8995 Form

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1/4 Personal Information

Year of filing

Name(s) shown on return * i

Your taxpayer identification number * i

(a) Trade, business, or aggregation name *

(b) Taxpayer identification number *

3. Qualified business net (loss) carryforward from the prior year i

6. Qualified REIT dividends and publicly traded partnership (PTP) income or (loss) i

7. Qualified REIT dividends and PTP (loss) carryforward from the prior year i

11. Taxable income before qualified business income deduction i

12. Net capital gain i

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8995 Form

1/4 Personal Information

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