Any New Zealand resident person with an income interest of 10% or greater in a foreign company must complete this form. You do not need to complete this form for an interest disclosed on an IR 4GS form.

If you are an New Zealand resident person with an income interest of 10% or greater (including interests held by nominees and associated persons) in a foreign company must complete this form.

Complete a separate form for each foreign company in which you held an interest.

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After you finish

Attach this completed form to your 1999 income tax return.

You may wish keep a copy of this return for your personal records.