Tuition Statement

CORRECTED (if checked)
FILERS name, street address, city or town, province or state, ZIP or

foreign postal code, and telephone number
The University of Texas at San Antonio

One UTSA Circle
San Antonio, TX 78249
Payments received for

qualified tuition and related
expenses
OMB No. 1545-1574
Tuition
Statement
Amounts billed for qualified

tuition and related expenses
210.458.8000 / QUESTIONS CALL: 1.877.467.3821
Form 1098-T
$7,770.60
FILER'S Federal identification no.
STUDENT'S social security number
Check if you have changed your reporting method for 2015
***-**-6610
74-1717115
Copy B
For Students
STUDENTS name, street address, city or town, province or state, country,

and ZIP or foreign postal code
Adjustments made for a

prior year
Scholarships or grants
$0.00
Michael Christopher Chapa
8102 W Hausman Rd Apt 1304
San Antonio, TX 78249-3947
Adjustments to Scholarships
or grants for a prior year
$0.00
7
Check this box if the

amount in box 1 or 2
includes amounts for an
academic period
beginning January March 2016
10
Ins. Contract
reimb./refund
This is important
tax information
and is being
furnished to the
Internal Revenue
Service.
$0.00
Service Provider/Account Number
(optional)
QUESTIONS: 1-877-467-3821
Form 1098-T
Check if at least half-time student
Check if a graduate student
(Keep for your records.)
Department of the Treasury - Internal Revenue Service
WHAT IS IRS FORM 1098-T?

