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name and title, and on line 6, the phone

for the bond issue. For specified tax credit

interest payable on a single bond issue

number of the designated contact person

bonds with a single maturity, the CUSIP

and the amount of interest allocable to a

for the entity named in Part I that is to

number should be identical to the CUSIP

single bond type (build America bond,

receive payment of the credit (such as an

number listed on Form 8038-TC, Part I,

recovery zone economic development

employee of the trustee bank) that the

line 9, filed for the bond issue. For

bond, or a single type of specified tax

IRS may call for more information. If the

specified tax credit bonds with multiple

credit bond). Issuers of specified tax

issuer is the entity listed in Part I, enter on

maturities, the CUSIP number should be

credit bonds with multiple maturities must

line 5 the name and title, and on line 6,

the CUSIP for the corresponding maturity

file a separate Form 8038-CP for each

the phone number of the designated

reported on this form. If the bond issue

bond maturity. Such issuers should enter

contact person (such as an officer of the

was not publicly offered and there is no

the amount of interest payable on a single

issuer, the legal representative of the

assigned CUSIP number, write “None.”

maturity on the interest payment date.

issuer, or the paid preparer) whom the

(See What To File.)

Lines 15 and 16. If the issuer is not the

IRS may call for more information.

Note. Credit payments are not allowed

entity listed in Part I, enter the name, title,

Note. If the issuer on line 5 authorizes

for preissuance accrued interest.

and phone number of the officer of the

the IRS to call a person other than an

issuer or other person (including legal

Line 19b. For specified tax credit bonds

officer of the issuer for more information,

representative or paid preparer) whom

only, enter the applicable credit rate. The

by signing this return the issuer’s

the IRS may call for more information. If

applicable credit rate is the daily tax credit

authorized representative consents to the

the issuer is the entity listed in Part I,

bond rate set by the Secretary under

disclosure of issuer’s return information to

leave lines 15 and 16 blank.

section 54A(b)(3) determined as of the

such person, as necessary to process this

Note. If the issuer authorizes, on line 15,

first day on which there is a binding

return.

the IRS to call a person other than an

written contract for the sale or exchange

officer of the issuer for more information,

of the bond. Carry the percent out to two

Part II—Reporting Authority

by signing this form the issuer’s

decimal places, do not round (for

Part II should be completed in full if the

authorized representative consents to the

example, 10.74%). Such rate is published

issuer authorized the IRS to pay the

disclosure of the issuer’s return

by the Bureau of Public Debt on its

requested refundable credit payment to

information to such person, as necessary

internet site for State and Local

another entity on its behalf (for example,

to process this return.

Government Series Securities at

www.

a trustee bank).

treasurydirect.gov. See Notice 2009-15,

Line 17a. For build America bonds and

Lines 7 and 8. If the issuer’s name is

which is on page 449 of Internal Revenue

recovery zone economic development

the same as line 1, enter “SAME” and

Bulletin 2009-6 at

bonds, check the type of issue that was

skip lines 8, 9, 11, 15, and 16. If the

irs-irbs/irb09-06.pdf.

identified in Part III, Purpose of Issue, of

issuer’s name is not the same as line 1,

Line 19c. For specified tax credit bonds

Form 8038-B, for example, education,

enter the name, EIN, and complete

only, enter the amount of interest payable

health and hospital, transportation, public

address of the issuer of the bond issue.

to the holders of the bonds on the interest

safety, environment (including sewage

For build America bonds and recovery

payment date calculated using the

bonds), housing, utilities, or other (with

zone economic development bonds the

applicable credit rate in the box on line

description). Do not check more than one

issuer’s name and EIN should be identical

19b. Issuers of specified tax credit bonds

type of issue; if the issuance is

to the name and EIN listed on Form

with multiple maturities should enter the

multipurpose, check the type of issue that

8038-B, Part I, lines 1 and 2 filed with

amount of interest payable to the holders

is the largest portion of the issue price.

respect to the bond issue. For specified

of the bonds on the interest payment date

Line 17b. For build America bonds and

tax credit bonds, the issuer’s name and

calculated using the applicable credit rate

recovery zone economic development

EIN should be identical to the name and

in the box on line 19b for the single

bonds, also enter the total issue price for

EIN listed on Form 8038-TC, Part I, lines

maturity they are reporting on this Form

the bond listed on Form 8038-B, Part III,

1 and 2 filed with respect to the bond

8038-CP under line 19a.

line 3 filed for the bond issue. For

issue.

Lines 20a and 20b. For build America

specified tax credit bonds, also enter the

Line 10. This line is for IRS use only. Do

bonds and recovery zone economic

total issue price for the bond listed on

not make any entries in this box.

development bonds enter the amount of

Form 8038-TC, Part III, line I filed for the

Line 12. Enter the issue date of the bond

the requested credit payment relating to

bond issue.

issue. For build America bonds and

the interest paid on the interest payment

Line 17c. Check the box that applies to

recovery zone economic development

date. The amount reported on line 20a

the bonds of the issue for which this

bonds, the issue date should be identical

must equal 35% of the amount reported

return is submitted.

to the issue date listed on Form 8038-B,

on line 19a or the amount on line 20b

Part I, line 7. For specified tax credit

Do not leave lines 12, 13, 14, 17a,

must equal 45% of the amount reported

bonds, the issue date should be identical

17b, and 17c blank. If these lines

on line 19a.

to the issue date listed on Form 8038-TC,

are left blank it will delay

CAUTION

For specified tax credit bonds the

Part I, line 7.

processing of this return.

amount of the refundable credit payment

Line 13. Enter the name of the bond

Part III—Payment of Credit

allowed under section 6431(f) for qualified

issue. The name of the bond issue should

zone academy bonds and qualified school

Line 18. Enter the interest payment date

be identical to the name listed on Form

construction bonds is the lesser of 100%

to which the requested refundable credit

8038-B, Part I, line 8, filed with respect to

of the amount of interest payable under

payment relates. An interest payment

the bond issue. If the bond issue is not

the bond on such interest payment date

date is the date on which interest is

named write “None.” For specified tax

or 100% of the amount of interest which

payable by the issuer to the holders of the

credit bonds, the name of the bond issue

would have been payable under such

bonds. (For a variable rate issue, enter

should be identical to the name listed on

bond on such date if such interest were

the last interest payment date applicable

Form 8038-TC, Part I, line 8, filed with

determined at the applicable tax credit

to the quarterly period to which this return

respect to the bond issue.

bond rate determined under section

relates.) For certain variable rate bonds

Line 14. Enter the Committee on

54A(b)(3). For new clean renewable

the remarketing date or the date the

Uniform Securities Identification

energy bonds and qualified energy

interest rate is reset may not be the same

Procedures (CUSIP) number on the bond

conservation bonds, the amount of the

date the interest is paid.

with the latest maturity. For build America

refundable credit payment allowed under

bonds and recovery zone economic

Line 19a. Enter the amount of interest

6431(f) is the lesser of 100% of the

development bonds, the CUSIP number

payable to the holders of the bonds on

amount of interest payable under the

should be identical to the CUSIP number

the interest payment date. The amount

bond on such interest payment date or

listed on Form 8038-B, Part I, line 9, filed

entered on line 19a can only relate to the

70% of the amount of interest which

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Instructions For Form 8038-Cp - Return For Credit Payments To Issuers Of Qualified Bonds - Internal Revenue Service Page 3

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