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                                                Issuer's Quarterly Information Return 
Form   (Rev. October 2012)8330             for Mortgage Credit Certificates (MCCs)                                                         OMB No. 1545-0922
Department of the Treasury              ▶Information about Form 8330 and its instructions is at          www.irs.gov/form8330.
Internal Revenue Service 
Calendar quarter ending:                 March             June                    September               December                     Year ▶ 
Part I        Reporting Authority 
Issuer’s name                                                                                                         Employer identification number 

Issuer’s address (number and 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 

Is this the final return to be filed for this MCC program?  .                  . . .    .  .      . .  . . .      . . . . . .       . . .     Yes          No 
Part II       Computation of the Total Amount of Mortgage Credit Certificates 

                               (a)                                                   (b)                                                (c)   
       Certified Indebtedness Amount of                                        Certificate Credit Rate                  Amount of Mortgage Credit Certificates   
           Mortgage Credit Certificates                                                                                   Issued (column (a) x column (b)) 
1 
2 
3 
4 
5 
6 
7      Total amount of MCCs issued during the current calendar quarter (add lines 1 through 6) 
8      Total amount of MCCs issued for all prior quarters for the MCC program related to                                                                          
       the nonissued bond amount in Part I  .        .     .               . . . . .    .  .      . .  . . .      .  
9      Aggregate amount of MCCs issued for this MCC program (add lines 7 and 8)  .                                .
10     Does line 9 exceed 25% of the nonissued bond amount in Part I? (If “Yes,” see instructions.) .                       .       . . .     Yes          No 
Part III      Revocation of Qualified Mortgage Credit Certificates 

                          Name                                                     Address                                    Social Security 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. Declaration of preparer (other than representative of issuer) is based on all information of which preparer has any 
Sign          knowledge.
Here          ▲                                                                                        ▲

                          Signature of authorized representative of issuer         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.
For Paperwork Reduction Act Notice, see instructions.                                             Cat. No. 13905M                       Form 8330 (Rev. 10-2012) 



