5050 VOID CORRECTED FORM 1097-BTC ISSUER’S name, street address, city or town, state or 1 Total OMB No. 1545-2197 province, country, ZIP or foreign postal code, and telephone no. Form 1097-BTC $ 2a Code (Rev. December 2019) Bond For calendar year Tax 20 2b Unique identifier Credit FORM 1097-BTC ISSUER’S TIN RECIPIENT’S TIN 3 Bond type 4 RECIPIENT’S name Copy A 5a January 5b February For $ $ Internal Revenue Street address (including apt. no.) 5c March 5d April Service Center $ $ File with Form 1096. 5e May 5f June City or town, state or province, country, and ZIP or foreign postal code $ $ 5g July 5h August For Privacy Act $ $ and Paperwork Form 1097-BTC issuer is (check one): 5i September 5j October Reduction Act Notice, see the $ $ current General Issuer of bond or its agent filing current year 5k November 5l December Instructions for Form 1097-BTC for credit being reported Certain Information $ $ An entity or a person that received or should have received 6 Comments Returns. a current year Form 1097-BTC and is distributing part or all of that credit to others Form 1097-BTC (Rev. 12-2019) Cat. No. 54293T www.irs.gov/Form1097BTC Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page |
CORRECTED (if checked) FORM 1097-BTC ISSUER’S name, street address, city or town, state or 1 Total OMB No. 1545-2197 province, country, ZIP or foreign postal code, and telephone no. Form 1097-BTC $ 2a Code (Rev. December 2019) Bond For calendar year Tax 20 2b Unique identifier Credit FORM 1097-BTC ISSUER’S TIN RECIPIENT’S TIN 3 Bond type 4 RECIPIENT’S name Copy B 5a January 5b February For Recipient $ $ Street address (including apt. no.) 5c March 5d April $ $ This is important tax 5e May 5f June information and is City or town, state or province, country, and ZIP or foreign postal code $ $ being furnished to the IRS. If you are required 5g July 5h August to file a return, a $ $ negligence penalty or other sanction may be Form 1097-BTC issuer is: 5i September 5j October imposed on you if an $ $ amount of tax credit Issuer of bond or its agent filing current year 5k November 5l December exceeding the amount Form 1097-BTC for credit being reported reported on this form is $ $ claimed on your An entity or a person that received or should have received 6 Comments income tax return. a current year Form 1097-BTC and is distributing part or all of that credit to others Form 1097-BTC (Rev. 12-2019) (keep for your records) www.irs.gov/Form1097BTC Department of the Treasury - Internal Revenue Service |
Instructions for Recipient hyphen and then an account number or other unique identifying number. Issuers of certain tax credit bonds or their agents, and recipients of Form 1097-BTC from the bond issuer or agent who are further If no CUSIP number is available, the account number, or other distributing the credit, such as brokers, nominees, mutual funds, or unique identifying number by which the bond transaction is tracked by partnerships, must report to you on at least a quarterly basis and file the issuer, is shown in box 2b. with the IRS annually on a separate Form 1097-BTC the amount of tax C—CUSIP number credit you are allowed for each month of the calendar year. A—Account number Recipient’s taxpayer identification number (TIN). For your O—Any other identifier protection, this form may show only the last four digits of your TIN Box 2b. Shows the unique identifier assigned by the Form 1097-BTC (social security number (SSN), individual taxpayer identification issuer, limited to 39 alphanumeric characters. number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN)). However, the issuer has Box 3. Shows the codes for tax credit bonds that are reported on reported your complete TIN to the IRS. separate Forms 1097-BTC: You will not receive a separate 4th quarter report. The 101—Clean renewable energy bond credits for the 4th quarter will be reported together with the 199—Other ▲! annual aggregate total amount of allowable credits Boxes 5a–5l. These boxes show the amount of the credit you are CAUTION furnished to you on or before the 15th day of the 2nd allowed for the month during the calendar year. calendar month after the close of the calendar year. You may be entitled to claim a credit against your income tax Note: The first 3 quarters reported on the annual report are duplicative liabilities, subject to certain limitations under section 54A(c). amounts previously reported. You are allowed to take the credit Additionally, clean renewable energy bond credits received from a amount from each quarter only once. pass-through entity are limited to the income received from