Part III

Annual Return for Partnership Withholding Tax (Section 1446) OMB No. 1545-1119

Form 8804  See separate Instructions for Forms 8804, 8805, and 8813.

 Attach Form(s) 8805. Department of the Treasury

Internal Revenue Service For calendar year 2005 or tax year beginning , 2005, and ending , 20

Check this box if the partnership keeps its records and books of account outside the United States and Puerto Rico 

Partnership

1a b U.S. employer identification number

For IRS Use Only

CC FD

RD FF

CAF FP

CR I

EDC

Withholding Agent

Withholding agent’s U.S.

employer identification number

2a Name of withholding agent. If partnership is also the withholding agent, enter “SAME” and do not complete lines 2b–d. b

c Number, street, and room or suite no. If a P.O. box, see instructions.

d City, state, and ZIP code

Section 1446 Tax Liability and Payments

3 Enter number of foreign partners 

Total effectively connected taxable income allocable to foreign partners 

(see instructions for effective dates before completing these lines):

4

Part I

Part II

Name of partnership

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

City, state, and ZIP code. If a foreign address, see instructions.

c

d

a Net ordinary income

d 28% rate gains allocable to non-corporate partners

g Unrecaptured section 1250 gains allocable to non-corporate partners

4a

4b

4g

h Qualified dividend income and net long-term capital gains

(including net section 1231 gains) allocable to non-corporate

partners

5 Gross section 1446 tax liability:

a Multiply line 4c by 35% (.35) 5a

b Multiply line 4f by 28% (.28) 5b

c Multiply line 4g by 25% (.25) 5c

d Multiply line 4j by 15% (.15) 5d

4h

e Add lines 5a through 5d 5e

2005

For Paperwork Reduction Act Notice, see separate Instructions for Forms 8804, 8805, and 8813. Cat. No. 10077T Form 8804 (2005)

Reduction to line 4a for valid partner certificates under

Regulations section 1.1446-6T (see instructions)

b

c Subtract line 4b from line 4a 4c

4c

4d

4e

Reduction to line 4d for valid partner certificates under

Regulations section 1.1446-6T (see instructions)

e

f Subtract line 4e from line 4d 4f

4i Reduction to line 4h for valid partner certificates under

Regulations section 1.1446-6T (see instructions)

i

j Subtract line 4i from line 4h 4j
11

10

Overpayment. If line 7 is more than line 9, enter amount overpaid

12

11

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge

and belief, it is true, correct, and complete. Declaration of preparer (other than general partner, limited liability company member, or withholding agent)

is based on all information of which preparer has any knowledge.

Sign

Here

Signature of general partner, limited liability company Title Date

member, or withholding agent

Date Preparer’s SSN or PTIN Preparer’s

signature

Check if

self-employed Paid

Preparer’s

Use Only Firm’s name (or yours

if self-employed),

address, and ZIP code

EIN 

Phone no.

Form 8804 (2005)







13

Amount of line 11 you want refunded to you 

13 Amount of line 11 you want credited to next year’s Form 8804

( )

Form 8804 (2005) Page 2

9 Add lines 5e and 8 9

10

Balance due. If line 7 is smaller than line 9, enter balance due. Attach a check or money

order for the full amount payable to the “United States Treasury.” Write the partnership’s U.S.

employer identification number, tax year, and Form 8804 on it

12

Payments of section 1446 tax made by the partnership identified

on line 1a during its tax year (or with a request for an extension of

time to file) and amount credited from 2004 Form 8804

6a

6a

Section 1446 tax paid or withheld by another partnership in which

the partnership identified on line 1a was a partner during the tax

year (attach Form(s) 1042-S or 8805)

b

6b

Section 1445(a) or 1445(e)(1) tax withheld from or paid by the

partnership identified on line 1a during the tax year for a disposition

of a U.S. real property interest. Attach Form(s) 1042-S or 8288-A.

See the instructions

c

6c

7 Total payments. Add lines 6a through 6c 7

8 Estimated tax penalty (attach Schedule A (Form 8804)) 8