type
category
person
date
source
tax-form
tax
Xuewei Jiang
2015-12-31
lu_1042_ut_2015.jpg
Form 1042-S - University of Texas at Austin (2015)
Foreign Person's U.S. Source Income Subject to Withholding - Copy C for Recipient
Key Information
Field
Value
Income code
20
Gross income
$4,250
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
(blank)
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
Amended
Yes
Pro-Rata Basis Reporting
Yes
Withholding Agent
Field
Value
Name
The University of Texas at Austin
EIN
74-6000203
Ch. 3 status code
02
Address
Payroll Services, Box 7849
City/State/ZIP
Austin, TX 78713-7849
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
x,888
Date of birth
(not visible)
Recipient's country code
CH
Address
1300 Crossing Pl, Apt 1934
City/State/ZIP
Austin, TX 78741-1852
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