Form 1097-Btc - Bond Tax Credit - 2018 Page 4
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1
2
3
4
5VOID
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.
18
20
$
Bond
2a Code
Tax
Credit
1097-BTC
Form
2b Unique Identifier
FORM 1097-BTC ISSUER'S TIN
RECIPIENT'S TIN
3
4
Bond type
Copy C
RECIPIENT'S name
For Payer
5a January
5b February
$
$
For Privacy Act
and Paperwork
Street address (including apt. no.)
5c March
5d April
Reduction Act
$
$
Notice, see the
5e May
5f June
2018 General
$
$
City or town, state or province, country, and ZIP or foreign postal code
Instructions for
Certain Information
5g July
5h August
Returns.
$
$
Form 1097-BTC issuer is (check one):
5i September
5j October
$
$
Issuer of bond or its agent filing 2018
5k November
5l December
Form 1097-BTC for credit being reported
$
$
An entity or a person that received or should have received
6
Comments
a 2018 Form 1097-BTC and is distributing part or all of that
credit to others
1097-BTC
Form
Department of the Treasury - Internal Revenue Service
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