--- type: form-8833 category: tax person: xuewei-jiang date: 2023-04-15 source: f8833_2023_filled.pdf --- # Form 8833 - Treaty-Based Return Position Disclosure 2023 (Filled) ## Form Details - **Form**: 8833 (Rev. December 2022) - **Taxpayer**: Xuewei Jiang - **SSN (Last 4)**: 3215 - **Address**: 12421 Sanford St, Los Angeles, CA 90066 ## Part I - General Information ### Line 1 - Treaty Country - **Treaty Country**: China (People's Republic) ### Line 2 - Treaty Article(s) - **Article**: Article 19 (Teachers and Researchers) ### Line 3 - IRC Provision(s) - Section 61 (Gross Income) ### Line 4 - Disclosure - Treaty-based position: Income from teaching/research activities exempt under Article 19 of US-China Tax Treaty - Xuewei Jiang is a Chinese national performing teaching and research at: - University of Southern California (USC) - I-797 approval notice: IOE8286374759 - Compensation taxed: $23,941.42 - University of Chicago - I-797 approval notice: IOE8526524562 - Compensation taxed: $176,210.70 - **This is the third and last year** of the three-year treaty exemption period ### Line 5 - Amount - Amount of income exempt under treaty: $200,152 ## Notes - Third and final year of Article 19 treaty exemption - Total exempt income: $200,152 (combined USC + UChicago wages) - USC wages: $23,941.42 - UChicago wages: $176,210.70