Schedule Q, Form 1066 - Quarterly Notice To Residual Interest Holder

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Quarterly Notice to Residual Interest Holder of
SCHEDULE Q
(Form 1066)
REMIC Taxable Income or Net Loss Allocation
(Rev. December 2016)
OMB No. 1545-0123
For calendar quarter ended
, 20
Information about Schedule Q and its instructions is at
Department of the Treasury
Internal Revenue Service
See Instructions for Residual Interest Holder on page 2.
Residual interest holder’s identifying number
REMIC’s identifying number
Residual interest holder’s name, address, and ZIP code
REMIC’s name, address, and ZIP code
A What type of entity is this residual interest holder? See Form 1066 instructions.
B Enter residual interest holder’s percentage of ownership of all residual interests:
%
1 Before change
%
2 End of quarter
C Enter the percentage of the REMIC’s assets for the quarter represented by each of the following:
%
1 Real estate assets under section 856(c)(5)(B)
2 Assets described in section 7701(a)(19)(C) (relating to the
definition of a domestic building and loan association)
%
D Internal Revenue Service Center where REMIC files return
E Check applicable boxes:
(1)
Final Schedule Q
(2)
Amended Schedule Q
F Reconciliation of residual interest holder’s capital account
(g)
(a)
(b)
(c)
(f)
(d)
(e)
Capital account
Capital account
Capital
Taxable income
Withdrawals
Nontaxable
Unallowable
at end of quarter
at beginning
contributed
(net loss) from
and
income
deductions
(combine cols.
of quarter
during quarter
line 1b below
distributions
(a) through (f))
(
) (
)
Caution: See Instructions for Residual Interest Holder on page 2 before entering information from this schedule on your tax
return.
1 a Taxable income (net loss) of the REMIC for the calendar quarter .
.
.
1a
b Your share of the taxable income (net loss) for the calendar quarter .
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1b
2a Sum of the daily accruals under section 860E for all residual interests
for the calendar quarter .
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2a
b Sum of the daily accruals under section 860E for your interest for the calendar quarter
.
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2b
c Excess inclusion for the calendar quarter for your residual interest (subtract line 2b from line 1b,
but don't enter less than zero) .
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2c
3
Residual interest holders who are individuals or other pass-through interest holders (see Form
1066 instructions). Not required to be completed for other entities.
a Section 212 expenses of the REMIC for the calendar quarter .
.
.
.
3a
b Your share of section 212 expenses for the calendar quarter. If you're an individual, this amount
must be included in gross income in addition to the amount shown on line 1b. See instructions on
page 2 for how to report this amount as a miscellaneous itemized deduction
.
.
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3b
Schedule Q (Form 1066)
For Paperwork Reduction Act Notice, see Form 1066 instructions.
(Rev. 12-2016)
Cat. No. 64167S

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