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                                     Information Return of Nontaxable Energy  
Form  6497                                                                                                               OMB No. 1545-0232 
(Rev. December 2011)                 Grants or Subsidized Energy Financing 
Department of the Treasury  
Internal Revenue Service                              For calendar year 
           1    Payer’s name                                                                     3    Payer’s employer identification number 

           2a  Number and street and apt. or suite no. (Include P.O. box, if applicable.)        4    Payer is agent for 
Type  
or Print 
           b  City, state, and ZIP code                                                          5    Program name or number 

                                                           Complete 6(b) or 6(c) 
      6(a) Recipient’s name, address, and                               6(c) Recipient’s              6(d) Total         6(e) Total amount  
                            ZIP code                  6(b) Recipient’s  employer identification  amount of grant         of financing 
                                           social security number       number 

For Paperwork Reduction Act Notice, see back of form.                   Cat. No. 24535C                           Form 6497 (Rev. 12-2011) 



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Form 6497 (Rev. 12-2011)                                                                                                                  Page 2 
Instructions                                    Subsidized energy financing. Subsidized          Line 5. Enter the program name or number  
                                                energy financing is financing (for example, a    that authorizes the payment. 
Section references are to the Internal Revenue  loan) made directly or indirectly under a        Line 6. Make an entry in columns 6(a)  
Code.                                           federal, state, or local government program,     through 6(e) for each recipient of a  
                                                whose principal purpose is to provide            nontaxable energy grant or subsidized energy 
Purpose of Form                                 subsidized financing for projects designed to    financing. If you need more space, attach  
Use Form 6497 to report nontaxable energy       conserve or produce energy. Subsidized           additional Forms 6497. 
grants or subsidized energy financing made      energy financing can also include financing  
under government programs whose principal       under a federal, state, or local program         Column 6(a). Show the name and address  
purpose is to conserve or produce energy.       having two or more principal purposes, but (a)   of the entity that received the nontaxable  
This reporting is required only for recipients  only if one of the principal purposes is to      energy grant or subsidized energy financing.  
that are businesses (including sole             provide subsidized financing for energy          Do not show the name of an officer,  
proprietors).                                   conservation or production projects, and (b)     employee, etc. 
                                                only if the financing is to be used for energy   Column 6(b). Complete this column for  
Form 6497 lists the information to be           production or conservation purposes (the         sole proprietors without EINs. 
furnished about the nontaxable energy grants    “use test”) or is provided out of funds  
or subsidized energy financing, and about the   designated specifically for energy production    Column 6(c). Complete this column if no  
recipients. Only one program should be          or conservation. Loan proceeds meet the use      entry was made in column 6(b). 
reported on each form. This form should also    test only if any loan-related documents          Column 6(d). Enter the total amount of  
be used to report funds received from the       indicate that the funds are intended for that    nontaxable energy grants provided to the  
proceeds of tax-exempt bonds that have          use.                                             recipient during the calendar year under the  
been used to finance energy conservation or  
production property.                            Financing is made when funds for                 program shown on line 5. 
                                                subsidized energy financing are disbursed.       Column 6(e). Enter the total amount of  
Grants are always taxable to recipients         The source of the funds for a program is not     subsidized energy financing provided to the  
unless specifically exempted by the federal     a factor in determining whether the financing    recipient during the calendar year under the  
statute authorizing the grants. The originator  is subsidized. Financing is subsidized if the    program shown on line 5. The amount of  
of the grant or subsidy program should          terms of the financing provided to the           subsidized energy financing may be different  
advise all disbursing agents whether the        recipient in connection with the program or      from the actual amount of money expended. 
program is taxable or nontaxable. Taxable       used to raise funds for the program are more  
grants are reported on Form 1099-G, Certain     favorable than terms generally available         Example. If a government agency spent  
Government Payments. For details, see the       commercially. In addition, financing is          $1,000 to permit a $5,000 loan to be made  
Instructions for Form 1099-G.                   subsidized if the principal obligation of the    with an interest rate lower than it would have  
Who Must File                                   financing provided to the recipient is reduced   been otherwise, the amount of subsidized  
                                                by funds provided under the program.             energy financing is $5,000. 

Any person (including an Indian tribal          Payer. A payer is any person who administers     Paperwork Reduction Act Notice 
government) who administers a government        a federal, state, or local government program  
program for a federal, state, or local          that provides nontaxable grants or subsidized    We ask for the information on this form to  
governmental entity or agent of that entity     financing under programs whose principal         carry out the Internal Revenue laws of the  
that provides nontaxable energy grants or       purpose is the production or conservation of     United States. You are required to give us the  
subsidized energy financing for energy          energy. It includes agents (such as a bank)      information. We need it to ensure that you are 
property to business recipients under           that administer federal, state, or local         complying with these laws and to allow us to  
programs whose principal purpose is energy      government programs and actually make the        figure and collect the right amount of tax. 
production or conservation must file Form       payments to the recipient.                       You are not required to provide the  
6497. If a federal agency is providing the  
funds to a state agency, and the state turns    Recipient. A recipient is the business entity    information requested on a form that is  
the funds over to a bank or similar disburser   (including a sole proprietor) that received the  subject to the Paperwork Reduction Act  
to act as its agent in disbursing the money for grant or financing.                              unless the form displays a valid OMB control  
the above purposes, only the bank, or                                                            number. Books or records relating to a form  
disburser, must file Form 6497 to show the      Specific Instructions                            or its instructions must be retained as long as  
                                                                                                 their contents may become material in the  
actual recipient information.                   Line 1. Generally, this will be the name of the  administration of any Internal Revenue law.  
Generally, reporting on Form 6497 is            federal, state, or local governmental entity     Generally, tax returns and return information  
required only for nontaxable energy grants or   that makes the nontaxable energy grants or       are confidential, as required by section 6103. 
subsidized energy financing made for energy     provides the subsidized energy financing. If  
property (as defined in section 48 and the      an entity (such as a bank) is administering a    The time needed to complete and file this  
regulations under section 48).                  program as the designated agent of one of        form will vary depending on individual  
                                                the above governmental entities, enter the       circumstances. The estimated average time  
When To File                                    name of the agent and be sure to fill in line 4. is: 
File Form 6497 for the calendar year by the     Lines 2a and 2b. Enter the address where         Recordkeeping    .  .    .   .  2 hr., 23 min. 
last day of February following the year of the  any IRS questions about Form 6497 can be         Learning about the law 
payment.                                        directed.                                        or the form .  . .  .    .   . .      . 24 min. 
Where To File                                   Line 3. Use the employer identification          Preparing, copying, and 
                                                number (EIN) for the payer shown on line 1.      sending the form to the IRS    .      . 27 min. 
Ogden Submission Processing Campus              Do not use the social security number of an  
Exam Classification, Mail Stop 4140             officer or employee.                             If you have comments concerning the  
Ogden, UT 84201                                                                                  accuracy of these time estimates or  
                                                Line 4. If line 1 shows the name of an agent,    suggestions for making this form simpler,  we 
Definitions                                     use line 4 to show the federal, state, or local  would be happy to hear from you. You 
                                                governmental entity for which the agent is       can write to the Internal Revenue Service, Tax 
Energy grant. An energy grant is a payment      administering the program.                       Products Coordinating Committee,  
given outright for property designed to                                                          SE:W:CAR:MP:T:M:S, 1111 Constitution Ave.  
conserve or produce energy, with no                                                              NW, IR-6526, Washington, DC 20224. Do not  
requirement to repay the money.                                                                  send this form to this address. Instead, see 
                                                                                                 Where To File on this page. 






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