<?xml version="1.0" encoding="utf-8"?>
<irdInformationReturn xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="..\SCHEMAs\Original%20Schemas\XML%20Schema1.xsd">
	<informationReturnSummary>
		<informationReturnReporter>
			<tin>0000000</tin>
			<branch></branch>
			<sender>
				<name>Name</name>
				<email>sample@domain.com</email>
				<phone>1234567</phone>
				<position>position</position>
			</sender>
			<name>Name</name>
			<address>
				<address1>Address1</address1>
				<address2>Address2</address2>
			</address>
		</informationReturnReporter>
		<informationReturnStats>
			<period>201012</period>
			<action>new</action>
			<totalReportees>0</totalReportees>
			<amountReported>0.0</amountReported>
		</informationReturnStats>
	</informationReturnSummary>


	<data xsi:type="deductiblePaymentsInfoContainer">
<deductiblePaymentsInfo>
		<Reportee>
		<tin>0000000000</tin>
		<branch>0</branch>
		<name>Name</name>
		<address>
		<address1>Address1</address1>
		<address2>Address2</address2>
		</address>
	</Reportee>
	<Venture_Capital_Contrib>0</Venture_Capital_Contrib>
	<Residential_Rental_Payments>0</Residential_Rental_Payments> 
	<Approved_Annuity_Contracts>0</Approved_Annuity_Contracts> 
	<Mort_Int_on_Owner_Occup_Pro>0</Mort_Int_on_Owner_Occup_Pro>
	<Ins_Prem_on_Owner_Occup_Prop>0</Ins_Prem_on_Owner_Occup_Prop>
	<Subs_Trade_Unions>0</Subs_Trade_Unions>
	<Subs_To_Statuory_Assoc>0</Subs_To_Statuory_Assoc> 
	<Mort_Int_on_Rental_Prop_Account_Number>0</Mort_Int_on_Rental_Prop_Account_Number> 
	<Mort_Int_on_Rental_Prop>0</Mort_Int_on_Rental_Prop> 
	<Mort_Int_on_Rental_Prop_Address>0</Mort_Int_on_Rental_Prop_Address> 
	<Mort_Int_Comm_Prop_Account_Number>0</Mort_Int_Comm_Prop_Account_Number> 
	<Mort_Int_Comm_Prop>0</Mort_Int_Comm_Prop> 
	<Mort_Int_Comm_Prop_Address>0</Mort_Int_Comm_Prop_Address> 
	<Ins_Premiums_Rental_Prop_Policy_Number>0</Ins_Premiums_Rental_Prop_Policy_Number> 
	<Ins_Premiums_Rental_Prop>0</Ins_Premiums_Rental_Prop> 
	<Ins_Premiums_Rental_Prop_Address>0</Ins_Premiums_Rental_Prop_Address> 
	<Ins_Premiums_On_Commercial_Prop_Policy_Number>0</Ins_Premiums_On_Commercial_Prop_Policy_Number> 
	<Ins_Premiums_On_Commercial_Prop>0</Ins_Premiums_On_Commercial_Prop> 
	<Ins_Premiums_On_Commercial_Prop_Address>0</Ins_Premiums_On_Commercial_Prop_Address> 
</deductiblePaymentsInfo>
	</data>

</irdInformationReturn>
