Information Return For Tax-Exempt Private Activity Bond Issues Page 2

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Qualified veterans’ mortgage bond. This
Restrictions apply to the use of qualified
(1-800-829-3676). You may receive an EIN
is part of an issue:
501(c)(3) bonds (both hospital and
by telephone by following the instructions for
nonhospital) to provide residential rental
Form SS-4.
1. Of which 95% or more of the net
housing. See section 145(d).
proceeds are to be used to provide
Line 4. After the preprinted 1, enter two
residences for veterans,
Issue price. The issue price of obligations
self-designated digits. If filing multiple Forms
2. For which the payment of the
is generally determined under Regulations
8038 for separate bond issues during the
principal and interest is secured by the
section 1.148-1(b). Thus, when issued for
calendar year, number reports consecutively
general obligation of a state,
cash, the issue price is the price at which a
in the order of issue date (for example, 134,
3. That meets the requirements of
substantial amount of the obligations are
135, etc.). If the return is amending a
subsections (c), (g), (i)(1), and (l) of section
sold to the public. To determine the issue
previously filed Form 8038, use the same
143, and
price of an obligation issued for property,
report number that was used on the original
4. That does not meet the private
see sections 1273 and 1274 and the related
filing.
business tests of sections 141(b)(1) and (2).
regulations.
Line 6. The date of issue is generally the
Note: The issue price does not include
date on which the issuer physically
Qualified small issue bond. This is part of
interest from the date the bonds are dated to
exchanges the bonds for the underwriter’s
an issue not exceeding $1 million of which
the date of issue.
(or other purchaser’s) funds.
95% or more of the net proceeds are to be
Issue. Generally, bonds are treated as part
Line 7. If there is no name of the issue,
used to finance (a) land, (b) depreciable
of the same issue if they are issued by the
please provide other identification of the
property, or (c) a redemption of a prior issue
same issuer, on the same date, and in a
issue.
of (a) or (b). See section 144(a). The $1
single transaction, or series of related
million limit can be increased to $10 million if
Line 8. Enter the CUSIP (Committee on
transactions.
an election is made to take certain capital
Uniform Securities Identification
expenditures into account. See Regulations
Arbitrage rebate. Generally, interest on a
Procedures) number of the bond with the
section 1.103-10(b)(2)(vi).
state or local bond is not tax exempt unless
latest maturity. If the issue does not have a
the issuer of the bond rebates to the United
CUSIP number, write “None.”
Qualified student loan bond. This is part
States arbitrage profits earned from
of an issue of which:
Part II—Type of Issue
investing proceeds of the bond in higher
1. 90% or more of the net proceeds are
yielding nonpurpose investments. See
Caution: Elections referred to in Part II are
to be used to make or finance student loans
section 148(f).
made on the original bond documents, not
under a program of general application to
Construction issue. This is an issue of
on this form.
which the Higher Education Act of 1965
tax-exempt bonds that meets both of the
applies (see section 144(b)(1)(A) for
You must identify the type of bonds
following conditions:
additional requirements), or
issued by checking the appropriate box(es)
1. At least 75% of the available
2. 95% or more of the net proceeds are
and entering the corresponding issue price
construction proceeds are to be used for
to be used to make or finance student loans
(see Issue price under Definitions).
construction expenditures with respect to
under a program of general application
Line 11f. After entering the issue price,
property to be owned by a governmental
approved by the state (see section
check the appropriate box for the
unit or a 501(c)(3) organization, and
144(b)(1)(B) for additional requirements).
percentage test elected by the issuer at the
2. All the bonds that are part of the issue
time of issuance of the bonds. Then, check
Qualified redevelopment bond. This is
are qualified 501(c)(3) bonds, bonds that are
the appropriate box to show whether an
generally part of an issue of which 95% or
not private activity bonds, or private activity
election was made for deep rent skewing.
more of the net proceeds are to be used to
bonds issued to finance property to be
See Rev. Rul. 94-57, 1994-2 C.B. 5, for
finance certain specified real property
owned by a governmental unit or a 501(c)(3)
guidance on computing the income limits
acquisition and redevelopment in blighted
organization.
applicable to these bonds.
areas. See section 144(c) for other
In lieu of rebating any arbitrage that may
Line 11h. Bonds issued to finance certain
requirements.
be owed to the United States, the issuer of a
facilities may also qualify as exempt facility
Qualified 501(c)(3) bond. This is any
construction issue may make an irrevocable
bonds if they were (a) permitted as exempt
private activity bond that meets the following
election to pay a penalty. The penalty is
facility bonds under prior law and (b) issued
conditions:
equal to 1
1
/
% of the amount of construction
under one of the transitional rules of the Tax
2
1. All property financed by the net
proceeds that do not meet certain spending
Reform Act of 1986 (the 1986 Act).
proceeds of the bond issue is to be owned
requirements. See section 148(f)(4)(C) and
These facilities
As described in
by a 501(c)(3) organization or a
the Instructions for Form 8038-T.
include...
former section...
governmental unit, and
2. The bond would not be a private
activity bond if (a) section 501(c)(3)
A sports facility
103(b)(4)(B)
Specific Instructions
organizations were treated as governmental
units with respect to their activities that do
A convention or trade
Part I—Reporting Authority
not constitute unrelated trades or
show facility
103(b)(4)(C)
businesses (determined by applying section
Amended return. An issuer may file an
513), and (b) the private activity bond
amended return to change or add to the
A parking facility
103(b)(4)(D)
definition was applied using a 5% threshold
information reported on a previously filed
(instead of 10%) for the private use,
return for the same date of issue. If you are
A pollution control facility
103(b)(4)(F)
security, and/or payment tests, and the
filing to correct errors or change a previously
activities that constitute unrelated trades or
filed return, check the “Amended Return”
A hydroelectric facility
103(b)(4)(H)
businesses are aggregated with any other
box in the heading of the forms.
private use, security, or payment.
The amended return must provide all the
An industrial park
103(b)(5)
information reported on the original return, in
A qualified 501(c)(3) bond includes a:
addition to the new or corrected information.
Qualified hospital bond that is part of an
If one of the above applies, indicate the
Attach an explanation of the reason for the
issue of which 95% or more of the net
facility type and then give the specific
amended return.
proceeds are to be used for a hospital.
provision of the 1986 Act pertaining to the
Line 1. The issuer’s name is the name of
Qualified nonhospital bond that is other
facility on line 11h.
the entity issuing the bonds, not the name of
than a qualified hospital bond. In general, an
Line 11i. Enter the issue price if the bonds
the entity receiving the benefit of the
organization cannot have more than $150
are part of any issue 95% or more of the net
financing.
million of qualified 501(c)(3) nonhospital
proceeds of which are to be used to provide
bonds; see section 145(b). However, the
Line 2. An issuer that does not have an
any enterprise zone facility in an
limit does not apply to bonds issued after
employer identification number (EIN) should
empowerment zone or enterprise
August 5, 1997, if 95% or more of the net
apply for one on Form SS-4, Application for
community. See section 1394.
proceeds of the issue are to be used solely
Employer Identification Number. You can
for capital expenditures incurred after that
get this form on the IRS Website at
Note: Check the box on line 11j for
date.
or by calling 1-800-TAX-FORM
empowerment zone facility bonds or line 11k
-2-

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