1220 Form 8869 (PDF)

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f8869.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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11 Date election is to take effect (month, day, year) (see instructions) . . . . . . . . . . . . . . . . . . . ^▶

14 Is this election being made in combination with a section 368(a)(1)(F) reorganization described in Rev. Rul. 2008-18, where the subsidiary was

Under penalties of perjury, I declare that I have examined this election, including accompanying statements, and to the best of my knowledge and belief, it is true, correct, and complete.

Signature of officer of parent corporation ^▶ Title ^▶ Date ^▶

For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 28755K Form 8869 (Rev. 12-2020)