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documents/employment/usc/jiang_usc_final_signed_tax_2020.md
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documents/employment/usc/jiang_usc_final_signed_tax_2020.md
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---
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type: tax-form
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category: employment
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person: Xuewei Jiang
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date: 2020-05-29
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provider: University of Southern California
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source: jiang_usc_final_signed_tax_2020.pdf
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---
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# GLACIER Tax Documents -- Final Signed Package -- Jiang Xuewei
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This is the final signed submission package containing the GLACIER Tax Summary Report (signed), instructions, signed W-4, and tax information page.
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## Page 1: Tax Summary Report (Signed)
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**GLACIER -- Nonresident Alien Tax Compliance System**
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Header: HOLD 4
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### Summary of Information Entered Into GLACIER
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| Field | Value |
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|-------|-------|
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| Name | Xuewei Jiang |
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| SSN / ITIN | 092-99-3215 |
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| Email Address | xueweijiang0313@gmail.com |
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| Country of Tax Residence | China, People's Republic of |
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| Country of Citizenship | China, People's Republic of |
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| Current Immigration Status | F1 Student |
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| Original Immigration Status | (blank) |
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| Immigration Status Expiration | May 31, 2021 |
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| Department Name | Marshall School of Business |
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| USC ID Number | 8872791406 |
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| Field | Value |
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|-------|-------|
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| Changed Immigration Status? | No |
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| Immigration Status Change Date | (blank) |
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| Date of Entry to U.S. | August 11, 2011 |
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| Estimated Date of Departure | May 31, 2021 |
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#### U.S. Presence Days
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| Year | Days |
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|------|------|
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| 2015 | 297 Days |
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| 2014 | 303 Days |
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| 2013 | 332 Days |
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| 2012 | 284 Days |
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| 2011 | 143 Days |
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### Tax Determinations and Results
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Based on the data entered, GLACIER has made the following determinations:
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| Field | Value |
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|-------|-------|
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| Tax Residency Status | Resident Alien for U.S. Tax Purposes |
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| Residency Status Change Date | Not Applicable |
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| Residency Status Start Date | Not Applicable |
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### Compensation/Wages/Salary
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| Field | Value |
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|-------|-------|
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| Applicable Tax Withholding Rate | As Requested on Form W-4 |
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| Tax Treaty Exemption Status | Taxable |
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| Tax Treaty Time Limit | Not Applicable |
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| Tax Treaty Exemption Period | Not Applicable |
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| Tax Treaty Dollar Limit | Not Applicable |
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**TAX** (watermark/stamp)
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| Field | Value |
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|-------|-------|
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| FICA Tax Status | Taxable (*Exempt if Student) |
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| FICA Tax Start Date | (blank) |
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### Required Forms and Document Copies
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**Required Forms:**
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- Form W-4
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**Required Document Copies:**
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- Form I-20
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- Form I-94/I-94W Card
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- Visa Sticker/Stamp (in Passport)
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### Certification
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| Field | Value |
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|-------|-------|
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| Signature | (signed) |
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| Date | 05/29/2020 |
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052920
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---
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## Page 2: Tax Summary Report Instructions
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(Same GLACIER instructions page. See jiang_glacier_tax_docs_2020.md for full text.)
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Submit to:
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Your HR Payroll Analyst / Or Your Supervisor
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The University of Southern California
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Los Angeles, CA 90089
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Telephone: 213-740-8855
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payroll@usc.edu
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### Additional Information
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Based on the information entered, you are a Resident Alien for Tax Purposes. As such, you may have tax withheld from your payments in the same manner as a U.S. citizen.
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---
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## Page 3: Form W-4 (2020) -- Signed
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**Employee's Withholding Certificate**
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Department of the Treasury, Internal Revenue Service
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OMB No. 1545-0074
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### Step 1: Enter Personal Information
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| Field | Value |
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|-------|-------|
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| (a) First name and middle initial | Xuewei |
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| Last name | Jiang |
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| (b) Social security number | 092-99-3215 |
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| Address | 1000 Escalon Ave. Apt. K2087 |
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| City or town, state, and ZIP code | Sunnyvale, CA 94085 |
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(c) Filing Status:
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- [ ] Single or Married filing separately
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- [x] Married filing jointly (or Qualifying widow(er))
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- [ ] Head of household
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### Step 2: Multiple Jobs or Spouse Works
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(Not filled in)
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### Step 3: Claim Dependents
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| Field | Value |
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|-------|-------|
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| Total (line 3) | $ 3 |
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### Step 4 (optional): Other Adjustments
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| Field | Value |
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|-------|-------|
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| 4(a) Other income | $ (blank) |
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| 4(b) Deductions | $ (blank) |
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| 4(c) Extra withholding | $ (blank) |
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### Step 5: Sign Here
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| Field | Value |
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|-------|-------|
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| Employee's signature | (signed -- cursive signature) |
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| Date | 05/29/2020 |
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### Employers Only
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(blank)
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Cat. No. 10220Q, Form W-4 (2020)
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---
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## Page 4: U.S. Tax Information for Non-United States Citizens
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(Same Arctic International LLC informational page. See jiang_glacier_tax_docs_2020.md for full text.)
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(c) 2015 Arctic International LLC All Rights Reserved. For use in connection with the GLACIER Online Tax Compliance System.
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