Request For Iu Duplicate Tax Form Indiana University Northwest
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1Request for IU Duplicate Tax Form(s) to be Mailed or Faxed
Print First Name: ________________________________ Last Name: ____________________________
Select which tax form(s) you need a duplicate copy and fill in the year(s) you need. Example: If you need
a duplicate of your 1098-T tax form for the past year, check the box next to "1098-T" and type "2006" in
the matching "Year" field.
W-2 - Wage Statement
Year(s)
1042-S – Foreign Income Statement
Year(s)
1098-E – Student Loan Interest Statement
Year(s)
1098-T – Tuition Statement
Year(s)
1098-T – Detailed Financial Information
Year(s)
1099-MISC – Miscellaneous Income Statement
Year(s)
1099-R – Pension and Annuity Statement
Year(s)
Select Delivery Method of Mail or Fax
1) Mail form(s) to address:
Street __________________________________________
City ___________________________________________
State __________________________________________
United States
Country _______________________________________
Zip Code______________________________________
2) Fax form(s) to fax number:
(______) _______________________________
By providing the information above, I expressly authorize Indiana University to release my Social
Security Number, Student Financial Records, or other records maintained by the Financial Management
Services (FMS) department, only to the address or fax number indicated.
Signature: (Required) __________________________________________
Contact Phone Number: (Required) (______) ___________________________
Last 4 digits of SSN: (Required) __________________ University ID: _______________________
Fax this form along with a government issued picture ID (e.g. driver’s license or state ID
card) to 812-855-1879 or mail to IU-FMS, 400 E 7th St., Poplars Rm 527, Bloomington, IN
47405.
Questions? Contact FMS Customer Service at 812.855.0375 during regular business hours
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