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Form 8804 Annual Return for Partnership Withholding Tax (Section 1446)
䊳 See separate Instructions for Forms 8804, 8805, and 8813.
OMB No. 1545-1119
Part I Partnership
1a Name of partnership b U.S. employer identification number
c Number, street, and room or suite no. If a P.O. box, see instructions. For IRS Use Only
CC FD
RD FF
d City, state, and ZIP code. If a foreign address, see instructions. CAF FP
CR I
EDC
c Number, street, and room or suite no. If a P.O. box, see instructions.
For Paperwork Reduction Act Notice, see separate Instructions for Forms 8804, 8805, and 8813. Cat. No. 10077T Form 8804 (2005)
6
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8804, PAGE 2 of 3 (PAGE 3 IS BLANK)
MARGINS: TOP 13 mm (1⁄2 "), CENTER SIDES. PRINTS: FACE ONLY
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216 mm (81⁄2 ") 279 mm (11")
PERFORATE: (NONE)
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
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 10
Paid
Preparer’s
Preparer’s
signature 䊳 Date
Check if
self-employed
Preparer’s SSN or PTIN
䊳
Firm’s name (or yours EIN 䊳
Use Only if self-employed),
address, and ZIP code Phone no. ( )
Form 8804 (2005)