type, category, person, date, source
type
category
person
date
source
tax-form
tax
Xuewei Jiang
2015-12-31
lu_1042_baylor_2015.pdf
Form 1042-S - Baylor University (2015)
Foreign Person's U.S. Source Income Subject to Withholding
Key Information
Field
Value
Income code
20
Gross income
$1,975
Chapter 3 indicator
X
Exemption code (3a)
04
Exemption code (4a)
16
Tax rate (3b)
0.00%
Tax rate (4b)
0.00%
Federal tax withheld
$0
Net income
$0
Tax withheld by other agents
$0
Total withholding credit
$0
Tax paid by withholding agent
$0
Amount repaid to recipient
$0
State income tax withheld
$0
State
TX
Withholding Agent
Field
Value
Name
Baylor University, Mark C. Falsone
EIN
74-1159753
Ch. 3 status code
20
Address
P.O. Box 97042
City/State/ZIP
Waco, TX 76798-7042
Recipient
Field
Value
Name
Xuewei Jiang
U.S. TIN
092-99-3215
Foreign ID
092993215
Ch. 3 status code
16
Country code
CH
Account number
891545196
Date of birth
03/13/1993
Address
1-1-401, Huangtai South Road 79#
City/Country
Jinan, Shandong, China, People's Republic of 250014
Copies
Copy D for Recipient (page 1) and Copy B for Recipient (page 1 top half)
Copy C for Recipient (page 2)