its
1098-T
Box 1-Payments received for tuition and
related expenses
16467.00
Box 4-Adjustments made for a prior year
C
Box 5-Scholarships/grants
1500.00
province, country, ZIP or 1 Payments received for
qualified tuition and related
expenses
16,467.00
NT'S TIN
P or foreign postal code
8 Checked if at least
half-time student
2
3
4 Adjustments made for a
prior year
6 Adjustments to
scholarships or grants
for a prior year
9 Checked if a graduate
student
www.lrs.gov/Form1098T
OMB No. 1545-1574
Form 1098-T
5 Scholarships or grants
1,500.00
7 Checked if the amount
in box 1 includes
amounts for an
academic period
beginning January-
March
10 ins. contract reimb./refund
s
Department of the Treasury -