Form 1098-Ma - Mortgage Assistance Payments - 2015 Page 2

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CORRECTED (if checked)
FILER'S name, street address, city, state, ZIP code, and telephone no.
OMB No. 1545-2221
Mortgage
2015
Assistance
Payments
1098-MA
Form
Copy B
FILER'S federal identification no.
HOMEOWNER'S federal identification no.
1. Total State HFA/HUD and homeowner mortgage payments
For Homeowner
$
HOMEOWNER'S name
2. State HFA/HUD mortgage assistance payments
This is important
tax information
and is being
$
furnished to the
3. Homeowner mortgage payments
Street address (including apt. no.) (optional)
Internal Revenue
$
Service.
City, state, and ZIP code (optional)
Account number (optional)
Form 1098-MA
(keep for your records)
Department of the Treasury - Internal Revenue Service

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