This form calculates the amount of attributed repatriation you have derived in respect of an income interest of 10% or greater in a controlled foreign company (CFC).

Use this form to calculate the amount of attributed repatriation you have derived in respect of an income interest of 10% or greater in a controlled foreign company (CFC) or if you are required to by Part C of the 1999 IR4G form. 

Complete a separate form for each attributed repatiation calculation.

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After you finish

Attach this completed this worksheet send it back to us with your IR4G form.

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

Note: An attributed repatriation may arise regardless of the country in which the CFC is resident.