Form 8038 - Information Return For Tax-Exempt Private Activity Bond Issues Page 3

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3
Form 8038 (Rev. 4-2011)
Page
Part VIII
Volume Caps
Amount
47
Amount of state volume cap allocated to the issuer. Attach copy of state certification .
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47
48
Amount of issue subject to the unified state volume cap
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48
49
Amount of issue not subject to the unified state volume cap or other volume limitations:
49
a Of bonds for governmentally owned solid waste facilities, airports, docks, wharves, environmental
enhancements of hydroelectric generating facilities, or high-speed intercity rail facilities .
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49a
b Under a carryforward election. Attach a copy of Form 8328 to this return .
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49b
c Under transitional rules of the Tax Reform Act of 1986. Enter Act section
49c
d Under the exception for current refunding (section 146(i) and section 1313(a) of the Tax Reform Act of 1986)
49d
50a Amount of issue of qualified veterans’ mortgage bonds .
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50a
b Enter the state limit on qualified veterans’ mortgage bonds
50b
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51a Amount of section 1394(f) volume cap allocated to issuer. Attach copy of local government certification
51a
b Name of empowerment zone
52
Amount of section 142(k)(5) volume cap allocated to issuer. Attach copy of state certification
52
Under penalties of perjury, I declare that I have examined this return, and accompanying schedules and statements, and to the best of my knowledge and
Signature
belief, they are true, correct, and complete. I further declare that I consent to the IRS’s disclosure of the issuer’s return information, as necessary to process
this return, to the person(s) that I have authorized above.
and
Consent
Signature of issuer’s authorized representative
Date
Type or print name and title
Print/Type preparer’s name
Preparer's signature
Date
Preparer's PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
Firm's address
Phone no.
8038
Form
(Rev. 4-2011)

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