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                                                                                Return of Excise Tax on Undistributed Income of 
Form   8613                                                                                     Regulated Investment Companies                                                     OMB No. 1545-1016
(Rev. October 2016)
Department of the Treasury                                                                              For calendar year 20 
Internal Revenue Service                                                        ▶ Information about Form 8613 and its instructions is at www.irs.gov/form8613.
                                                           Name of fund                                                                                              Employer identification number
Please 
Type                                                       Number, street, and room or suite no. If a P.O. box, see instructions.
or 
Print                                                      City or town, state, and ZIP code

• Election under section 4982(e)(4)—Check this box if the tax year of the regulated investment company ends in November  or 
December                                                     and the  fund  elects  to  substitute  its  tax  year  for  the  1-year  period  ending  on  October  31.  See 
instructions                                                 .   . .    .     . . .         . . . . . . . . . .                  . .  . . . . .  .      . . . . . .  .      .    . .   . .  ▶
                                                        1  a Investment  company  taxable  income  under  section  852(b)(2)  for 
                                                             the  calendar  year  determined  without  regard  to  the  dividends 
                                                             paid deduction and any gain or (loss) from the sale or exchange 
                                                             of a capital asset (see instructions) .  . . . . .                  . .  . . .   1a 
                                                        b    Multiply line 1a by 98% (0.98)  .      . . . . . .                  . .  . . . . .  .      . . . . . .    1b 
                                                        2 a  Capital  gain  net  income  under  section  4982(e)(2)  for  the  1-year 
                                                             period  ending  on  October  31  of  the  calendar  year  (see 
                                                             instructions)  .   . .         . . . . . . . . . .                  . .  . . .   2a 
                                                        b    Multiply line 2a by 98.2% (0.982)  .     . . . . .                  . .  . . . . .  .      . . . . . .    2b 
                                                        3 a  Grossed  up  required  distribution  for  the  previous  calendar  year. 
                                                             Add  lines  1a  and  2a  (using  amounts  for  the  previous  calendar 
                                                             year) increased by the prior year’s shortfall (if any), as defined in 
                                  Required Distribution      section 4982(b)(2)  .          . . . . . . . . . .                  . .  . . .   3a 
                                                        b    Distributed amount for the previous calendar year under section 
                                                             4982(c)  . .     . . .         . . . . . . . . . .                  . .  . . .   3b 
                                                        c    Subtract line 3b from line 3a. If zero or less, enter -0-             .  . . . . .  .      . . . . . .    3c 

                                                        4    Required distribution. Add lines 1b, 2b, and 3c  .                  . .  . . . . .  .      . . . . . .      4 
                                                        5    Deduction for dividends paid under section 561 during the calendar year, excluding  exempt-
                                                             interest dividends (see instructions). Include deficiency dividends as defined in section 860(f), 
                                                             but only if paid during the calendar year  . . . .                  . .  . . . . .  .      . . . . . .      5 
                                                        6    Amount  on  which  tax  is  imposed  under  sections  852(b)(1)  or  852(b)(3)(A)  for  any  tax  year 
                                                             ending in or with the calendar year (see instructions)  .             .  . . . . .  .      . . . . . .      6 
                                                        7 a  Distributed amount for the previous calendar year under section 
                                                             4982(c). Enter amount from line 3b .     . . . . .                  . .  . . .   7a 
                                                        b    Grossed  up  required  distribution  for  the  previous  calendar  year. 
                                                             Enter amount from line 3a          . . . . . . . .                  . .  . . .   7b 
                                  Distributed Amount 
                                                        c    Subtract line 7b from line 7a. If zero or less, enter -0-             .  . . . . .  .      . . . . . .    7c 