IRS Form 1098-T A college or university that received qualified tuition and related expenses on your behalf is required to file Form 1098-T, above, with the Internal Revenue Service (IRS). A
copy of Form 1098-T must be furnished to you. The information being reported to the IRS verifies your enrollment with regard to certain eligibility criteria for the American Opportunity Tax
Credit, the Lifetime Learning Tax Credit and the Higher Education Tuition and Fees Deduction. However, the enrollment information by itself does not establish eligibility for either credit or
deduction.
Box 1. Indicates the total payments received for qualified tuition and related expenses less any related reimbursements or refunds. If an amount is provided in Box 1 then Box 2 is blank.
Box 2. Indicates the total amounts billed for qualified tuition and related expenses less any related reductions in charges. If an amount is provided in Box 2 then Box 1 is blank.
Box 3. Indicates if the school has changed its 1098-T reporting method (amounts billed or amounts paid) for 2015.
Box 4. Indicates any adjustment made for a prior year for qualified tuition and related expenses that were reported on a prior year Form 1098-T. This amount may reduce any allowable
education credit or deduction you may claim for the prior year. See Form 8863, 8917 or Pub. 970 for more information.
Box 5. Indicates the total of all scholarships or grants administered and processed by the eligible educational institution. The amount of scholarships or grants for the calendar year
(including those not reported by the institution) may reduce the amount of any education credit or deduction you may claim for the year. See Form 8863, 8917 for how to report these
amounts.
Box 6. Indicates an adjustment to scholarships or grants for a prior year. This amount may affect the amount of any allowable education credit or deduction you may claim for the prior
year. See Form 8863, 8917 for how to report these amounts.
Box 7. If this Box is checked, the amount in Box 1 or 2 includes amounts for an academic period beginning January-March 2016. See Pub. 970 for how to report these amounts.
Box 8. Indicates whether your school considers you to have carried at least one-half the normal full-time workload for your course of study for an academic term during tax year 2015. If
you were at least a half-time student for at least one academic term during 2015, you meet one of the requirements for the American Opportunity Credit. You do not have to meet the
workload requirement to qualify for the Tuition and Fees Deduction or the Lifetime Learning Credit.
Box 9. Indicates whether your school considers you to have been enrolled in a program leading to a graduate degree, graduate-level certificate, or other recognized graduate-level
educational credential during tax year 2015. If you were enrolled in a graduate program, you are not eligible for the American Opportunity Credit, but you may qualify for the Tuition and Fees
Deduction or the Lifetime Learning Credit.
Box 10. Indicates the total amount of reimbursements or refunds of qualified tuition and related expenses made by an insurer. The amount of reimbursements or refunds for the calendar
year may reduce the amount of any allowable tuition and fees deduction or the education credit you may claim for the year.
BACKGROUND INFORMATION
The Taxpayer Relief Act of 1997 (TRA97) established two education tax credits: the Hope Tax Credit (currently modified as the American Opportunity Credit by
the American Recovery and Reinvestment Act of 2009) for students who are enrolled in one of the first four years of postsecondary education and are carrying at
least a half-time workload while pursuing an undergraduate degree, certificate, or other recognized credential; and the Lifetime Learning Tax Credit for students who
take one or more classes from a college or university to pursue an undergraduate or graduate degree, certificate, other recognized credential, or to acquire or improve
job skills.
The Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA) established a Higher Education Tuition and Fees Deduction for students who have
a modified adjusted gross income that exceeds the defined thresholds for the tax credits.
To claim the American Opportunity (Hope) or Lifetime Learning Tax Credit, use IRS Form 8863, Education Credits. To claim a Higher Education Tuition and Fees
Deduction, use IRS form 8917 but it is not necessary to file an itemized federal income tax return. The deduction is claimed on Line 19 on IRS Form 1040A, or Line 34
on IRS Form 1040. If you are claimed as a dependent by another person [including your parent(s)], you cannot claim the American Opportunity (Hope) Tax Credit,
Lifetime Learning Tax Credit or a Higher Education Tuition and Fees Deduction. However, the person claiming you may be entitled to the credit on his or her tax return.
Resources: For more information see IRS Publication 970: Tax Benefits for Higher Education and IRS Notice 97-60: provides consumer guidance on Education Tax
Incentives. These documents and IRS Form 8863 and 8917 are available at www.irs.gov or by calling the IRS at 1-800-829-1040. For additional 1098-T information and
instructions from your college or university go to www.1098-T.com.
YOUR SCHOOL MAY HAVE PROVIDED ADDITIONAL FINANCIAL INFORMATION ON THE BACK OF THIS FORM, OR YOU MAY USE YOUR
PERSONAL FINANCIAL RECORDS TO ASSIST YOU IN DETERMINING ELIGIBILITY FOR AN EDUCATION TAX CREDIT OR DEDUCTION.
YOUR PERSONAL FINANCIAL RECORDS SERVE AS THE SUPPORTING DOCUMENTATION FOR YOUR FEDERAL INCOME TAX RETURN.
PLEASE SEE THE ENCLOSED INFORMATIONAL BROCHURE OR WWW.1098-T.COM FOR ADDITIONAL INFORMATION REGARDING
ELIGIBILITY AND INCOME LIMITS.
Other Page May Provide More Information - Page 1 of 7
INFORMATION FOR DETERMINING

FEDERAL TAX BENEFITS FOR HIGHER EDUCATION EXPENSES
YOU MAY BE ABLE TO REDUCE YOUR FEDERAL INCOME TAX LIABILITY
NOTICE TO STUDENT: You may be able to reduce your federal income tax liability by claiming the American Opportunity or Lifetime Learning Education Tax Credit or Higher Education
Tuition and Fees Deduction. These tax benefits apply to the tuition and related expenses (a) paid by you or on your behalf in 2015. The information provided below is a summary of the
information on file at your college or university regarding qualified tuition and related expense payments, as well as any scholarships and grants you received. This information may be of use
to you in calculating the amount of the tax credit or deduction you may be eligible to claim, but your personal financial records serve as the official supporting documentation for your federal
income tax return. Note: To claim the American Opportunity or Lifetime Learning Tax Credit IRS Form 8863 is required. To claim an education deduction IRS Form 8917 is required.
(Additional detail is available at www.1098-T.com.)
If you are claimed as a dependent on another person's tax return (such as your parent's return), please give this notice to that person.
The American Opportunity Tax Credit may be claimed by eligible single tax filers with a maximum modified adjusted gross income (MAGI) of $90,000 or by joint tax filers with a maximum
MAGI of up to $180,000. The Lifetime Learning Tax Credit may be claimed by eligible single tax filers with a maximum modified adjusted gross income (MAGI) of up to $65,000 or by joint
tax filers with a maximum MAGI of up to $130,000. Please visit www.irs.gov for the most recent information regarding current availability, income limits, and documentation applicable to the
Higher Education Tuition and Fees Deduction.
The school listed above and the Tax Credit Reporting Service (TCRS) are unable to provide individual income tax advice. Please contact the Internal Revenue Service at 1-800829-1040 or your personal tax advisor for further information relating to your eligibility for and/or calculation of these tax benefits.
TAX YEAR 2015 AMOUNTS

