Form 1098-T - Tuition Statement - 2013 Page 5
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1
2
3
4
5
6VOID
CORRECTED
FILER’S name, street address, city or town, province or state, country, ZIP or
1 Payments received for
OMB No. 1545-1574
qualified tuition and related
foreign postal code, and telephone number
expenses
2013
Tuition
$
Statement
2 Amounts billed for
qualified tuition and
related expenses
1098-T
$
Form
Copy C
FILER’S federal identification no.
STUDENT'S social security number
3 Check if you have changed your
reporting method for 2013
For Filer
STUDENT'S name
4 Adjustments made for a
5 Scholarships or grants
prior year
For Privacy Act and
$
$
Paperwork
Reduction Act
6 Adjustments to
7 Check this box if the
Street address (including apt. no.)
Notice, see
amount in box 1 or 2
scholarships or grants
includes amounts for
the 2013 General
for a prior year
an academic period
City or town, province or state, country, and ZIP or foreign postal code
Instructions for
beginning January -
Certain Information
$
March 2014
▶
Returns.
8 Check if at least
9 Check if a graduate
10 Ins. contract reimb./refund
Service Provider/Acct. No. (see instr.)
half-time student
student
.
.
.
.
$
1098-T
Form
Department of the Treasury - Internal Revenue Service
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