4.1 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_signed_tax_docs_2020.pdf |
GLACIER Tax Summary Report (Unsigned Copy) -- Jiang Xuewei
This document is a 4-page GLACIER tax package, identical in content to jiang_glacier_tax_docs_2020.pdf except the Tax Summary Report certification section is unsigned (blank signature and date fields).
Page 1: Tax Summary Report (Unsigned)
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
I hereby declare that the information provided by me to The University of Southern California and/or entered into the GLACIER Online Tax Compliance System for purposes of making the tax determinations above is true and correct. If any of the information provided changes or if other relevant information becomes available, I will notify The University of Southern California as soon as possible so that this information and/or my U.S. tax status may be updated.
| Field | Value |
|---|---|
| Signature | (blank -- unsigned) |
| Date | (blank) |
052920
The information contained on this statement was generated using GLACIER Online Tax Compliance System. (c) Copyright Arctic International LLC. All rights reserved.
Page 2: Tax Summary Report Instructions
(Identical to the instructions in jiang_glacier_tax_docs_2020.pdf -- see that file for full text.)
Please submit all Required Forms and Document Copies to: Your HR Payroll Analyst / Or Your Supervisor The University of Southern California Your School or Department Los Angeles, CA 90089 Telephone: 213-740-8855 payroll@usc.edu
Additional Information, if any
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. You must print and complete the blank Form W-4 provided to you by GLACIER and submit the form with your Tax Summary Report to your GLACIER Institution Administrator or Payroll Department.
Page 3: Blank Form W-4 (2020)
(Identical blank W-4 form as in jiang_glacier_tax_docs_2020.pdf -- unfilled.)
Page 4: U.S. Tax Information for Non-United States Citizens
(Identical informational page from Arctic International LLC as in jiang_glacier_tax_docs_2020.pdf.)