Part 1: Charges to Your Account
Part 2: Credits to Your Account
Tuition (a)
Fees (a)
Future Tuition (a)
Future Fees (a)
$2,335.50 Financial Aid (Out-of-Pocket)

$1,587.30 Refunds
$2,335.50
$1,512.30
Qualified Expenses Total for Jan 1 Dec 31, 2015 (a)
$7,770.60 Gift Aid Total for Jan 1 Dec 31, 2015 (b)
$15,829.00
$8,053.40
$0.00
TAX YEAR 2015 ADJUSTMENTS TO PRIOR TAX YEAR AMOUNTS (c)

Part 3: Adjustments Made for a Prior Year to
Qualified Tuition and Related Expenses
Part 4: Adjustments Made for a Prior Year to

Scholarships or Grants
NOT APPLICABLE
NOT APPLICABLE
(a) "Qualified Tuition and Related Expenses": The expenses reported on this form must be required by and paid to the institution for enrollment purposes. They include tuition and
certain fees; they do not include books, room and board, athletics (unless part of the students degree program), insurance, equipment, transportation, or other similar personal living
expenses. As a result, the amount of Qualified Tuition and Related Expenses listed above will likely be less than the total amount of money you have paid to the school providing this notice.
Additional detail may be available at www.1098-T.com. Prepaid Qualified Tuition and Related Expenses are payments received for qualified tuition and related expenses in 2015 that relate to
the academic period January through March 2016.
(b) Important information regarding "Scholarships and Grants": Some portion of your Scholarships and Grants may be subject to income tax. Please consult with the IRS or your tax
advisor to determine the taxability of your Scholarships and Grants and how such amounts may affect the amount of your education tax credit or deduction. For additional information on
these issues, please reference IRS Notice 97-60: Consumer Guidance on Education Tax Incentives and IRS Publication 970: Tax Benefits for Higher Education. These documents, as well
copies of IRS Forms 8863 and 8917, can be obtained at the IRS web site, www.irs.gov, or by calling the IRS at 1-800-829-1040. Forms 8863 and 8917 are also available at www.1098T.com.
(c) "Adjustments to Prior Tax Year Amounts" represent transactions processed in Tax Year 2015 that may affect your transactions for a prior tax year. If amounts are shown in these
sections, and if the American Opportunity or Lifetime Learning Tax Credit was claimed by you or on your behalf for a prior tax year, please refer to the Instructions for IRS Form 8863 or IRS
Publication 970 regarding how such amounts must be accounted for on your current year tax return. If no amounts appear in Parts 3 and 4 and you believe you have adjustments to charges
and/or credits, please go to www.1098-T.com and view the detailed transactions for the amounts shown in Parts 1 and 2 on this form.
For more detailed information pertaining to the amounts listed above, visit the Tax Credit Reporting Service (TCRS) web site at www.1098-T.com.

Part 1: Charges to Your Account

Financial Detail: Tuition (01)
Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Academic
Year
Financial
Description
$1,435.50
Amount
08/01/2015
Main Campus
Qualified Charge to Account (C)
Tuition (01)
Fall
2015
G002 Tuition-Designated Funds

Grad
08/01/2015
Main Campus
Tuition (01)
Fall
2015
T001 Tuition - Texas Resident
$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015
$450.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015

Grad
$478.50
08/01/2015
Main Campus
Tuition (01)
Fall
2015
GIT1 Tuition-Graduate
Incremental
$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015
$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015

Grad
-$478.50
08/01/2015
Main Campus
Tuition (01)
Fall
2015
Incremental
-$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015
-$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015

Grad
-$478.50
08/01/2015
Main Campus
Tuition (01)
Fall
2015
Incremental
-$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015
-$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015

Grad
$478.50
08/01/2015
Main Campus
Tuition (01)
Fall
2015
Incremental
$150.00
08/01/2015
Main Campus
Tuition (01)
Fall
2015
Incremental
$450.00
Academic
Year
Financial
Description
$20.00
Financial Detail: Fees (02)

Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Amount
08/01/2015
Main Campus
Fees (02)
Fall
2015
BISP Global Business Skills

Charge
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
BTSI COB Technical Serv & Inst

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
CA01 Automated Services

Charge
$225.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
GB01 COB Graduate Services

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
GES1 Green/Environmental Svc

Fee
$5.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
IE01 International Education Fee
$2.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
LM01 Library Resource Charge
$126.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
MS01 Medical Services Fee
$32.70


Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Academic
Year
Financial
Description
Amount
08/01/2015
Main Campus
Fees (02)
Fall
2015
RF01 Recreation Center Fee
$120.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
RP01 Student Data Management

Fee
$10.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
S001 Student Services Fee
$138.60
08/01/2015
Main Campus
Fees (02)
Fall
2015
SATH Athletics Fee
$180.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
SP01 Publication Charge
$5.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
TEAM Teaching & Learning Ctr

Charge
$5.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
TF01 Transportation Fee
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
U001 University Center Fee
$90.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
YID1 ID Card Fee
$3.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$75.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
$42.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
$46.20
08/01/2015
Main Campus
Fees (02)
Fall
2015
SATH Athletics Fee
$60.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
$30.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
-$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
-$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
-$75.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
-$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
-$42.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
-$46.20
08/01/2015
Main Campus
Fees (02)
Fall
2015
SATH Athletics Fee
-$60.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
-$30.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
-$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
-$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
-$75.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
-$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
-$42.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
-$46.20
08/01/2015
Main Campus
Fees (02)
Fall
2015
SATH Athletics Fee
-$60.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
-$30.00


Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Academic
Year
Financial
Description
-$20.00
Amount
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
-$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$75.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
DL01 Digital Learning Fee
$75.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
-$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
$42.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
$46.20
08/01/2015
Main Campus
Fees (02)
Fall
2015
SATH Athletics Fee
$60.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
$30.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Charge
-$20.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Supp
-$15.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015

Chrg
-$150.00
08/01/2015
Main Campus
Fees (02)
Fall
2015
GES1 Green/Environmental Svc

Fee
-$5.00
Transaction
Date
Program
Name
Financial
Type
Academic
Year
Financial
Description
$150.00
Financial Detail: Future Tuition (79)

Financial
Sub-Type
Academic
Term
Amount
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016
Incremental
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016

Grad
$478.50
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016
$150.00
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016
$150.00
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016

Grad
$478.50
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016

Grad
$478.50
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016
$150.00
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016
Incremental
$150.00
12/01/2015
Main Campus
Future Tuition (79)
Spring
2016
Incremental
$150.00

Financial Detail: Future Fees (80)

Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Academic
Year
Financial
Description
Amount
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
SATH Athletics Fee
$60.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
SP01 Publication Charge
$5.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
TEAM Teaching & Learning Ctr

Charge
$5.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
TF01 Transportation Fee
$20.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$40.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
YID1 ID Card Fee
$3.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Charge
$20.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Supp
$15.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Charge
$50.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Chrg
$150.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$42.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$46.20
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
SATH Athletics Fee
$60.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$20.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Charge
$20.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Supp
$15.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Charge
$75.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Chrg
$150.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$42.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$46.20
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
SATH Athletics Fee
$60.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$30.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$46.20
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
RP01 Student Data Management

Fee
$10.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
RF01 Recreation Center Fee
$120.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
MS01 Medical Services Fee
$32.70
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
$42.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016
IE01 International Education Fee
$2.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Chrg
$150.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Charge
$100.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Charge
$20.00
12/01/2015
Main Campus
Future Fees (80)
Spring
2016

Supp
$15.00

Part 2: Credits to Your Account

Financial Detail: Financial Aid (Out-of-Pocket) (01)
Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Academic
Year
Financial
Description
Spring
2015
F453 Direct Fed Unsub Stafford

Loan
$7,420.00
Amount
01/02/2015
Main Campus
Payments to Account (P)
Financial Aid (Out-of-Pocket)

(01)
08/08/2015
Main Campus

(01)
Fall
2015

Loan
$6,925.00
09/21/2015
Main Campus

(01)
Fall
2015

Loan
$1,484.00
Financial Detail: Refunds (01)

Transaction
Date
Program
Name
Financial
Type
Financial
Sub-Type
Academic
Term
Academic
Year
Financial
Description
Amount
01/03/2015
Main Campus
Refunds (S)
Refunds (01)
Spring
2015
REFD General Refund Account
$3,567.20
08/08/2015
Main Campus
Refunds (S)
Refunds (01)
Fall
2015
$3,002.20
09/22/2015
Main Campus
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Tuition Statement

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Tuition Statement

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Tuition Statement

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CORRECTED (if checked)

FILERS name, street address, city or town, province or state, ZIP or

The University of Texas at San Antonio

Payments received for

OMB No. 1545-1574

Amounts billed for qualified

210.458.8000 / QUESTIONS CALL: 1.877.467.3821

STUDENT'S social security number

Check if you have changed your reporting method for 2015

STUDENTS name, street address, city or town, province or state, country,

Adjustments made for a

Check this box if the

Check if at least half-time student

Check if a graduate student

(Keep for your records.)

Department of the Treasury - Internal Revenue Service

WHAT IS IRS FORM 1098-T?

Other Page May Provide More Information - Page 1 of 7

INFORMATION FOR DETERMINING

TAX YEAR 2015 AMOUNTS

Part 2: Credits to Your Account

$2,335.50 Financial Aid (Out-of-Pocket)

Qualified Expenses Total for Jan 1 Dec 31, 2015 (a)

TAX YEAR 2015 ADJUSTMENTS TO PRIOR TAX YEAR AMOUNTS (c)

Part 4: Adjustments Made for a Prior Year to

INFORMATION FOR DETERMINING

Part 1: Charges to Your Account

Qualified Charge to Account (C)

G002 Tuition-Designated Funds

Qualified Charge to Account (C)

T001 Tuition - Texas Resident

Qualified Charge to Account (C)

T001 Tuition - Texas Resident

Qualified Charge to Account (C)

G002 Tuition-Designated Funds

Qualified Charge to Account (C)

Qualified Charge to Account (C)

T001 Tuition - Texas Resident

Qualified Charge to Account (C)

G002 Tuition-Designated Funds

Qualified Charge to Account (C)

Qualified Charge to Account (C)

T001 Tuition - Texas Resident

Qualified Charge to Account (C)

G002 Tuition-Designated Funds

Qualified Charge to Account (C)

Qualified Charge to Account (C)

T001 Tuition - Texas Resident

Qualified Charge to Account (C)

G002 Tuition-Designated Funds

Qualified Charge to Account (C)

Qualified Charge to Account (C)

Financial Detail: Fees (02)

Qualified Charge to Account (C)

BISP Global Business Skills

Qualified Charge to Account (C)

BISP Global Business Skills

Qualified Charge to Account (C)