Form 1066
Department of the Treasury
Internal Revenue Service
U.S. Real Estate Mortgage Investment Conduit
(REMIC) Income Tax Return
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Go to www.irs.gov/Form1066 for instructions and the latest information.
For calendar year 2019 or short tax year beginning
, 20 , ending , 20
OMB No. 1545-0123
2019
Please
Type or
Print
Name
Number, street, and room or suite no. (If a P.O. box, see instructions.)
City or town, state or province, country, ZIP or foreign postal code
A Employer identification number (EIN)
B Date REMIC started
C Enter total assets at end of tax year
$
D Check applicable boxes: (1) Final return (2) Name change (3) Address change
Section I—Computation of Taxable Income or Net Loss
Income (excluding amounts from prohibited transactions)
1 Taxable interest . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 Accrued market discount under section 860C(b)(1)(B) . . . . . . . . . . . . . 2
3 Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Ordinary gain or (loss) (attach Form 4797) . . . . . . . . . . . . . . . . . 4
5 Other income (attach statement—see instructions) . . . . . . . . . . . . . . 5
6 Total income (loss). Add lines 1 through 5 . . . . . . . . . . . . . . . . . 6
Deductions (excluding amounts allocable to prohibited transactions)
7 Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Amount accrued to regular interest holders in the REMIC that is deductible as interest . . 9
10 Other interest . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Depreciation (see instructions) . . . . . . . . . . . . . . . . . . . . . 12
13 Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . 13
14 Total deductions. Add lines 7 through 13 . . . . . . . . . . . . . . . . . 14
15 Taxable income (or net loss). Subtract line 14 from line 6. Enter here and on page 3,
Schedule M, column (c) . . . . . . . . . . . . . . . . . . . . . . .
15
Section II—Tax and Payments
1 Total tax (Schedule J, line 12) . . . . . . . . . . . . . . . . . . . . . 1
2 Tax paid with Form 7004 . . . . . . . . . . . . . . . . . . . . . . . 2
3 Tax due. Enter excess of line 1 over line 2. See Payment of Tax Due in instructions . . . 3
4 Overpayment. Enter excess of line 2 over line 1 . . . . . . . . . . . . . . . 4
Sign
Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has
any knowledge.
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Signature
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Date
May the IRS discuss this return
with the preparer shown below?
See instructions.
Yes No
Paid
Preparer
Use Only
Print/Type preparer’s name Preparer’s signature Date
Check if
self-employed
PTIN
Firm’s name
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Firm’s address
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Firm’s EIN
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Phone no.
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 64383U
Form 1066 (2019)