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ATTACHMENT TO FORM 8233 (For use by students of the Czech Republic, Estonia, Latvia, Lithuania, Portugal, the
 

Summary: ATTACHMENT TO FORM 8233
(For use by students of the Czech Republic, Estonia, Latvia, Lithuania, Portugal, the
Slovak Republic and Spain who are claiming Tax Treaty exemption).
1. I was a resident of ________________________on the date of my arrival in the
United States. I am not a United States citizen. I have not been lawfully accorded
the privilege of residing permanently in the United States as an immigrant.
2. I am temporarily in the United States for the primary purpose of studying at The
University of Michigan.
3. I will receive compensation for personal services performed in the United States.
This compensation qualifies for exemption from withholding of Federal Income
Tax under the tax treaty between the United States and_____________________
in an amount not in excess of $5,000 for any taxable year. I have not previously
claimed an income tax exemption under this treaty for income received as a
student before the date of my arrival in the United States.
4. I arrived in the United States on ____________________(date of last arrival in
the U.S. prior to beginning study at The University of Michigan). The treaty
exemption is available only for compensation paid during a period of five taxable
years, beginning with the taxable year that includes my date of arrival.
Under penalties of perjury, I declare that the above statements are true, correct, and
complete.

  

Source: Awtar, Shorya - Department of Mechanical Engineering, University of Michigan

 

Collections: Engineering