CORRECTED
FILER’S name, street address, city or town, state or province, country, ZIP or 1 Payments received for           OMB No. 1545-1574
foreign postal code, and telephone number                                        qualified tuition and related
                                                                                 expenses
State University
555 Elon Drive
Your City, Your Zip Code
                                                                               $
                                                                                2
                                                                                                    15,000.00
                                                                                                                     20XX                                  Tuition
                                                                                                                                                        Statement
                                                                                                                     Form 1098-T
FILER’S employer identification no.       STUDENT’S TIN                         3                                                                               Copy B
          XXX-XX-XXXX                              XXX-XX-XXXX                                                                                             For Student
STUDENT’S name                                                                  4 Adjustments made for a         5 Scholarships or grants
                                                                                  prior year                                                              This is important
                                                                                                                                                            tax information
Matt Stillman                                                                  $                                 $                                             and is being
                                                                                                                                                           furnished to the
Street address (including apt. no.)                                             6 Adjustments to                 7 Checked if the amount
                                                                                                                   in box 1 includes                         IRS. This form
                                                                                  scholarships or grants
10 Washington                                                                                                      amounts for an                         must be used to
                                                                                  for a prior year                                                    complete Form 8863
City or town, state or province, country, and ZIP or foreign postal code                                           academic period
                                                                                                                   beginning January–                   to claim education
Your City, Your Zip Code                                                       $                                   March 20XX                         credits. Give it to the
                                                                                                                                                   tax preparer or use it to
Service Provider/Acct. No. (see instr.)           8 Check if at least           9 Checked if a graduate          10 Ins. contract reimb./refund
                                                                                                                                                    prepare the tax return.
                                                    half-time student      ✔        student                      $
Form 1098-T                           (keep for your records)                        www.irs.gov/Form1098T           Department of the Treasury - Internal Revenue Service