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TLS, have you I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING


transmitted all R Action Date Signature
text files for this INSTRUCTIONS TO PRINTERS
cycle update? FORM 8404, PAGE 1 of 2
MARGINS: TOP 13mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD TO HEAD O.K. to print
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") x 279mm (11")
Date PERFORATE: (NONE) Revised proofs
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Form 8404 Interest Charge on DISC-Related


Deferred Tax Liability
OMB No. 1545-0939

Department of the Treasury


Internal Revenue Service
䊳 File Form 8404 separately from your income tax return. See Where To File below. 2005
A Check applicable box to Name of shareholder B Shareholder’s identifying
show type of taxpayer: number

Address (number, street, room, suite, or P.O. box number)


Corporation
C IC-DISC’s identifying
Individual number
City, state, and ZIP code
Trust or
Decedent’s estate
D Shareholder’s tax year for which interest charge is required to be paid (see instructions) E Name of IC-DISC

Note: See line-by-line instructions.


1 Taxable income or loss on tax return (actual or estimated) 1
2 Deferred DISC income from line 10, Part III, Schedule K (Form 1120-IC-DISC) 2
3 Section 995(f)(2) adjustments to line 1 income or loss 3
4 Combine lines 1, 2, and 3. If zero or less, do not file this form 4
5 Tax liability on line 4 amount 5
6 Tax liability per return (actual or estimated) 6
7 DISC-related deferred tax liability. Subtract line 6 from line 5. 7
8 Base period T-bill rate factor 8
9 Interest charge due. Multiply line 7 by line 8. (See Paying the interest charge below.) 9
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 taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here 䊳 Signature and Title (if any)
䊳 Date

Date Check if Preparer’s SSN or PTIN
Preparer’s self-
Paid signature employed 䊳
Preparer’s

Firm’s name (or yours if EIN
Use Only self-employed), address,
and ZIP code Phone no. ( )

General Instructions corporations, the interest is due on the 15th year it is paid or accrued. See Proposed
day of the 3rd month following the close of Regulations section 1.995(f)-1(j)(2) for details
Section references are to the Internal Revenue the tax year. on the tax year of deductibility. For other
Code unless otherwise noted. Attach a check or money order made filers, this interest is not deductible.
Purpose of form. Shareholders of Interest payable to “United States Treasury” for the Amended Form 8404. You are required to file
Charge Domestic International Sales full amount of the interest charge. Do not an amended Form 8404 only if the amount of
Corporations (IC-DISCs) use Form 8404 to combine the interest charge with any other the DISC-related deferred tax liability (line 7)
figure and report their interest owed on tax or interest due. Write your identification changes as a result of audit adjustments,
DISC-related deferred tax liability. number and “Form 8404—Interest Due” on changes you make by the filing of an
your payment. Do not use Form 8109, Federal amended return, or if estimates were used on
Who must file. You must file Form 8404 if:
Tax Deposit Coupon. your original Form 8404 and changes were
(a) you are a shareholder of an IC-DISC;
If the interest charge is not paid by the due made to these estimates when you filed your
(b) the IC-DISC reports deferred DISC income
date, interest, compounded daily, at the rate tax return. See Proposed Regulations section
to you on line 10, Part III of Schedule K
specified under section 6621, will be imposed 1.995(f)-1(j)(4) for details.
(Form 1120-IC-DISC); and (c) the addition of
this income would result in increased taxable on the amount of unpaid interest from the
income if it were included on your tax return due date until the date the interest is paid. Specific Instructions
for the tax year. Payment of estimated tax is not required Name and address. Enter the name and
When to file. File Form 8404 by the due date for the interest charge. See Proposed address as shown on your tax return from
of your Federal income tax return (excluding Regulations section 1.995(f)-1(j)(3) for other which the income or loss on line 1 of Form
extensions) for your tax year that ends with or details. 8404 is obtained. If the return is a joint return,
includes the IC-DISC’s tax year end. also enter your spouse’s name as shown on
For corporations (other than S
Form 1040.
For example, you are a fiscal year corporations), the annual interest charge is
corporation with a July 1, 2005, to June 30, deductible as an interest expense for the tax
2006, tax year and you are a shareholder in
an IC-DISC with a July 1, 2005, to June 30,
2006, tax year that reports deferred DISC Where To File
income to you for its tax year ending June 30, File Form 8404 at the applicable IRS address listed below.
2006. Because your tax year ends with the
IC-DISC’s tax year, you are required to file If you checked the box in Use the following Internal Revenue
Form 8404 on or before September 15, 2006 Item A for: Service Center address:
(21⁄2 months after your tax year ends).
Corporation Cincinnati, OH 45999
Paying the interest charge. You must pay
the interest charge shown on line 9 by the Individual Philadelphia, PA 19255
date your Federal income tax for the tax year
Trust or Decedent’s estate Cincinnati, OH 45999
is required to be paid. For individuals, the
interest is due on the 15th day of the 4th
File Form 8404 separately from your income tax return (i.e., file them in separate envelopes).
month following the close of the tax year. For
Keep a copy for your records.

