Publication 519 |
2000 Tax Year |
Appendix A
This appendix contains the statements nonresident alien students
must file with Form 8233, Exemption From Withholding on
Compensation for Independent (and Certain Dependent) Personal Services
of a Nonresident Alien Individual, to claim a tax treaty
exemption from withholding of tax on compensation for dependent
personal services. For treaty countries not listed, attach a statement
in a format similar to those for other treaties. See chapter 8
for
more information on withholding.
Belgium, Iceland, Japan, Korea, Norway, Poland, and Romania
I was a resident of
____ [insert the name of the country under whose
treaty you claim exemption] on the date of my arrival in
the United States. I am not a U.S. citizen. I have not been lawfully
accorded the privilege of residing permanently in the United States as
an immigrant.
I am temporarily present in the United States for the primary
purpose of studying at
____ [insert the name of the university or other
recognized educational institution at which you study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and
____ [insert the name of the country under whose
treaty you claim exemption] in an amount not in excess of
$2,000 for any tax year. I have not previously claimed an income tax
exemption under this treaty for income received as a teacher,
researcher, or student before the date of my arrival in the United
States.
I will be present in the United States only for such period of time
as may be reasonably or customarily required to effectuate the purpose
of this visit.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date.
People's Republic of China
I was a resident of the People's Republic of China on the date of
my arrival in the United States. I am not a U.S. citizen. I have not
been lawfully accorded the privilege of residing permanently in the
United States as an immigrant.
I am present in the United States solely for the purpose of my
education or training.
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and the People's Republic of China in an amount not in
excess of $5,000 for any tax year.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study or training]. I am
claiming this exemption only for such period of time as is reasonably
necessary to complete the education or training.
Cyprus
I was a resident of Cyprus on the date of my arrival in the United
States. I am not a U.S. citizen. I have not been lawfully accorded the
privilege of residing permanently in the United States as an
immigrant.
I am temporarily present in the United States for the primary
purpose of studying at
____ [insert the name of the university or other
recognized educational institution at which you study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and Cyprus in an amount not in excess of $2,000 for any
tax year. I have not previously claimed an income tax exemption under
that treaty for income received as a student before the date of my
arrival in the United States.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date, and for such additional period
of time as is necessary to complete, as a full-time student,
educational requirements as a candidate for a postgraduate or
professional degree from a recognized educational institution.
Egypt
I was a resident of Egypt on the date of my arrival in the United
States. I am not a U.S. citizen. I have not been lawfully accorded the
privilege of residing permanently in the United States as an
immigrant.
I am temporarily present in the United States for the primary
purpose of studying at
____ [insert the name of the university or other
recognized educational institution at which you study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and Egypt in an amount not in excess of $3,000 for any
tax year. I have not previously claimed an income tax exemption under
that treaty for income received as a teacher, researcher, or student
before the date of my arrival in the United States.
I will be present in the United States only for such period of time
as may be reasonably or customarily required to effectuate the purpose
of this visit.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date, and for such period of time as
is necessary to complete, as a full-time student, educational
requirements as a candidate for a postgraduate or professional degree
from a recognized educational institution.
Germany
I was a resident of the Federal Republic of Germany on the date of
my arrival in the United States. I am not a U.S. citizen. I have not
been lawfully accorded the privilege of residing permanently in the
United States as an immigrant.
I am temporarily present in the United States as a student or
business apprentice for the purpose of full-time study or training at
____ [insert the name of the accredited university,
college, school or other educational institution]; or, I am
temporarily present in the United States as a recipient of a grant,
allowance, or award from
____ [insert the name of the nonprofit organization
or government institution providing the grant, allowance, or
award].
I will receive compensation for dependent personal services
performed in the United States. This compensation qualifies for
exemption from withholding of federal income tax under the tax treaty
between the United States and the Federal Republic of Germany in an
amount not in excess of $5,000 for any tax year, provided that such
services are performed for the purpose of supplementing funds
otherwise available for my maintenance, education, or training.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of four tax years beginning with the
tax year that includes my arrival date.
Indonesia
I was a resident of Indonesia on the date of my arrival in the
United States. I am not a U.S. citizen. I have not been lawfully
accorded the privilege of residing permanently in the United States as
an immigrant.
