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8833 Form (Rev. August 2006) Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) Department of the Treasury Internal Revenue Service OMB No. 1545-1354 Attach to your tax return. Attach a separate Form 8833 for each treaty-based return position taken. Failure to disclose a treaty-based return position may result in a penalty of $1,000 ($10,000 in the case of a C corporation) (see section 6712). Name U.S. taxpayer identifying number Your name as it appears on your W.

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