FILER'S name, street address, city, state, ZIP code, and telephone number
Test University
1234 Campus Avenue
Suite 100
University PA 12345
Contact: 412-555-1212
ECSI: 866-428-1098

1 Payments received for qualified
tuition and related expenses
$18,711.75

OMB No. 1545-1574

2009

Form 1098-T

Tuition
Statement

2 Amounts billed for qualified
tuition and related expenses

FILER'S federal identification no.
00-0000000

STUDENT'S social security number
000000000

3 If this box is checked, your educational institution
has changed its reporting method for 2009

[ ]

Copy B
For Student

This is important
tax information
and is being
furnished to the
Internal Revenue
Service.

STUDENT'S name, street address, city, state, and ZIP code
JOHN A DOE
100 MAIN ST
ANYTOWN PA 11111-2222

4 Adjustments made for a
prior year

5 Scholarships or grants

$2,250.00

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 2010

[X]

Service Provider/Acct No. (see instr.)
000000000

8 Checked if at least
half-time student

[X]

9 Checked if a
graduate student

[X]

10 Ins. contract reimb./refund

Please note: Your school can choose to use either Box 1 (Payments) or Box 2 (Amounts Billed). If you are not eligible for either the
Hope or Lifetime Credits, you may be eligible for the $4,000 Tuition and Fees Deduction. See www.irs.gov/publications/p970/ch06.html.
You cannot claim a credit if your modified adjusted gross income (MAGI) is $80,000 or more ($160,000 or more if you file a joint return).

The Taxpayer Relief Act of 1997 (TRA 97) provided new tax benefits for those individuals paying higher education costs for themselves or family members.

One of the new benefits was the Lifetime Learning Credit. The Lifetime Learning Credit is eligible to be claimed on qualified tuition and related expenses paid during calendar year 2009 for semesters beginning in 2009. An exception allows a credit to be claimed for payments made during the 2009 calendar year for charges applicable to the Spring 2010 semester.

The maximum amount of Lifetime Learning Credit that may be claimed for 2009 is $2,000.00 per family, up to 20% of the first $10,000.00 paid for qualified tuition and related expenses. No credit may be claimed if your adjusted gross income is over $55,000, single return; $110,000, joint return.

This is your 1098-T form for calendar year 2009. The amount of eligible tuition/fees paid is noted in box 1 and the amount of scholarships/grants received is noted in box 5. According to the Taxpayer Relief Act of 1997, only "out-of-pocket" expenses may be used to calculate the qualified tuition and related expenses eligible to be claimed. Therefore, box 5 must be deducted from box 1 to determine the amount of qualified tuition and related expenses that may be used to calculate the tax credit for the calendar year 2009. If the resulting amount is zero or less, no credit may be claimed.

The Hope Credit is not applicable for the Test University Campus.

If you have any questions regarding the information provided to you from Test University, please contact the Bursar’s Office at (412) 555-1212. Questions pertaining to the actual preparation and filing of your personal taxes should be directed to your personal tax advisor.