1098-T Tuition Statement

Attention:
Copy A of this form is provided for informational purposes only. Copy A appears in red,
similar to the official IRS form. The official printed version of Copy A of this IRS form is
scannable, but the online version of it, printed from this website, is not. Do not print and file
copy A downloaded from this website; a penalty may be imposed for filing with the IRS
information return forms that can’t be scanned. See part O in the current General
Instructions for Certain Information Returns, available at www.irs.gov/form1099, for more
information about penalties.
Please note that Copy B and other copies of this form, which appear in black, may be
downloaded and printed and used to satisfy the requirement to provide the information to
the recipient.
To order official IRS information returns, which include a scannable Copy A for filing with
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See IRS Publications 1141, 1167, and 1179 for more information about printing these tax
forms.

8383

VOID

CORRECTED

FILER'S name, street address, city or town, state or province, country, ZIP or 1 Payments received for
qualified tuition and related
foreign postal code, and telephone number
expenses

OMB No. 1545-1574

2016

$
2 Amounts billed for
qualified tuition and
related expenses

Form 1098-T

$
FILER'S federal identification no.

Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
8 Check if at least
half-time student
Form 1098-T

Cat. No. 25087J

For
Internal Revenue
Service Center

4 Adjustments made for a
prior year

5 Scholarships or grants

$

$

File with Form 1096.

6 Adjustments to
scholarships or grants
for a prior year

7 Check this box if the
amount in box 1 or 2
includes amounts for
an academic period
beginning January —
March 2017 ▶
10 Ins. contract reimb./refund

For Privacy Act and
Paperwork Reduction
Act Notice, see the
2016 General
Instructions for
Certain Information
Returns.

$
Service Provider/Acct. No. (see instr.)

Copy A

STUDENT'S taxpayer identification no. 3 Check if you have changed your
reporting method for 2016

STUDENT'S name

Tuition
Statement

9 Check if a graduate
student

.

.

.

.

www.irs.gov/form1098t

$

Department of the Treasury - Internal Revenue Service

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

CORRECTED
FILER'S name, street address, city or town, state or province, country, ZIP or 1 Payments received for
qualified tuition and related
foreign postal code, and telephone number
expenses

OMB No. 1545-1574

2016

$
2 Amounts billed for
qualified tuition and
related expenses

Form 1098-T

$

STUDENT'S taxpayer identification no. 3 If this box is checked, your educational institution
has changed its reporting method for 2016

FILER'S federal identification no.
STUDENT'S name

Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code

4 Adjustments made for a
prior year

5 Scholarships or grants

$

$

6 Adjustments to
scholarships or grants
for a prior year

7 Checked if the amount
in box 1 or 2 includes
amounts for an academic
period beginning January
— March 2017 ▶

$
Service Provider/Acct. No. (see instr.)

8 Check if at least
half-time student

Form 1098-T

(keep for your records)

9 Checked if a graduate
student

.

.

.

Tuition
Statement

.

www.irs.gov/form1098t

10 Ins. contract reimb./refund

$

Copy B
For Student
This is important
tax information
and is being
furnished to the
Internal Revenue
Service. This form
must be used to
complete Form 8863
to claim education
credits. Give it to the
tax preparer or use it to
prepare the tax return.

Department of the Treasury - Internal Revenue Service

Instructions for Student
You, or the person who can claim you as a dependent, may be able to claim an education
credit on Form 1040 or Form 1040A. This statement has been furnished to you by an eligible
educational institution in which you are enrolled, or by an insurer who makes reimbursements
or refunds of qualified tuition and related expenses to you. This statement may help you claim
an education credit. To see if you qualify for a credit, and for help in calculating the amount of
your credit, see Pub. 970, Form 8863, and the Form 1040 or 1040A instructions.
Your institution must include its name, address, and information contact telephone number
on this statement. It may also include contact information for a service provider. Although the
filer or the service provider may be able to answer certain questions about the statement, do
not contact the filer or the service provider for explanations of the requirements for (and how
to figure) any education credit that you may claim.
Student's taxpayer identification number (TIN). For your protection, this form may show
only the last four digits of your SSN, ITIN, ATIN, or EIN. However, the issuer has reported your
complete TIN to the IRS. Caution: If your TIN is not shown in this box, your school was not
able to provide it. Contact your school if you have questions.
Account number. May show an account or other unique number the filer assigned to
distinguish your account.
Caution: Education credits may only be claimed for qualified tuition and related expenses
that were actually paid in 2016. Institutions may report either payments received during the
calendar year in box 1 or the amounts billed during the calendar year in box 2, and they may
change their reporting method as reported in box 3. The amount shown in box 1 or box 2 may
represent an amount other than the amount actually paid in 2016.
Box 1. Shows the total payments received in 2016 from any source for qualified tuition and
related expenses less any reimbursements or refunds made during 2016 that relate to those
payments received during 2016.
Box 2. Shows the total amounts billed in 2016 for qualified tuition and related expenses less
any reductions in charges made during 2016 that relate to those amounts billed during 2016.

