W-4V Voluntary Withholding Request

Caution: DRAFT FORM
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It is subject to change and OMB approval before it
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I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8396, PAGE 1 of 2
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE, WRITING, SUB. 20
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: NONE
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

8396

Department of the Treasury
Internal Revenue Service

Action

Date

O.K. to print
Revised proofs
requested

OMB No. 1545-0074

Mortgage Interest Credit

2006

(For Holders of Qualified Mortgage Credit Certificates Issued by
State or Local Governmental Units or Agencies)
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Attach to Form 1040 or 1040NR.

Name(s) shown on your tax return

Signature

©

Attachment
Sequence No.

See instructions on back.

53

Your social security number

Enter the address of your main home to which the qualified mortgage certificate relates if it is different from the address shown on your tax return.

Name of Issuer of Mortgage Credit Certificate

Part I
1

Mortgage Credit Certificate Number

Issue Date

Current Year Mortgage Interest Credit

4

Interest paid on the certified indebtedness amount. If someone else (other than your spouse if
filing jointly) also held an interest in the home, enter only your share of the interest paid
Enter the certificate credit rate shown on your mortgage credit certificate. Do not enter the
interest rate on your home mortgage
If line 2 is 20% or less, multiply line 1 by line 2. If line 2 is more than 20%, or you refinanced your
mortgage and received a reissued certificate, see the instructions for the amount to enter.
You must reduce your deduction for home mortgage interest on Schedule A (Form 1040)
by the amount on line 3.
Enter any 2003 credit carryforward from line 18 of your 2005 Form 8396

5

Enter any 2004 credit carryforward from line 16 of your 2005 Form 8396

5

6

Enter any 2005 credit carryforward from line 19 of your 2005 Form 8396

6

7

Add lines 3 through 6

7

8

Enter the amount from Form 1040, line 46, or Form 1040NR, line 43

8

9

1040 filers:

2
3

Enter the total of the amounts from Form 1040, lines 47 through 51 and line
53 plus any credit from Form 5695, line 12
1040NR filers: Enter the total of the amounts from Form 1040NR, lines 44 through 46 and
line 48 plus any credit from Form 5695, line 12

}

1
2
3

4

9

10

Subtract line 9 from line 8. If zero or less, enter -0- here and on line 11 and go to Part II

10

11

Current year mortgage interest credit. Enter the smaller of line 7 or line 10. Also include
this amount in the total on Form 1040, line 54, or Form 1040NR, line 49, and check box a on
that line

11

Part II

%

Mortgage Interest Credit Carryforward to 2007. (Complete only if line 11 is less than line 7.)

12

Add lines 3 and 4

12

13

Enter the amount from line 7

13

14

Enter the larger of line 11 or line 12

14

15

Subtract line 14 from line 13

15

16

2005 credit carryforward to 2007. Enter the smaller of line 6 or line 15

16

17

Subtract line 16 from line 15

17

18

2004 credit carryforward to 2007. Enter the smaller of line 5 or line 17

18

19

2006 credit carryforward to 2007. Subtract line 11 from line 3. If zero or less, enter -0-

19

For Paperwork Reduction Act Notice, see back of form.

Cat. No. 62502X

Form

8396

(2006)