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56 lines
1.4 KiB
Markdown
56 lines
1.4 KiB
Markdown
---
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type: "1042"
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category: tax
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person: Yanxin Lu
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date: 2018-12-31
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source: lu_1042c_2018.pdf
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---
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# Form 1042-S - Rice University (2018)
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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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| Unique Form Identifier | 0010000610 |
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| Income code | 20 |
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| Gross income | $5,000 |
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| Chapter indicator | 3 |
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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 (7a) | $0 |
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| Tax withheld by other agents (8) | $0 |
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| Overwithheld tax repaid (9) | $0 |
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| Total withholding credit (10) | $0 |
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| Tax paid by withholding agent (11) | $0 |
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| State income tax withheld (17a) | $0 |
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| State (17c) | TX |
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## Withholding Agent
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| Field | Value |
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|---|---|
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| Name | William Marsh Rice University |
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| EIN (12a) | 74-1109620 |
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| Ch. 3 status code (12b) | 20 |
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| Ch. 4 status code (12c) | 24 |
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| Address | Payroll - MS 71, PO Box 1892 |
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| City/State/ZIP | Houston, TX 77251-1892 |
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## Recipient
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| Field | Value |
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|---|---|
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| Name (13a) | Yanxin Lu |
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| Country code (13b) | CH |
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| Ch. 3 status code (13f) | 16 |
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| U.S. TIN (13e) | 636-29-3464 |
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| Account number (13k) | S01179519 |
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| Date of birth (13l) | 19891017 |
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| Address | 2-1-102 East 1st Panyu Olympic, Shiliang Rd 9 |
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| City/Country | Guangzhou, China, People's Republic of 511400 |
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