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8281 2010 PIMCO Ex

This document is an IRS Form 8281 for reporting publicly offered original issue discount instruments. The form collects information from the issuer such as contact details, debt instrument details including CUSIP number and issue/maturity dates, and OID amounts. It requires the issuer's signature and must be filed within 30 days of debt issuance.

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543 views

8281 2010 PIMCO Ex

This document is an IRS Form 8281 for reporting publicly offered original issue discount instruments. The form collects information from the issuer such as contact details, debt instrument details including CUSIP number and issue/maturity dates, and OID amounts. It requires the issuer's signature and must be filed within 30 days of debt issuance.

Uploaded by

Bunny Fontaine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form 8281 Information Return for Publicly Offered

Original Issue Discount Instruments


(Rev. October 2010) OMB No. 1545-0887
Department of the Treasury
Internal Revenue Service

Part I Issuer Information


1a Issuer’s name 2 Issuer’s taxpayer identification number

1b Present address (number, street, apt. or suite no., or P.O. box)

1c City 1d State 1e ZIP code

3a Name of representative (see instructions) 3b Telephone number


( )
3c Present address (if different from issuer’s)

3d City 3e State 3f ZIP code

Part II Debt Instrument Information


4 CUSIP number 5 Issue date 6 Maturity date

7 Type of instrument (see instructions) 8 Issue price (percent of principal amount) 9a Stated interest rate (see instructions) 9b Variable
Fixed rate Inflation-indexed 9c ✔ Contingent
Variable rate ✔ Contingent payment
10 Interest payment dates

11 Amount of OID for entire issue 12 Yield to maturity 13 Stated redemption price at maturity of the entire issue. If the redemption price of each
debt instrument within the issue is other than $1,000, indicate the stated redemption
price of each debt instrument.

14 Description of debt instruments

15 Attach a schedule of OID per $1,000 principal amount for the life of the instrument. If the principal amount is other than $1,000, indicate the
actual OID per principal amount per year. The schedule must be based on a 6-month accrual period. It must show the daily portion of OID for
each accrual period and the total OID for each calendar year. For additional requirements, see the instructions.

Part III Signature. Within 30 days after the date of issuance of an OID debt instrument, send two copies of
Form 8281 and any attachments to: IRS Form 8281 Project, SE:W:CAR:MP:T, 1111 Constitution Ave.
NW, IR-6526, Washington, DC 20224-0002.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge

Please and belief, it is true, correct, and complete.

Sign
Here © ©
Signature Title Date

For Paperwork Reduction Act Notice, see instructions. Cat. No. 62024G Form 8281 (Rev. 10-2010)

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