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                                                  Interest Charge on DISC-Related                                                              OMB No. 1545-0123
Form  8404                                               Deferred Tax Liability
Department of the Treasury       ▶ File Form 8404 separately from your income tax return. See Where to file below. 
Internal Revenue Service                      ▶ Go to www.irs.gov/Form8404 for the latest information.                                          2021
A Check applicable box to     Name of shareholder                                                                                       B Shareholder’s identifying    
    show type of taxpayer.                                                                                                                  number
   Corporation                Address (number, street, room, suite, or P.O. box number)
   Individual                                                                                                                           C IC-DISC’s identifying  
   Trust or                   City or town, state or province, country, and ZIP or foreign postal code                                      number
   Decedent’s estate
D Shareholder’s tax year for which interest charge is required to be paid (see instructions) E Name of IC-DISC

  Note: See Line-by-Line Instructions, later.
  1     Taxable income or loss on tax return (actual or estimated)  .                        . . . .   . .     . . .  . .       1
  2     Deferred DISC income from line 10, Part III, Schedule K (Form 1120-IC-DISC)  .                           . .  . .       2
  3     Section 995(f)(2) adjustments to line 1 income or loss  .           .                . . . .   . .     . . .  . .       3
  4     Combine lines 1, 2, and 3. If zero or less, don’t file this form  .                    . . .   . .     . . .  . .       4
  5     Tax liability on line 4 amount        .   . . .   .    .   .  .  .  .                . . . .   . .     . . .  . .       5
  6     Tax liability per return (actual or estimated)  .      .   .  .  .  .                . . . .   . .     . . .  . .       6
  7     DISC-related deferred tax liability. Subtract line 6 from line 5  .                    . . .   . .     . . .  . .       7
  8     Base period T-bill rate factor        .   . . .   .    .   .  .  .  .                . . . .   . .     . . .  . .       8
  9     Interest charge due. Multiply line 7 by line 8. (See Paying the interest charge below.)                       . .       9
             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.
Sign         ▲                                                                                                   ▲
Here
                 Signature and title (if any)                                                                      Date
               Print/Type preparer’s name                 Preparer’s signature                                   Date          Check        if  PTIN
Paid                                                                                                                           self-employed
Preparer                      ▶                                                                                                Firm’s EIN  ▶
               Firm’s name   
               Firm’s address  
Use Only                      ▶                                                                                                Phone no.
Future Developments                                   Where to file. File Form 8404 at the following               Amended Form 8404. You are required to file 
                                                      address.                                                     an amended Form 8404 only if the amount of
For the latest information about developments                                                                                                                              
related to Form 8404 and its instructions,            Department of the Treasury                                   the DISC-related deferred tax liability (line 7) 
such as legislation enacted after they were           Internal Revenue Service                                     changes as a result of audit adjustments, 
published, go to www.irs.gov/Form8404.                Kansas City, MO 64999                                        changes you make by the filing of an 
                                                                                                                   amended return, or if estimates were used on 
                                                      Paying the interest charge. You must pay                     your original Form 8404 and changes were 
General Instructions                                  the interest charge shown on line 9 by the                   made to these estimates when you filed your 
                                                      date your federal income tax for the tax year
Section references are to the Internal Revenue                                                                     tax return. See Proposed Regulations section 
                                                      is required to be paid. For individuals and                  1.995(f)-1(j)(4) for details.
Code unless otherwise noted.                          corporations, the interest is generally due on 
Purpose of form. Shareholders of Interest             the 15th day of the 4th month following the 
Charge Domestic International Sales                   close of the tax year. For corporations with a               Specific Instructions
Corporations (IC-DISCs) use Form 8404 to              tax year ending on June 30, see section                      Name and address. Enter the name and 
figure and report their interest owed on              2006(a)(3)(B) of P.L. 114-41.                                address as shown on your tax return from 
DISC-related deferred tax liability.                  Attach a check or money order made                           which the income or loss on line 1 of Form 
Who must file.You must file Form 8404 if (a)          payable to “United States Treasury” for the                  8404 is obtained. If the return is a joint return, 
you are a shareholder of an IC-DISC; (b) the          full amount of the interest charge. Don’t                    also enter your spouse’s name as shown on 
IC-DISC reports deferred DISC income to you           combine the interest charge with any other                   Form 1040 or 1040-SR.
on line 10, Part III of Schedule K (Form              tax or interest due. Write your identification               Item A—Type of taxpayer. Check the 
1120-IC-DISC); and (c) the addition of this           number and “Form 8404—Interest Due” on                       applicable box to indicate your status as a 
income would result in increased taxable              your payment.                                                taxpayer.
income if it were included on your tax return         If the interest charge isn’t paid by the due                    Partnerships and S corporations distribute 
for the tax year.                                     date, interest, compounded daily, at the rate                their share of deferred DISC income to 
When to file. File Form 8404 by the due date          specified under section 6621, will be imposed                partners and shareholders, and the partners 
of your federal income tax return (excluding          on the amount of unpaid interest from the due                and shareholders complete Form 8404.
extensions) for your tax year that ends with or       date until the date the interest is paid.                    Item B—Shareholder’s identifying number. 
includes the IC-DISC’s tax year end.                  Payment of estimated tax isn’t required for                  Individuals must enter their social security 
  For example, you are a fiscal year                  the interest charge. See Proposed                            number. Other filers must enter their employer 
corporation with an August 1, 2021, to July           Regulations section 1.995(f)-1(j)(3) for other               identification number.
