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form-8833 tax xuewei-jiang 2022-04-18 f8833_2022_filled.pdf

Form 8833 - Treaty-Based Return Position Disclosure 2022 (Scanned/Handwritten)

Form Details

  • Form: 8833 (Rev. December 2022)
  • Format: Scanned handwritten form
  • Taxpayer: Xuewei Jiang
  • SSN (Last 4): 3215
  • Address: 12421 Sanford St, Los Angeles, CA 90066

Part I - General Information

Line 1 - Treaty Country

  • Treaty Country: China (People's Republic)

Line 2 - Treaty Article(s)

  • Article: Article 19 (Teachers and Researchers)

Line 3 - IRC Provision(s)

  • Section 61 (Gross Income)

Line 4 - Disclosure

  • Treaty-based position: Income from teaching/research activities exempt under Article 19 of US-China Tax Treaty
  • Xuewei Jiang is a Chinese national performing teaching and research at:
    • University of Southern California (USC), Los Angeles, CA
    • University of Chicago, Chicago, IL
  • I-797 approval notices referenced
  • This is the second year of the three-year treaty exemption period
  • Addresses:
    • USC: University Park, Los Angeles, CA 90089
    • UChicago: 6054 S. Drexel Ave., Suite 300, Chicago, IL 60637

Line 5 - Amount

  • Amount of income exempt under treaty: $198,265

Notes

  • This is the scanned/handwritten version
  • A typed version exists as f8833_2022_print.pdf with identical content