OMB No. 1545-1119 Foreign Partner’s Information Statement

of Section 1446 Withholding Tax Form 8805

© See separate Instructions for Forms 8804, 8805, and 8813. Copy A for Internal Revenue Service

Attach to Form 8804.

Department of the Treasury

Internal Revenue Service For partnership’s calendar year 1995, or tax year beginning ,1995, and ending ,19

1a Foreign partner’s name 5a Name of partnership

2a U.S. identifying number of foreign partner subject to withholding 6 Partnership’s U.S. employer identification number

b Account number assigned by partnership (if any) Withholding agent’s name. If partnership is also the withholding

agent, enter “SAME” and do not complete line 7b.

7a

3 Type of partner: Individual Corporation

Partnership Other (specify) ©

Country code of partner. See page 7 of the instructions for a b Withholding agent’s U.S. identifying number

listing of codes.

4

8a Check if the partnership identified on line 5a owns an interest in one or more partnerships

b Check if the partnership income is exempt from U.S. tax with respect to this partner

9 Partnership’s effectively connected taxable income allocable to partner for the tax year 9

10 Enter the applicable tax rate: .396 (noncorporate partner) or .35 (corporate partner) 10 .

Total tax credit allowed to partner under section 1446. Multiply line 9 by line 10. Individual and corporate

partners: claim this amount as a credit against your U.S. income tax on Form 1040NR, 1120-F, etc.

11

11

For Paperwork Reduction Act Notice, see separate Instructions for Forms 8804, 8805, and 8813. Cat. No. 10078E Form 8805 (1995)

Number, street, and room or suite no.

City, state, and ZIP code. If a foreign address, enter city,

province or state, postal code, and country.

Number, street, and room or suite no. If a P.O. box, see page 4 of the instructions.

City, state, and ZIP code. If a foreign address, enter city, province

or state, postal code, and country.

b

c

b

c

OMB No. 1545-1119 Foreign Partner’s Information Statement

of Section 1446 Withholding Tax Form 8805

Copy B for partner

Keep for your records.

Department of the Treasury

Internal Revenue Service For partnership’s calendar year 1995, or tax year beginning ,1995, and ending ,19

1a Foreign partner’s name 5a Name of partnership

2a U.S. identifying number of foreign partner subject to withholding 6 Partnership’s U.S. employer identification number

b Account number assigned by partnership (if any) Withholding agent’s name. If partnership is also the withholding

agent, enter “SAME” and do not complete line 7b.

7a

3 Type of partner: Individual Corporation

Partnership Other (specify) ©

Country code of partner. See page 7 of the instructions for a b Withholding agent’s U.S. identifying number

listing of codes.

4

8a Check if the partnership identified on line 5a owns an interest in one or more partnerships

b Check if the partnership income is exempt from U.S. tax with respect to this partner

9 Partnership’s effectively connected taxable income allocable to partner for the tax year 9

10 Enter the applicable tax rate: .396 (noncorporate partner) or .35 (corporate partner) 10 .

Total tax credit allowed to partner under section 1446. Multiply line 9 by line 10. Individual and corporate

partners: claim this amount as a credit against your U.S. income tax on Form 1040NR, 1120-F, etc.

11

11

Cat. No. 10078E Form 8805 (1995)

Number, street, and room or suite no.

City, state, and ZIP code. If a foreign address, enter city,

province or state, postal code, and country.

Number, street, and room or suite no. If a P.O. box, see page 4 of the instructions.

City, state, and ZIP code. If a foreign address, enter city, province

or state, postal code, and country.

b

c

b

c

OMB No. 1545-1119 Foreign Partner’s Information Statement

of Section 1446 Withholding Tax Form 8805

Copy C for partner

Attach to your Federal tax return.

Department of the Treasury

Internal Revenue Service For partnership’s calendar year 1995, or tax year beginning ,1995, and ending ,19

1a Foreign partner’s name 5a Name of partnership

2a U.S. identifying number of foreign partner subject to withholding 6 Partnership’s U.S. employer identification number

b Account number assigned by partnership (if any) Withholding agent’s name. If partnership is also the withholding

agent, enter “SAME” and do not complete line 7b.

7a

3 Type of partner: Individual Corporation

Partnership Other (specify) ©

Country code of partner. See page 7 of the instructions for a b Withholding agent’s U.S. identifying number

listing of codes.

4

8a Check if the partnership identified on line 5a owns an interest in one or more partnerships

b Check if the partnership income is exempt from U.S. tax with respect to this partner

9 Partnership’s effectively connected taxable income allocable to partner for the tax year 9

10 Enter the applicable tax rate: .396 (noncorporate partner) or .35 (corporate partner) 10 .

Total tax credit allowed to partner under section 1446. Multiply line 9 by line 10. Individual and corporate

partners: claim this amount as a credit against your U.S. income tax on Form 1040NR, 1120-F, etc.

11

11

Cat. No. 10078E Form 8805 (1995)

Number, street, and room or suite no.

City, state, and ZIP code. If a foreign address, enter city,

province or state, postal code, and country.

Number, street, and room or suite no. If a P.O. box, see page 4 of the instructions.

City, state, and ZIP code. If a foreign address, enter city, province

or state, postal code, and country.

b

c

b

c

Printed on recycled paper

OMB No. 1545-1119 Foreign Partner’s Information Statement

of Section 1446 Withholding Tax Form 8805

© See separate Instructions for Forms 8804, 8805, and 8813. Copy D for

Withholding Agent.

Department of the Treasury

Internal Revenue Service For partnership’s calendar year 1995, or tax year beginning ,1995, and ending ,19

1a Foreign partner’s name 5a Name of partnership

2a U.S. identifying number of foreign partner subject to withholding 6 Partnership’s U.S. employer identification number

b Account number assigned by partnership (if any) Withholding agent’s name. If partnership is also the withholding

agent, enter “SAME” and do not complete line 7b.

7a

3 Type of partner: Individual Corporation

Partnership Other (specify) ©

Country code of partner. See page 7 of the instructions for a b Withholding agent’s U.S. identifying number

listing of codes.

4

8a Check if the partnership identified on line 5a owns an interest in one or more partnerships

b Check if the partnership income is exempt from U.S. tax with respect to this partner

9 Partnership’s effectively connected taxable income allocable to partner for the tax year 9

10 Enter the applicable tax rate: .396 (noncorporate partner) or .35 (corporate partner) 10 .

Total tax credit allowed to partner under section 1446. Multiply line 9 by line 10. Individual and corporate

partners: claim this amount as a credit against your U.S. income tax on Form 1040NR, 1120-F, etc.

11

11

For Paperwork Reduction Act Notice, see separate Instructions for Forms 8804, 8805, and 8813. Cat. No. 10078E Form 8805 (1995)

Number, street, and room or suite no.

City, state, and ZIP code. If a foreign address, enter city,

province or state, postal code, and country.

Number, street, and room or suite no. If a P.O. box, see page 4 of the instructions.

City, state, and ZIP code. If a foreign address, enter city, province

or state, postal code, and country.

b

c

b

c