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8937Report of Organizational Actions
Affecting Basis of SecuritiesForm
(December 2011)
Department of the Treasury
Internal Revenue Serviceman Ia See OMB No. 15452224separate instructions. Reporting
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Form action a is on reporting overseas financial accounts.
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Form action a can be filled out by providing information about the foreign financial accounts owned or controlled by the filer.
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The purpose of form action a is to report foreign financial accounts and prevent tax evasion.
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Information such as the account number, name of the foreign financial institution, and maximum value of the account must be reported on form action a.
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