Form 8038-Tc - Information Return For Tax Credit Bonds (Page 5 of 5) in pdf

Form 8038-Tc - Information Return For Tax Credit Bonds Page 5

Form 8038-TC (Rev. 11-2012)

Page

Issuer's name:

Issuer's employer identification number (EIN):

Tax Credit Bond Code

Schedule for Qualified School Construction Bonds (QSCBs)

Schedule D

Under Internal Revenue Code sections 54A and 54F

▶

105

See separate instructions

▶

Part I

Use of Proceeds

Yes

Are the proceeds to be used for an Indian school? (see instructions)

Are all proceeds to be used within the jurisdiction of the issuer? .

Have these bonds been designated as QSCBs by the issuer for purposes of section 54F? .

Are the proceeds of the issue to be spent on costs of acquisition of furniture or equipment? If the

answer is “No,” skip line 5

Is such furniture or equipment to be used in portions of the public school facility being constructed,

rehabilitated, or repaired with the proceeds of the issue? .

Are the proceeds of the issue to be spent on the costs of land acquisition? If the answer is “No,”

skip line 7 .

Are proceeds of the issue also to be spent on the costs of construction of a public school facility on

such land?

Part II

Amount

(For IRS Use Only) .

Part III

Issuer Information (Does not apply to issuers that are Indian tribal governments.)

If the issuer of the bonds is not the local educational agency in the jurisdiction of which the public school facility is located,

please provide the name of such local educational agency. Attach statement if more than one. (see instructions)

If the issuer issued the bonds based on a volume cap allocation received by another authorized entity (that allocated volume

cap to the issue), provide the name of such authorized entity. Attach statement if more than one entity's volume cap is used.

(see instructions)

8038-TC

Form

(Rev. 11-2012)

Form 8038-Tc - Information Return For Tax Credit Bonds Page 5