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Form 8330 (Rev. 10-2012)                                                                                                                                                    Page  2 
General Instructions                                               not include all the MCCs issued on a timely filed       Line 8. Include the total amount of MCCs issued for 
                                                                   return is subject to a penalty. The penalty is $200 for all prior quarters under the MCC program elected for 
Section references are to the Internal Revenue Code                each MCC required to be reported on Form 8330.          the nonissued bond amount shown in Part I, whether 
unless otherwise noted.                                            The maximum penalty is $2,000.                          or not issued during the current calendar year. 
Section 25 permits issuers that have authority to                  Definitions                                             Line 9. Enter the aggregate, as of the end of the  
issue qualified mortgage bonds (as defined in                                                                              quarter, of amounts for all certificates issued for the 
section 143) to elect to issue MCCs in lieu of                     Mortgage credit certificate. A mortgage credit          MCC program elected for the nonissued bond 
qualified mortgage bonds. See Temporary                            certificate is a certificate issued under a “qualified  amount shown in Part I. 
Regulations section 1.25-4T(c)(2) for more details.                mortgage credit certificate program” by the state or    Line 10. If the amount on line 9 exceeds 25% of the 
                                                                   political subdivision having the authority to issue     nonissued bond amount shown in Part I, see section 
Future Developments                                                qualified mortgage bonds to provide financing for       25(f) and Temporary Regulations section 1.25-5T(d) 
For the latest information about developments                      the acquisition, qualified rehabilitation, or qualified for the appropriate calculation to reduce the 
related to Form 8330 and its instructions, such as                 home improvement of a taxpayer’s principal              following year’s bond volume cap under section 
legislation enacted after they were published, go to               residence. For more information, see section 25(c)(1).  146(d). 
www.irs.gov/form8330.                                              Qualified mortgage credit certificate program. A 
                                                                   qualified mortgage credit certificate program is a      Part III. Revocation of Qualified  
Purpose of Form                                                    program established for any calendar year by a          Mortgage Credit Certificates 
Form 8330 is used by issuers (states and  political                state or political subdivision that is authorized to  
subdivisions) of MCCs to provide the IRS with                      issue qualified mortgage bonds under section 143        Identify each holder of a qualified MCC that was  
information required by section 25 and Temporary                   (and for which there has been an appropriate            revoked during the calendar quarter. For more  
Regulations section 1.25-8T(b).                                    allocation of state volume cap for that calendar year   information, see Temporary Regulations section  
                                                                   under section 146), but elected instead to issue        1.25-3T(m). 
Who Must File                                                      mortgage credit certificates. (See section 25(c)(2) for 
                                                                   additional requirements.)                               Signature 
Each issuer that elected to issue MCCs must file                   Aggregate amount. The aggregate amount (the             Form 8330 must be signed by an authorized  
Form 8330 for each qualified mortgage credit                       certified indebtedness times the certificate credit     representative of the issuer. 
certificate program.                                               rate for each MCC, totaled for all mortgage credit 
When To File                                                       certificates issued under a single MCC program),        Paid Preparer Use Only
                                                                   may not exceed 25% of the nonissued bond amount 
File Form 8330 on a quarterly basis beginning  with                for which the election not to issue bonds was made.     Anyone who prepares the return but does not 
the quarter in which the election was made.                        See section 25(d)(2).                                   charge the organization should not sign the return. 
                                                                                                                           Certain others who prepare the return should not 
The return for each MCC program is due as                          Certified indebtedness amount. The certified            sign. For example, a regular, full-time employee of 
follows:                                                           indebtedness amount is the amount of indebtedness       the issuer, such as a clerk, secretary, etc., should 
For the quarter                                   Form 8330        specified in the MCC and incurred by a taxpayer:        not sign.
      ending:                                           is due by: a. To acquire his or her principal residence,             Generally, anyone who is paid to prepare a return 
March 31  .      .    . .   .   .  .              .  .   April 30  b. To make qualified home improvements on that          must sign it and fill in the other blanks in the Paid 
June 30      .   .    . .   .   .  .              .  .    July 31  residence, or                                           Preparer Use Only area of the return. A paid preparer 
                                                                                                                           cannot use a social security number in the paid Paid 
September 30  .       . .   .   .  .              .   October 31   c. To make a qualified rehabilitation of that           Preparer Use Only box. The paid preparer must use 
                                                                   residence.                                              a preparer tax identification number (PTIN). If the 
December 31  .        . .   .   .  .              .  January 31    Certificate credit rate. The certificate credit rate is paid preparer is self-employed, the preparer should 
The IRS may grant an extension of time to file                     the rate specified by the issuer on the MCC.            enter his or her address in the box. The paid 
Form 8330 if there is reasonable cause for not filing              However, the rate cannot be less than 10% nor           preparer must:
on time.                                                           more than 50%. For other limitations, see               • Sign the return in the space provided for the 
Last Form 8330 for a program. In the quarter in                    Temporary Regulations section 1.25-2T(b).               preparer’s signature,
which the last qualified MCC that may be issued                                                                            • Enter the preparer information, and
under a program is in fact issued, the issuer should               Specific Instructions 
check the box marked “Yes” in Part I relating to a                                                                         • Give a copy of the return to the issuer.
final return for this MCC program. Thereafter, the                 Part I. Reporting Authority                             Paperwork Reduction Act  Notice. We ask for the 
issuer is not required to file any subsequent reports                                                                      information on this form to carry out the Internal 
with respect to that MCC  program. See Qualified                   Election date. Enter the date the issuer elected to 
mortgage credit certificate program in the definitions             issue MCCs in lieu of qualified mortgage bonds.         Revenue laws of the United States. You are required 
below.                                                             Nonissued bond amount. Enter the total amount of        to give us the information. We need it to ensure that 
Reissued MCCs. Do not report a reissued MCC on                     qualified mortgage bonds (as defined in section         you are complying with these laws. 
Form 8330. A reissued MCC is considered to be a                    143(a)(1), and the related regulations) that the issuer   You are not required to provide the information 
continuation of the original MCC. It is reported by                has authority to issue but elected instead to convert   requested on a form that is subject to the Paperwork 
the lender of the replacement loan on Form 8329,                   into authority to issue MCCs. The amount of             Reduction Act unless the form displays a valid OMB 
Lender’s Information Return for Mortgage Credit                    qualified mortgage bonds that an issuer elected not     control number. Books or records relating to a form 
Certificates (MCCs).                                               to issue may not exceed the issuer’s applicable limit   or its instructions must be retained as long as their 
                                                                   (as determined under section 146(d)).                   contents may become material in the administration 
Aggregate number of Forms 8330 filed per                                                                                   of any Internal Revenue law. Generally, tax returns 
program. Certificates under an MCC program may                     Part II. Computation of the Total                       and return information are confidential, as required  
be issued for indebtedness that is incurred up to the                                                                      by section 6103. 
close of the 2nd calendar year following the calendar              Amount of Mortgage Credit  
                                                                                                                             The time needed to complete and file this form  
year for which the issuing authority made the                      Certificates                                            will vary depending on individual circumstances.  
election to issue MCCs in lieu of qualified mortgage               List only the MCCs issued under the program             The estimated average time is: 
bonds. Thus, there may be as many as 12                            elected for the nonissued bond amount shown in          Recordkeeping       .    .   . .   .  .  4 hr., 32 min. 
consecutive quarterly reports to be filed by the                   Part I. File a separate Form 8330 for each separate 
issuer for a particular MCC program. See section                   program that is still open.                             Learning about the law   
25(e)(3)(B).                                                                                                               or the form     .   .    .   . .   .  .  1 hr., 23 min. 
Multiple Forms 8330 filed for a quarter. More than                 Column (a). Enter the certified indebtedness  
one Form 8330 may be filed for a particular quarter                amount for each MCC issued under the qualified          Preparing and sending   
for an issuer if the issuer had more than one MCC                  MCC program.                                            the form to the IRS      .   . .   .  . 1 hr., 31 min.
program in operation during a calendar quarter. This               Column (b). Enter the certificate credit rate             If you have comments concerning the accuracy of 
may occur where more than one election was made                    associated with each MCC entered in column (a).         these time estimates or suggestions for making this 
                                                                                                                           form simpler, we would be happy to hear from you. 
during a calendar year, or where certificates still                Column (c). For each certificate amount listed in       You can write to the Internal Revenue Service, Tax 
remain to be issued under one MCC program, after                   column (a), multiply by the certificate credit rate     Products Coordinating Committee, 
an election has been made creating another                         associated with that certificate (column (b)) and       SE:W:CAR:MP:T:M:S, 1111 Constitution Ave. NW, 
program.                                                           enter the result in column (c).                         IR-6526, Washington, DC 20224. Do not send the 
Where To File                                                      If additional space is needed, attach a separate        tax form to this address. Instead, see Where To File 
                                                                   statement in the same format as lines 1 through 6 of    on this page. 
File Form 8330 with the Department of the Treasury,                Part II of this Form 8330. Include the total amount of 
Internal Revenue Service Center, Ogden, UT 84201.                  the MCCs listed on the separate statements only on 
                                                                   line 7 of the Form 8330. You may use an unsigned 
Penalty                                                            copy of a Form 8330 as the separate statement. 
Any person who is required to file Form 8330 and 
who does not file that return by the due date or does 






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