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2020 SCHEDULE ABI, PAGE 4
Name of taxpayer Federal Identification number For tax year beginning Ending
Exception 2 (cont’d.)
15 Exception amount claimed. Multiply line 12 by line 14. Where the related member is taxed in more than one juris-
diction, multiply the respective responses from lines 12 and 14. Enter here and in Total Excep tions Claimed, line 2.
1 15a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a
1 15b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15b
1 15c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15c
1 15d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15d
1 15e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15e
1 15f Add lines 15a through 15e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15f
Exception 3. Exception based on supporting statement.
Taxpayer must prepare with its tax return and make available to the Commissioner upon request a supporting statement prepared in accordance with
the Department’s public written statements. All double tax exception claims must be made by answering the questions in Exception 1 or 2.
Basis for this claim (fill in only one): Business purpose or economic substance Section 31K foreign treaty exception
11 Amount of deductible interest claimed by taxpayer. Enter here and in Total Exceptions Claimed, line 3. . . . . . . . . . . . . . 1
12 Name of the related member to which the taxpayer paid, accrued or incurred the interest expense or cost 3
13 Federal Identification number of the related member to which taxpayer paid, accrued or incurred the interest
expense or cost. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
14 Date the underlying debt or liability was originally incurred (if the expense or cost was paid, accrued or incurred
pursuant to a note or similar obligation, date of the note or instrument). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
15 Dollar amount of the underlying debt or liability as originally incurred. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
16 Outstanding dollar amount of debt or liability at the end of tax year covered by this return. . . . . . . . . . . . . . . . . . . . . . . . . 6
17 If the underlying debt or liability has a fixed term, enter the termination date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
18 Interest rate on the underlying debt or liability (if a variable rate, enter effective date for the period covered by this return) 8
19 If the taxpayer is seeking section 31K exception, enter name of the foreign nation in which the related member is
resident. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Fill in if interest expense or cost paid, accrued or incurred was pursuant to a note or similar instrument. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Fill in if answer to line 10 is Yes and the interest expense or cost paid, accrued or incurred was in connection with a dividend note or similar
instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 Fill in if taxpayer asserted an add back exception in connection with the debt or liability on its Massachusetts tax return for a prior year. . . . . . . . .
13 Fill in if interest expense or cost was actually paid (e.g., as opposed to accrued). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Fill in if answer to line 13 is Yes and the amount paid was substantially returned to the taxpayer, either directly or indirectly, during the tax year
(e.g., through the means of a dividend, loan, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15 Fill in if underlying transaction was entered into in whole or in part on the advice of a tax advisor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16 Fill in if reduction of tax was a principal purpose for the underlying transaction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 Fill in if interest expense or cost was result of the taxpayer participating in a cash management, cash sweep or similar arrangement or system. .
18 Fill in if amount of interest expense or cost was the result of or supported by a written study or appraisal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 Provide greater detail, if necessary, concerning Exception 3 claim
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