1/28/2016
D. Other untaxed income
List the amount of other untaxed income not reported and not excluded elsewhere on this form.
Include untaxed income such as workers’ compensation, disability, Black Lung Benefits, untaxed
portions of health savings accounts from IRS Form 1040 Line 25, Railroad Retirement Benefits,
etc.
Do not include any items reported or excluded in A – C above. In addition, do not include
student aid, Earned Income Credit, Additional Child Tax Credit, Temporary Assistance to Needy
Families (TANF), untaxed Social Security benefits, Supplemental Security Income (SSI),
Workforce Investment Act (WIA) educational benefits, combat pay, benefits from flexible spending
arrangements (e.g., cafeteria plans), foreign income exclusion, or credit for federal tax on special
fuels.
Name of Recipient
Type of Other
Untaxed Income
Untaxed Income
F. Money received or paid on the student’s behalf
List any money received or paid on the student’s behalf (e.g., payment of student’s bills) and not
reported elsewhere on this form. Enter the total amount of cash support the student received in
2015. Include support from a parent whose information was not reported on the student’s 2016–
2017 FAFSA, but do not include support from a parent whose information was reported. For
example, if someone is paying rent, utility bills, etc., for the student or gives cash, gift cards, etc.,
include the amount of that person's contributions unless the person is the student’s parent
whose information is reported on the student’s 2016–2017 FAFSA. Amounts paid on the
student’s behalf also include any distributions to the student from a 529 plan owned by someone
other than the student or the student’s parents, such as grandparents, aunts, and uncles of the
student.
Purpose: e.g., Cash, Rent,
Books
