IRS Annual Information Return of Foreign Trust With a U.S. Owner (United States)
This form lists income and expense information of a foreign trust with a U.S. owner. The form provided here is simply a sample of what the actual Form 3520a looks like.
Annual Information Return of Foreign Trust With a U.S. Owner
(Under section 6048(b))
Certain foreign trusts may have to issue a Foreign Grantor Trust Owner Statement(s) or a Foreign Grantor Trust Beneficiary Statement(s) (pages 3 and 4). See separate instructions.
Note: All information must be in English. Show all amounts in U.S. dollars.
For calendar year 2000, or tax year beginning ___________, 2000 ________, and ending __________, 20_____.
PART I General Information (See instructions.)
1a Name of foreign trust _____________________________
b Identification number ___________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
2 Did the foreign trust appoint a U.S. agent (defined on page 2 of the instructions) who can provide IRS with all relevant trust information? ____ Yes ____ No
If "Yes," skip lines 2a through 2e and go to line 3.
If "No," you are required to attach a copy of all trust documents as indicated below. If these documents have been attached to a Form 3520-A filed within the previous 3 years, attach only relevant updates.
Have you attached a copy of:
a Summary of all written and oral agreements and understandings relating to the trust? ____ Yes ____ No ____ Attached Previously ________ Year Attached
b The trust instrument? ____ Yes ____ No ____ Attached Previously ________ Year Attached
c Memoranda or letters of wishes? ____ Yes ____ No ____ Attached Previously ________ Year Attached
d Subsequent variances to original trust documents? ____ Yes ____ No ____ Attached Previously ________ Year Attached
e Other trust documents? ____ Yes ____ No ____ Attached Previously ________ Year Attached
3a Name of U.S. agent _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
4a Name of trustee _____________________________
b Identification number, if any _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
5 Did the trust transfer any property (including cash) to another entity during the tax year? If "Yes," attach statement. See instructions ____ Yes ____ No
Under penalties of perjury, I declare that I have examined this return, including any accompanying reports, schedules, or statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Trustee's Signature _____________________________
Title _____________________________
Date _____________________________
Preparer's Signature _____________________________
Preparer's SSN or PTIN _____________________________
Date _____________________________
PART II Foreign Trust Income Statement. Totals from books and records of foreign trust. (See instructions.)
Income
1 Interest _____________________________
2 Dividends _____________________________
3 Gross rents and royalties _____________________________
4 Income (loss) from partnerships and fiduciaries _____________________________
5 Capital gains:
a Net short-term capital gain (loss) _____________________________
b Net long-term capital gain (loss) _____________________________
6 Ordinary gains (losses) _____________________________
7 Other income (attach schedule) _____________________________
8 Total income (add lines 1 through 7) _____________________________
Expenses
9 Interest expense _____________________________
10a Foreign taxes (attach schedule) _____________________________
b State and local taxes _____________________________
11 Amortization and depreciation (depletion) _____________________________
12 Trustee and advisor fees _____________________________
13 Charitable contributions _____________________________
14 Other expenses (attach schedule) _____________________________
15 Total expenses (add lines 9 through 14) _____________________________
16 Net income (loss) (subtract line 15 from line 8) _____________________________
17a Enter FMV of total distributions from the trust to all persons, whether U.S. or foreign _____________________________
b Distributions to U.S. owner:
(a) Name of owner _____________________________
(b) Identification number _____________________________
(c) Date of distribution _____________________________
(d) FMV _____________________________
c Distributions to U.S. beneficiaries:
(a) Name of owner _____________________________
(b) Identification number _____________________________
(c) Date of distribution _____________________________
(d) FMV _____________________________
PART III Foreign Trust Balance Sheet
Assets
Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
1 Cash Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
2 Accounts receivable Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
3 Mortgages and notes receivable Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
4 Inventories Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
5 Government obligations Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
6 Other marketable securities Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
7 Other nonmarketable securities Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
8a Depreciable (depletable) assets Beginning of Tax Year (a) Amount ___________ End of Tax Year (c) Amount ____________
b Less: accumulated depreciation (depletion) Beginning of Tax Year (a) Amount ___________ (b) Total ___________ End of Tax Year (c) Amount ____________ (d) Total ____________
9 Real property Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
10 Other assets (attach schedule) Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
11 Total assets Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
Liabilities
12 Accounts payable Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
13 Contributions, gifts, grants, etc, payable Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
14 Mortgages and notes payable Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
15 Other liabilities (attach schedule) Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
16 Total liabilities Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
Net Worth
17 Contributions to trust corpus Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
18 Accumulated trust income Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
19 Other (attach schedule) Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
20 Total net worth (add lines 17 through 19) Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
21 Total liabilities and net worth (add lines 16 and 20) Beginning of Tax Year (b) Total ___________ End of Tax Year (d) Total ____________
2000 Foreign Grantor Trust Owner Statement
1a Name of foreign trust _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
2 Did the foreign trust appoint a U.S. agent (defined on page 2 of the instructions) who can provide IRS with all relevant trust information? ____Yes ____ No
If "Yes," complete lines 3a through 3g.
