Form 8329 - Lender'S Information Return For Mortgage Credit Certificates (Mccs)

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8329
Lender's Information Return for
Form
Mortgage Credit Certificates (MCCs)
OMB No. 1545-0922
(Rev. October 2012)
For calendar year ending
Department of the Treasury
Information about Form 8329 and its instructions is at
Internal Revenue Service
Part I
Reporting Authority
Employer identification number
Lender’s name
Lender’s address (number, street, or P.O. box no., if mail is not delivered to street address)
Room/suite
City, town, or post office, state, and ZIP code
Part II
Issuing Authority
Employer identification number
Issuer’s name
Issuer’s address (number, street, or P.O. box no., if mail is not delivered to street address)
Room/suite
Election date
City, town, or post office, state, and ZIP code
Nonissued bond amount
Part III
Recipients of Mortgage Credit Certificates (If more than five recipients, see instructions.)
(b)
(a)
(c)
Address
Name(s)
Social Security Number(s)
Do not use a P.O. box number.
1
2
3
4
5
Computation of the Total Amount of Mortgage Credit Certificates (Note: Match the information
Part IV
entered on each line with information entered on each corresponding line in Part III.)
(e)
(g)
(d)
(f)
Certified Indebtedness Amount
Amount of MCC Issued
Date of Issue of MCC
Certificate Credit Rate
of Each MCC Issued
(column (e) x column (f))
1
2
3
4
5
6 Total amount of MCCs issued. (See instructions.)
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than representative of lender) is based on all information of which preparer has any
Sign
knowledge.
Here
Signature of authorized representative of lender
Date
Title
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
Firm's address
Phone no.
8329
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 10-2012)
Cat. No. 13902F

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