Form 8038 G PDF Details

The IRS recently released a new Form 8038-G, which is used to request relief from certain information reporting requirements. This form can be used by taxpayers who are unable to meet their filing or other information reporting requirement due to a casualty, disaster, or other unusual circumstance. In order to qualify for relief, taxpayers must file Form 8038-G with their annual return. This form provides an important mechanism by which taxpayers can seek relief from the IRS in cases where they have been impacted by a disaster or other unforeseen event. Taxpayers who are considering using this form should ensure that they meet all of the eligibility requirements, and carefully follow the instructions provided on the form. Failing to do so may result in adverse consequences from the IRS.

Question	Answer
Form Name	Form 8038 G
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	irs form 8038g editable, 36a, PTIN, YYYY

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Form 8038-G			Information Return for Tax-Exempt Governmental Obligations
(Rev. September 2011)				▶ Under Internal Revenue Code section 149(e)							OMB No. 1545-0720
(Rev. September 2011)				▶ See separate instructions.							OMB No. 1545-0720
Department of the Treasury				▶ See separate instructions.
Department of the Treasury				Caution: If the issue price is under $100,000, use Form 8038-GC.
Internal Revenue Service
Internal Revenue Service
Part I		Reporting Authority					If Amended Return, check here ▶
1	Issuer’s name						2 Issuer’s employer identification number (EIN)

3a Name of person (other than issuer) with whom the IRS may communicate about this return (see instructions)							3b Telephone number of other person shown on 3a

4	Number and street (or P.O. box if mail is not delivered to street address)				Room/suite		5 Report number (For IRS Use Only)

												3
6	City, town, or post office, state, and ZIP code						7	Date of issue

8	Name of issue						9	CUSIP number

10a Name and title of officer or other employee of the issuer whom the IRS may call for more information (see							10b Telephone number of officer or other
	instructions)							employee shown on 10a

Part II		Type of Issue (enter the issue price). See the instructions and attach schedule.
11	Education					. .		.	. .	11
12	Health and hospital					. .		.	. .	12
13	Transportation					. .		.	. .	13
14	Public safety					. .		.	. .	14
15	Environment (including sewage bonds)					. .		.	. .	15
16	Housing					. .		.	. .	16
17	Utilities					. .		.	. .	17
18	Other. Describe		▶							18
19	If obligations are TANs or RANs, check only box 19a					. .		.	▶
	If obligations are BANs, check only box 19b					. .		.	▶

20If obligations are in the form of a lease or installment sale, check box . . . . . . . . ▶

Part III Description of Obligations. Complete for the entire issue for which this form is being filed.

(a) Final maturity date		(b) Issue price	(c) Stated redemption	(d) Weighted	(e) Yield
(a) Final maturity date		(b) Issue price	price at maturity	average maturity	(e) Yield
			price at maturity	average maturity

	$		$	years	%

Part IV Uses of Proceeds of Bond Issue (including underwriters’ discount)

22	Proceeds used for accrued interest
23	Issue price of entire issue (enter amount from line 21, column (b))
24	Proceeds used for bond issuance costs (including underwriters’ discount) . .	24
25	Proceeds used for credit enhancement	25
26	Proceeds allocated to reasonably required reserve or replacement fund .	26
27	Proceeds used to currently refund prior issues	27
28	Proceeds used to advance refund prior issues	28
29	Total (add lines 24 through 28)
30	Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) . . .

Part V Description of Refunded Bonds. Complete this part only for refunding bonds.

31Enter the remaining weighted average maturity of the bonds to be currently refunded . . . . ▶

32Enter the remaining weighted average maturity of the bonds to be advance refunded . . . . ▶

33Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) . . . . . . ▶

34Enter the date(s) the refunded bonds were issued ▶ (MM/DD/YYYY)

years

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 63773S

Form 8038-G (Rev. 9-2011)


Form 8038-G (Rev. 9-2011)				Page 2

Part VI		Miscellaneous
35	Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . .		35
36a	Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract
	(GIC) (see instructions)		36a

bEnter the final maturity date of the GIC ▶

cEnter the name of the GIC provider ▶

37Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans


	to other governmental units		. . .	37
38a	If this issue is a loan made from the proceeds of another tax-exempt issue, check box ▶		and enter the following information:
b Enter the date of the master pool obligation ▶
c	Enter the EIN of the issuer of the master pool obligation ▶
d Enter the name of the issuer of the master pool obligation ▶
39	If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box . . . .				▶
40	If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . .		. . . . . . . . .		▶
41a	If the issuer has identified a hedge, check here ▶	and enter the following information:

bName of hedge provider ▶

cType of hedge ▶

dTerm of hedge ▶

42 If the issuer has superintegrated the hedge, check box . . . . . . . . . . . . . . . . . . . . . ▶

43If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated

	according to the requirements under the Code and Regulations (see instructions), check box		▶
44	If the issuer has established written procedures to monitor the requirements of section 148, check box		▶
45a	If some portion of the proceeds was used to reimburse expenditures, check here ▶	and enter the amount
	of reimbursement . . . . . . . . . ▶

bEnter the date the official intent was adopted ▶

Signature and Consent

Paid

Preparer

Use Only

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that I consent to the IRS’s disclosure of the issuer’s return information, as necessary to process this return, to the person that I have authorized above.

▲				▲
▲	Signature of issuer’s authorized representative		Date	▲	Type or print name and title
	Signature of issuer’s authorized representative		Date		Type or print name and title

Print/Type preparer’s name		Preparer's signature		Date			Check	if	PTIN
							self-employed

Firm’s name ▶						Firm's EIN ▶
Firm's address ▶						Phone no.

Form 8038-G (Rev. 9-2011)

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This PDF form will involve some specific information; in order to guarantee correctness, please make sure to take into account the following guidelines:

1. To start with, while filling in the Issuer, start out with the part that features the subsequent blank fields:

2. After the last part is complete, you're ready to include the necessary particulars in a Final maturity date, b Issue price, c Stated redemption, price at maturity, d Weighted, average maturity, e Yield, Uses of Proceeds of Bond Issue, Proceeds used for accrued interest, Part IV Nonrefunding, Description of Refunded Bonds, Enter the remaining weighted, years, years years, and For Paperwork Reduction Act Notice so you can go further.

A lot of people frequently make mistakes when completing Part IV Nonrefunding in this section. Ensure you read twice everything you type in right here.

3. This stage is normally hassle-free - fill in all of the blanks in Page, Part VI Miscellaneous a Enter, Enter the amount of the state, GIC see instructions, b Enter the final maturity date of, Pooled financings Enter the amount, a If this issue is a loan made, and enter the following information, b Enter the date of the master, If the issuer has designated the, a If the issuer has identified, and enter the following, b Name of hedge provider c Type, If the issuer has superintegrated, and If the issuer has established to complete this part.

4. Filling in of reimbursement, b Enter the date the official, Signature and Consent, Paid Preparer Use Only, Under penalties of perjury I, Signature of issuers authorized, Date, Type or print name and title, PrintType preparers name, Preparers signature, Date, Firms name, Firms address, PTIN, and Check if selfemployed is key in this next stage - always don't rush and fill out every field!

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Form 8038 G – Fill Out and Use This PDF

Form 8038 G PDF Details

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Form 8038 G – Fill Out and Use This PDF

Form 8038 G PDF Details

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