Beruflich Dokumente
Kultur Dokumente
©
Date Preparer’s social security number
Paid Preparer’s Check if self-
signature employed ©
Preparer’s
©
Firm’s name (or E.I. No. ©
Use Only yours if self-employed)
ZIP code ©
and address
Cat. No. 11477H Form 1120-H (1992)
Form 1120-H (1992) Page 2