                                                        8    Distributed amount. Add lines 5, 6, and 7c .   . .                  . .  . . . . .  .      . . . . . .      8 

                                                        9    Undistributed income. Subtract line 8 from line 4. If zero or less, enter -0-  .             . . . . .      9 
                                                        10   Excise tax on undistributed income. Multiply line 9 by 4% (0.04)  .            . .  .      . . . . . .    10 
                                                        11   Tax paid with extension of time to file (Form 7004)                 . .  . . . . .  .      . . . . . .    11 
                                                        12   Tax due. Subtract line 11 from line 10. See instructions .               . . . . .  .      . . . . . .    12 

                 Tax and Payments                       13   Overpayment. Subtract line 10 from line 11     . .                  . .  . . . . .  .      . . . . . .    13 
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is 
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
▲                                                                                                                                           ▲
   Signature of officer                                                                                                          Date         Title
                                                             Print/Type preparer’s name               Preparer’s signature                         Date                            PTIN
Paid                                                                                                                                                            Check         if 
                                                                                                                                                                self-employed
Preparer 
Use Only                                                     Firm’s name      ▶                                                                                 Firm’s EIN  ▶
                                                             Firm’s address  ▶                                                                                  Phone no.
For Paperwork Reduction Act Notice, see instructions.                                                                                   Cat. No. 63985M                      Form  8613 (Rev. 10-2016) 



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Form 8613 (Rev. 10-2016)                                                                                                       Page 2 

