Form 1097-Btc - Bond Tax Credit - 2018 Page 2
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1
2
3
4
5CORRECTED (if checked)
FORM 1097-BTC ISSUER'S name, street address, city or town, state or
1
Total
OMB No. 1545-2197
province, country, ZIP or foreign postal code, and telephone no.
18
20
$
Bond
2a Code
Tax
Credit
1097-BTC
Form
2b Unique Identifier
FORM 1097-BTC ISSUER'S TIN
RECIPIENT'S TIN
3
4
Bond type
Copy B
RECIPIENT'S name
For Recipient
5a January
5b February
$
$
Street address (including apt. no.)
5c March
5d April
$
$
This is important tax
5e May
5f June
information and is
being furnished to the
$
$
City or town, state or province, country, and ZIP or foreign postal code
IRS. If you are required
5g July
5h August
to file a return, a
negligence penalty or
$
$
other sanction may be
Form 1097-BTC issuer is (check one):
5i September
5j October
imposed on you if an
amount of tax credit
$
$
exceeding the amount
Issuer of bond or its agent filing 2018
5k November
5l December
reported on this form is
Form 1097-BTC for credit being reported
claimed on your
$
$
income tax return.
An entity or a person that received or should have received
6
Comments
a 2018 Form 1097-BTC and is distributing part or all of that
credit to others
1097-BTC
(keep for your records)
Form
Department of the Treasury - Internal Revenue Service
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