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Personal Finance

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Submitted By bjeanverley
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RECIPIENT’S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone number

SUNRISE MORTGAGE BANK 123 Mortgage Court St Louis, MO 63113

* Caution: The amount shown may not be fully deductible by you. Limits based on the loan amount and the cost and value of the secured property may apply. Also, you may only deduct interest to the extent it was incurred by you, actually paid by you, and not reimbursed by another person.

OMB No. 1545-0901

13
Form 1098

Mortgage Interest Statement Copy B
For Payer/Borrower
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 negligence penalty or other sanction may be imposed on you if the IRS determines that an underpayment of your tax results because you overstated a deduction for this mortgage interest or for these points or because you did not report this refund of interest on your tax return.

1 Mortgage interest received from payer(s)/borrower(s)*
RECIPIENT’S federal identification no PAYER’S social security number

$4,147.92
2 Points paid on purchase of principal residence

11-1111117
PAYER’S /BORROWER’S name

000-00-0001

YOU
Street Address (including apt no.) 3 Refund of overpaid interest

456 Middle Road
City or town, province or state, country, and ZIP or foreign postal code 4

Tecumseh, KS 66542
Account number (see instructions)

Real Estate Taxes Paid = $1,800
5

0000-000005

Form 1098

(keep for your records)

www.irs.gov/form1098

Department of the Treasury—Internal Revenue Service

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