Form 1098-E - Student Loan Interest Statement - 2015 Page 5
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CORRECTED
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
RECIPIENT’S federal identification no. BORROWER’S social security number
1 Student loan interest received by lender
$
Copy C
For Recipient
BORROWER’S name
For Privacy Act and
Paperwork
Street address (including apt. no.)
Reduction Act
Notice, see the 2015
General
City or town, state or province, country, and ZIP or foreign postal code
Instructions for
Certain Information
Returns.
Account number (see instructions)
2 Check if box 1 does not include loan origination fees
and/or capitalized interest, and the loan was made
before September 1, 2004
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1098-E
Department of the Treasury - Internal Revenue Service
Form
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