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Federal Free Printable Form 965-A (Rev. January 2020) for 2021 Federal Individual Report of Net 965 Tax Liability

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Individual Report of Net 965 Tax Liability
Form 965-A (Rev. January 2020)

Form 965-A Individual Report of Net 965 Tax Liability OMB No. 1545-0074 (Rev. January 2020) Department of the Treasury Internal Revenue Service ▶ Check this box if this is an amended report . . . Go to www.irs.gov/Form965A for instructions and the latest information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ Taxable year of reporting (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) S Corporation Shareholder Total Deferred Net 965 Tax Liability (line total from Part III, column (g), see instructions) 1 2 3 4 5 6 7 8 2017 2018 2019 (f) Net 965 Tax Liability eligible for installment payment election (subtract column (e) from column (d), see instructions) (g) Installment Election Made Yes No (h) Net 965 Tax Liability to be paid in full for Year 1 (if column (g) is “No,” enter amount from column (f)) (i) Net 965 Tax Liability to be paid in installments (if column (g) is “Yes,” enter amount from column (f) and see instructions) (j) Net 965 Tax Liability Transferred (Out), Transferred In, or Subsequent Adjustments, if any (see instructions) (k) Tax Identification Number of buyer/transferee or seller/transferor 1 2 3 4 5 6 7 8 1 2 3 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, Liability Assumed, or Triggering Event 1 2 3 4 5 6 7 8 . Report of Net 965 Tax Liability and Election To Pay in Installments (a) Year of Section 965(a) Inclusion, Liability Assumed, or Liability Triggering Event (see instructions) 1 2 3 4 5 6 7 8 . Identifying number Name of taxpayer with a net 965 tax liability Part I . (b) Paid for Year 1 (c) Paid for Year 2 (d) Paid for Year 3 (e) Paid for Year 4 1 2 3 4 5 6 7 8 2017 2018 2019 For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. (f) Paid for Year 5 Cat. No. 71277H Form 965-A (Rev. 1-2020) Page 2 Form 965-A (Rev. 1-2020) Part II Record of Amount of Net 965 Tax Liability Paid by the Taxpayer (continued) (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 1 2 3 4 5 6 7 8 Totals . Part III . . . . . . Total 2 Total 3 Total . . . . . . . . . . . . . . . . . . . . . . ▶ S Corporation Shareholder: Report of Calculation of Net 965 Tax Liability Related to 965 Amounts Allocated From an S Corporation and Election To Defer Such Net 965 Tax Liability (a) S Corporation Name Year of 965(a) Inclusion 1 . (c) Taxpayer’s Net Tax Liability with only 965 amounts from this S Corporation (see instructions) (b) S Corporation Tax Identification Number (e) (d) Net 965 Tax Liability Taxpayer’s Net Tax Liability related to 965 amounts from without 965 amounts this S Corporation (subtract (see instructions) column (d) from column (c)) (f) Deferral Election Made Yes No (g) Deferred Net 965 Tax Liability (if column (f) is “Yes,” enter amount from column (e)) 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ 2018 . . 2019 . . Form 965-A (Rev. 1-2020) Page 3 Form 965-A (Rev. 1-2020) Part IV Annual Report of Deferred Net 965 Tax Liability Related to 965 Amounts Allocated From S Corporations (required every year until the liability is fully paid) (a) Election or Transfer Year (b) S Corporation Name (c) S Corporation Tax Identification Number (d) Beginning Deferred Net 965 Tax Liability (see instructions) 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 (g) Deferred 965 Net Tax Liability Transferred (Out) or Transferred In by Agreement, if any (see instructions) (f) Net 965 Tax Liability Triggered (see instructions) (e) Reserved for Future Use ( ( ( ( ( ( ( ( ( ( Total . . . . . . . . . . . . . . . . . . . . . . . If more lines are needed for any Part on this form, attach additional sheets. (h) Tax Identification Number of Transferee or Transferor ) ) ) ) ) ) ) ) ) ) (i) Deferred Net Tax Liability at the end of this Reporting Year (add columns (d), (e), (f), and (g)) (see instructions) 1 2 3 4 5 6 7 8 9 10 . . . . . . . . . . . . . . . . . . . ▶ Form 965-A (Rev. 1-2020)
Extracted from PDF file 2019-federal-965-a.pdf, last modified December 2019

More about the Federal 965-A Individual Income Tax

This form must be filed for taxpayers who need to submit a net 965 tax liability.

We last updated the Individual Report of Net 965 Tax Liability in February 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Federal Internal Revenue Service. You can print other Federal tax forms here.


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Other Federal Individual Income Tax Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
1040 (Schedule B) Interest and Ordinary Dividends
Form 1040 U.S. Individual Income Tax Return
Form 8822 IRS Change of Address
W-4V Voluntary Withholding Request
1040 (Schedule R) Credit for the Elderly or the Disabled

Download all  tax forms View all 775 Federal Income Tax Forms


Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal 965-A from the Internal Revenue Service in February 2020.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Federal 965-A

We have a total of two past-year versions of 965-A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 965-A

Form 965-A (Rev. January 2020)

2018 965-A

Form 965-A (January 2019)


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