Form 1098-Ma - Mortgage Assistance Payments - 2017

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VOID
CORRECTED
FILER'S name, street address, city, state, ZIP code, and telephone no.
OMB No. 1545-2221
Mortgage
2017
Assistance
Payments
1098-MA
Form
Copy A
FILER'S federal identification no.
HOMEOWNER'S federal identification no.
1. Total State HFA and homeowner mortgage payments
For
$
Internal Revenue
HOMEOWNER'S name
2. State HFA mortgage assistance payments
Service Center
$
For Privacy Act
3. Homeowner mortgage payments
Street address (including apt. no.) (optional)
and Paperwork
Reduction Act
$
Notice, see
City, state, and ZIP code (optional)
the 2017 General
Instructions for
Account number (optional)
Certain Information
Returns.
Form 1098-MA
Cat. No. 58017D
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page
Do Not Cut or Separate Forms on This Page

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