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Font 8609-A
(Rev. December 2008}
Annual Statement for Low-Income Housing Credit
OMB No. 1545-0988
► File with owner's federal Income tax return.
Attachment
Department of the Treastry
► See separate Instructions. Sequence No. 36
edema' Renenue Service
Nameis) shown on return Identifying number
Part I Compliance Information
I Yes No
A Building identification number (BIN) ►
B This Form 8609-A is for (check the box) ► a newly constructed or existing building ❑
section 42(e) rehabilitation expenditures ❑
C 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.
D 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.
E 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.
Part II Computation of Credit
1 Eligible basis of building 1
2 Low-income portion (smaller of unit fraction or floor space fraction) (if first year of the credit
period, see instructions) 2
3 Qualified basis of low-income building. Multiply line 1 by line 2 (see instructions for exceptions) 3
4 Part-year adjustment for disposition or acquisition during the tax year 4
5 Credit percentage 5
6 Multiply line 3 or line 4 by the percentage on line 5 6
7 Additions to qualified basis, if any 7
8 Part-year adjustment for disposition or acquisition during the tax year 8
9 Credit percentage. Enter one-third of the percentage on line 5 9
10 Multiply line 7 or line 8 by the percentage on line 9 10
11 Section 42(f)(3)(B) modification 11
12 Add lines 10 and 11 12
13 Credit for building before line 14 reduction. Subtract line 12 from line 6 13
14 Disallowed credit due to federal grants (see instructions) 14
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 lb 16
16 Taxpayer's proportionate share of credit for the year (see instructions) 16
17 Adjustments for deferred first-year credit (see instructions) 17
18 Taxpayer's credit. Combine lines 16 and 17. Enter here and on Form 8586 (see instructions) 18
For Paperwork Reduction Act Notice, see separate instructions. Form 8809-A (Rev. 12-2008)
EFTA01222814
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