Form 3520-A - Page 3Summary: The following is an example of page 3 of Form 3520-A with field designators in braces. The line items with field designators are listed.Under: Foreign Grantor Trust Owner Statement (see instructions):Line 5 - The first and last day of the tax year of the foreign trust to which this statement relates: {Field 07L5Y}Line 6a - Name of U.S. owner: {Field 07L6N}Line 6b - TIN: {Field 07L6T} {Field 07L6E}Line 6c -Number, street, and room or suite no. If a P. O. box, see instructions: {Field 07L6C}Line 6d - City or town: {Field 07L6D}Line 6e - State or province: {Field 07L6H}Line 6f - ZIP or postal code: {Field 07L6F}Line 6g - Country: {Field 07L6G}Line 9 - Gross value of the portion of the trust treated as owned by the U.S. owner: {Field 07LN9}Line 10 - Cash amounts or FMV of property distributed, directly or indirectly, during the foreign trust’s tax year, from the foreign trust (exclude loans) to the U.S. ownerColumn (f) - Excess of column (c) over column (e) total line: {Field 0710F}