PDF document
- 1 -
SCHEDULE A                            Schedule of Controlled Foreign Corporation (CFC) Information To Compute                                                                                          OMB No. 1545-0123
(Form 8992)
(December 2021)                                     Global Intangible Low-Taxed Income (GILTI)                                                                                                         Attachment 
Department of the Treasury                                                                                                                                                                             Sequence No. 992A
Internal Revenue Service                            ▶ Go to www.irs.gov/Form 8992 for instructions and the latest information.
Name of person filing this schedule                                                                                                                                    A   Identifying number

Name of U.S. shareholder                                                                                                                                               B   Identifying number

                                                                                      Calculations for Net Tested Income                                                                               GILTI Allocated to 
                                                                                                                                                                                                       Tested Income CFCs 
                                                                                                (see instructions)                                                                                     (see instructions)
  (a)                      (b)        (c)           (d)                          (e)            (f)                          (g)             (h)                       (i)             (j)             (k)          (l)  
  Name of CFC              EIN or     Tested Income Tested Loss                  Pro Rata Share Pro Rata Share               Pro Rata Share  Pro Rata Share            Pro Rata Share  Pro Rata Share  GILTI       GILTI Allocated 
                         Reference ID                                            of             of                           of              of                        of              of              Allocation   to Tested 
                                                                                 Tested Income  Tested Loss                  Qualified       Tested Loss               Tested Interest Tested Interest Ratio        Income CFCs 
                                                                                                                             Business Asset  QBAI Amount               Income          Expense         (Divide     (Multiply Form 
                                                                                                                             Investment                                                                Col. (e) by  8992, Part II, 
                                                                                                                             (QBAI)                                                                    Col. (e),    Line 5, by 
                                                                                                                                                                                                       Line 1       Col. (k))
                                                                                                                                                                                                       Total)

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

                                                    (                          )                (                          )                (                        ) 

1. Totals (see instructions) .      .               (                          )                (                          )                (                        ) 
Totals on line 1 should include the totals from any continuation sheets.
For Paperwork Reduction Act Notice, see Instructions for Form 8992.                                                          Cat. No. 71396P                                           Schedule A (Form 8992) (12-2021)



- 2 -
Schedule A (Form 8992) (12-2021)                                                                                                                                                                                    Page 2
Schedule A—Continuation Sheet.  Use only if you need additional space. 
Name of person filing this form                                                                                                                                         A   Identifying number

Name of U.S. shareholder                                                                                                                                                B   Identifying number

                                                                                       Calculations for Net Tested Income                                                                               GILTI Allocated to 
                                                                                                                                                                                                        Tested Income CFCs 
                                                                                                 (see instructions)                                                                                     (see instructions)
  (a)                           (b)    (c)           (d)                          (e)            (f)                          (g)             (h)                       (i)             (j)             (k)         (l)  
  Name of CFC            EIN or        Tested Income Tested Loss                  Pro Rata Share Pro Rata Share               Pro Rata Share  Pro Rata Share            Pro Rata Share  Pro Rata Share  GILTI       GILTI Allocated 
                         Reference ID                                             of             of                           of              of                        of              of              Allocation  to Tested 
                                                                                  Tested Income  Tested Loss                  Qualified       Tested Loss               Tested Interest Tested Interest Ratio       Income CFCs 
                                                                                                                              Business Asset  QBAI Amount               Income          Expense         (Divide     (Multiply Form 
                                                                                                                              Investment                                                                Col. (e) by 8992, Part II, 
                                                                                                                              (QBAI)                                                                    Col. (e),   Line 5, by 
                                                                                                                                                                                                        Line 1      Col. (k))
                                                                                                                                                                                                        Total)

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

                                                     (                          )                (                          )                (                        ) 

1. Totals (see instructions) .       .               (                          )                (                          )                (                        ) 
Totals of columns (c) through (l) should be included on line 1 Totals on page 1.                                                                                                        Schedule A (Form 8992) (12-2021)






PDF file checksum: 4227097221

(Plugin #1/9.12/13.0)