31, 2022, tax year and you are a shareholder          details.                                                     Item C—IC-DISC’s identifying number. 
in an IC-DISC with an August 1, 2021, to July         For corporations (other than                                 Enter the identifying number of the IC-DISC 
31, 2022, tax year that reports deferred DISC         S corporations), the annual interest charge is               from the Schedule K (Form 1120-IC-DISC) on 
income to you for its tax year ending July 31,        deductible as an interest expense for the tax                which the deferred DISC income was reported 
2022. Because your tax year ends with the             year it is paid or accrued. See Proposed                     to you. If income is reported to you from more 
IC-DISC’s tax year, you are required to file          Regulations section 1.995(f)-1(j)(2) for details             than one IC-DISC, enter each IC-DISC’s  
Form 8404 on or before November 15, 2022              on the tax year of deductibility. For other                  identifying number in item C, each IC-DISC’s 
(31/ 2months after your tax year ends).               filers, this interest isn’t deductible.
For Privacy Act and Paperwork Reduction Act Notice, see instructions.                                          Cat. No. 62423Z                    Form 8404 (2021) 



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Form 8404 (2021)                                                                                                                                       Page 2 
name in item E, and report the combined          Line 3. Enter the net amount of all section               Line 8. The base period T-bill rate is defined 
income on line 2.                                995(f)(2) adjustments to taxable income. See              in section 995(f)(4). The base period T-bill rate 
Item D—Tax year. Enter in item D the             Special Computation Rules, earlier, for details           is compounded daily based on the number of 
calendar year or the beginning and ending        on the income (loss) and expense                          days in the shareholder’s tax year to 
dates of the tax year shown on your tax return   adjustments to be made. If more than one                  determine the base period T-bill rate factor.
for which the interest charge is figured.        adjustment is involved, attach a statement                   The base period T-bill rate factor for 2021 is 
                                                 listing each item and show the computation of             0.000800319 for a 365-day tax year. Enter the 
Special Computation Rules                        the net amount.                                           appropriate factor on line 8 of Form 8404. See 
Carrybacks. The determination of the             Lines 5 and 6. “Tax liability” on lines 5 and 6           Rev. Rul. 2021-22, 2021-47 I.R.B. 736, for a 
shareholder’s DISC-related deferred tax          (with and without the deferred DISC income)               short tax year or a 52-53-week tax year.
liability on lines 1 through 7 shall be made     means the amount of tax imposed on the     
without taking into account any capital loss     IC-DISC shareholder for the tax year by                   Privacy Act and Paperwork Reduction Act 
carryback or credit carryback to the tax year.   chapter 1 of the Internal Revenue Code (other             Notice. We ask for the information on this 
                                                 than taxes listed below) reduced by credits               form to carry out the Internal Revenue laws of 
Carryovers. The determination of the             allowable against such tax (other than credits            the United States. We need it to figure and 
shareholder’s tax liability (line 5) for the tax listed below).                                            collect the right amount of tax. Section 995(f) 
year is made by disregarding any loss,                                                                     requires taxpayers to pay over to the IRS 
deduction, or credit to the extent that such       See Special Computation Rules, earlier, for 
loss, deduction, or credit may be carried        rules for carrybacks and carryovers. These                interest on DISC-Related Deferred Tax 
forward by the shareholder to   any other tax    rules may affect the line 5 computation.                  Liability. This form is used to determine the 
                                                                                                           amount of tax that you owe. Sections 6001 
year.                                              The following taxes aren’t taken into                   and 6011 require you to provide the 
Note: If the tax year is the last tax year to    account.                                                  requested information if the tax applies to 
which the amount of carryforward (of loss,       • Alternative minimum tax (individuals only).             you. Section 6109 requires you to provide 
deduction, or credit) may be carried, the line 3 • Any other provisions described in section               your identifying number. Routine uses of this 
adjustments and line 5 tax shall be figured      26(b)(2) (relating to certain other taxes treated         information include disclosing it to the 
with regard to the full amount of such           as not imposed by chapter 1).                             Department of Justice for civil and criminal 
carryforward.                                                                                              litigation and to other federal agencies, as 
                                                   The following credits aren’t taken into                 provided by law. We may disclose the 
  For example, a shareholder had an NOL          account.                                                  information to cities, states, the District of 
carryover (originating before 2018) to 2022 of 
$12,000; $10,000 income to which $10,000 of      • Section 31 (taxes withheld on wages).                   Columbia, and U.S. commonwealths or 
the NOL can be applied; $2,000 allowable         • Section 32 (earned income credit).                      possessions to administer their tax laws. We 
                                                                                                           may also disclose this information to other 
NOL carryover to 2023; and $5,000 deferred       • Section 34 (fuels credit).                              countries under a tax treaty, to federal and 
DISC income for 2022. In this case, for 
purposes of figuring line 5, the allowed NOL is    For 2021, a Form 1040 or 1040-SR filer or a             state agencies to enforce federal nontax 
$10,000. Note: If 2022 was the last tax year to  Form 1120 filer using the above rules will                criminal laws, or to federal law enforcement 
which the $12,000 NOL (originating before        generally figure their line 6 tax liability using         and intelligence agencies to combat terrorism. 
