Form N-66 - Real Estate Mortgage Investment Conduit Income Tax Return - 2001 Page 3
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3FORM N-66 (REV. 2001)
Page 3
Designation of Tax Matters Person
Enter below the residual interest holder designated as the tax matters person (TMP) for the calendar year of this return:
Name of
Identifying
➤
➤
designated TMP
number of TMP
Address of
➤
designated TMP
Additional Information
➤
£
£
£
F
What type of entity is this REMIC? Check box
Corporation
Partnership
Trust
£
Segregated Pool of Assets
If you checked “Segregated Pool of Assets,” state name and type of entity that owns the assets:
Name __________________________________________________Type___________________________
➤
G
Number of residual interest holders in this REMIC
____________.
➤
H
Enter the amount of tax-exempt interest accrued during the year
_____________.
➤
£
I
Check this box if the REMIC has more than one class of regular interests...............................................
If so, attach a schedule identifying the classes and principal amounts outstanding for each at the end of the year.
➤
J
Enter the sum of the daily accruals determined under IRC section 860E (c) for the calendar year
Schedule L
Balance Sheets per Books
(a) Beginning of year
(b) End of year
Assets
1
Permitted investments (see Instructions):
a
Cash flow investments........................................................................................
b
Qualified reserve assets .....................................................................................
c
Foreclosure property ..........................................................................................
2
Qualified mortgages ...........................................................................................
3
Other assets (attach schedule)...........................................................................
4
Total assets........................................................................................................
Liabilities and Capital
5
Current liabilities (attach schedule) ....................................................................
6
Other liabilities (attach schedule) .......................................................................
7
Regular interests in REMIC ................................................................................
8
Residual interest holders’ capital accounts ........................................................
9
Total liabilities and capital ..................................................................................
Reconciliation of Residual Interest Holders’ Capital Accounts
Schedule M
(Show reconciliation of each residual interest holders’ capital account quarterly on Schedule Q (Form N-66), Item F.)
(g) Residual interest
(a) Residual interest
(b) Capital
(c) Taxable income
(d) Nontaxable
(e) Unallowable
(f) Withdrawals and
holders’ capital accounts
holders’ capital accounts
contributed during
(net loss) from Section I,
income
deductions
distributions
at end of year (combine
at beginning of year
year
line 15
cols. (a) through (f))
(
(
)
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