I am temporarily present in the United States solely for the
purpose of study at
____ [insert the name of the university or other
accredited educational institution at which you study]; or,
I am temporarily present in the United States as a recipient of a
grant, allowance or award from
____ [insert the name of the nonprofit organization
or government institution providing the grant, allowance, or
award] for the primary purpose of study, research, or
training.
I will receive compensation for services performed in the United
States. This compensation qualifies for exemption from withholding of
federal income tax under the tax treaty between the United States and
Indonesia in an amount not in excess of $2,000 for my tax year,
provided such services are performed in connection with my studies or
are necessary for my maintenance.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date.
Morocco
I was a resident of Morocco on the date of my arrival in the United
States. I am not a U.S. citizen. I have not been lawfully accorded the
privilege of residing permanently in the United States as an
immigrant.
I am temporarily present in the United States for the primary
purpose of studying at
____ [insert the name of the university or other
recognized educational institution at which you study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and Morocco in an amount not in excess of $2,000 for any
tax year. I have not previously claimed an income tax exemption under
that treaty for income received as a student before the date of my
arrival in the United States.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years, beginning with
the tax year that includes my arrival date.
Pakistan
I am a resident of Pakistan. I am not a U.S. citizen. I have not
been lawfully accorded the privilege of residing permanently in the
United States as an immigrant.
I am temporarily present in the United States solely as a student
at
____ [insert the name of the recognized university,
college, or school in the United States at which you
study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and Pakistan in an amount not in excess of $5,000 for
any tax year.
Philippines
I was a resident of the Philippines on the date of my arrival in
the United States. I am not a U.S. citizen. I have not been lawfully
accorded the privilege of residing permanently in the United States as
an immigrant.
I am temporarily present in the United States for the primary
purpose of studying at
____ [insert the name of the university or other
recognized educational institution at which you study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and the Philippines in an amount not in excess of $3,000
for any tax year. I have not previously claimed an income tax
exemption under that treaty for income received as a teacher,
researcher, or student before the date of my arrival in the United
States.
I will be present in the United States only for such period of time
as may be reasonably or customarily required to effectuate the purpose
of this visit.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date.
Spain
I was a resident of Spain on the date of my arrival in the United
States. I am not a U.S. citizen. I have not been lawfully accorded the
privilege of residing permanently in the United States as an
immigrant.
I am temporarily present in the United States for the primary
purpose of studying or training at
____ [insert the name of the university or other
accredited educational institution at which you study or
train]; or, I am temporarily present in the United States
as a recipient of a grant, allowance, or award from
____ [insert the name of the nonprofit organization
or government institution providing the grant, allowance, or
award].
I will receive compensation for services performed in the United
States. This compensation qualifies for exemption from withholding of
federal income tax under the tax treaty between the United States and
Spain in an amount not in excess of $5,000 for any tax year.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date.
Trinidad and Tobago
I was a resident of Trinidad and Tobago on the date of my arrival
in the United States. I am not a U.S. citizen. I have not been
lawfully accorded the privilege of residing permanently in the United
States as an immigrant.
I am temporarily present in the United States for the primary
purpose of studying at
____ [insert the name of the university or other
accredited educational institution at which you study].
I will receive compensation for personal services performed in the
United States. This compensation qualifies for exemption from
withholding of federal income tax under the tax treaty between the
United States and Trinidad and Tobago in an amount not in excess of
$2,000 for any tax year. I have not previously claimed an income tax
exemption under this treaty for income received as a teacher,
researcher, or student before the date of my arrival in the United
States.
I will be present in the United States only for such period of time
as may be reasonably or customarily required to effectuate the purpose
of this visit.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years.
Tunisia
I was a resident of Tunisia on the date of my arrival in the United
States. I am not a U.S. citizen. I have not been lawfully accorded the
privilege of residing permanently in the United States as an
immigrant.
I am temporarily present in the United States for the purpose of
full-time study, training, or research at
____ [insert the name of the university or other
accredited educational institution at which you study, train, or
perform research].
I will receive compensation for services performed in the United
States. This compensation qualifies for exemption from withholding of
federal income tax under the tax treaty between the United States and
Tunisia in an amount not in excess of $4,000 for any tax year.
I arrived in the United States on
____ [insert the date of your last arrival in the
United States before beginning study at the U.S. educational
institution]. The treaty exemption is available only for
compensation paid during a period of five tax years beginning with the
tax year that includes my arrival date.
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