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Part III -Description of <br />Obligations <br />Line 21. For column (a), the final <br />maturity date is the last date the issuer <br />must redeem the entire issue. <br />For column (b), see Issue price under <br />Definitions earlier. <br />For column (c), the stated redemption <br />price at maturity of the entire issue is the <br />sum of the stated redemption prices at <br />maturity of each bond issued as part of <br />the issue. For a lease or installment sale, <br />write "N/A" in column (c). <br />For column (d), the weighted average <br />maturity is the sum of the products of the <br />issue price of each maturity and the <br />number of years to maturity (determined <br />separately for each maturity and by taking <br />into account mandatory redemptions), <br />divided by the issue price of the entire <br />issue (from line 21, column (b)). For a <br />lease or installment sale, enter instead <br />the total number of years the lease or <br />installment sale will be outstanding. <br />For column (e), the yield, as defined in <br />section 148(h), is the discount rate that, <br />when used to compute the present value <br />of all payments of principal and interest to <br />b(-fsaid-orrthe obligation-,-produces-arr - <br />amount equal to the purchase price, <br />including accrued interest. See <br />Regulations section 1.148-4 for specific <br />rules to compute the yield on an issue. If <br />the issue is a variable rate issue, write <br />"VR" as the yield of the issue. For other <br />than variable rate issues, carry the yield <br />out to four decimal places (for example, <br />5.3125%). If the issue is a lease or <br />installment sale, enter the effective rate of <br />interest being paid. <br />Part IV -Uses of Proceeds of <br />Bond Issue <br />For a lease or installment sale, write "N/A" <br />in the space to the right of the title for Part <br />IV. <br />Line 22. Enter the amount of proceeds <br />that will be used to pay interest from the <br />date the bonds are dated to the date of <br />issue. <br />Line 24. Enter the amount of the <br />proceeds that will be used to pay bond <br />issuance costs, including fees for trustees <br />and bond counsel. If no bond proceeds <br />will be used to pay bond issuance costs, <br />enter zero. Do not leave this line blank. <br />Line 25. Enter the amount of the <br />proceeds that will be used to pay fees for <br />credit enhancement that are taken into <br />account in determining the yield on the <br />issue for purposes of section 148(h) (for <br />example, bond insurance premiums and <br />certain fees for letters of credit). <br />Line 26. Enter the amount of proceeds <br />that will be allocated to such a fund. <br />Line 27. Enter the amount of the <br />proceeds that will be used to pay <br />principal, interest, or call premium on any <br />other issue of bonds within 90 days of the <br />date of issue. <br />Line 28. Enter the amount of the <br />proceeds that will be used to pay <br />principal, interest, or call premium on any <br />other issue of bonds after 90 days of the <br />date of issue, including proceeds that will <br />be used to fund an escrow account for <br />this purpose. <br />Part V -Description of <br />Refunded Bonds <br />Complete this part only if the bonds are to <br />be used to refund a prior issue of <br />tax-exempt bonds. For a lease or <br />installment sale, write "N/A" in the space <br />to the right of the title for Part V. <br />Lines 31 and 32. The remaining <br />weighted average maturity is determined <br />without regard to the refunding. The <br />weighted average maturity is determined <br />in the same manner as on line 21, column <br />(d). <br />Line 34. If more than a single issue of <br />bonds will be refunded, enter the date of <br />issue of each issue. Enter the date in an <br />MM/DD/YYYY format. <br />Part VI -Miscellaneous <br />Line 35. An allocation of volume cap is <br />required if the nonqualified amount for the <br />issue is more than $15 million but is not <br />more than the amount that would cause <br />Line 36. If any portion of the gross <br />proceeds of the issue is or will be <br />invested in a guaranteed investment <br />contract (GIC), as defined in Regulations <br />section 1.148-1(b), enter the amount of <br />the gross proceeds so invested, as well <br />as the final maturity date of the GIC and <br />the name of the provider of such contract. <br />Line 37. Enter the amount of the <br />proceeds of this issue used to make a <br />loan to another governmental unit, the <br />interest of which is tax-exempt. <br />Line 38. If the issue is a loan of <br />proceeds from another tax-exempt issue, <br />check the box and enter the date of issue, <br />EIN, and name of issuer of the master <br />pool obligation. <br />Line 40. Check this box if the issue is a <br />construction issue and an irrevocable <br />election to pay a penalty in lieu of <br />arbitrage rebate has been made on or <br />before the date the bonds were issued. <br />The penalty is payable with a Form <br />8038-T for each 6 -month period after the <br />date the bonds are issued. Do not make <br />any payment of penalty in lieu of arbitrage <br />rebate with this form. See Rev. Proc. <br />92-22, 1992-1 C.B. 736 for rules <br />regarding the "election document." <br />Line 41a. Check this box if the issuer <br />has identified a hedge on its books and <br />records according to Regulations sections <br />1.148-4(h)(2)(viii) and 1.148-4(h)(5) that <br />permit an issuer of tax-exempt bonds to <br />identify a hedge for it to be included in <br />yield calculations for computing arbitrage. <br />Line 42. In determining if the issuer has <br />super -integrated a hedge, apply the rules <br />of Regulations section 1.148-4(h)(4). If <br />the hedge is super -integrated, check the <br />box. <br />Line 43. If the issuer takes a "deliberate <br />action" after the issue date that causes <br />-3- <br />the conditions of the private business <br />tests or the private loan financing test to <br />be met, then such issue is also an issue <br />of private activity bonds. Regulations <br />section 1.141-2(d)(3) defines a deliberate <br />action as any action taken by the issuer <br />that is within its control regardless of <br />whether there is intent to violate such <br />tests. Regulations section 1.141-12 <br />explains the conditions to taking remedial <br />action that prevent an action that causes <br />an issue to meet the private business <br />tests or private loan financing test from <br />being treated as a deliberate action. <br />Check the box if the issuer has <br />established written procedures to ensure <br />timely remedial action for all nonqualified <br />bonds according to Regulations section <br />1.141-12 or other remedial actions <br />authorized by the Commissioner under <br />Regulations section 1.141-12(h). <br />Line 44. Check the box if the issuer has <br />established written procedures to monitor <br />compliance with the arbitrage, yield <br />restriction, and rebate requirements of <br />section 148. <br />Line 45a. Check the box if some part of <br />the proceeds was used to reimburse <br />expenditures. Figure and then enter the <br />reimburse the issuer for amounts paid for <br />a qualified purpose prior to the issuance <br />of the bonds. See Regulations section <br />1.150-2. <br />Line 45b. An issuer must adopt an <br />official intent to reimburse itself for <br />preissuance expenditures within 60 days <br />after payment of the original expenditure <br />unless excepted by Regulations section <br />1.150-2(f). Enter the date the official <br />intent was adopted. See Regulations <br />section 1.150-2(e) for more information <br />about official intent. <br />Signature and Consent <br />An authorized representative of the issuer <br />must sign Form 8038-G and any <br />applicable certification. Also print the <br />name and title of the person signing Form <br />8038-G. The authorized representative of <br />the issuer signing this form must have the <br />authority to consent to the disclosure of <br />the issuer's return information, as <br />necessary to process this return, to the <br />person(s) that have been designated in <br />Form 8038-G. <br />Note. If the issuer in Part 1, lines 3a and <br />3b authorizes the IRS to communicate <br />(including in writing and by telephone) <br />with a person other than an officer or <br />other employee of the issuer, by signing <br />this form, the issuer's authorized <br />representative consents to the disclosure <br />of the issuer's return information, as <br />necessary to process this return, to such <br />person. <br />Paid Preparer <br />If an authorized officer of the issuer filled <br />in this return, the paid preparer's space <br />should remain blank. Anyone who <br />prepares the return but does not charge <br />the organization should not sign the <br />return. Certain others who prepare the <br />