Form 1098-E - Student Loan Interest Statement

Form 1098-E - Student Loan Interest Statement - 2015 Page 3

CORRECTED (if checked)

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 B

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

1 Student loan interest received by lender

For Borrower

BORROWER’S name

This is important tax

information and is being

furnished to the Internal

Revenue Service. If you

are required to file a

Street address (including apt. no.)

return, a negligence

penalty or other

sanction may be

imposed on you if the

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

IRS determines that an

underpayment of tax

results because you

Account number (see instructions)

2 If checked, box 1 does not include loan origination

overstated a deduction

fees and/or capitalized interest for loans made before

for student loan interest.

September 1, 2004 .

1098-E

(keep for your records)

Department of the Treasury - Internal Revenue Service

Form

Form 1098-E - Student Loan Interest Statement - 2015 Page 3