| ◻ CORRECTED (if checked) |
RECIPIENT'S/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.
Chase Mortgage
100 Park Avenue
New York, NY 10017 |
*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. 1545-1380
2020
Form 1098 |
|
Mortgage
Interest
Statement |
1 Mortgage interest received from payer(s)/borrower(s)*
$ 10,105.00 |
Copy B
For Payer/
Borrower
The information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS. 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 tax results because you overstated a deduction for this mortgage interest or for these points, reported in boxes 1 and 6; or because you didn't report the refund of interest (box 4); or because you claimed a nondeductible item. |
RECIPIENT'S/LENDER'S TIN
13-4296127 |
PAYER'S/BORROWER'S TIN
434-11-3311 |
2 Outstanding mortgage principal
$274,700.00 |
3 Mortgage origination date
03/13/2011 |
4 Refund of overpaid interest
$ |
5 Mortgage insurance premiums
$ |
| PAYER'S/BORROWER'S name Noah and Joan Arc |
6 Points paid on purchase of principal residence
$ |
| Street address (including apt. no.) 1265 W. Riverview Avenue |
7 ☒ If address of property securing mortgage is the same as PAYER'S/BORROWER'S address, the box is checked, or enter the address or description in box 8. |
| City or town, state or province, country, and ZIP or foreign postal code Dayton, OH 45402 |
8 Address or description of property securing mortgage (see instructions)
|
| 9 Number of properties securing the mortgage 1 |
10 Other
|
11 Mortgage acquisition date
|
Account number (see instructions)
|