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59 lines
1.3 KiB
Markdown
59 lines
1.3 KiB
Markdown
---
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type: "1042"
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category: tax
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person: Xuewei Jiang
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date: 2015-12-31
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source: lu_1042_ut_2015.jpg
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---
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# Form 1042-S - University of Texas at Austin (2015)
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Foreign Person's U.S. Source Income Subject to Withholding - Copy C for Recipient
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## Key Information
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| Field | Value |
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|---|---|
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| Income code | 20 |
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| Gross income | $4,250 |
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| Chapter 3 indicator | X |
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| Exemption code (3a) | 04 |
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| Exemption code (4a) | 16 |
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| Tax rate (3b) | 0.00% |
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| Tax rate (4b) | 0.00% |
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| Federal tax withheld | $0 |
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| Net income | (blank) |
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| Tax withheld by other agents | $0 |
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| Total withholding credit | $0 |
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| Tax paid by withholding agent | $0 |
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| Amount repaid to recipient | $0 |
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| State income tax withheld | $0 |
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| State | TX |
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| Amended | Yes |
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| Pro-Rata Basis Reporting | Yes |
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## Withholding Agent
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| Field | Value |
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|---|---|
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| Name | The University of Texas at Austin |
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| EIN | 74-6000203 |
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| Ch. 3 status code | 02 |
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| Address | Payroll Services, Box 7849 |
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| City/State/ZIP | Austin, TX 78713-7849 |
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## Recipient
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| Field | Value |
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|---|---|
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| Name | Xuewei Jiang |
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| U.S. TIN | 092-99-3215 |
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| Foreign ID | 092993215 |
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| Ch. 3 status code | 16 |
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| Country code | CH |
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| Account number | x,888 |
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| Date of birth | (not visible) |
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| Recipient's country code | CH |
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| Address | 1300 Crossing Pl, Apt 1934 |
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| City/State/ZIP | Austin, TX 78741-1852 |
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