Form 1098 - Mortgage Interest Statement - 2016 Page 2
ADVERTISEMENT
1
2
3
4
5
6VOID
CORRECTED
8181
RECIPIENT'S/LENDER'S name, street address, city or town, state or
OMB No. 1545-0901
province, country, ZIP or foreign postal code, and telephone no.
Mortgage
2016
Interest
Statement
1098
Form
1 Mortgage interest received from payer(s)/borrower(s)
Copy A
$
For
2 Outstanding mortgage
RECIPIENT'S/LENDER'S federal
PAYER'S/BORROWER'S taxpayer
Internal Revenue
3 Mortgage origination date
principal as of 1/1/2016
identification number
identification no.
Service Center
$
4 Refund of overpaid
5 Mortgage insurance
File with Form 1096.
interest
premiums
$
$
PAYER'S/BORROWER'S name
6 Points paid on purchase of principal residence
For Privacy Act
$
and Paperwork
Street address (including apt. no.)
7 Is address of property securing mortgage same as
Reduction Act
PAYER'S/BORROWER'S address?
Notice, see the
If Yes, check box .
.
.
.
.
.
.
.
.
.
2016 General
If No, enter address of property securing mortgage below
Instructions for
City or town, state or province, country, and ZIP or foreign postal code
Certain
Information
8 Address of property securing mortgage (see instructions)
Returns.
10 Other
9 If property securing mortgage has no address, provide
description of the property (see instructions)
Account number (see instructions)
1098
Form
Cat. No. 14402K
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
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial