INSTRUCTIONS FOR COMPLETING THE FAAS:

Te Financial Aid Application Supplement (FAAS) is a required document used by the Ofce of Admissions and Financial Aid to process
fnancial aid applications for students who are selected for verifcation.
Ofce of Admissions and Financial Aid
4227 Fifth Avenue, Alumni Hall
Pittsburgh, PA 15260-6601
Financial Aid Application Supplement (FAAS)
for the 2014-15 School Year
University of Pittsburgh
412-624-7488
[email protected]
www.oafa.pitt.edu/learn-about-aid
UNDERGRADUATE STUDENTS ONLY
Please answer every question. If your answer to any question is zero, indicate 0. If a particular question does not apply to you, answer N/A.
If questions are unanswered, the FAAS will be returned to you. Tis will delay the processing of your fnancial aid application and will afect
the date that your application is considered complete.
If any of the information you submit on the FAAS changes after you have returned it to the Ofce of Admissions and Financial Aid, it is
your responsibility to update the FAAS to ensure accurate processing of your fnancial aid application. Corrected information should be
provided to the Ofce in writing.
Questions 1, 2, and 3 Print your full frst and last names and your Pitt Student ID Number, if known, and the last four digits of
your Social Security Number. Note: Name and Student Identifcation Number are required at the top of each of the FAAS Pages.
Question 4 Provide information about each member of your household who will be supported by your parents (or you, if you are
an independent student) during the 2014-15 school year. For most students, this means yourself, parents and any siblings living at
home. Please indicate the number of persons attending a post-secondary school on at least a half-time basis in 2014-15, excluding
your parents, in Part C. Please provide the last four digits of the Social Security Number for each family member listed.
Question 5 Indicate your 2013 Federal income tax fling status. If your 2014-15 FAFSA is selected for verifcation, please note:
In keeping with the US Department of Education regulations, Federal Income Tax returns are not acceptable for student fnancial
aid verifcation purposes. If received by this ofce, these documents will be shredded. A copy of your IRS Tax Return Transcript
is the required document. You can obtain a copy of a Tax Return Transcript by visiting www.irs.gov, Order a Transcript, Get
Transcript ONLINE, select Return Transcript. Te Tax Return Transcript will be availalbe for print or download. You can also
request a transcript be mailed to you by calling 1-800-908-9946.
Questions 6 and 7 Complete all items in these sections for each item named. If the amount received by your family in any cat-
egory is zero, indicate 0 in the blank space provided.
Question 8 Please indicate whether you or a member of your family received food stamps at any time during 2012 or 2013. Please
attach agency documentation to confrm.
Question 9 Please indicate whether any portion of an IRA distribution or untaxed pension was a rollover. Please attach a copy
of the 1099 R with the appropriate distribution code indicating such.
Question 10 If you have been awarded fnancial aid from a source outside the Ofce of Admissions and Financial Aid, it must
be reported. Indicate both the name of the scholarship or grant and the dollar amount of the award for the 2014-15 school year.
Outside sources might include, but are not limited to, ROTC scholarships, Ofce of Vocational Rehabilitation grants, resident
assistantships, tuition remission, private or corporate scholarships or grants.
Question 11 Please indicate the number of credits for which you intend to enroll for both the fall and spring terms of the 2014-
15 academic year.
Question 12 Requested signatures must be provided. An unsigned FAAS is considered incomplete and will be returned to you
for signatures.
PLEASE DO NOT STAPLE THESE PAGES TOGETHER WHEN YOU SUBMIT THEM
2014-15 FINANCIAL AID APPLICATION SUPPLEMENT
Tis form covers the Fall 2014 and Spring 2015 Semesters (Terms 2151 and 2154)
1. Student
Name

Last First M.I.
2. Pitt Student ID Number

3. Student Social Security Number

(last four digits)
4. Give information for each person who will be provided at least half of their support by your parents/step-parents
(or you, if you/spouse are an independent student) during the 2014-15 school year.
A. Number of family members in 2014-15 in your household.
B. Number of college students in 2014-15 enrolled at least
half-time in a post-secondary school (excluding parents).
C.
Check box if attending college
Full name of ALL family members
included in 4A above
Age
Relationship to
student
Last four digits
of Social Security
Number
Name of school or college
2014-15 school year
Full Time
Half
Time
Less Tan
Half Time
1. You - Student Applicant University of Pittsburgh
2.
3.
4.
5.
6.
7.
X X X X X
5. Income Information. Please check all that apply below for Student/(Spouse) and Parents/Step-Parents, if you are a
dependent student. Since you have been selected for verifcation, you must provide copies of your 2013 Federal Income
Tax Transcript (unless you successfully utilized the IRS Data Retrieval Tool), copies of your W-2s and other earnings state-
ments.
A. Student/Spouse Income & Tax Filing Information
___ Never married ___ Married/Remarried ___ Divorced/Separated ___ Widowed
Date of Marital Status: ___ / ___
Check all that apply for student/spouse:
__ Filed or will fle a 2013 Federal Income Tax Return.
__ Worked and received a W-2, but is not required to fle a 2013 Federal Income Tax Return.
__ Is self employed.
__ Did not work in 2013 and is not required fle a 2013 Federal Income Tax Return.
B. Parents(s) Income and Tax Filing Information
Who is considered a parent? Parent refers to a biological or adoptive parent.
-Grandparents, foster parents, legal guardians, older siblings, and uncles or aunts are not considered parents on
this form unless they have legally adopted you. If your legal parents are living and married to each other, answer
the questions about both of them.
- If your legal parents are not married and live together, answer the questions about both of them.
-In case of divorce or separation, give information about the parent you lived with most in the last 12 months. If
you did not live with one parent more than the other, give information about the parent who provided you the
most fnancial support during the last 12 months or during the most recent year you received support.
-If your divorced or widowed parent has remarried, provide information about your parent and stepparent.
Indicate the current marital status for the parent(s) listed above in 4 C.
___ Never married ___ Married/Remarried ___ Divorced/Separated ___ Widowed
___ Unmarried, and both parents living together Date of Marital Status: ___ / ___
Indicate the Tax Filing Status for parent(s) listed above in 4 C.
___ Single ___ Married fling jointly ___ Married fling separately
___ Head of household ___ Qualifying widow(er) with dependent child
a. First Parent- Mother/Father/Step-Parent listed above in 4C. Check all that apply to the frst parent above:

___Filed or will fle a 2013 Federal Income Tax Return.
___Worked and received a W-2, but is not required to fle a 2013 Federal Income Tax Return.
___Is self employed.
___Did not work in 2013 and is not required fle a 2013 Federal Income Tax Return.
b. Second Parent- Mother/Father/Step-Parent listed above in 4C. Check all that apply to the second parent
above.

___Filed or will fle a 2013 Federal Income Tax Return.
___Worked and received a W-2, but is not required to fle a 2013 Federal Income Tax Return.
___Is self employed.
___Did not work in 2013 and is not required fle a 2013 Federal Income Tax Return.
Last First M.I. Pitt Student ID Number
6. Additional Financial Information
2013 Tax YearJanuary 1, 2013 to December 31, 2013
a. Child support paid because of divorce or separation or as a result of a legal require-
ment. Dont include support for children in your household.
a1. Name of person to whom child support was paid:_______________________
a2. Name and ages of children for whom support was paid:___________________
_____________________________________________________________
b. Taxable earnings from need-based employment programs, such as Federal Work-
Study and need-based employment portions of fellowships and assistantships.
c. Taxable student grant/scholarship aid reported to the IRS in your adjusted gross in-
come. Includes AmeriCorps benefts (awards, living allowances, and interest accrual
payments), as well as grant or scholarship portions of fellowships and assistantships.
d. Combat pay or special combat pay. Only enter the amount that was taxable and
included in your adjusted gross income. Do not enter non-taxed combat pay.
e. Earnings from work under a cooperative education program ofered by the college.
TOTAL
7. Untaxed Income
2013 Tax YearJanuary 1, 2013 to December 31, 2013
a. Child support received for all children. Dont include foster or adoption payments.
b. Housing, food and other living allowances paid to members of the military, clergy, and
others (including cash payments and cash value of benefts). Do not include the value
of on base military housing or the value of a basic military allowance for housing.
c. Veterans noneducation benefts such as Disability, Death Pension, or Dependency &
Indemnity Compensation (DIC), and/or VA Educational Work-Study Allowances.
d. Other untaxed income not reported in items 45a through 45h (student) and 94a through
94h (parent), of the FAFSA, such as workers compensation, disability, etc. Also include
the untaxed portions of health savings accounts from IRS Form 1040-line 25. Dont in-
clude extended foster care benefts, student aid, earned income credit, additional child tax
credit, welfare payments, untaxed Social Security benefts, Supplemental Security Income,
Workforce Investment Act educational benefts, on-base military housing or a military
housing allowance, combat pay, benefts from fexible spending arrangements (e.g., cafete-
ria plans), foreign income exlcusion or credit for federal tax on special fuels.
e. Money received, or paid on your behalf (e.g., bills), not reported elsewhere on this
form. Tis includes money that you received from a non-custodial parent that is not
part of a legal child support agreement.

TOTAL
ALL students and their families must complete these sections.
DEPENDENT STUDENTS should complete both parents and students columns.
INDEPENDENT STUDENTS should complete only student/spouse column.
Parents
$
$
$
$
$
$
Parents
$
$
$
$
$
Student/Spouse
$
$
$
$
$
$
Student/Spouse
$
$
$
$
$
IF ANSWER IS $0, YOU MUST ENTER 0.
IF LEFT BLANK, FORM WILL BE
RETURNED TO YOU, AND YOU MAY MISS
IMPORTANT DEADLINES.
Last First M.I. Pitt Student ID Number
8. Did you (student) or a family member listed in Question 4 receive food stamps at any time during 2012 or 2013?
No Yes
If you answered Yes concerning food stamps, you must attach documentation from the agency issuing the food stamps to confrm.
Please print student name and Pitt ID number on the documentation before submitting.
9. Was any portion of an IRA Distribution or untaxed pension a rollover?
No Yes
If you answered Yes concerning a rollover, you must submit a copy of the 1099 R with the appropriate distribution code indicating
such. Please print student name and Pitt ID number on the documentation before submitting.
11. Anticipated Enrollment
Please indicate the number of credits you plan to enroll for during each term of the 2014-15 academic year. Assume three credits per
class if you do not know the exact number of credits for which you will enroll.
FALL SPRING
12 or more credits (Full time enrollment) 12 or more credits (Full time enrollment)
6-11 credits (Half time) 6-11 credits (Half time)
5 or fewer credits (Less than half time) 5 or fewer credits (Less than half time)
Will not enroll Will not enroll
12. Student, Parent and/or Spouse Certifcation
I certify that all of the information on this form is true and complete to the best of my knowledge. If asked by an authorized ofcial,
I agree to give proof of the information that I have given on this form. I realize that this proof may include a copy of my 2013 U.S.
income tax transcript and all W-2s. I realize that if I do not give proof when asked, I may not get aid and that incorrect information
can result in aid being reduced or cancelled with repayment due from my family.
10. If you are the recipient of a scholarship or grant from a source outside the Ofce of Admissions and Financial Aid for the 2014-15
school year, report the department, organization, or agency and the annual dollar amount below:
Name of Scholarship/Grant Annual Dollar Value
$
$
$
$
$
0213
Students Signature __________________________________________________________ Date ___________________________
Month Day Year
Spouses Signature __________________________________________________________ Date ___________________________
Month Day Year
Fathers Signature ___________________________________________________________ Date ___________________________
Month Day Year
Mothers Signature __________________________________________________________ Date ___________________________
Month Day Year
Last First M.I. Pitt Student ID Number