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