Form 965-B

(Rev. January 2020)

Corporate and Real Estate Investment Trust (REIT) Report of Net 965 

Tax Liability and Electing REIT Report of 965 Amounts

Department of the Treasury 

Internal Revenue Service ▶ Go to www.irs.gov/Form965B for instructions and the latest information.

OMB No. 1545-0123

Check this box if this is an amended report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

Name of taxpayer or REIT Identifying number Taxable year of reporting

REITs Electing To Account for Section 965 Amounts Over Time Must Fill Out Part III.

Part I Report of Net 965 Tax Liability and Election To Pay in Installments 

(a) 

Year of 

Section 

965(a) 

Inclusion or 

Liability 

Assumed 

(see instructions)

(b)

Taxpayer’s Net Tax Liability 

With all 

965 Amounts 

(see instructions)

(c)

Taxpayer’s Net Tax Liability 

Without 

965 Amounts 

(see instructions)

(d)

Net 965 Tax Liability 

(subtract column (c) 

from column (b))

(e)

Installment 

Election 

Made

(f)

Net 965 Tax Liability 

To Be Paid in Full in Year 1 

(if column (e) is “No,” enter 

amount from column (d))

(g) 

Net 965 Tax Liability 

To Be Paid in Installments 

(if column (e) is “Yes,” enter 

amount from column (d) 

and see instructions) 

(h) 

Net 965 Tax Liability 

Transferred (Out), 

Transferred In, or 

Subsequent Adjustments, 

if any (see instructions)

(i) 

Tax 

Identification 

Number 

of Buyer/

Transferee or 

Seller/ 

 Yes No Transferor 

1 2017

2 2018

3 2019

4

5

6

7

8

Part II Record of Amount of Net 965 Tax Liability Paid by the Taxpayer (see instructions)

(a) 

Year of Section 965(a) 

Inclusion or 

Liability Assumed 

(see instructions)

(b)

Paid for Year 1

(c)

Paid for Year 2

(d)

Paid for Year 3

(e)

Paid for Year 4

(f)

Paid for Year 5

1 2017

2 2018

3 2019

4

5

6

7

8

(g)

Paid for Year 6

(h)

Paid for Year 7

(i)

Paid for Year 8

(j)

Net 965 Tax Liability 

Remaining Unpaid (see instructions)

(k)

Net 965 Tax Liability 

Paid for the Reporting Year

1

2

3

4

5

6

7

8

Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 71278S Form 965-B (Rev. 1-2020)
Form 965-B (Rev. 1-2020) Page 2

Part III Electing REIT Report of Section 965 Amounts Accounted for Over Time (see instructions)

(a) 

Tax Year of 

Section 965(a) Inclusion and 

Section 965(c) Deduction

(b)

Amount Elected To Be 

Accounted for Over Time

(c)

Portion Accounted for in 

Year 1

(d)

Portion Accounted for in 

Year 2

(e)

Portion Accounted for in 

Year 3

(f)

Portion Accounted for in 

Year 4

1a 2017 Section 965(a) Inclusion

1b 2017 Section 965(c) Deduction

2a 2018 Section 965(a) Inclusion

2b 2018 Section 965(c) Deduction

3a 2019 Section 965(a) Inclusion

3b 2019 Section 965(c) Deduction

(g)

Portion Accounted for in 

Year 5

(h)

Portion Accounted for in 

Year 6

(i)

Portion Accounted for in 

Year 7

(j)

Portion Accounted for in 

Year 8

(k)

Amount Remaining To Be 

Accounted for

(l)

Portion Accounted for 

in This Reporting Year

1a

1b

2a

2b

3a

3b

Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

If more lines are needed for any Parts on this form, attach additional sheets.

Form 965-B (Rev. 1-2020)