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Form 8038-CP                                          Return for Credit Payments 
(Rev. January 2020)                                                                                                                         OMB No. 1545-0047
                                                    to Issuers of Qualified Bonds
Internal Revenue Service        
Department of the Treasury      ▶ Go to www.irs.gov/Form8038CP for instructions and the latest information.
Part I   Information on Entity That Is To Receive Payment of Credit and Communications                                         Check box if Amended Return ▶
1    Name of entity that is to receive payment of the credit                                               2    Employer identification number (EIN)

3    Number and street (or P.O. box no. if mail is not delivered to street address)                                              Room/suite

4    City, town, or post office; state; and ZIP code

5    Name and title of designated contact person whom the IRS may call for more information                6    Telephone number of officer or legal representative

Part II  Reporting Authority
7    Issuer’s name (if same as line 1, enter “SAME” and skip lines 8, 9, 11, 15, and 16)                   8    EIN

9    Number and street (or P.O. box no. if mail is not delivered to street address)           Room/suite   10    Report number (For IRS Use Only)

11    City, town, or post office; state; and ZIP code                                                      12    Date of issue (MM/DD/YYYY)

13    Name of issue                                                                                        14    CUSIP number (see instructions)

15    Name and title of officer or other person whom the IRS may call for more information                 16     Telephone number of officer or other person to call

17a  Check applicable box ▶       Variable rate bond               Fixed rate bond
  b  Enter the issue price  . .  .     . .            . . .  . . . . .              . .  .    . . . .    .   . .   . . .  ▶      17b
Part III Payment of Credit  (For specified tax credit bonds with multiple maturities, see instructions.)
18   Interest payment date to which this payment of credit relates (MM/DD/YYYY)
19a  Interest payable to bondholders on the interest payment date. See instructions .             . .    .   . .   . . .       . 19a
  b  For specified tax credit bonds only, enter the applicable credit rate determined under sec. 54A(b)(3)         .           %
  c  For specified tax credit bonds only, enter the interest that would be payable to bondholders on the interest 
     payment date calculated using the applicable credit rate. See instructions  .              . . .    .   . .   . . .       . 19c
20   Amount of credit payment to be received as of the interest payment date (complete only line 20a, 20b, 20c, 20d, 20e, or 20f)
  a  Build America bonds. Multiply line 19a by 35% (0.35)        . . .              . .  .    . . . .    .   . .   . . .       . 20a
  b  Recovery zone economic development bonds. Multiply line 19a by 45% (0.45)  .                 . .    .   . .   . . .       . 20b
  c  New clean renewable energy bonds, enter the lesser of line 19a or 70% (0.70) of line 19c .              . .   . . .       . 20c
  d  Qualified energy conservation bonds, enter the lesser of line 19a or 70% (0.70) of line 19c             . .   . . .       . 20d
  e  Qualified zone academy bonds, enter the lesser of lines 19a or 19c  .               .    . . . .    .   . .   . . .       . 20e
  f  Qualified school construction bonds, enter the lesser of lines 19a or 19c .              . . . .    .   . .   . . .       . 20f
21   Adjustment to previous credit payments (complete line 21a OR line 21b only):
  a  Net increase to previous payments (attach explanation) .      . .              . .  .    . . . .    .   . .   . . .       . 21a
  b  Net decrease to previous payments (attach explanation)        . .              . .  .    . . . .    .   . .   . . .       . 21b
22   Amount of credit payment to be received. Combine either line 20a, 20b, 20c, 20d, 20e, or 20f with line 21a or line 21b        22
23   Has there been a change to the debt service schedule most recently filed with the IRS? See instructions. (If “Yes,” attach 
     the revised debt service schedule.) .            . . .  . . . . .              . .  .    . . . .    .   . .   . . .       . .     . .      Yes                  No
24   Have you paid or will you pay all the interest from line 19a on or before the date from line 18? See instructions           .     . .      Yes                  No
25   Is this the final interest payment date? .         . .  . . . . .              . .  .    . . . .    .   . .   . . .       . .     . .      Yes                  No
26   If the entity identified in Part I is not the issuer, check this box .         . .  .    . . . .    .   . .   . . .       . .     . .      . . . .  ▶
           27            Enter direct deposit information below:
Direct                                                                                   ▶ b Type:  Checking       Savings
           a             Routing number
Deposit
           c             Account number
           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 belief, they are true, correct, and complete. I further declare that I authorize the IRS to send the requested refundable credit payment to the entity 
Signature  identified in Part I, and I consent to the disclosure of the issuer’s return information, as necessary to process the refundable credit payment, to the 
and       ▲designated contact person(s) listed above in Parts I and II, as applicable.
Consent                                                                                             ▶
           Signature of issuer                                                           Date              Type or print name and title
           Print/Type preparer’s name                        Preparer’s signature                          Date                Check         if PTIN
Paid                                                                                                                           self-employed
Preparer                    ▶                                                                                        Firm’s EIN  ▶
           Firm’s name      
Use Only                   ▶                                                                                         Phone no.
           Firm’s address  
For Paperwork Reduction Act Notice, see the separate instructions.                                Cat. No. 52810E                  Form 8038-CP (Rev. 1-2020)






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