Form 1098 - Mortgage Interest Statement - 2010 Page 2
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1
2
3
4
5CORRECTED (if checked)
RECIPIENT’S/LENDER’S name, address, and telephone number
*
OMB No. 1545-0901
Caution: The amount shown
may not be fully deductible by you.
Mortgage
Limits based on the loan amount
2010
Interest
and the cost and value of the
secured property may apply. Also,
Statement
you may only deduct interest to
the extent it was incurred by you,
actually paid by you, and not
1098
Form
reimbursed by another person.
Copy B
RECIPIENT’S federal identification no.
PAYER’S social security number
1
Mortgage interest received from payer(s)/borrower(s)*
For Payer/Borrower
$
The information in boxes 1,
PAYER’S/BORROWER’S name
2
Points paid on purchase of principal residence
2, 3, and 4 is important tax
information and is being
furnished to the Internal
Revenue Service. If you are
$
required to file a return, a
negligence penalty or other
Street address (including apt. no.)
3
Refund of overpaid interest
sanction may be imposed on
$
you if the IRS determines
that an underpayment of tax
City, state, and ZIP code
4
Mortgage insurance premiums
results because you
overstated a deduction for
$
this mortgage interest or for
these points or because you
Account number (see instructions)
5
did not report this refund of
interest on your return.
1098
(keep for your records)
Form
Department of the Treasury - Internal Revenue Service
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