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                                   Special Loss Discount Account and Special 
Form  8816                                                                                                       OMB No. 1545-0123
(Rev. September 2017)        Estimated Tax Payments for Insurance Companies
Department of the Treasury                              ▶Attach to tax return. 
Internal Revenue Service                   ▶Go to www.irs.gov/Form8816 for the latest information.
Name                                                                                                        Employer Identification Number

Part I        Special Loss Discount Amount

                 Accident year

1      Undiscounted unpaid losses         .

2      Discounted unpaid losses  .        .
3      Special  loss  discount  limitation. 
       Subtract line 2 from line 1     .  .
Part II       Special Loss Discount Account (See instructions.)

4      Balance at the beginning of the year

5      Additions—section 847(4)        .  .

6      Subtractions—section 847(5)  .
7      Balance  at  the  end  of  the  year. 
       Add  lines  4  and  5  and  subtract 
       line 6 from the result  .   .   .  .
Part III      Special Estimated Tax Payments (See instructions.)

8      Balance at the beginning of the year

9      Payments made for year  .       .  .
10     Prior section 847 payments 
       transferred to current year  .     .

11     Payments applied for year  .       .
12     Balance at the end of the year. 
       Add lines 8 through 10 and 
       subtract line 11 from the result  .
Section references are to the Internal       amount on the dotted line next to line 13      Line 1. Enter the undiscounted unpaid 
Revenue Code unless otherwise noted.         on Form 1120, Schedule J, Part II. This will   losses (as defined in section 846(b)) for 
                                             assist the IRS in properly accounting for      each accident year, measured as of the 
Future Developments                          your Special Estimated Tax Payments.           end of the tax year, related to losses 
For the latest information about             When to file. Attach Form 8816 to the          incurred in tax years beginning after 
developments related to Form 8816 and its    Form 1120-PC, Form 1120-L, or Form             December 31, 1986.
instructions, such as legislation enacted    1120 filed for the tax year of the additional  Line 2. Enter the related discounted unpaid 
after they were published, go to             deduction and for each subsequent tax          losses determined under section 846.
www.irs.gov/Form8816.                        year that has a remaining amount of unpaid 
                                             losses resulting from the deduction.           Part II. Special Loss Discount 
General Instructions                                                                        Account (SLDA)
Purpose of form. Form 8816 must be filed     Specific Instructions                          Keep a separate SLDA for each accident 
by insurance companies that elect to take    Note: All line references to Form 1120-L,      year for which an additional deduction 
an additional deduction under section 847.   Form 1120-PC, and Form 1120 are to the         under section 847 is claimed. Do not net 
Consolidated return. Each member of a        2016 forms.                                    amounts from one year against amounts 
consolidated group claiming a section 847                                                   from another year.
deduction must file a separate Form 8816.    Part I. Special Loss Discount                  Line 4. Enter the balance in the SLDA at 
Do not combine several taxpayers on one      Amount                                         the beginning of the year for which this 
Form 8816. If a consolidated return is filed Accident year. Enter the four-digit            return is filed.
on Form 1120 and one or more members         accident year in the space provided at the     Line 5. The amount entered on line 5 may 
of the group is claiming a section 847       top of each column. For example, enter         not exceed the amount on line 3. The total 
deduction, enter “Form 8816” and the         accident year 2015 as 2015.                    of the amount(s) reported on line 5 must be 
For Paperwork Reduction Act Notice, see instructions.                       Cat. No. 41382N                      Form 8816 (Rev. 9-2017)



