Form 1066

Department of the Treasury 

Internal Revenue Service 

U.S. Real Estate Mortgage Investment Conduit 

(REMIC) Income Tax Return

For calendar year 2012 or short tax year beginning , 20 , ending , 20 

▶ Information about Form 1066 and its separate instructions is at www.irs.gov/form1066.

OMB No. 1545-1014

2012

Please 

Type or 

Print 

Name 

Number, street, and room or suite no. (If a P.O. box, see instructions.) 

City or town, state, and ZIP code 

A Employer identification number 

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 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. 

Signature ▲

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 ▶

Firm’s address ▶

Firm's EIN ▶

Phone no. 

For Paperwork Reduction Act Notice, see instructions. Cat. No. 64383U Form 1066 (2012) 
Form 1066 (2012) Page 2 

Schedule J Tax Computation 

Part I—Tax on Net Income From Prohibited Transactions 

1 Income—See instructions.

a Gain from certain dispositions of qualified mortgages . . . . . . . . . . . . . . . 1a 

b Income from nonpermitted assets . . . . . . . . . . . . . . . . . . . . . . 1b 

c Compensation for services . . . . . . . . . . . . . . . . . . . . . . . . 1c 

d Gain from the disposition of cash flow investments (except from a qualified liquidation) . . . . 1d 

2 Total income. Add lines 1a through 1d . . . . . . . . . . . . . . . . . . . . 2 

3 Deductions directly connected with the production of income shown on line 2 (excluding 

deductions attributable to prohibited transactions resulting in a loss) . . . . . . . . . . 3 

4 Tax on net income from prohibited transactions. Subtract line 3 from line 2 . . . . . . . . 4 

Part II—Tax on Net Income From Foreclosure Property (as defined in section 860G(a)(8)) 

(Caution: See instructions before completing this part.) 

5 Net gain or (loss) from the sale or other disposition of foreclosure property described in section 

1221(a)(1) (attach statement) . . . . . . . . . . . . . . . . . . . . . . . 5 

6 Gross income from foreclosure property (attach statement) . . . . . . . . . . . . . 6 

7 Total income from foreclosure property. Add lines 5 and 6 . . . . . . . . . . . . . . 7 

8 Deductions directly connected with the production of income shown on line 7 (attach statement) . 8 

9 Net income from foreclosure property. Subtract line 8 from line 7 . . . . . . . . . . . 9 

10 Tax on net income from foreclosure property. Enter 35% of line 9 . . . . . . . . . . . 10 

Part III—Tax on Contributions After the Startup Day 

(Do not complete this part if the startup day was before July 1, 1987. See instructions.) 

11 Tax. Enter amount of taxable contributions received during the calendar year after the startup 

day. See instructions (attach statement) . . . . . . . . . . . . . . . . . . . . 11 

Part IV—Total Tax 

12 Total tax. Add lines 4, 10, and 11. Enter here and on page 1, Section II, line 1 . . . . . . . 12 

Form 1066 (2012) 
Form 1066 (2012) Page 3 

Designation of Tax Matters Person 

Enter below the residual interest holder designated as the tax matters person (TMP) for the calendar year of this return. 

Name of 

designated TMP 

▲

Identifying 

number of TMP 

▲

Address of 

designated TMP 

▲

Additional Information (see instructions) 

E What type of entity is this REMIC? Check box ▶ Corporation Partnership Trust

Segregated Pool of Assets

Yes No 

If you checked “Segregated Pool of Assets,” enter the name and type of entity that owns the assets: 

Name Type 

F Number of residual interest holders in this REMIC ▶

G Check this box if this REMIC is subject to the consolidated entity-level audit procedures of sections 6221 

through 6231 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

H At any time during calendar year 2012, did the REMIC have a financial interest in or signature or other authority 

over any foreign financial account, including bank, securities, or other types of financial accounts in a foreign 

country? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” the REMIC may have to file Form TD F 90-22.1. See instructions. 

If “Yes,” enter name of foreign country ▶

I During the tax year, did the REMIC receive a distribution from, or was it the grantor of, or transferor to, a foreign

trust? If “Yes,” see instructions for other forms the REMIC may have to file . . . . . . . . . . . . .

J Enter the amount of tax-exempt interest accrued during the year ▶

K Check this box if the REMIC had more than one class of regular interests . . . . . . . . . . . ▶

If so, attach a statement identifying the classes and principal amounts outstanding for each at the end of the year. 

L Enter the sum of the daily accruals determined under section 860E(c) for the calendar year ▶

Schedule L Balance Sheets per Books (a) Beginning of year (b) End of year 

Assets 

1 Permitted investments (see instructions): 

a Cash flow investments . . . . . . . . . .

b Qualified reserve assets . . . . . . . . . .

c Foreclosure property . . . . . . . . . . .

2 Qualified mortgages . . . . . . . . . . .

3 Other assets (attach statement) . . . . . . .

4 Total assets . . . . . . . . . . . . . .

Liabilities and Capital 

5 Current liabilities (attach statement) . . . . . .

6 Other liabilities (attach statement) . . . . . . .

7 Regular interests in REMIC . . . . . . . . .

8 Residual interest holders’ capital accounts . . . .

9 Total liabilities and capital . . . . . . . . .

Schedule M Reconciliation of Residual Interest Holders’ Capital Accounts (Show reconciliation of each 

residual interest holder’s capital account quarterly on Schedule Q (Form 1066), Item F.) 

( ) ( ) 

(a) Residual interest 

holders’ capital 

accounts at 

beginning of year 

(b) Capital 

contributed during 

year 

(c) Taxable income 

(or net loss) from 

Section I, line 15 

(d) Nontaxable 

income 

(e) Unallowable 

deductions 

(f) Withdrawals and 

distributions 

(g) Residual interest 

holders’ capital accounts 

at end of year (combine 

cols. (a) through (f)) 

Form 1066 (2012)