Box 3. Shows whether your institution changed its method of reporting for 2016. It has
changed its method of reporting if the method (payments received) used for 2016 is different
from the reporting method used for 2015 (amounts billed). You should be aware of this
change in figuring your education credits.
Box 4. Shows any adjustment made for a prior year for qualified tuition and related expenses
that were reported on a prior year Form 1098-T. This amount may reduce any allowable
education credit that you claimed for the prior year (may result in an increase in tax liability for
the year of the refund). See “recapture” in the index to Pub. 970 to report a reduction in your
education credit or tuition and fees deduction.
Box 5. Shows the total of all scholarships or grants administered and processed by the eligible
educational institution. The amount of scholarships or grants for the calendar year (including those
not reported by the institution) may reduce the amount of the education credit you claim for the year.
TIP: You may be able to increase the combined value of an education credit and certain
educational assistance (including Pell Grants) if the student includes some or all of the
educational assistance in income in the year it is received. For details, see Pub. 970.
Box 6. Shows adjustments to scholarships or grants for a prior year. This amount may affect the
amount of any allowable tuition and fees deduction or education credit that you claimed for the
prior year. You may have to file an amended income tax return (Form 1040X) for the prior year.
Box 7. Shows whether the amount in box 1 or 2 includes amounts for an academic period
beginning January—March 2017. See Pub. 970 for how to report these amounts.
Box 8. Shows whether you are considered to be carrying at least one-half the normal full-time
workload for your course of study at the reporting institution.

Box 9. Shows whether you are considered to be enrolled in a program leading to a graduate
degree, graduate-level certificate, or other recognized graduate-level educational credential.
Box 10. Shows the total amount of reimbursements or refunds of qualified tuition and related
expenses made by an insurer. The amount of reimbursements or refunds for the calendar year
may reduce the amount of any education credit you can claim for the year (may result in an
increase in tax liability for the year of the refund).
Future developments. For the latest information about developments related to Form 1098-T and its
instructions, such as legislation enacted after they were published, go to www.irs.gov/form1098t.

VOID

CORRECTED

FILER'S name, street address, city or town, state or province, country, ZIP or 1 Payments received for
qualified tuition and related
foreign postal code, and telephone number
expenses

OMB No. 1545-1574

2016

$
2 Amounts billed for
qualified tuition and
related expenses

Form 1098-T

$
FILER'S federal identification no.

Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
8 Check if at least
half-time student
Form 1098-T

www.irs.gov/form1098t

For Filer

4 Adjustments made for a
prior year

5 Scholarships or grants

$

$

6 Adjustments to
scholarships or grants
for a prior year

7 Check this box if the
amount in box 1 or 2
includes amounts for
an academic period
beginning January —
March 2017 ▶
10 Ins. contract reimb./refund

$
Service Provider/Acct. No. (see instr.)

Copy C

STUDENT'S taxpayer identification no. 3 Check if you have changed your
reporting method for 2016

STUDENT'S name

9 Check if a graduate
student

.

.

.

Tuition
Statement

.

For Privacy Act and
Paperwork
Reduction Act
Notice, see
the 2016 General
Instructions for
Certain Information
Returns.

$
Department of the Treasury - Internal Revenue Service

Instructions for Filer
To complete Form 1098-T, use:
• the 2016 General Instructions for Certain Information
Returns, and
• the 2016 Instructions for Forms 1098-E and 1098-T.
To order these instructions and additional forms, go
to www.irs.gov/form1098t.
Caution: Because paper forms are scanned during
processing, you cannot file Forms 1096, 1097, 1098,
1099, 3921, 3922, or 5498 that you download and print
from the IRS website.
Due dates. Furnish Copy B of this form to the student
by January 31, 2017. For information on furnishing Form
1098-T electronically, see the separate Specific
Instructions for Form 1098-T.

File Copy A of this form with the IRS by February 28,
2017. If you file electronically, the due date is March 31,
2017. To file electronically, you must have software that
generates a file according to the specifications in Pub.
1220. The IRS does not provide a fill-in form option.
Caution: By checking the box in STUDENT'S taxpayer
identification no., you are making a true and accurate
certification under penalty of perjury that you have
complied with standards promulgated by the Secretary
for obtaining such individual's TIN.
Need help? If you have questions about reporting on
Form 1098-T, call the information reporting customer
service site toll free at 1-866-455-7438 or 304-263-8700
(not toll free). Persons with a hearing or speech
disability with access to TTY/TDD equipment can call
304-579-4827 (not toll free).