General Instructions                        Who Must Sign                                Specific Instructions 
Section references are to the Internal      Form 8613 must be signed and dated by        Period covered. Show the calendar year 
Revenue Code.                               the president, vice president, treasurer,    for which the return is filed at the top of 
                                            assistant treasurer, chief accounting        the form. Figure income on a calendar 
Future Developments                         officer, or by any other officer (such as    year basis even if the fund files its 
The IRS has created a page on IRS.gov       tax officer) authorized to sign. Receivers,  income tax return and keeps its books 
for information about Form 8613, at         trustees, or assignees must also sign        and records on a fiscal year basis. 
www.irs.gov/form8613. Information           and date any return filed on behalf of a 
about any future developments affecting     fund.                                        Address. Include the suite, room, or 
                                                                                         other unit number after the street 
Form 8613 such as legislation enacted       Note: If this return is being filed for a    address. If the Post Office does not 
after we release it will be posted on that  series fund (see section 851(g)(2)), the     deliver mail to the street address and the 
page.                                       return may be signed by any officer          fund has a P.O. box, show the box  
                                            authorized to sign for the RIC in which      number instead. 
Purpose of Form                             the fund is a series. 
                                                                                         Election under section 4982(e)(4). This 
Use Form 8613 to figure and pay the                                                      election is available to funds whose tax 
excise tax on undistributed income          Rounding Off to Whole 
                                                                                         years end in November or December. If 
under section 4982. The tax is 4% of the    Dollars                                      the fund qualifies, it may substitute its 
excess, if any, of the required             The fund may show amounts on the             tax year for the 1-year period ending on 
distribution over the distributed amount.   return as whole dollars. To do so, drop      October 31. 
Also use Form 8613 to make the              any amount less than 50 cents and            If the RIC makes the election, Form 
section 4982(e)(4) election.                increase any amount from 50 cents            8613 must be filed even if no tax is due. 
                                            through 99 cents to the next higher          The election is made no later than the 
Who Must File                               dollar.                                      time for filing Form 8613 (including 
Any regulated investment company (RIC)                                                   extensions) for the year in which the 
that is liable for the tax on undistributed Interest and Penalties                       election will apply. Once made, the 
income or that makes an election under      Interest. Interest is charged on taxes       election is revocable only with IRS 
section 4982(e)(4) must file Form 8613. A   paid late even if an extension of time to    consent. 
RIC that makes this election must file the  file is granted. Interest is also charged on 
form even if no tax is due.                 penalties imposed for failure to file,       Required Distribution 
If a RIC has more than one fund, each       negligence, fraud, and substantial           Line 1a. Include on this line the following 
fund files a separate Form 8613. The        understatements of tax from the due          types of income. 
term “fund” refers to a series fund as      date (including extensions) to the date of 
defined in section 851(g) and to any RIC    payment. The interest charge is figured      1. Adjustments that result in the 
that does not have more than one            at a rate determined under section 6621.     distribution of deficiency dividends 
                                                                                         under section 860(f) for the year in which 
portfolio of assets.                        Late filing of return. A fund that doesn’t   the dividends are paid. 
Exemption. The tax does not apply to        file its tax return by the due date, 
funds in which all the shareholders         including extensions, may have to pay a      2. If a RIC is a partner in a partnership, 
during the year were certain trusts or      penalty of 5% of the unpaid tax for each     recognize the fund’s share of partnership 
segregated asset accounts of a life         month or part of a month the return is       ordinary income (loss) and deductions at 
insurance company. Shares attributable      late, up to a maximum of 25% of the          the same time they are taken into 
to an investment of no more than            unpaid tax. The minimum penalty for a        account by the partnership, regardless of 
$250,000 made in connection with the        return that is over 60 days late is the      the fund’s tax year or the tax year of the 
organization of the RIC will not prevent    smaller of the tax due or $205.              partnership in which the fund is a 
                                                                                         partner. See Rev. Rul. 94-40, 1994-1 
the RIC from qualifying for this            The penalty won’t be imposed if the          C.B. 274. 
exemption. See section 4982(f).             fund can show that the failure to file on 
                                            time was due to reasonable cause. If the     Also see Rev. Proc. 94-71, 1994-2 
When and Where To File                      fund receives a notice about penalties       C.B. 810, for the circumstances under 
File Form 8613, with the Internal           after it files its return, send the IRS an   which the IRS will not challenge the 
Revenue Service Center where the            explanation and we will determine if the     method used by a fund to account for 
fund’s income tax return is filed, by       fund meets the reasonable cause              partnership items when its required  
March 15 following the calendar year in     criteria. Do not attach an explanation       distribution is determined under section 
which the tax liability applies.            when the return is filed.                    4982. 
Extension of time to file. File Form        Late payment of tax. A fund that             3. Any foreign currency gain or loss 
7004, Application for Automatic             doesn’t pay the tax when due may be          attributable to a section 988 transaction 
Extension of Time To File Certain           penalized ½ of 1% of the unpaid tax for      that would be properly taken into 
Business Income Tax, Information, and       each month or part of a month the tax is     account for the part of the calendar year 
Other Returns, to request an extension      not paid, up to a maximum of 25% of the      after October 31 is taken into account in 
of time to file. Filing Form 7004 does not  unpaid tax. This penalty won’t be            the following year. If the RIC makes an 
extend the time for payment of tax.         imposed if the fund can show that the        election under section 4982(e)(4), the last 
                                            failure to pay on time was due to            day of the fund’s tax year is substituted 
Amended Return                              reasonable cause.                            for October 31. 
To amend a previously filed Form 8613,      Other penalties. Other penalties can be  
file a corrected Form 8613 and write        imposed for negligence, substantial  
“Amended” at the top of the form.           understatement of tax, and fraud. See 
                                            sections 6662, 6662A, and 6663. 



