Form 1097-BTC Bond Tax Credit

Attention:
This form is provided for informational purposes only. Copy A appears in red, similar to the
official IRS form. Do not file copy A downloaded from this website. The official printed
version of this IRS form is scannable, but the online version of it, printed from this website,
is not. A penalty may be imposed for filing forms that can’t be scanned. See part O in the
current General Instructions for Certain Information Returns for more information about
penalties.
To order official IRS forms, call 1-800-TAX-FORM (1-800-829-3676) or Order Information
Returns and Employer Returns Online, and we’ll mail you the scannable forms and other
products.
See IRS Publications 1141, 1167, 1179 and other IRS resources for information about
printing these tax forms.

5050

VOID

CORRECTED

FORM 1097-BTC ISSUER'S name, street address, city or town, state or
province, country, ZIP or foreign postal code, and telephone no.

OMB No. 1545-2197

1 Total

2014

$
2a Code

Form 1097-BTC
2b Unique Identifier
FORM 1097-BTC ISSUER'S federal
identification number

RECIPIENT'S federal identification
number

3 Bond type

4

5a January

5b February

$

$

5c March

5d April

$

$

5e May

5f June

Bond
Tax
Credit

Copy A
RECIPIENT'S name

Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code

Form 1097-BTC issuer is (check one):
Issuer of bond or its agent filing 2014
Form 1097-BTC for credit being reported

File with Form 1096.

$

$

5g July

5h August

$

$

5i September

5j October

$

$

5k November

5l December

$

$

6 Comments

For
Internal Revenue
Service Center

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2014 General
Instructions for
Certain Information
Returns.

An entity or a person that received or should have received
a 2014 Form 1097-BTC and is distributing part or all of that
credit to others
Form 1097-BTC

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
province, country, ZIP or foreign postal code, and telephone no.

OMB No. 1545-2197

1 Total

2014

$
2a Code

Form 1097-BTC
2b Unique Identifier
FORM 1097-BTC ISSUER'S federal
identification number

RECIPIENT'S federal identification
number

3 Bond type

4

5a January

5b February

Bond
Tax
Credit

Copy B
RECIPIENT'S name

Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code

Form 1097-BTC issuer is (check one):
Issuer of bond or its agent filing 2014
Form 1097-BTC for credit being reported

$

$

5c March

5d April

$

$

5e May

5f June

$

$

5g July

5h August

$

$

5i September

5j October

$

$

5k November

5l December

$

$

6 Comments

For Recipient

This is important tax
information and is
being furnished to the
Internal Revenue
Service. If you are
required to file a return,
a negligence penalty or
other sanction may be
imposed on you if an
amount of tax credit
exceeding the amount
reported on this form is
claimed on your
income tax return.

An entity or a person that received or should have received
a 2014 Form 1097-BTC and is distributing part or all of that
credit to others
Form 1097-BTC

(keep for your records)

www.irs.gov/form1097btc

Department of the Treasury - Internal Revenue Service

Instructions for Recipient
Issuers of certain tax credit bonds or their agents, and
recipients of Form 1097-BTC from the bond issuer or agent
who are further distributing the credit, such as brokers,
nominees, mutual funds, or partnerships must report to you
on at least a quarterly basis, and file with the IRS annually on
a separate Form 1097-BTC, the amount of tax credit you are
allowed for each month of the calendar year (see
instructions).

!
▲
CAUTION

You will not receive a separate fourth quarter report.
The credits for the fourth quarter will be reported
together with the annual aggregate total amount of
allowable credits provided to you by February 17, 2015.

Note. The first three quarters reported on the annual report
are duplicative amounts previously reported. You are allowed
to take the credit amount from each quarter only once.
The check box shows if the filer is the issuer of the bond
or its agent, or is an entity or a person that received or
should have received this form and is making a further
distribution of the credit.
Box 1. Shows the aggregate total of credits allowed for the
calendar year.
Box 2a. Indicates if the unique identification number is your
account number, the CUSIP number of the bond, or another
identifier. For filings of Form 1097-BTC by the issuer of the
bond or its agent (as indicated by the first checkbox being
checked), the first nine characters of the unique identifier in
box 2b must be the CUSIP number, if available. For further
identification, if necessary or desired by the issuer, the
CUSIP number can be followed by an optional hyphen and
then an account number or other unique identifying number.

If no CUSIP number is available, the account number, or
other unique identifying number by which the bond
transaction is tracked by the issuer, is shown in box 2b.

