This form contains 21 fields organized into 5 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Borrower Information
topmostSubform[0].CopyA[0].LeftCol[0].f1_3[0 Text
Enter the Taxpayer Identification Number (TIN) of the borrower. This should be a 9-digit number.
Max length: 11 characters
BORROWER'S name Text
Enter the full name of the borrower.
Street address (including apt. no.) Text
Enter the street address of the borrower, including apartment number if applicable.
topmostSubform[0].CopyA[0].LeftCol[0].f1_6[0 Text
Enter additional address information for the borrower, such as city, state, and ZIP code.
BORROWER'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the borrower. This should be a 9-digit number.
Max length: 11 characters
BORROWER'S name Text
Enter the full name of the borrower.
45cd Street address (including apt. no.) Text
Enter the street address of the borrower, including apartment number if applicable.
45cd Street address (including apt. no.) fc81 City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city or town, state or province, country, and ZIP or foreign postal code of the borrower's address.
General Instructions
topmostSubform[0].CopyA[0].CopyHeader[0].c1_1[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyA[0].CopyHeader[0].c1_1[1]_2 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyA[0].RightCol[0].c1_2[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyB[0].CopyBHeader[0].c2_1[0]_2 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
Loan Information
Account number (see instructions) Text
Enter the account number associated with the student loan. Refer to the form instructions for more details.
topmostSubform[0].CopyA[0].RightCol[0].f1_8[0 Number
Enter the amount of student loan interest received by the lender during the tax year.
Account number (see instructions) Text
Enter the account number associated with the student loan. Refer to the instructions for more details.
Miscellaneous
topmostSubform[0].CopyB[0].RightCol[0].f2_8[0 Text
This field appears to be a placeholder or unused field. No input is required.
topmostSubform[0].CopyB[0].RightCol[0].c2_2[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
Recipient/Lender Information
RECIPIENT'S/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Text
Enter the name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number of the recipient or lender.
RECIPIENT'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the recipient or lender. This should be a 9-digit number.
Max length: 11 characters
RECIPIENT'S/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Text
Enter the name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number of the recipient or lender.
RECIPIENT'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the recipient or lender. This should be a 9-digit number.
Max length: 11 characters