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                                                                                                                                            OMB No. 1545-0123
SCHEDULE Q                  Tax Liability of Qualified Derivatives Dealer (QDD)
(Form 1120-F)
                                                        Attach to Form 1120-F. 
Department of the Treasury                                                                                                                  2024
Internal Revenue Service                  Go to www.irs.gov/Form1120F for the latest information.
Name of corporation                                                                                                                Employer identification number

Name of QDD                                                                                                                        QI-EIN

QDD Taxable Year (enter month, day, and year for beginning and ending dates)
Beginning                               , 20     , and ending                            , 20
Indicate the year or portion of the year to which the schedule relates (enter month, day, and year for beginning and ending dates) Schedule of
Beginning                               , 20     , and ending                            , 20
                                                                                         (a)                                       (b)        (c) 
                         Summary of QDD Tax Liability                                    Gross Amount        Withholding Tax Rate           Amount of Tax Liability 
                                                                                                                                            (column (a) x column (b))
1 Total section 871(m) amount           . .    . .  . .        . .          . . . .     1
2 Total dividends received in equity derivatives dealer capacity .                .     2
3 Total QDD tax liability pursuant to section 3.09(A) of the Qualified 
  Intermediary Agreement  .         .   . .    . .  . .        . .          . . . .     3
4 Total QDD tax liability pursuant to section 3.09(B) of the Qualified 
  Intermediary Agreement  .         .   . .    . .  . .        . .          . . . .     4
5 Total QDD tax liability pursuant to section 3.09(C) of the Qualified 
  Intermediary Agreement:
a Income Type:                                                                        5a
b Income Type:                                                                        5b
c Income Type:                                                                        5c
d Income Type:                                                                        5d
6 Total of line 5 amounts   .       .   . .    . .  . .        . .          . . . .     6
What’s New                                                                      Number of schedules filed. A QDD may be required to file multiple 
                                                                                Schedules Q, for example, if it has multiple branches that are QDDs 
Schedule Q (Form 1120-F) has been amended to reflect Notice                     or if it is a fiscal year taxpayer (as explained in General Instructions 
2024-44, 2024-25 I.R.B. 1737, which further delays the effective/               above). Indicate the number of each Schedule Q filed, as well as the 
applicability date of certain rules in the section 871(m) regulations           total number of Schedules Q being filed by the corporation in the 
and extends the phase-in period provided in Notice 2022-37,                     entry spaces provided.
2022-37 I.R.B. 234, for certain provisions of the section 871(m) 
regulations.                                                                    Column (c), Amount of Tax Liability. Except as provided in the 
                                                                                Note that immediately follows this paragraph, the amount in column 
Who Must File                                                                   (c) is determined by multiplying column (a) by column (b). This 
                                                                                column is not reduced by any withholding that has occurred.
If the corporation or any branch of the corporation was a qualified 
derivatives dealer (QDD) (defined below) during the tax year,                   Note: For calendar years 2018 through 2026, certain information is 
Schedule Q must be completed and filed for each of those QDDs.                  not required, as indicated in the line instructions below. However, if 
The corporation must file Schedule Q as an attachment to Form                   the corporation has a fiscal year (rather than a calendar year) that 
1120-F even if the QDD has zero tax liability.                                  begins in 2026 and ends in 2027, information is required for any 
                                                                                amounts paid or accrued on or after January 1, 2027.
Qualified derivatives dealer (QDD). A QDD is a home office or 
branch that, in accordance with the qualified intermediary agreement            Line 1. The gross amount to be entered in column (a) is the sum of 
(QIA) (defined below), qualifies and has been approved for QDD                  each section 871(m) amount for the QDD for the relevant period. See 
status and satisfies the requirements of the QIA. See the QIA for               section 2.73 of the QIA for the definition of section 871(m) amount.
additional information.                                                         Note: For calendar years 2019 through 2026, this information is not 
Qualified intermediary agreement (QIA). The QIA is section 6 of                 required.
Rev. Proc. 2022-43, 2022-52 I.R.B. 570.                                         Line 2. For calendar years 2019 through 2026, only the gross 
                                                                                amount (column (a)) and tax rate (column (b)) are required.
General Instructions
                                                                                Line 3. Column (c) is the sum of each section 3.09(A) amount for the 
A separate Schedule Q is required for each QDD. In addition, if a               QDD for the relevant period.
corporation has a fiscal year rather than a calendar year, the 
corporation must provide a separate Schedule Q for each QDD for                 Note: For calendar years 2019 through 2026, this information is not 
each portion of the calendar year that falls within the fiscal year.            required.
Example: A QDD with a fiscal year beginning September 1 and                     Line 4. Enter the information requested in columns (a), (b), and (c).
ending August 31 would complete two schedules (one for the period               Line 5. In addition to specifying the type of income (for example, 
of September 1, 2024 through December 31, 2024, and one for the                 dividends or interest), enter the information requested in columns (a), 
period of January 1, 2025 through August 31, 2025).                             (b), and (c) separately for each income type. For dividends, include 
                                                                                all dividends, including dividends separately stated on line 2.
Specific Instructions                                                           Note: For calendar years 2019 through 2026, do not include 
Name of QDD. The name of the QDD should follow the naming                       dividends included on line 2.
protocol used for applying to be a QDD.
For Paperwork Reduction Act Notice, see the Instructions for Form 1120-F.                Cat. No. 71803X                           Schedule Q (Form 1120-F) 2024






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