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Form 8613 (Rev. 10-2016)                                                                                                      Page 3 
4. Ordinary gain or loss from a              If the RIC makes the election under          Paperwork Reduction Act Notice. We 
disposition of stock in a passive foreign    section 4982(e)(4), substitute the fund’s    ask for the information on this form to 
investment company is determined as if       tax year for the 1-year period ending on     carry out the Internal Revenue laws of 
the fund’s calendar year tax year ended      October 31. A special rule applies,          the United States. You are required to 
on October 31. Gain or loss for the part     however, to the first year the fund          give us the information. We need it to 
of the calendar year after October 31 is     makes the election if that year is not the   ensure that you are complying with these 
taken into account in the following year.    first year the fund is subject to the tax    laws and to allow us to figure and collect 
If the section 4982(e)(4) election is made,  under section 4982. For that year, capital   the right amount of tax.  
the last day of the fund’s tax year is       gain net income is figured for the period    You are not required to provide the  
substituted for October 31.                  beginning on November 1 of the year          information requested on a form that is 
Election to defer certain ordinary           immediately preceding the election year      subject to the Paperwork Reduction Act 
losses. For calendar years beginning         and ending on the last day of the first tax  unless the form displays a valid OMB 
after December 31, 2010, a RIC may           year for which the election was made.        control number. Books or records 
elect under section 4982(e)(7) to            Distributed Amount                           relating to a form or its instructions must  
determine its ordinary income for the                                                     be retained as long as their contents 
calendar year by deferring its net           Line 5. Enter dividends paid during the      may become material in the 
ordinary loss (figured without regard to     calendar year. Include dividends             administration of any Internal Revenue 
specified gains and losses taken into        declared in October, November, or            law. Generally, tax returns and return 
account under section 4982(e)(5))            December of that calendar year that are      information are confidential, as required  
attributable to the portion of the calendar  payable to shareholders of record on a       by section 6103. 
year that begins after the tax year. If this specified date in one of these months, 
election is made, any amount of the net      but only if actually paid by the fund        The time needed to complete and file 
ordinary loss not taken for a calendar       during January of the following calendar     this form will vary depending on 
year will be treated as arising on the first year. See section 852(b)(7). Do not          individual circumstances. The estimated 
day of the following calendar year. For      include other dividends paid after the       average time is:
more information, see section 4982(e)(7).    close of the calendar year.                  Recordkeeping    .   .  .  . 6 hr., 42 min.
To make the election, attach a               Line 6. Line 6 is the total of the following Learning about the 
statement to the return for the year in      amounts figured for the tax year of the      law or the form  .   .  .  . 2 hr., 28 min.
which the election will apply indicating     fund ending in or with the calendar year     Preparing and sending 
the RIC is electing to defer its net         for which this return is filed.              the form to the IRS  .  .  . 2 hr., 42 min.
ordinary loss under section 4982(e)(7)       1. Taxable income from Form                  If you have comments concerning the  
and specifying the amount of the net         1120-RIC, Part I, line 26, and the amount    accuracy of these time estimates or 
ordinary loss that the RIC is electing to    subject to tax on Form 1120-RIC, Part II,    suggestions for making this form 
defer.                                       line 3; and                                  simpler, we would be happy to hear from 
                                                                                          you. You can send us comments from 
Line 2a. Include on this line the following  2. Undistributed capital gains               www.irs.gov/formspubs/. Click on “More 
items.                                       designated under section 852(b)(3)(D)        Information” and then on “Give us 
1. Capital gain net income from              from Form 2438, line 11.                     feedback.” Or you can write to Internal  
deficiency dividends referred to in line 1a                                               Revenue Service, Tax Forms and 
above.                                       Tax and Payments                             Publications Division, 1111 Constitution 
2. The fund’s share of partnership           Line 12. Full payment of the tax due on      Ave. NW, IR-6526, Washington, DC  
capital gain net income taken into           line 12 must be attached to this return.     20224. Do not send the form to this 
account at the same time as it is taken      Make the RIC’s check or money order          office. Instead, see When and Where To 
into account by the partnership,             payable to the “United States Treasury.”     File  , earlier. 
regardless of the fund’s tax year or the     The RIC can pay the tax electronically 
tax year of the partnership in which the     itself or arrange for an electronic funds 
fund is a partner.                           transfer through a trusted third party. 
If the RIC does not make the section         Generally, electronic funds transfers are 
4982(e)(4) election, capital gain net        made using the Electronic Federal Tax 
income is figured on the basis of a          Payment System (EFTPS). To get more 
1-year period ending on October 31 of        information about EFTPS or to enroll in 
the calendar year.                           EFTPS, visit www.eftps.gov, or call 
                                             1-800-555-4477 (TTY/TDD 
                                             1-800-733-4829). 






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