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 62423Z Form 8404 (2005)
2
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8404, PAGE 2 of 2
MARGINS: TOP 13mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") x 279mm (11")
PERFORATE: (NONE)
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 8404 (2005) Page 2


Item A—Type of taxpayer. Check the your tax year that ends with or includes the Line 8. The base period T-bill rate is defined
applicable box to indicate your status as a IC-DISC’s tax year end. If you have not yet in section 995(f)(4). The base period T-bill rate
taxpayer. filed your tax return, estimate your income or is compounded daily based on the number of
Partnerships and S corporations distribute loss based on all information available to you. days in the shareholder’s tax year to
their share of deferred DISC income to (See Amended Form 8404 on page 1.) determine the base period T-bill rate factor.
partners and shareholders and the partners Line 2. Enter the deferred DISC income from The base period T-bill rate factor for 2005
and shareholders complete Form 8404. line 10, Part III of Schedule K (Form is .032309593 for a 365-day tax year. Enter
1120-IC-DISC), for the IC-DISC tax year that the appropriate factor on line 8 of Form 8404.
Item B—Shareholder’s identifying number.
ends with or within your tax year. See Rev. Rul. 2005-70, 2005-45 I.R.B. 919,
Individuals must enter their social security
number. Other filers must enter their employer Line 3. Enter the net amount of all section for a short tax year or a 52-53 week tax year.
identification number. 995(f)(2) adjustments to taxable income. See
Special Computation Rules above for details
Item C—IC-DISC’s Identifying number. Privacy Act and Paperwork Reduction Act
on the income (loss) and expense
Enter the identifying number of the IC-DISC Notice. We ask for the information on this
adjustments to be made. If more than one
from the Schedule K (Form 1120-IC-DISC) on form to carry out the Internal Revenue laws of
adjustment is involved, attach a schedule
which the deferred DISC income was the United States. We need it to figure and
listing each item and show the computation
reported to you. If income is reported to you collect the right amount of tax. Section 995(f)
of the net amount.
from more than one IC-DISC, enter each requires taxpayers to pay over to the IRS
IC-DISC’s identifying number in item C, each Lines 5 and 6. “Tax liability” on lines 5 and 6 interest on DISC-Related Deferred Tax
IC-DISC’s name in item E, and report the (with and without the deferred DISC income) Liability. This form is used to determine the
combined income on line 2. means the amount of tax imposed on the amount of tax that you owe. Sections 6001
IC-DISC shareholder for the tax year by and 6011 require you to provide the
Item D—Tax year. Enter in item D the
Chapter 1 of the Internal Revenue Code requested information if the tax applies to
calendar year or the beginning and ending
(other than taxes listed below) reduced by you. Section 6109 requires you to provide
dates of the tax year shown on your tax
credits allowable against such tax (other than your social security number or other
return for which the interest charge is figured.
credits listed below). identifying number. Routine uses of this
Special Computation Rules See Special Computation Rules above for information include disclosing it to the
rules for carrybacks and carryovers. These Department of Justice for civil and criminal
Carrybacks. The determination of the litigation and to other federal agencies, as
shareholder’s DISC-related deferred tax rules may affect the line 5 computation.
provided by law. We may disclose the
liability on lines 1 through 7 shall be made The following taxes are not taken into information to cities, states, the District of
without taking into account any net operating account: Columbia, and U.S. Commonwealths or
loss (NOL), capital loss carryback, or credit ● Alternative minimum tax. possessions to administer their tax laws. We
carryback to the tax year. may disclose the information to foreign
● Any other provisions described in section governments pursuant to tax treaties. We
Carryovers. The determination of the 26(b)(2) (relating to certain other taxes treated
shareholder’s tax liability (line 5) for the tax may disclose the information to the
as not imposed by Chapter 1). Department of the Treasury and contractors
year is made by disregarding any loss,
