Form 1098-E - Student Loan Interest Statement

Form 1098-E - Student Loan Interest Statement - 2015 Page 2

VOID

CORRECTED

8484

RECIPIENT’S/LENDER’S name, street address, city or town, state or

OMB No. 1545-1576

province, country, ZIP or foreign postal code, and telephone number

Student

2015

Loan Interest

Statement

1098-E

Form

Copy A

RECIPIENT’S federal identification no. BORROWER’S social security number

1 Student loan interest received by lender

For

Internal Revenue

BORROWER’S name

Service Center

File with Form 1096.

Street address (including apt. no.)

For Privacy Act and

Paperwork Reduction

Act Notice, see the

City or town, state or province, country, and ZIP or foreign postal code

2015 General

Instructions for

Certain Information

Account number (see instructions)

2 Check if box 1 does not include loan origination fees

and/or capitalized interest, and the loan was made

Returns.

before September 1, 2004

1098-E

Cat. No. 25088U

Department of the Treasury - Internal Revenue Service

Form

Do N o t C u t o r S e pa r a t e F or m s o n Th i s P a g e — D o N o t C u t o r S e p a r a t e F o r m s o n Thi s Page

Form 1098-E - Student Loan Interest Statement - 2015 Page 2