Instructions For Form 8038-G - 2012 Page 2

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when issued for cash, the issue price is
an irrevocable election to pay a penalty.
communicate directly with the individual
the first price at which a substantial
entered on line 3a and consents to
The penalty is equal to 1
% of the
1
2
amount of the obligations are sold to the
disclose the issuer's return information to
amount of construction proceeds that do
public. To determine the issue price of an
that individual, as necessary, to process
not meet certain spending requirements.
obligation issued for property, see
this return.
See section 148(f)(4)(C) and the
sections 1273 and 1274 and the related
Instructions for Form 8038-T.
Lines 4 and 6. If you listed an individual
regulations.
on line 3a to communicate with the IRS
Pooled financing issue. This is an issue
Issue. Generally, obligations are treated
and whom the IRS may contact about this
of tax-exempt bonds, the proceeds of
as part of the same issue if they are issued
return, enter the number and street (or
which are to be used to finance purpose
by the same issuer, on the same date, and
P.O. box if mail is not delivered to street
investments representing conduit loans to
in a single transaction, or a series of
address), city, town, or post office, state,
two or more conduit borrowers, unless
related transactions. However, obligations
and ZIP code of that person. Otherwise,
those conduit loans are to be used to
issued during the same calendar year (a)
enter the issuer's number and street (or
finance a single capital project.
under a loan agreement under which
P.O. box if mail is not delivered to street
Specific Instructions
amounts are to be advanced periodically
address), city, town, or post office, state,
(a “draw-down loan”) or (b) with a term not
and ZIP code.
Part I—Reporting Authority
exceeding 270 days, may be treated as
Note. The address entered on lines 4 and
part of the same issue if the obligations
Amended return. An issuer may file an
6 is the address the IRS will use for all
are equally and ratably secured under a
amended return to change or add to the
written communications regarding the
single indenture or loan agreement and
information reported on a previously filed
processing of this return, including any
are issued under a common financing
return for the same date of issue. If you
notices.
arrangement (for example, under the
are filing to correct errors or change a
same official statement periodically
Line 5. This line is for IRS use only. Do
previously filed return, check the
updated to reflect changing factual
not make any entries in this box.
Amended Return box in the heading of the
circumstances). Also, for obligations
form.
Line 7. The date of issue is generally the
issued under a draw-down loan that meet
The amended return must provide all
date on which the issuer physically
the requirements of the preceding
the information reported on the original
exchanges the bonds that are part of the
sentence, obligations issued during
return, in addition to the new or corrected
issue for the underwriter's (or other
different calendar years may be treated as
information. Attach an explanation of the
purchaser's) funds. For a lease or
part of the same issue if all of the amounts
reason for the amended return and write
installment sale, enter the date interest
to be advanced under the draw-down loan
across the top, “Amended Return
starts to accrue in an MM/DD/YYYY
are reasonably expected to be advanced
Explanation.” Failure to attach an
format.
within 3 years of the date of issue of the
explanation may result in a delay in
first obligation. Likewise, obligations (other
Line 8. If there is no name of the issue,
processing the form.
than private activity bonds) issued under a
please provide other identification of the
single agreement that is in the form of a
Line 1. The issuer's name is the name of
issue.
lease or installment sale may be treated
the entity issuing the obligations, not the
Line 9. Enter the CUSIP (Committee on
as part of the same issue if all of the
name of the entity receiving the benefit of
Uniform Securities Identification
property covered by that agreement is
the financing. For a lease or installment
Procedures) number of the bond with the
reasonably expected to be delivered
sale, the issuer is the lessee or the
latest maturity. If the issue does not have a
within 3 years of the date of issue of the
purchaser.
CUSIP number, write “None.”
first obligation.
Line 2. An issuer that does not have an
Line 10a. Enter the name and title of the
Arbitrage rebate. Generally, interest on
employer identification number (EIN)
officer or other employee of the issuer
a state or local bond is not tax-exempt
should apply for one on Form SS-4,
whom the IRS may call for more
unless the issuer of the bond rebates to
Application for Employer Identification
information. If the issuer wishes to
the United States arbitrage profits earned
Number. You can get this form on the IRS
designate a person other than an officer or
from investing proceeds of the bond in
website at IRS.gov or by calling
other employee of the issuer (including a
higher yielding nonpurpose investments.
1-800-TAX-FORM (1-800-829-3676). You
legal representative or paid preparer)
See section 148(f).
may receive an EIN by telephone by
whom the IRS may call for more
following the instructions for Form SS-4.
Construction issue. This is an issue of
information about the return, enter the
tax-exempt bonds that meets both of the
Line 3a. If the issuer wishes to authorize
name, title, and telephone number of such
following conditions:
a person other than an officer or other
person on lines 3a and 3b.
1. At least 75% of the available
employee of the issuer (including a legal
Complete lines 10a and 10b even
construction proceeds are to be used for
representative or paid preparer) to
if you complete lines 3a and 3b.
!
construction expenditures with respect to
communicate with the IRS and whom the
property to be owned by a governmental
IRS may contact about this return
CAUTION
unit or a section 501(c)(3) organization,
(including in writing or by telephone), enter
Part II—Type of Issue
and
the name of such person here. The person
Elections referred to in Part II are
listed in line 3a must be an individual. Do
2. All the bonds that are part of the
made on the original bond
not enter the name and title of an officer or
!
issue are qualified 501(c)(3) bonds, bonds
documents, not on this form.
other employee of the issuer here (use
that are not private activity bonds, or
CAUTION
line 10a for that purpose).
private activity bonds issued to finance
Identify the type of obligations issued by
property to be owned by a governmental
entering the corresponding issue price
Note. By authorizing a person other than
unit or a section 501(c)(3) organization.
(see Issue price under Definitions earlier).
an authorized officer or other employee of
Attach a schedule listing names and EINs
In lieu of rebating any arbitrage that
the issuer to communicate with the IRS
of organizations that are to use proceeds
may be owed to the United States, the
and whom the IRS may contact about this
of these obligations, if different from those
issuer of a construction issue may make
return, the issuer authorizes the IRS to
-2-

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