Form 1098 - Mortgage Interest Statement - 2013 Page 3
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1
2
3
4
5
6CORRECTED (if checked)
* Caution: The amount shown
OMB No. 1545-0901
RECIPIENT’S/LENDER'S name, street address, city or town, province or state,
may not be fully deductible by you.
country, ZIP or foreign postal code, and telephone number
Mortgage
Limits based on the loan amount
2013
and the cost and value of the
Interest
secured property may apply. Also,
you may only deduct interest to
Statement
the extent it was incurred by you,
actually paid by you, and not
1098
reimbursed by another person.
Form
Copy B
RECIPIENT’S
PAYER'S social security number
1 Mortgage interest received from payer(s)/borrower(s)*
federal identification no.
$
For Payer/Borrower
PAYER'S/BORROWER'S name
2 Points paid on purchase of principal residence
The information in boxes 1,
2, 3, and 4 is important tax
information and is being
furnished to the Internal
$
Revenue Service. If you are
required to file a return, a
Street address (including apt. no.)
3 Refund of overpaid interest
negligence penalty or other
sanction may be imposed on
$
you if the IRS determines
that an underpayment of tax
4 Mortgage insurance premiums
City or town, province or state, country, and ZIP or foreign postal code
results because you
overstated a deduction for
$
this mortgage interest or for
these points or because you
Account number (see instructions)
5
did not report this refund of
interest on your return.
1098
(keep for your records)
Form
Department of the Treasury - Internal Revenue Service
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