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obsidian-yanxin/documents/tax/2020/jiang_1042s_2020.md
Yanxin Lu 6bc3f3a21f Archive tax, immigration, and remaining loose docs into vault
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2026-04-05 19:37:52 -07:00

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type, category, person, date, source
type category person date source
tax 1042s xuewei-jiang 2020-01-01 jiang_1042s_2020.pdf

Form 1042-S — Foreign Person's U.S. Source Income Subject to Withholding 2020

Unique Form Identifier

2004204558

Income Information

Box Description Value
1 Income code 20 (Compensation during studying and training)
2 Gross income $5,000
3 Chapter indicator 3
3a Exemption code 04 (Exempt under tax treaty)
3b Tax rate 00.00
4a Exemption code 15 (Payee not subject to chapter 4 withholding)
4b Tax rate 00.00
5 Withholding allowance (blank)
6 Net income (blank)

Withholding

Box Description Value
7a Federal tax withheld $0
7b Escrow procedures applied No
7c Withholding in subsequent year No
8 Tax withheld by other agents (blank)
9 Overwithheld tax repaid (blank)
10 Total withholding credit $0
11 Tax paid by withholding agent (blank)

Withholding Agent (Box 12)

Field Value
12a EIN 746000203
12b Ch. 3 status code 20 (Tax Exempt Organization)
12c Ch. 4 status code 02 (U.S. Withholding Agent - Other)
12d Name THE UNIVERSITY OF TEXAS AT AUSTIN
12e GIIN (blank)
12f Country code (blank)
12g Foreign tax ID (blank)
12h Address PAYROLL SERVICES, PO BOX 7849
12i City/State/ZIP AUSTIN, TX 78713-7849

Recipient (Box 13)

Field Value
13a Name XUEWEI JIANG
13b Country code CH
13c Address 2110 SPEEDWAY STOP B6600
13d City/State/ZIP AUSTIN, TX US 78712-1276
13e U.S. TIN XXX-XX-3215
13f Ch. 3 status code 16 (Individual)
13g Ch. 4 status code (blank)
13h GIIN (blank)
13i Foreign tax ID (blank)
13j LOB code (blank)
13k Account number XJ888
13l Date of birth (blank)

State Tax Withheld (Box 17)

Field Value
17a State income tax withheld (blank)
17b Payer's state tax no. (blank)
17c Name of state (blank)