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31024
1/5/23 OUR INFO
RETURN SERVICE ONLY ONLINE
PLEASE DO NOT SEND MAIL TO THIS ADDRESS
PO Box 818060 [Link]
5801 Postal Road
Cleveland, OH 44181

YOUR INFO
LOAN NUMBER
0658720396

PROPERTY ADDRESS
2604 S 69TH ST
PEDRO NAVARRO BLANCO
TAMPA, FL 33619
DULCE DRAGO NAVARRO
2604 S 69TH ST
TAMPA, FL 33619

SEE REVERSE SIDE FOR ADDITIONAL INFORMATION

ANNUAL ESCROW AND INTEREST STATEMENT
PEDRO NAVARRO BLANCO Nationstar Mortgage LLC d/b/a Mr. Cooper
YEAR: 2022
DULCE DRAGO NAVARRO 8950 Cypress Waters Blvd.
ACCT #: 0658720396
2604 S 69TH ST Coppell, TX 75019
SSN/TIN: XXX-XX-8487
TAMPA, FL 33619 TIN#: 75-2921540
PRINCIPAL RECONCILIATION
DISBURSEMENTS FROM ESCROW
BEG BAL: $75,744.64
PROPERTY TAXES: $912.75
APPLIED BALANCE: $1,249.43
HAZARD INSURANCE: $3,436.55
ENDING BAL: $74,495.21
INTEREST RECONCILIATION
CURRENT TOTAL PYMT: $714.81
INTEREST PAID: $3,946.81
CURRENT ESCROW PYMT: $281.79
MORTGAGE INTEREST RECEIVED FROM
CURRENT OPTIONAL INS PYMT: $0.00
PAYER(S)/BORROWER(S): $3,946.81

CORRECTED (if checked)

RECIPIENT’S/LENDER’S name, street address, city or town, state or *Caution: The amount shown may OMB No. 1545-1380
province, country, ZIP or foreign postal code, and telephone no. not be fully deductible by you.
Limits based on the loan amount
Form1098 Mortgage
Nationstar Mortgage LLC d/b/a Mr. Cooper and the cost and value of the
8950 Cypress Waters Blvd.
secured property may apply. Also, Interest
you may only deduct interest to the (Rev. January 2022)
Coppell, TX 75019 extent it was incurred by you,
For calendar year Statement
Customer Service: 888-480-2432 actually paid by you, and not
reimbursed by another person. 20 22
1 Mortgage interest received from payer(s)/borrower(s)*
Copy B
$ 3,946.81 For Payer/
RECIPIENT’S/LENDER’S TIN PAYER’S/BORROWER’S TIN 2 Outstanding mortgage 3 Mortgage origination date Borrower
principal The information in boxes 1
75-2921540 XXX-XX-8487 $ 75,744.64 12/08/2006 through 9 and 11 is
4 Refund of overpaid 5 Mortgage insurance important tax information
interest premiums and is being furnished to
the IRS. If you are required
PAYER’S/BORROWER’S name $ 0.00 $ 0.00 to file a return, a negligence
PEDRO NAVARRO BLANCO 6 Points paid on purchase of principal residence penalty or other sanction
DULCE DRAGO NAVARRO $ 0.00 may be imposed on you if
the IRS determines
Street address (including apt. no.) 7 X If address of property securing mortgage is the same that an underpayment of
2604 S 69TH ST as PAYER’S/BORROWER’S address, the box is checked, or tax results because you
the address or description is entered in box 8. overstated a deduction for
this mortgage interest or for
City or town, state or province, country, and ZIP or foreign postal code 8 Address or description of property securing mortgage these points, reported in
boxes 1 and 6; or because
TAMPA, FL 33619 you didn’t report the refund
of interest (box 4); or
9 Number of properties securing the 10 Other because you claimed a
mortgage nondeductible item.
01 11 Mortgage
acquisition date
Account number (see instructions)

0658720396

Form 1098 (Rev. 1-2022) (Keep for your records) [Link]/Form1098 Department of the Treasury - Internal Revenue Service

Mr. Cooper is a brand name for Nationstar Mortgage LLC. Nationstar Mortgage LLC is doing business as Nationstar Mortgage LLC d/b/a Mr.
Cooper. Mr. Cooper is a registered service mark of Nationstar Mortgage LLC. All rights reserved.

