1097-BTC Bond Tax Credit

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.

1

Total

OMB No. 1545-2197
Form 1097-BTC

$
2a Code

(Rev. December 2019)
For calendar year
20

2b Unique identifier
FORM 1097-BTC ISSUER’S TIN

RECIPIENT’S TIN
3

Bond type

4

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 current year
Form 1097-BTC for credit being reported
An entity or a person that received or should have received
a current year Form 1097-BTC and is distributing part or all
of that credit to others
Form 1097-BTC (Rev. 12-2019)

Bond
Tax
Credit

Cat. No. 54293T

5a January

5b February

$

$

5c March

5d April

$

$

5e May

5f June

$

$

5g July

5h August

$

$

5i September

5j October

$

$

5k November

5l December

$

$

6

Comments

www.irs.gov/Form1097BTC

For
Internal Revenue
Service Center
File with Form 1096.

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

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.

1

Total

OMB No. 1545-2197
Form 1097-BTC

$
2a Code

(Rev. December 2019)
For calendar year
20

2b Unique identifier
FORM 1097-BTC ISSUER’S TIN

RECIPIENT’S TIN
3

Bond type

4

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:
Issuer of bond or its agent filing current year
Form 1097-BTC for credit being reported
An entity or a person that received or should have received
a current year Form 1097-BTC and is distributing part or all
of that credit to others
Form 1097-BTC (Rev. 12-2019)

Bond
Tax
Credit

(keep for your records)

5a January

5b February

$

$

5c March

5d April

$

$

5e May

5f June

$

$

5g July

5h August

$

$

5i September

5j October

$

$

5k November

5l December

$

$

6

Comments

www.irs.gov/Form1097BTC

For Recipient

This is important tax
information and is
being furnished to the
IRS. 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.

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.
Recipient’s taxpayer identification number (TIN). For your
protection, this form may show only the last four digits of your TIN
(social security number (SSN), individual taxpayer identification
number (ITIN), adoption taxpayer identification number (ATIN), or
employer identification number (EIN)). However, the issuer has
reported your complete TIN to the IRS.
You will not receive a separate 4th quarter report. The
credits for the 4th quarter will be reported together with the
annual aggregate total amount of allowable credits
CAUTION furnished to you on or before the 15th day of the 2nd
calendar month after the close of the calendar year.

!
▲

Note: The first 3 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 checkbox 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
199—Other
Boxes 5a–5l. These boxes show 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 passthrough 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.
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.

1

Total

OMB No. 1545-2197
Form 1097-BTC

$
2a Code

(Rev. December 2019)
For calendar year
20

2b Unique identifier
FORM 1097-BTC ISSUER’S TIN

RECIPIENT’S TIN
3

Bond type

4

Copy C

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 current year
Form 1097-BTC for credit being reported
An entity or a person that received or should have received
a current year Form 1097-BTC and is distributing part or all
of that credit to others
Form 1097-BTC (Rev. 12-2019)

Bond
Tax
Credit

5a January

5b February

$

$

5c March

5d April

$

$

5e May

5f June

$

$

5g July

5h August

$

$

5i September

5j October

$

$

5k November

5l December

$

$

6

For Payer

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

Comments

www.irs.gov/Form1097BTC

Department of the Treasury - Internal Revenue Service

Instructions for Payer
To complete Form 1097-BTC, use:
• The current General Instructions for Certain Information
Returns, and
• The current Instructions for Form 1097-BTC.
To order these instructions and additional forms, go to
www.irs.gov/Form1097BTC.
Filing and furnishing. Furnish the information shown on
Copy B of this form to the recipient on or before the 15th
day of the 2nd calendar month after the close of the
calendar quarter in which the credit is allowed.
For the first 3 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 separate report solely
for the 4th quarter because the 4th quarter amounts are
reported with the annual filing. For the annual filing, report
the credits for each month in boxes 5a–5l, report 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 3 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 3 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.
For filing and furnishing instructions, and to request filing
or furnishing extensions, see the current General
Instructions for Certain Information Returns. To file
electronically, you must have software that generates a file
according to the specifications in Pub. 1220.
Need help? If you have questions about reporting on Form
1097-BTC, call the information reporting customer service
site toll free at 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).