This is an example of a Form 965-B, Part I with fields.Field 20A1 is shown on Form 965-B, Part I, Line 1, Column a. Field 20H1 is shown on Form 965-B, Part I, Line 1, Column h. Field 20I1 is shown on Form 965-B, Part I, Line 1, Column i. Field 20A2 is shown on Form 965-B, Part I, Line 2, Column a. Field 20H2 is shown on Form 965-B, Part I, Line 2, Column h. Field 20I2 is shown on Form 965-B, Part I, Line 2, Column i. Field 20A3 is shown on Form 965-B, Part I, Line 3, Column a. Field 20H3 is shown on Form 965-B, Part I, Line 3, Column h. Field 20I3 is shown on Form 965-B, Part I, Line 3, Column i. Field 20A4 is shown on Form 965-B, Part I, Line 4, Column a. Field 20H4 is shown on Form 965-B, Part I, Line 4, Column h. Field 20I4 is shown on Form 965-B, Part I, Line 4, Column i. Field 20A5 is shown on Form 965-B, Part I, Line 5, Column a. Field 20H5 is shown on Form 965-B, Part I, Line 5, Column h. Field 20I5 is shown on Form 965-B, Part I, Line 5, Column i. Field 20IN is shown on Form 965-B, Part I, Line 1, right margin.