This form contains 62 fields organized into 16 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information
19b2 Text
Provide any additional relevant information related to the form, if applicable.
topmostSubform[0].CopyA[0].RightCol[0].f1_11[0 Text
Enter any additional details or notes related to the form, if applicable.
Text
Provide any additional relevant information related to the form, if applicable.
Text
Provide any additional relevant information related to the form, if applicable.
10 Other Text
Provide any additional information as required by the form instructions.
10 Other Text
Provide any additional information as required by the form instructions.
topmostSubform[0].CopyC[0].RightCol[0].f2_11[0 Text
Enter any additional information required for the form. The specific details are not provided in the field name.
Text
Enter any additional information required for the form. The specific details are not provided in the field name.
Text
Enter any additional information required for the form. The specific details are not provided in the field name.
10 Other Text
Enter any other relevant information related to the mortgage that is not covered in other fields.
Checkbox Options
topmostSubform[0].CopyA[0].RightCol[0].c1_3[0 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions.
topmostSubform[0].CopyB[0].CopyHeader[0].c2_1[0]_2 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions.
Form Copy Identification
topmostSubform[0].CopyA[0].CopyHeader[0].c1_1[0]_1 CheckBox
Indicate whether this is the IRS copy of the form by checking this box.
topmostSubform[0].CopyA[0].CopyHeader[0].c1_1[1]_2 CheckBox
Indicate whether this is the payer's copy of the form by checking this box.
topmostSubform[0].CopyC[0].CopyHeader[0].c2_1[0]_1 CheckBox
Check this box if the form is for the IRS copy.
topmostSubform[0].CopyC[0].CopyHeader[0].c2_1[1]_2 CheckBox
Check this box if the form is for the payer's copy.
Form Information
20 Text
Enter the last two digits of the calendar year for which the form is being filed.
Max length: 2 characters
Form Year
20 Text
Enter the last two digits of the calendar year for which this form is being filed.
Max length: 2 characters
General
11 Mortgage acquisition date Text
Enter the date when the mortgage was acquired.
Mortgage Account Information
Account number (see instructions) Text
Enter the account number associated with the mortgage, as per the instructions provided.
Mortgage Details
3 Mortgage origination date Date
Enter the date when the mortgage was originated.
5 Mortgage insurance premiums Number
Enter the total amount of mortgage insurance premiums paid during the tax year.
3 Mortgage origination date Date
Enter the date when the mortgage was originated.
topmostSubform[0].CopyB[0].RightCol[0].c2_3[0 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions.
11 Mortgage acquisition date Date
Enter the date when the mortgage was acquired.
3 Mortgage origination date Date
Enter the date when the mortgage was originated.
topmostSubform[0].CopyC[0].RightCol[0].c2_3[0 CheckBox
Check this box if the mortgage is a secured debt on a single property.
11 Mortgage acquisition date Date
Enter the date when the mortgage was acquired.
Payer Information
PAYER'S/BORROWER'S TIN Text
Enter the payer's or borrower's Taxpayer Identification Number (TIN), which can be up to 11 characters.
Max length: 11 characters
PAYER'S/BORROWER'S name Text
Enter the full name of the payer or borrower.
7 as the Text
Provide additional information related to the payer or borrower, if applicable.
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 for the payer or borrower.
PAYER'S/BORROWER'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the payer or borrower.
Max length: 11 characters
PAYER'S/BORROWER'S name Text
Enter the full name of the payer or borrower.
Street address (including apt. no.) Text
Enter the street address, including apartment number if applicable, of the payer or borrower.
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city, state or province, country, and ZIP or foreign postal code of the payer or borrower.
Text
Enter the name of the payer/borrower who paid the mortgage interest.
topmostSubform[0].CopyC[0].RightCol[0].f2_16[0 Text
Enter the address of the payer/borrower who paid the mortgage interest.
Payer/Borrower Information
PAYER'S/BORROWER'S TIN Text
Enter the payer's or borrower's Taxpayer Identification Number (TIN), which can be up to 11 characters long.
Max length: 11 characters
PAYER'S/BORROWER'S name Text
Enter the full name of the payer or borrower.
Street address (including apt. no.) Text
Enter the street address of the payer or borrower, including apartment number if applicable.
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 payer or borrower.
Property Details
8 Address or description of property securing mortgage (see instructions) Text
Provide the address or a description of the property that secures the mortgage.
9 Number of properties securing the mortgage Number
Enter the number of properties that are securing the mortgage.
8 Address or description of property securing mortgage Text
Enter the address or a description of the property that secures the mortgage.
9 Number of properties securing the mortgage Number
Enter the number of properties that secure the mortgage.
8 Address or description of property securing mortgage (see instructions) Text
Provide the address or a description of the property that secures the mortgage.
9 Number of properties securing the mortgage Number
Enter the number of properties that secure the mortgage.
Recipient Information
RECIPIENT'S/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the recipient's or lender's full name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number.
RECIPIENT'S/LENDER'S TIN Text
Enter the recipient's or lender's Taxpayer Identification Number (TIN), which can be up to 11 characters.
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 no Text
Enter the recipient's or lender's full name, address, and contact information.
RECIPIENT'S/LENDER'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the recipient or lender.
Max length: 11 characters
Recipient/Lender Information
RECIPIENT'S/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the recipient's or lender's full name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number.
RECIPIENT'S/LENDER'S TIN Text
Enter the recipient's or lender's Taxpayer Identification Number (TIN), which can be up to 11 characters long.
Max length: 11 characters
Tax Year Information
20 Text
Enter the last two digits of the calendar year for which the mortgage interest is being reported.
Max length: 2 characters
Unlabeled Field
topmostSubform[0].CopyA[0].RightCol[0].f1_16[0 Text
This field is not clearly labeled. Please refer to the form instructions for more details.
Unspecified
topmostSubform[0].CopyB[0].LeftCol[0].f2_10[0 Text
This field is unspecified. Please refer to the form instructions for more details.
topmostSubform[0].CopyB[0].RightCol[0].f2_11[0 Text
This field is unspecified. Please refer to the form instructions for more details.
topmostSubform[0].CopyB[0].RightCol[0].f2_12[0 Text
This field is unspecified. Please refer to the form instructions for more details.
Text
This field is unspecified. Please refer to the form instructions for more details.
topmostSubform[0].CopyB[0].RightCol[0].f2_15[0 Text
This field is unspecified. Please refer to the form instructions for more details.
topmostSubform[0].CopyB[0].RightCol[0].f2_16[0 Text
This field is unspecified. Please refer to the form instructions for more details.