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Form 8621 Rev 2013
20
beginning
, 20
or other tax year
and ending
, 20
.
City or town, state, and ZIP code or country
Check type of shareholder filing the return:
Individual
Corporation
Partnership
S Corporation
Nongrantor Trust
Name of passive foreign investment company (PFIC) or qualified electing fund (QEF)
Employer identification number (if any)
Address (Enter number, street, city or town, and country.)
Reference ID number (see instructions)
Tax year of PFIC or QEF: calendar year...
Show details
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