Exhibit H Form 1098-T
Publication 1179 — General Rules and Specifications For Substitute Forms 1096, 1098, 1099, 5498, and Certain Other Information Returns · 2026-10-03 edition · updated 2026-10-04 · United States
8383 VOID CORRECTED
Tuition Statement
Copy A
For Internal Revenue
Service Center
For filing information,
Privacy Act, and Paperwork Reduction
Act Notice, see the General Instructions
for Certain Information Returns .
| FILER’S name | 1 Payments received for qualified tuition and related expenses $ |
OMB No. 1545-1574 2026 Form 1098-T |
|||||
|---|---|---|---|---|---|---|---|
| Street address | Street address | Street address | Street address | Street address | Room/suite no. | Room/suite no. | Room/suite no. |
| Street address | Street address | Street address | Street address | Street address | Room/suite no. | **2 ** | **2 ** |
| City/town | State/province | State/province | Country | Country | ZIP/ |
ZIP/ |
ZIP/ |
| Telephone number: | Telephone number: | Telephone number: | Telephone number: | Telephone number: | Telephone number: | 3 | 3 |
| FILER’S employer identification no. | FILER’S employer identification no. | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN |
| FILER’S employer identification no. | FILER’S employer identification no. | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | **4 **Adjustments made for a prior year $ |
**5 **Scholarships or grants $ |
| STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name |
| Street address | Street address | Street address | Street address | Street address | Apt. no. | **6 **Adjustments to scholarships or grants for a prior year $ |
**7 **Checked if the amount in box 1 includes amounts for an academic period beginning January– March 2027 |
| City/town | State/province | State/province | Country | Country | ZIP/ |
ZIP/ |
ZIP/ |
| Service Provider/ |
Service Provider/ |
Service Provider/ |
Service Provider/ |
**8 **Checked if at least half-time student |
**8 **Checked if at least half-time student |
**9 **Checked if a graduate student |
10Ins. contract reimb./refund $ |
Form 1098-T Created 10/8/25 Cat. No. 25087J 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
Cat. No. 25087J
Department of the Treasury - Internal Revenue Service
8383 VOID CORRECTED
Tuition Statement
Copy A
For Internal Revenue
Service Center
For filing information,
Privacy Act, and Paperwork Reduction
Act Notice, see the General Instructions
for Certain Information Returns .
| FILER’S name | 1 Payments received for qualified tuition and related expenses $ |
OMB No. 1545-1574 2026 Form 1098-T |
|||||
|---|---|---|---|---|---|---|---|
| Street address | Street address | Street address | Street address | Street address | Room/suite no. | Room/suite no. | Room/suite no. |
| Street address | Street address | Street address | Street address | Street address | Room/suite no. | **2 ** | **2 ** |
| City/town | State/province | State/province | Country | Country | ZIP/ |
ZIP/ |
ZIP/ |
| Telephone number: | Telephone number: | Telephone number: | Telephone number: | Telephone number: | Telephone number: | 3 | 3 |
| FILER’S employer identification no. | FILER’S employer identification no. | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN |
| FILER’S employer identification no. | FILER’S employer identification no. | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | **4 **Adjustments made for a prior year $ |
**5 **Scholarships or grants $ |
| STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name |
| Street address | Street address | Street address | Street address | Street address | Apt. no. | **6 **Adjustments to scholarships or grants for a prior year $ |
**7 **Checked if the amount in box 1 includes amounts for an academic period beginning January– March 2027 |
| City/town | State/province | State/province | Country | Country | ZIP/ |
ZIP/ |
ZIP/ |
| Service Provider/ |
Service Provider/ |
Service Provider/ |
Service Provider/ |
**8 **Checked if at least half-time student |
**8 **Checked if at least half-time student |
**9 **Checked if a graduate student |
10Ins. contract reimb./refund $ |
Form 1098-T Created 10/8/25 Cat. No. 25087J 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
Cat. No. 25087J
Department of the Treasury - Internal Revenue Service
8383 VOID CORRECTED
Tuition Statement
Copy A
For Internal Revenue
Service Center
For filing information,
Privacy Act, and Paperwork Reduction
Act Notice, see the General Instructions
for Certain Information Returns .
| FILER’S name | 1 Payments received for qualified tuition and related expenses $ |
OMB No. 1545-1574 2026 Form 1098-T |
|||||
|---|---|---|---|---|---|---|---|
| Street address | Street address | Street address | Street address | Street address | Room/suite no. | Room/suite no. | Room/suite no. |
| Street address | Street address | Street address | Street address | Street address | Room/suite no. | **2 ** | **2 ** |
| City/town | State/province | State/province | Country | Country | ZIP/ |
ZIP/ |
ZIP/ |
| Telephone number: | Telephone number: | Telephone number: | Telephone number: | Telephone number: | Telephone number: | 3 | 3 |
| FILER’S employer identification no. | FILER’S employer identification no. | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN |
| FILER’S employer identification no. | FILER’S employer identification no. | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | STUDENT’S TIN | **4 **Adjustments made for a prior year $ |
**5 **Scholarships or grants $ |
| STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name | STUDENT’S name |
| Street address | Street address | Street address | Street address | Street address | Apt. no. | **6 **Adjustments to scholarships or grants for a prior year $ |
**7 **Checked if the amount in box 1 includes amounts for an academic period beginning January– March 2027 |
| City/town | State/province | State/province | Country | Country | ZIP/ |
ZIP/ |
ZIP/ |
| Service Provider/ |
Service Provider/ |
Service Provider/ |
Service Provider/ |
**8 **Checked if at least half-time student |
**8 **Checked if at least half-time student |
**9 **Checked if a graduate student |
10Ins. contract reimb./refund $ |
Form 1098-T Created 10/8/25 Cat. No. 25087J www.irs.gov/Form1098T
43
Department of the Treasury - Internal Revenue Service
Get a plain-English answer with a citation back to this text.
Ask AI about this code