Form 1098-E Student Loan Interest Statement

Please complete the form below by entering the information EXACTLY as it appears on your Form 1098-E
Use the Tab key to move to the next field. An asterisk ( * ) indicates a required field.

* Your email Address:

* RECIPIENT’S/LENDER’S name, address and telephone number

2001

Form 1098-E

* RECIPIENT’S Federal ID No.

* BORROWER’S Soc. Sec. No.

1 Student loan interest received by lender

* BORROWER’S name, street address, city, state, and ZIP code

2 Box 1 includes loan origination fees and /or
capitalized interest (if checked) . . . . . . .

Account number (optional)

Form 1098-E

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