C—CUSIP number
A—account number
O—any other identifier
Box 2b. Shows the unique identifier assigned by the Form
1097-BTC issuer, limited to 39 alphanumeric characters.
Box 3. Shows the codes for tax credit bonds that are
reported on separate Forms 1097-BTC:
101 - Clean renewable energy bond, and
199 - Other
Boxes 5a–5l. Shows the amount of the credit you are
allowed for the month during the calendar year.
You may be entitled to claim a credit against your income tax
liabilities, subject to certain limitations under section 54A(c).
Additionally, clean renewable energy bond credits received
from a pass-through entity are limited to the income received
from the pass-through entity. New clean renewable energy
bond and qualified energy conservation bond credits are limited
to 70% of the credit amounts determined under section 54A(b);
the credit reported on Form 1097-BTC is the credit amount
after the 70% limit has been applied. For more information, see
Form 8912, Credit to Holders of Tax Credit Bonds.
Box 6. May show any additional information provided by
the form issuer.
Future developments. For the latest information about
developments related to Form 1097-BTC and its
instructions, such as legislation enacted after they were
published, go to www.irs.gov/form1097btc.

VOID

CORRECTED

FORM 1097-BTC ISSUER'S name, street address, city or town, state or
province, country, ZIP or foreign postal code, and telephone no.

OMB No. 1545-2197

1 Total

2014

$
2a Code

Form 1097-BTC
2b Unique Identifier
FORM 1097-BTC ISSUER'S federal
identification number

RECIPIENT'S federal identification
number

3

Bond type

Bond
Tax
Credit

4

Copy C
5a January

RECIPIENT'S name

Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code

Form 1097-BTC issuer is (check one):
Issuer of bond or its agent filing 2014
Form 1097-BTC for credit being reported

5b February

$

$

5c March

5d April

$

$

5e May

5f June

$

$

5g July

5h August

$

$

5i September

5j October

$

$

5k November

5l December

$

$

For Payer
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2014 General
Instructions for
Certain Information
Returns.

6 Comments

An entity or a person that received or should have received
a 2014 Form 1097-BTC and is distributing part or all of that
credit to others
Form 1097-BTC

www.irs.gov/form1097btc

Department of the Treasury - Internal Revenue Service

Instructions for Payer
To complete Form 1097-BTC, use:
• the 2014 General Instructions for Certain Information
Returns, and
• the 2014 Instructions for Form 1097-BTC.
To order these instructions and additional forms, go to
www.irs.gov/form1097btc or call 1-800-TAX-FORM
(1-800-829-3676).
Because paper forms are scanned during
processing, you cannot file Forms 1096, 1097,
1098, 1099, 3921, 3922, or 5498 that you print
CAUTION
from the IRS website.

!
▲

Due dates. Furnish the information shown on Copy B of
this form to the recipient on or before the 15th day of the
second calendar month after the close of the calendar
quarter in which the credit is allowed.
For the first three quarters, report to the recipient only
the amounts for the months of the applicable quarter. Box
1 should not be completed and box 6 is optional.
You are not required to furnish a report solely for the
fourth quarter because the fourth quarter amounts are
reported with the annual filing. For the annual filing, report
the credits for each month in boxes 5a–5l; the total of
those amounts in box 1; and complete the rest of the form
as applicable. If any amounts previously furnished for the
first three quarters need to be corrected, report the correct
amounts for the annual reporting and explain the correction
to the recipient; no explanation is required for the IRS filing.

For the report furnished to the recipient (quarterly or
annual), you may use Copy B or your own substitute
statement reporting all the same applicable information
(the reporting for the first three quarters may be furnished
electronically).
The IRS encourages Form 1097-BTC issuers to provide
the credit information to the recipient monthly if applicable,
and as soon after the end of the month in which a credit
arises as possible.
Furnish the information shown on Copy B of this form
with the aggregate total amount of allowable credits for the
2014 calendar year to the recipient by February 17, 2015.
File Copy A of this form with the IRS by March 2, 2015. If
you file electronically, the due date is March 31, 2015. To
file electronically, you must have software that generates a
file according to the specifications in Pub. 1220,
Specifications for Electronic Filing of Forms 1097, 1098,
1099, 3921, 3922, 5498, 8935, and W-2G. The IRS does
not provide a fill-in form option.
Need help? If you have questions about reporting on Form
1097-BTC, call the information reporting customer service
site toll free at 1-866-455-7438 or 304-263-8700 (not toll
free). Persons with a hearing or speech disability with
access to TTY/TDD equipment can call 304-579-4827 (not
toll free).