---
type: tax-form
category: tax
person: xuewei-jiang
date: 2022-04-18
source: f8833_2022_filled.pdf
---

# Form 8833 - Treaty-Based Return Position Disclosure 2022 (Scanned/Handwritten)

## Form Details
- **Form**: 8833 (Rev. December 2022)
- **Format**: Scanned handwritten form
- **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), Los Angeles, CA
  - University of Chicago, Chicago, IL
- I-797 approval notices referenced
- This is the second year of the three-year treaty exemption period
- Addresses:
  - USC: University Park, Los Angeles, CA 90089
  - UChicago: 6054 S. Drexel Ave., Suite 300, Chicago, IL 60637

### Line 5 - Amount
- Amount of income exempt under treaty: $198,265

## Notes
- This is the scanned/handwritten version
- A typed version exists as f8833_2022_print.pdf with identical content