6-21
This is important tax information and is being furnished to the Internal Remember to file for Homestead (or Homeowner’s)
Revenue Service. If you are required to file a return, a negligence
penalty or other sanction may be imposed on you if the IRS determines
Exemption, if you are eligible.
that an underpayment of tax results because you overstated a deduction If you have Mortgage Insurance Premium (MIP) on your loan,
for this mortgage interest or for these points or because you did not and if certain conditions are satisfied, you may be able to
report this refund of interest on your return. cancel the MIP coverage. Please contact us for additional
information concerning your cancellation rights, if any.
The amount shown may not be fully deductible by you on your Federal
Income tax return. Limitations based on the cost and value of the If your home is located in California: Additional accountings
secured property may apply. In addition, you may only deduct an may be requested by the mortgagor, trustor, or vendee
amount of mortgage interest to the extent it was incurred by you, pursuant to Civil Code 2954.
actually paid by you, and not reimbursed by another person.

Instructions for Payer/Borrower

A person (including a financial institution, a governmental unit, and a cooperative Box 2. Shows the outstanding principal on the mortgage as of January 1 of the
housing corporation) who is engaged in a trade or business and, in the course of calendar year. If the mortgage originated in the calendar year, shows the
such trade or business, received from you at least $600 of mortgage interest mortgage principal as of the date of origination. If the recipient/lender acquired
(including certain points) on any one mortgage in the calendar year must furnish the loan in the calendar year, shows the mortgage principal as of the date of
this statement to you. acquisition.
If you received this statement as the payer of record on a mortgage on which Box 3. Shows the date of the mortgage origination.
there are other borrowers, furnish each of the other borrowers with information Box 4. Do not deduct this amount. It is a refund (or credit) for overpayment(s)
about the proper distribution of amounts reported on this form. Each borrower is of interest you made in a prior year or years. If you itemized deductions in the
entitled to deduct only the amount each borrower paid and points paid by the year(s) you paid the interest, you may have to include part or all of the box 4
seller that represent each borrower’s share of the amount allowable as a amount on the “Other income” line of your calendar year Schedule 1 (Form
deduction. Each borrower may have to include in income a share of any amount 1040). No adjustment to your prior year(s) tax return(s) is necessary. For more
reported in box 4. information, see Pub. 936 and Itemized Deduction Recoveries in Pub. 525.
If your mortgage payments were subsidized by a government agency, you Box 5. If an amount is reported in this box, it may qualify to be treated as
may not be able to deduct the amount of the subsidy. See the instructions for deductible mortgage interest. See the calendar year Schedule A (Form 1040)
Schedule A, C, or E (Form 1040) for how to report the mortgage interest. Also, instructions and Pub. 936.
for more information, see Pub. 936 and Pub. 535.
Box 6. Not all points are reportable to you. Box 6 shows points you or the seller
Payer’s/Borrower’s taxpayer identification number (TIN). For your protection, paid this year for the purchase of your principal residence that are required to be
this form may show only the last four digits of your TIN (SSN, ITIN, ATIN, or EIN). reported to you. Generally, these points are fully deductible in the year paid, but
However, the issuer has reported your complete TIN to the IRS. you must subtract seller-paid points from the basis of your residence. Other
Account number. May show an account or other unique number the lender has points not reported in box 6 may also be deductible. See Pub. 936 to figure the
assigned to distinguish your account. amount you can deduct.
Box 1. Shows the mortgage interest received by the recipient/lender during the Box 7. If the address of the property securing the mortgage is the same as
year. This amount includes interest on any obligation secured by real property, the payer’s/borrower’s, either the box has been checked, or box 8 has been
including a mortgage, home equity loan, or line of credit. This amount does not completed.
include points, government subsidy payments, or seller payments on a Box 8. Shows the address or description of the property securing the mortgage.
“buydown” mortgage. Such amounts are deductible by you only in certain
circumstances. Box 9. If more than one property secures the loan, shows the number of
properties securing the mortgage. If only one property secures the loan, this box

▲
If you prepaid interest in the calendar year that accrued in full by may be blank.

!
CAUTION
January 15, of the subsequent year, this prepaid interest may be
included in box 1. However, you cannot deduct the prepaid
amount in the calendar year paid even though it may be included in
Box 10. The interest recipient may use this box to give you other information,
such as real estate taxes or insurance paid from escrow.
box 1. Box 11. If the recipient/lender acquired the mortgage in the calendar year,
shows the date of acquisition.
If you hold a mortgage credit certificate and can claim the mortgage interest
credit, see Form 8396. If the interest was paid on a mortgage, home equity loan, Future developments. For the latest information about developments related to
or line of credit secured by a qualified residence, you can only deduct the Form 1098 and its instructions, such as legislation enacted after they were
interest paid on acquisition indebtedness, and you may be subject to a published, go to [Link]/Form1098.
deduction limitation. Free File. Go to [Link]/FreeFile to see if you qualify for no-cost online
federal tax preparation, e-filing, and direct deposit or payment options.