deduction, or credit to the extent that such The following credits are not taken into for tax administration purposes. We may also
loss, deduction, or credit may be carried account: disclose this information to other countries
(either back or forward) by the shareholder to ● Section 31 (taxes withheld on wages). under a tax treaty, to Federal and state
any other tax year. agencies to enforce Federal nontax criminal
● Section 32 (earned income credit). laws, or to Federal law enforcement and
Note. If the tax year is the last tax year to
which the amount of carryforward (of loss, ● Section 34 (fuels credit). intelligence agencies to combat terrorism. If
you do not file this information required by
deduction, or credit) may be carried, the line For 2005, a Form 1040 filer or a Form 1120 law or provide incomplete or fraudulent
3 adjustments and line 5 tax shall be figured filer using the above rules will generally figure information, you may be subject to interest,
with regard to the full amount of such their line 6 tax liability using the following penalties, and/or criminal prosecution.
carryforward. items shown on the following lines of those
forms. All other filers should use the You are not required to provide the
For example, a shareholder had a NOL information requested on a form that is
carryover to 2006 of $12,000; $10,000 income corresponding lines of other income tax
returns. If you have not yet filed your return, subject to the Paperwork Reduction Act
to which $10,000 of the NOL can be applied; unless the form displays a valid OMB control
$2,000 allowable NOL carryover to 2007; and estimate the line 6 tax liability based on all
information available to you. number. Books or records relating to a form
$5,000 deferred DISC income for 2006. In this or its instructions must be retained as long as
case, for purposes of figuring line 5, the 2005 2005 their contents may become material in the
allowed NOL is $10,000. Note. If 2006 were Form 1040 Form 1120 administration of any Internal Revenue law.
the last tax year to which the $12,000 NOL Line Line Generally, tax returns and return information
could be carried, the full $12,000 NOL would are confidential, as required by section 6103.
Tax less nonrefundable
be allowed for purposes of figuring line 5 tax
credits 57 8, Sch. J The time needed to complete and file this
liability. The additional $2,000 loss would be
entered on line 3. Plus: (1) Advance earned form will vary depending on individual
income credit circumstances. The estimated average time
Other adjustments. In figuring line 3 payments 61 is:
adjustments, take into account any income (2) Recapture taxes
and expense adjustments that do not result in Recordkeeping 4 hr., 4 min.
(except Form 8828) * *
amounts that may be carried back or forward (3) Prior year minimum Learning about the
to other tax years. For example, in the case tax credit 55b 6e, Sch. J law or the form 2 hr., 17 min.
of an IC-DISC shareholder who is an Less: (1) Alternative minimum
individual, the amount of medical expenses Preparing, copying
tax 45 4, Sch.
* J and sending the form
allowable as a deduction under section 213 (2) Additional child tax
must be redetermined for purposes of line 3 to the IRS 2 hr., 27 min.
credit 68
adjustments. However, the amount allowable (3) Credit for tax paid on
If you have comments concerning the
as a charitable deduction under section 170 undistributed capital accuracy of these time estimates or
is not redetermined because this adjustment gains (Form 2439) 70a 32f, pg. 1 suggestions for making this form simpler, we
could result in a carryback or carryover. (4) Health insurance would be happy to hear from you. You can
See Proposed Regulations section credit for eligible write to the Internal Revenue Service, Tax
1.995(f)-1(d) for other details regarding these recipients (Form Products Coordinating Committee,
and other special computation rules. 8885) 70c SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave.
NW, IR-6406, Washington, DC 20224.
* Caution: Only use the portion of Form 1040, line 63,
Line-by-Line Instructions or Form 1120, Schedule J, line 10, attributable to Do not send the form to this office. Instead,
recapture of credits allowable against taxes treated see Where To File on page 1.
Line 1. Enter on line 1 the taxable income or as imposed under Chapter 1 (e.g., recapture of
loss from your Federal income tax return for investment tax and low-income housing credits).

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