the pass- The checkbox shows if the filer is the issuer of the bond or its agent, through entity. New clean renewable energy bond and qualified or is an entity or a person that received or should have received this energy conservation bond credits are limited to 70% of the credit form and is making a further distribution of the credit. amounts determined under section 54A(b); the credit reported on Box 1. Shows the aggregate total of credits allowed for the calendar Form 1097-BTC is the credit amount after the 70% limit has been year. applied. For more information, see Form 8912. Box 2a. Indicates if the unique identification number is your account Box 6. May show any additional information provided by the form number, the CUSIP number of the bond, or another identifier. For issuer. filings of Form 1097-BTC by the issuer of the bond or its agent (as Future developments. For the latest information about indicated by the first checkbox being checked), the first nine developments related to Form 1097-BTC and its instructions, such as characters of the unique identifier in box 2b must be the CUSIP legislation enacted after they were published, go to number, if available. For further identification, if necessary or desired www.irs.gov/Form1097BTC. by the issuer, the CUSIP number can be followed by an optional |
VOID CORRECTED FORM 1097-BTC ISSUER’S name, street address, city or town, state or 1 Total OMB No. 1545-2197 province, country, ZIP or foreign postal code, and telephone no. Form 1097-BTC $ 2a Code (Rev. December 2019) Bond For calendar year Tax 20 2b Unique identifier Credit FORM 1097-BTC ISSUER’S TIN RECIPIENT’S TIN 3 Bond type 4 RECIPIENT’S name Copy C 5a January 5b February For Payer $ $ Street address (including apt. no.) 5c March 5d April $ $ 5e May 5f June City or town, state or province, country, and ZIP or foreign postal code $ $ For Privacy Act and Paperwork 5g July 5h August Reduction Act $ $ Notice, see the Form 1097-BTC issuer is (check one): 5i September 5j October current General $ $ Instructions for Certain Information Issuer of bond or its agent filing current year 5k November 5l December Returns. Form 1097-BTC for credit being reported $ $ An entity or a person that received or should have received 6 Comments a current year Form 1097-BTC and is distributing part or all of that credit to others Form 1097-BTC (Rev. 12-2019) www.irs.gov/Form1097BTC Department of the Treasury - Internal Revenue Service |
Instructions for Payer amounts for the annual reporting and explain the correction to the recipient; no explanation is required for the IRS filing. To complete Form 1097-BTC, use: For the report furnished to the recipient (quarterly or • The current General Instructions for Certain Information annual), you may use Copy B or your own substitute Returns, and statement reporting all the same applicable information • The current Instructions for Form 1097-BTC. (the reporting for the first 3 quarters may be furnished To order these instructions and additional forms, go to electronically). www.irs.gov/Form1097BTC. The IRS encourages Form 1097-BTC issuers to provide Filing and furnishing. Furnish the information shown on the credit information to the recipient monthly, if Copy B of this form to the recipient on or before the 15th applicable, and as soon after the end of the month in which day of the 2nd calendar month after the close of the a credit arises as possible. calendar quarter in which the credit is allowed. For filing and furnishing instructions, and to request filing For the first 3 quarters, report to the recipient only the or furnishing extensions, see the current General amounts for the months of the applicable quarter. Box 1 Instructions for Certain Information Returns. To file should not be completed and box 6 is optional. electronically, you must have software that generates a file You are not required to furnish a separate report solely according to the specifications in Pub. 1220. for the 4th quarter because the 4th quarter amounts are Need help? If you have questions about reporting onForm reported with the annual filing. For the annual filing, report 1097-BTC, call the information reportingcustomer service the credits for each month in boxes 5a–5l, report the total site toll free at 866-455-7438 or304-263-8700 (not toll of those amounts in box 1, and complete the rest of the free). Persons with a hearing or speech disability with form as applicable. If any amounts previously furnished for access to TTY/TDD equipment can call 304-579-4827 (not the first 3 quarters need to be corrected, report the correct toll free). |