| CASH TO BOOT CALCULATOR FOR STOCK MERGERS WITH CASH | 
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        | Enter your data separately for each tax lot (i.e. purchase date): | 
        | Press the CTRL-SHIFT-R keys simultaneously to refresh your browser and ensure that you are using the latest version | 
        
        | Name of original stock | 
		    or enter your own data:
 
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         | 1. Name of new stock received |  | 
         | 2. Date of purchase (tax lot) (mm/dd/yyyy) |  | 
        | 3. Number of shares of original stock, adjusted for splits since purchase | (no commas) | 
        | 4. Total cost of original stock purchase, including commissions & fees, adjusted for previous spinoffs and return of capital (for all shares, not per share) | $ (no commas) | 
    
        | 5. Date of exchange (mm/dd/yyyy) |  | 
        | 6. Exchange ratio of new stock per share of original stock (for example, 0.6725) |  | 
        | 7. Number of whole shares of new stock you received | (no commas) | 
        | 8. Number of fractional shares of new stock you received (.xxx) |  | 
        | 9. Cash to boot received for old stock (per share) | $ (no commas) | 
		| 10. Total cash to boot you received for old stock (not per share) | $ (no commas) | 
	
        | 11. Cash in lieu received for fractional shares (enter 0.00 if none) | $ | 
        | 12. Fair market value per share of new stock received (opening, average or closing price at time of merger) | $ | 
        | 13. Enter 1 if normal cash to boot rules, 2 if fully taxable proceeds, 3 if redemption, 4 if taxable dividend, 5 if PFIC with QEF election, 6 if PFIC with mark to market election, 7 if PFIC with no election, 8 if PFIC with deemed sale election |  | 
        | 13. Additional comments if any |  | 
        | 14. Name of tax information statement if available |  | 
        | 14. Name of account or owner (optional) |  | 
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