (Enter code—see instructions.) . . . . . . . . . . . . . . . . .
b If code 901j is entered on line a, enter the country code for the sanctioned country (see instructions)
Name of Deferred Foreign Income Corporation
(DFIC)

(a)
(b)
EIN or Reference ID EIN or Reference ID
Number of the
Number of K-1 Issuer
Foreign Corporation
(if any)
(see instructions)
(see instructions)

(c)
U.S. Tax Year End
(Year/Month) of DFIC

.
.

.
.

.
.

.
.

.
.

.
.

.
.

(d)
Country of Incorporation
(use country codes)
(see instructions)

.
.

.
.

.
.

.
.

.
.

.
.

.
.

▶
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(e)(1)
Section 965(a) Inclusion
in U.S. Dollars

(e)(2)
Section 965(a) Inclusion
in Functional Currency

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2
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4
5
6
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8
9
10
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12
13
14
15
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17

Total not from pass-throughs (sum
of lines 1–15) (see instructions) . .
Total from pass-throughs (sum of
lines 1–15) (see instructions) . . .

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 71322Z

Schedule G (Form 965) (1-2019)

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Schedule G (Form 965) (1-2019)
(f)
Post-1986
Undistributed Earnings
in Functional Currency

(g)
Divide Column (e)(2)
by Column (f)
(capped at 100%)

(h)
Opening Balance
in Post-1986
Foreign Income Taxes

(i)
Foreign Taxes Paid
for Tax Year Indicated

(j)
Foreign Taxes Deemed Paid
for Tax Year Indicated

(k)
Post-1986
Foreign Income Taxes
(add columns (h), (i), and (j))

(l)
Taxes Deemed Paid
(multiply column (g)
by column (k))

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3
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5
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9
10
11
12
13
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15
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17
Add schedules as needed.
Schedule G (Form 965) (1-2019)