1066
U.S. Real Estate Mortgage Investment Conduit
OMB No. 1545-0123
Form
(REMIC) Income Tax Return
2015
Information about Form 1066 and its separate instructions is at
▶
Department of the Treasury
Internal Revenue Service
For calendar year 2015 or short tax year beginning
, 20
, ending
, 20
A Employer identification number (EIN)
Name
Please
Number, street, and room or suite no. (If a P.O. box, see instructions.)
B Date REMIC started
Type or
Print
City or town, state or province, country, ZIP or foreign postal code
C Enter total assets at end of tax year
$
D
Check applicable boxes:
(1)
Final return
(2)
Name change
(3)
Address change
Section I—Computation of Taxable Income or Net Loss
Income (excluding amounts from prohibited transactions)
1
1
Taxable interest .
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2
Accrued market discount under section 860C(b)(1)(B)
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2
3
Reserved .
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3
4
4
Ordinary gain or (loss) (attach Form 4797) .
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5
Other income (attach statement—see instructions) .
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5
6
Total income (loss). Add lines 1 through 5 .
6
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Deductions (excluding amounts allocable to prohibited transactions)
7
7
Salaries and wages
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8
Rent
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8
9
Amount accrued to regular interest holders in the REMIC that is deductible as interest
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10
10
Other interest
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11
Taxes .
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11
12
Depreciation (see instructions) .
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12
13
13
Other deductions (attach statement) .
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14
Total deductions. Add lines 7 through 13 .
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14
15
Taxable income (or net loss). Subtract line 14 from line 6. Enter here and on Schedule M,
column (c)
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15
Section II—Tax and Payments
1
Total tax (Schedule J, line 12) .
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1
2
Tax paid with Form 7004 .
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2
3
Tax due. Enter excess of line 1 over line 2. (See Payment of Tax Due in instructions.)
3
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Overpayment. Enter excess of line 2 over line 1 .
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4
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
Sign
knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has
any knowledge.
Here
May the IRS discuss this return
with the preparer shown below
Signature
Date
(see instructions)?
Yes
No
Print/Type preparer’s name
Preparer’s signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Firm’s name
Firm's EIN
Use Only
▶
▶
Firm’s address
Phone no.
▶
1066
For Paperwork Reduction Act Notice, see instructions.
Form
(2015)
Cat. No. 64383U