Asset Acquisition Statement: Under Section 1060
Asset Acquisition Statement: Under Section 1060
Asset Acquisition Statement: Under Section 1060
Form 8594
(Rev. February 2006)
Asset Acquisition Statement
Under Section 1060
OMB No. 1545-1021
Class I $ $
Class II $ $
Class III $ $
Class IV $ $
Class V $ $
Total $ $
5 Did the purchaser and seller provide for an allocation of the sales price in the sales contract or in another
written document signed by both parties? Yes No
If “Yes,” are the aggregate fair market values (FMV) listed for each of asset Classes I, II, III, IV, V, VI, and
VII the amounts agreed upon in your sales contract or in a separate written document? Yes No
6 In the purchase of the group of assets (or stock), did the purchaser also purchase a license or a covenant
not to compete, or enter into a lease agreement, employment contract, management contract, or similar
arrangement with the seller (or managers, directors, owners, or employees of the seller)? Yes No
If “Yes,” attach a schedule that specifies (a) the type of agreement and (b) the maximum amount of
consideration (not including interest) paid or to be paid under the agreement. See instructions.
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63768Z Form 8594 (Rev. 2-2006)
2
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8594, PAGE 2 of 2
MARGINS: TOP 1⁄2", CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 17" x 11" FOLD TO: 8 1⁄2" x 11"
PERFORATE: (ON FOLD)
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
8 Assets Allocation of sales price as previously reported Increase or (decrease) Redetermined allocation of sales price
Class I $ $ $
Class II $ $ $
Class III $ $ $
Class IV $ $ $
Class V $ $ $
Total $ $
9 Reason(s) for increase or decrease. Attach additional sheets if more space is needed.