3a Name of U.S. agent _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
4a Name of trustee _____________________________
b Identification number, if any _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
5 The tax year of the owner of the foreign trust to which this statement relates
6a Name of U.S. owner _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
7 Attach an explanation of the facts and law (including the section of the Internal Revenue Code) that establishes that the foreign trust (or portion of the foreign trust) is treated for U.S. tax principles as owned by the U.S. person.
8 If the trust did not appoint a U.S. agent, list the trust documents attached to Form 3520-A. _____________________________
9 Gross value of the portion of the trust treated as owned by the U.S. owner $_____________________
2000 Statement of Foreign Trust Income Attributable to U.S. Owner (See instructions.)
Report each item on the proper form or schedule of your tax return.
Income
1 Interest _____________________________
2 Dividends _____________________________
3 Gross rents and royalties _____________________________
4 Income from partnerships and fiduciaries _____________________________
5 Capital gains (losses) _____________________________
6 Ordinary gains and (losses) _____________________________
7 Other income (attach schedule) _____________________________
Expenses
8 Interest expenses
9a Foreign taxes (attach schedule) _____________________________
b State and local taxes _____________________________
10 Amortization and depreciation (depletion) _____________________________
11 Trustee and advisor fees _____________________________
12 Charitable contributions _____________________________
13 Other expenses (attach schedule) _____________________________
Under penalties of perjury, I declare that I have examined this return, including any accompanying reports, schedules, or statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Trustee Signature _____________________________
Title _____________________________
Date _____________________________
2000 Foreign Grantor Trust Beneficiary Statement
1a Name of foreign trust _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
2 Did the foreign trust appoint a U.S. agent (defined on page 2 of the instructions) who can provide IRS with all relevant trust information? ____ Yes ____ No
If "Yes," complete lines 3a through 3g.
If "No," do you agree that either the IRS or the U.S. beneficiary can inspect and copy the trust's permanent books of account, records, and such other documents that are necessary to establish that the trust should be treated for U.S. tax purposes as owned by another person? ____ Yes ____ No
3a Name of U.S. agent _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
4a Name of trustee _____________________________
b Identification number (if any) _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
5 The first and last day of the tax year of the foreign trust to which Form 3520-A applies _____________________________
6a Name of U.S. beneficiary _____________________________
b Identification number _____________________________
c Number, street, and room or suite no. (if a P.O. box, see instructions) _____________________________
d City or town _____________________________
e State or province _____________________________
f ZIP or postal code _____________________________
g Country _____________________________
7 Description of property (including cash) distributed, or treated as distributed, to the U.S. person during the tax year. (See instructions to Part III of Form 3520 for U.S. tax treatment of these amounts.)
(a) Description of property _____________________________
_____________________________
(b) FMV _____________________________
_____________________________
8 Attach an explanation of the facts and law (including the section of the Internal Revenue Code) that establishes that the foreign trust (or portion of the foreign trust) is treated for U.S. tax principles as owned by another person.
9 Owner of the foreign trust is (check one)
____ Individual ____ Partnership ____ Corporation
Under penalties of perjury, I declare that I have examined this return, including any accompanying reports, schedules, or statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Trustee Signature _____________________________
Title _____________________________
Date _____________________________