Form
OMB No. 1545-0988
Annual Statement for Low-Income Housing Credit
©
File with owner’s federal income tax return.
(Rev. December 2008)
Attachment
Department of the Treasury
Internal Revenue Service
For Paperwork Reduction Act Notice, see separate instructions.
Name(s) shown on return
Identifying number
1
1
Eligible basis of building
.
2
2
Low-income portion (smaller of unit fraction or floor space fraction) (if first year of the credit
period, see instructions)
3
3
Qualified basis of low-income building. Multiply line 1 by line 2 (see instructions for exceptions)
4
Part-year adjustment for disposition or acquisition during the tax year
4
.
5
5
Credit percentage
6
Multiply line 3 or line 4 by the percentage on line 5
6
7
7
Additions to qualified basis, if any
8
8
9
.
9
10
10
Multiply line 7 or line 8 by the percentage on line 9
11
11
Section 42(f)(3)(B) modification
12
12
Add lines 10 and 11
13
13
Credit for building before line 14 reduction. Subtract line 12 from line 6
14
14
Disallowed credit due to federal grants (see instructions)
15
15
Credit allowed for building for tax year. Subtract line 14 from line 13, but do not enter more than
the amount shown on Form 8609, Part I, line 1b
16
Taxpayer’s proportionate share of credit for the year (see instructions)
16
17
18
Adjustments for deferred first-year credit (see instructions)
17
Taxpayer’s credit. Combine lines 16 and 17. Enter here and on Form 8586 (see instructions)
Sequence No. 36
Credit percentage. Enter one-third of the percentage on line 5
Cat No. 38841T
18
Form 8609-A (Rev. 12-2008)
Part-year adjustment for disposition or acquisition during the tax year
B
A
C
Building identification number (BIN)
©
This Form 8609-A is for (check the box)
©
a newly constructed or existing building
section 42(e) rehabilitation expenditures
Do you have in your records the original Form 8609 (or a copy thereof) signed and issued by the housing credit
agency for the building in A?
If “No,” see the instructions and stop here—do not go to Part II.
Did the building in A qualify as a part of a qualified low-income housing project and meet the requirements of
section 42 as of the end of the tax year for which this form is being filed?
If “No,” see the instructions and stop here—do not go to Part II.
Was there a decrease in the qualified basis of the building in A for the tax year for which this form is being
filed?
If “Yes,” see the instructions. If “No,” and the entire credit has been claimed in prior tax years, stop here—do
not go to Part II.
D
E
Yes
No
Part I
Part II
Compliance Information
Computation of Credit
8609-A
©
See separate instructions.
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