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Form 8816 (Rev. 9-2017)                                                                                                                Page 2
the same amount as on Form 1120-PC,           1120-PC, page 1, line 14d, or Form                year for which the payment was made (that 
Schedule A, line 27, or Form 1120-L, page     1120-L, page 1, line 29d. For purposes of         is, to the extent there is a balance on line 
1, line 17. For purposes of Form 1120, this   Form 1120, this amount is included on             12 at the end of the 15thtax year beginning 
amount is included in line 26, page 1, Form   Form 1120, Schedule J, Part II, line 13.          after the year for which the payment was 
1120. Generally, additions are only made in     Generally, payments are only made in            made), that SETP shall be treated as an 
the initial year of a specific loss year’s    the initial year an account is established. If    estimated tax payment made under section 
account.                                      amounts are added in subsequent years,            6655 for the 16thyear after the year for 
Line 6. Enter on this line and on Form        attach an explanation.                            which the payment was made. Enter these 
                                                                                                amounts on Form 1120-PC, page 1, line 
1120-PC, Schedule A, line 12, Form            Line 10. Enter the amount of SETPs made           14c, or Form 1120-L, page 1, line 29c. For 
1120-L, page 1, line 6, or Form 1120, page    in a prior year that are treated as having        purposes of Form 1120, this amount is 
1, line 10, amounts that are required to be   been made for the current year (which             included on Form 1120, Schedule J, Part II, 
removed from the SLDA and included in         allows a current deduction under section          line 13.
income. See section 847(5) for details.       847). In effect, the amount on line 10 will be 
Note: Section 847(5) requires that, to the    treated as having been transferred from           Paperwork Reduction Act Notice. We 
extent that any amount added to the SLDA      one accident year to another accident year.       ask for the information on this form to carry 
is not subtracted from the SLDA before the    This line is intended to ensure the proper        out the Internal Revenue laws of the United 
15thyear after the year for which the         accounting of SETPs and to avoid the              States. You are required to give us the 
amount was added, the amount must be          unnecessary exchange of monies between            information. We need it to ensure that you 
subtracted from the SLDA for the 15thyear     taxpayers and the IRS.                            are complying with these laws and to allow 
and included in gross income for the 15th     Example. Assume for calendar year 2016,           us to figure and collect the right amount of 
year.                                         a taxpayer has $1 million in taxable income       tax.
Line 7. The amount entered on this line       without regard to section 847 and has             You are not required to provide the 
may not exceed the amount on line 3.          made estimated tax payments sufficient to         information requested on a form that is 
                                              satisfy its liability. For prior accident year X, subject to the Paperwork Reduction Act 
Part III. Special Estimated                   the taxpayer took a section 847 deduction         unless the form displays a valid OMB 
Tax Payments (SETPs)                          and paid an SETP.                                 control number. Books or records relating 
Use Part III to reconcile the corporation’s   • In year 2016, a portion of that prior           to a form or its instructions must be 
SETPs for each tax year it has made a         accident year’s discount reverses                 retained as long as their contents may 
section 847 election.                         ($50,000), and $50,000 is includible in           become material in the administration of 
                                              income (Part II, line 6) and results in an        any Internal Revenue law. Generally, tax 
   Section 847(8) (tax benefit determination) increased tax liability of $17,000. Also in       returns and return information are 
requires that if a taxpayer carries back net  year 2016, the taxpayer takes a section           confidential, as required by section 6103.
operating losses or capital losses that arise 847 deduction of $50,000 for accident year        The time needed to complete and file 
in years after a year in which a section 847  2016 requiring an SETP of $17,000.                this form will vary depending on individual 
deduction was claimed, the taxpayer must      • Instead of actually making an SETP of           circumstances. The estimated burden for 
recompute the tax benefit attributable to     $17,000 for year 2016, the taxpayer can           business taxpayers filing this form is 
the previously claimed section 847            enter $17,000 on line 10 for accident year        approved under OMB control number 
deduction taking into account the loss        2016 and transfer that amount from the            1545-0123. The estimated burden for all 
carrybacks. Tax benefits also include those   balance of SETP for accident year X to            other taxpayers who file this form is shown 
derived from filing a consolidated return     accident year 2016. The taxpayer must             below.
with another insurance company (without       also include $17,000 on Part III, line 11, for    Recordkeeping      .  .    . . 4 hr., 18 min.
regard to section 1503(c)).                   accident year X.
                                                                                                Learning about the                                 
   Therefore, if this recomputation changes   Line 11. Enter the total payments applied         law or the form    .  .    . .   .1 hr., 5 min.
the amount of the section 847 tax benefit,    to pay additional tax due as a result of 
the taxpayer must provide a computation       including in income amounts required by           Preparing, copying, 
schedule and attach it to Form 8816.          section 847(5). The total of the amount(s)        assembling, and 
Line 8. The amount entered on this line       on line 11 must agree with the amount on          sending the form to 
should be the same as the ending balance      Form 1120-PC, page 1, line 14b, or Form           the IRS  .   . .   .  .    . .  1 hr., 12 min.
for this account for the year immediately     1120-L, page 1, line 29b. For purposes of         If you have any comments concerning the 
preceding this year. If the amounts are       Form 1120, this amount is included on             accuracy of these time estimates or 
different, attach an explanation.             Form 1120, Schedule J, Part II, line 13.          suggestions for making this form simpler, we 
Line 9. Enter the total payments made for     Line 12. To the extent that an SETP is not        would be happy to hear  from you. See the 
this accident year. The amount entered on     used to offset additional tax due for any of      instructions for Form 1120-PC, Form 1120-L, 
this line for the current accident year must  the first 15 tax years beginning after the        or Form 1120.
agree with the figures shown on Form






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