Form 1098-T Tuition Statement 2021 Form 1098-T Tuition Statement 2021 Summary: This is an example of Form 1098-T 2019 as pertains to the description in the text. The line items completed are: "FILER'S name, street address, city, state, zip code, and telephone number."field contains California State College, 1 Education Way, Modesto, California 23232, 732–111–1111 "FILER'S federal identification no."field contains 12–1234545 "STUDENT'S social security number"field contains 000-00-0002 "STUDENT'S name"field contains Carey Jones "Street address (including apt. no.)"field contains 12 South Street "City, state, and ZIP code"field contains Napa Valley, California 24556 "1. Payments received for qualified tuition and related expenses"field contains 10,000 "5. Scholarship or grants" field contains 2,000 "8. Check if at least half-time student"field contains x