Form 1098-Ma - Mortgage Assistance Payments - 2015 Page 4
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CORRECTED
FILER'S name, street address, city, state, ZIP code, and telephone no.
OMB No. 1545-2221
Mortgage
2015
Assistance
Payments
1098-MA
Form
Copy C
FILER'S federal identification no.
HOMEOWNER'S federal identification no.
1. Total State HFA/HUD and homeowner mortgage payments
For Filer
$
HOMEOWNER'S name
2. State HFA/HUD mortgage assistance payments
For Privacy Act
and Paperwork
Reduction Act
$
Notice, see
3. Homeowner mortgage payments
Street address (including apt. no.) (optional)
the 2015 General
$
Instructions for
City, state, and ZIP code (optional)
Certain Information
Returns.
Account number (optional)
Form 1098-MA
Department of the Treasury - Internal Revenue Service
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Parent category: Financial