Form 8912 - Credit To Holders Of Tax Credit Bonds - 2016 Page 2

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Form 8912 (2017)
Page
Name(s) shown on return
Identifying number
Part III
Bond credit(s) reported to you on Form(s) 1097-BTC (see instructions)
If you are claiming a bond credit for which you did not receive a Form 1097-BTC, complete Part IV.
(a) Name of issuer of Form(s) 1097-BTC
(b1) Identifying number
(b2) Unique identifier
(c) Amount reported on
of issuer of Form(s)
(see instructions)
Form(s) 1097-BTC
1097-BTC
(see instructions)
13
14
Total. Combine the amounts in column (c). Enter here and on line 1 .
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14
8912
Form
(2017)

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