2018) could be carried, the full $12,000 NOL     the following items shown on the following                If you don’t provide this information or provide 
would be allowed for purposes of figuring line   lines of those forms. All other filers should use         incomplete or fraudulent information, you may 
5 tax liability. The additional $2,000 loss      the corresponding lines of other income tax               be subject to penalties.
would be entered on line 3.                      returns. If you haven’t yet filed your return,               You aren’t required to provide the 
                                                 estimate the line 6 tax liability based on all            information requested on a form that is 
Other adjustments. In figuring line 3            information available to you.                             subject to the Paperwork Reduction Act 
adjustments, take into account any income 
and expense adjustments that don’t result in                                        2021       2021        unless the form displays a valid OMB control 
amounts that may be carried back or forward                                         Form 1040  Form 1120   number. Books or records relating to a form 
                                                                                   or 1040-SR 
to other tax years. For example, in the case of                                     Line       Line        or its instructions must be retained as long as 
                                                                                                           their contents may become material in the 
an IC-DISC shareholder who is an individual,     Tax less nonrefundable                                    administration of any Internal Revenue law. 
the amount of medical expenses allowable as      credits  .  .        . . .      .  22         7, Sch. J   Generally, tax returns and return information 
a deduction under section 213 must be            Plus:  (1) Recapture taxes         *             *        are confidential, as required by section 6103.
redetermined for purposes of line 3 
adjustments. However, the amount allowable            (2) Prior year minimum                                  The time needed to complete and file this 
as a charitable deduction under section 170                 tax credit .  .      .  6b, Sch. 3 5d, Sch. J  form will vary depending on individual 
isn’t redetermined because this adjustment       Less: (1) Alternative minimum                             circumstances. The estimated burden for 
could result in a carryback or carryover.                       tax . . . .      . 1, Sch. 2               business taxpayers filing this form is 
  See Proposed Regulations section                     (2) Refundable or                                   approved under OMB control number 
1.995(f)-1(d) for other details regarding these             additional child tax                           1545-0123.
and other special computation rules.                        credit  .   . .      .  28
                                                       (3) American                                           If you have comments concerning the 
                                                            opportunity credit .    29                     accuracy of these time estimates or 
                                                                                                           suggestions for making this form simpler, we 
Line-by-Line Instructions                              (4) Premium tax credit                              would be happy to hear from you. You can 
Line 1. Enter on line 1 the taxable income or               (Form 8962)   .      .  9, Sch. 3              send us comments from               
loss from your federal income tax return for           (5) Credit for tax paid                             www.irs.gov/FormComments. Or you can 
your tax year that ends with or includes the                on undistributed                               write to the Internal Revenue Service, Tax 
IC-DISC’s tax year end. If you haven’t yet filed            capital gains (Form                            Forms and Publications, 1111 Constitution 
your tax return, estimate your income or loss               2439)  .    . .      . 13a, Sch. 3 20a, Sch. J Ave. NW, IR-6526, Washington, DC 20224.
based on all information available to you. See         (6) Health insurance 
Amended Form 8404, earlier.                                 credit for eligible                               Don’t send the form to this office. Instead, 
Line 2. Enter the deferred DISC income from                 recipients (Form                               see Where to file, earlier.
line 10, Part III of Schedule K (Form                       8885)  .    . .      .  13c, Sch. 3
1120-IC-DISC), for the IC-DISC tax year that     *Caution: Only use the portion of Form 1040 
ends with or within your tax year.               or 1040-SR, line 24, or Form 1120, Schedule 
                                                 J, line 10, attributable to recapture of credits 
                                                 allowable against taxes treated as imposed 
                                                 under chapter 1 (for example, recapture of 
                                                 investment tax and low-income housing 
                                                 credits). See section 26(b)(2) for a list of 
                                                 recapture taxes to exclude.






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