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RECIPIENT’S/LENDER’S name, address, and telephone number CORRECTED (if checked)

GMAC MORTGAGE *Caution: The amount shown

3451 HAMMOND AVE may not be fully deductible by OMB No. 1545-0901
WATERLOO IA 50702 you. Limits based on the loan

800-766-4622 amount and the cost and value
of the secured property may
apply. Also, you may only Mortgage
deduct interest to the extent it
was incurred by you, actually Interest
paid by you, and not Substitute Statement
reimbursed by another person. Form 1098
1. Mortgage interest received from Copy B
For Payer
The information in boxes 1,
PAYER'S/BORROWER'S name, street address (including apt. no.), city, state, and ZIP code
10/22/09 13:30 4 0041075 20100106 JA016111 1098-HE 1 OZ DOM JA01610000* 146316 NB
$ 1,960.32 2, 3, and 4 is important tax
#BWNHJPY information and is being
#KW06600G40247# 2. Points paid on purchase of principal furnished to the Internal
residence Revenue Service. If you are
MARTIN ARIZMENDI required to file a return, a
JOSEFINA D. ARIZMENDI negligence penalty or other
6412 WANKLYN ST $ 0.00 sanction may be imposed
DALLAS TX 75237-2051 on you if the IRS
3. Refund of overpaid interest
determines that an
$ 0.00 underpayment of tax results
because you overstated a
4. Mortgage insurance premiums
deduction for this mortgage
interest or for these points
RECIPIENT'S federal identification no. PAYER'S social security number $ 0.00
or because you did not
23-1694840 XXX-XX-0946 report this refund of interest
5. Real Estate Taxes Paid
Account number (see instructions) on your return.

0547670703 $ 1,893.47
Substitute Form 1098 (keep for your records) Department of the Treasury - Internal Revenue Service

Property Address

Instructions for Payer/Borrower 2009 that accrued in full by January 15, 2010, this prepaid interest may
be included in box 1. However, you cannot deduct the prepaid amount
A person (including a financial institution, a governmental unit, and a in 2009 even though it may be included in box 1. If you hold a
cooperative housing corporation) who is engaged in a trade or business mortgage credit certificate and can claim the mortgage interest credit,
and, in the course of such trade or business, received from you at least see Form 8396, Mortgage Interest Credit. If the interest was paid on a
$600 of mortgage interest (including certain points) on any one mortgage, home equity, line of credit, or credit card loan secured by
mortgage in the calendar year must furnish this statement to you.
your personal residence, you may be subject to a deduction limitation.
If you received this statement as the payer of record on a mortgage
Box 2. Not all points are reportable to you. Box 2 shows points you or
on which there are other borrowers, furnish each of the other borrowers
the seller paid this year for the purchase of your principal residence that
with information about the proper distribution of amounts reported on
are required to be reported to you. Generally, these points are fully
this form. Each borrower is entitled to deduct only the amount he or deductible in the year paid, but you must subtract seller-paid points
she paid and points paid by the seller that represent his or her share of from the basis of your residence. Other points not reported in box 2
the amount allowable as a deduction. Each borrower may have to may also be deductible. See Pub. 936 to figure the amount you can
include in income a share of any amount reported in box 3. deduct.
If your mortgage payments were subsidized by a government agency,
Box 3. Do not deduct this amount. It is a refund (or credit) for
you may not be able to deduct the amount of the subsidy. See the
overpayment(s) of interest you made in a prior year or years. If you
instructions for Form 1040, Schedule A, C, or E for how to report the itemized deductions in the year(s) you paid the interest, you may have
mortgage interest. Also, for more information, see Pub. 936, Home
to include part or all of the box 3 amount on the “Other income” line of
Mortgage Interest Deduction, and Pub. 535, Business Expenses. your 2009 Form 1040. No adjustment to your prior year(s) tax return(s)
is necessary. For more information, see Pub. 936 and Itemized
Account number. May show an account or other unique number the Deduction Recoveries in Pub. 525, Taxable and Nontaxable Income.
lender has assigned to distinguish your account.

Box 1. Shows the mortgage interest received during the year. This Box 4. Shows mortgage insurance premiums which may qualify to be
treated as deductible mortgage interest. See the Schedule A (Form
amount includes interest on any obligation secured by real property,
1040) instructions. If your mortgage loan originated during the
including a home equity, line of credit, or credit card loan. This amount
current tax year, [ Jan 01 thru Dec 31 ] please refer to your loan
does not include points, government subsidy payments, or seller
payments on a “buy-down” mortgage. Such amounts are deductible by
closing statement for any prepaid mortgage insurance premiums
you only in certain circumstances. Caution: If you prepaid interest in
that should be added to the amount Box # 4 to obtain the total
premiums paid for the current tax year.

Box 5. The interest recipient may use this box to give you other
information, such as the address of the property that secures the debt,
real estate taxes, or insurance paid from escrow.