Supporting Statement For Irs Form 8233 - From Irs Publication 519

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SAMPLE
Supporting Statement for IRS Form 8233 – From IRS Publication 519
Germany
Teachers and Researchers
I am a resident of the Federal Republic of Germany. 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 a professor or teacher visiting the United States for the purpose of advanced study,
teaching or research at ______________________________ (insert the name of the
accredited university, college, school, or other educational institution or other institution,
or a public research institution or other institution engaged in research for the public
benefit). I will receive compensation for my teaching, research, or study activities.
The compensation received during the entire tax year (or during the period from
_________ to _________ ) for these activities qualifies for exemption from withholding
of federal tax under the tax treaty between the United States and the Federal Republic of
Germany. I have not previously claimed an income tax exemption under the treaty for
income received as a student, apprentice, or trainee during the immediately preceding
period. (If, however, following the period in which the alien claimed benefits as a
student, apprentice, or trainee, that person returned to the Federal Republic of Germany
and resumed residence and physical presence before returning to the Untied States as a
teacher or researcher, that person may claim the benefits of this treaty.)
Any research I perform will be undertaken in the public interest and not primarily for the
private benefit of a specific person or persons.
I arrived in the United States on ___________________ (insert the date of your last
arrival into the United States before beginning the services for which the exemption is
claimed). The treaty exemption is available only for compensation paid during a period of
two year beginning on that date.
Sign Here _______________________________
Date ___________________

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