Form 8038-Tc - Information Return For Tax Credit Bonds

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8038-TC
Information Return for Tax Credit Bonds
Form
and Specified Tax Credit Bonds
OMB No. 1545-2160
(Rev. November 2012)
Under Internal Revenue Code section 149(e)
▶
Department of the Treasury
See separate instructions.
Internal Revenue Service
▶
Part I
Reporting Authority
Check if Amended Return
▶
1 Issuer’s name
2 Issuer’s employer identification number (EIN)
3 Name of person (other than the issuer) with whom the IRS may communicate about this return (see instructions)
4 Report number (For IRS Use Only)
5 Number and street (or P.O. Box if mail is not delivered to street address)
6 City, town, or post office, state, and ZIP code
7 Date of issue (MM/DD/YYYY)
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/
8 Name of issue
9 CUSIP number
10 Name and title of officer of issuer whom the IRS may call for more information (see instructions)
11 Telephone number of officer or other person
Part II
Type of Issue
1
Tax Credit Bond Code (See instructions, enter three digit code for the type of issue) .
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Description:
2
3
Has the issuer made an irrevocable election to apply section 6431(f)?
Yes
No
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4
Enter the first interest payment date (MM/DD/YYYY)
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5
Interest payment date frequency (Check box; see instructions and attach debt service schedule):
a
annual,
b
semi-annual,
c
quarterly,
d
monthly, or
e
other
f If line 5e above is checked, please describe the payment frequency:
Part III
Description of Obligations
1
Issue price
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1
2
2
Stated redemption price at maturity .
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3
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Final maturity date (enter date MM/DD/YYYY)
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4
Applicable credit rate .
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4
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5
5
years
Maximum term .
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6
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Permitted Sinking Fund Yield
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%
7
Enter the interest rate on the bonds .
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7
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%
8
If the issue is a variable rate issue, check box 8a
Enter the frequency rates are reset 8b
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Part IV
Proceeds of Issue (Including underwriters' discount)
Amount
1
Sale Proceeds .
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1
2
Proceeds used for bond issuance cost (including underwriters' discount) .
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2
3
3
Estimated investment proceeds
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4
Expected available project proceeds (Subtract line 2 from line 1 and add line 3) (see instructions)
4
5
(For IRS Use Only) .
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5
6
Other (describe)
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7
Total proceeds (Add lines 4 through 6)
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Part V
Description of Use of Proceeds for Qualified Purpose Expenditures
Amount
1 a Loans to qualified borrower(s) .
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1a
b If a written loan commitment was obtained prior to issue date, check box
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c Name of borrower
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d EIN of borrower
(Attach list if more than one)
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2
2
Land
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3
Buildings and structures .
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3
4
Furniture or equipment with recovery period of more than 5 years
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4
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5
Furniture or equipment with recovery period of 5 years or less
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6
Grants .
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Demonstration projects .
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Public education campaigns
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9
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Repairs or other rehabilitation expenditures
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8038-TC
For Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 11-2012)
Cat. No. 53394V

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