To Be Completed By Students From People'S Republic Of China

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To Be Completed by Students from
People’s Republic of China (Article 20)
1. I was resident of the People’s Republic of China on the date of my arrival in the
United States. I am a
___U.S. Citizen
____U.S. Resident Alien ____Other U.S. Person (describe)
2. I am present in the United States solely for the purposes of my education or training.
3. 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 $5000 for any taxable year.
4. I am claiming this benefit or exclusion under Article 20 of the U.S./China Tax Treaty.
I am relying upon an exception to the savings clause of this tax treaty in order to
claim the benefits or exclusion.
5. 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.
Original Signature Required
(Printed Name)
(Social Security Number)


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