Principal Amount in $
Interest Rate in % for the first quarter for the year due
Interest Rate in $ for the first quarter for the Year Due
Interest Rate in % for the second quarter in the year due
Interest Rate in $ for the second quarter for the year due
Interest Rate in % for the third quarter in the year due
Interest Rate in $ for the third quarter in the year due
Interest Rate in % for the fourth quarter in the year due
Interest Rate in $ for the fourth quarter in the year due
Total Interest Due in $
Total Interest Paid In $
Box 36: Taxable Benefit in $
Should be Empty: