Tax Notification for Tax Year 2012

Form 1098-T FILER's name, address, and contact phone number Pontifical Catholic University of PR 2250 Blvd Luis A. Ferr Aguayo Suite 530 Ponce, PR 007179997 United States of America (787) 8412000 Ext. 1105 FILER's Federal Id 660191965 Student SSN 597382871 1 Payments Received 2 Amounts Billed for qualified tuition and related expenses 5,081.00

2012

3 Check if reporting method has changed for 2012 [] 4 Adjustments 6 Adjustments to Scholarships 9 Check if a graduate student [] 5 Scholarships or Grants 5,650.00 7 Check if box 2 includes amounts for academic period beginning January - March 2013 [] 10 Reimbursements from insurance contract

STUDENT's name, street Jonathan Molina Pecunia BO EL SECO 50 CALLE ALEJANDRO TAPIA MAYAGUEZ, PR 00682-5604 8 Check if at Service least half time Provider/Acct. No. student (opt) [X]

Select links on the Tax Report Descriptions below to see additional detail which may be helpful in determining the amount to claim for Hope Scholarship or Lifetime Learning Credit. Supplemental Information Hard Copy No Mailed: Detail of Amounts Billed Term Code Description Amount Pro-rata 201320 Fall Semester 2012 MUCF Cuota Univ mayor 9 Crd Mayagu $178.00 TECF Cuota Tecnologa Informtica $30.00 TENM Ingls Mayagez $525.00 TMAM Matemticas Mayagez $525.00 TMGM Gerencia Mayagez $1,050.00 TSPM Espaol Mayaguez $525.00

Term Total: 201240

$2,833.00

Spring Semester 2012 MUCF Cuota Univ mayor 9 Crd Mayagu $178.00 MUCH Cuota Univ men o igu 9 Crd May $0.00 TECF Cuota Tecnologa Informtica $30.00 THIM Historia Mayagez $510.00 TMGM Gerencia Mayagez $0.00 TPHM Filosofa Mayagez $510.00 TSPM Espaol Mayaguez $510.00 TTHM Teologa Mayagez $510.00 Term Total: $2,248.00 Return to Form 1098-T Detail of Scholarships or Grants Term Code Description Amount Pro-rata 201320 Fall Semester 2012 PELL Federal Pell Grant $2,775.00 Term Total: $2,775.00 201240 Spring Semester 2012 MPAE Beca PAE Subgrad-Mayaguez $100.00 PELL Federal Pell Grant $2,775.00 Term Total: $2,875.00 Return to Form 1098-T