Form 1117 Template

Use this bond to document a surety obligation for foreign taxes reported as credits.

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Why use an income tax surety bond?

An income tax surety bond records the principal, surety, bond amount, and payment obligation.

Document bond parties

Capture the principal and surety names tied to the bond obligation.
State the bond amount

Record the dollar amount owed to the United States under the bond.
Capture approvals

Provide signature and approval lines for the principal, sureties, and District Director.

This template covers the tax year, bond parties, bond amount, conditions, and signatures.

Tax year details
Fields identify the calendar year or fiscal year covered by the bond.
Principal and surety
The bond text records the principal and surety or sureties responsible for the obligation.
Bond obligation amount
Fields capture the amount of the obligation in written and numeric dollar form.
Basis for the bond
The form explains that the bond relates to foreign taxes reported as credits.
Payment condition
The bond remains in effect unless required additional tax and interest are paid.
Signature and approval
Signature areas cover witnesses, principal, sureties, and District Director approval.