Determination Of Alien Tax Status & Request For Itin - Substitute Form W-8 - Research Foundation Of The City University Of New York Page 2

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Test 2:
Complete the spaces below, indicating the number of days present in the United States during
the years listed. Do not count any days during your first five years in the United States for which
SUBSTANTIAL
you were an F or J visa category nonimmigrant student. You will meet the requirements of the
test if you have been in the United States for a total of 183 days (without counting any days
PRESENCE
TEST
present as an F or J category nonimmigrant during your first five years in the United States).
Enter
Date Entered
Date
No. of Days in
Computation
Year
United States
Departed
United States
for test
______
__________
_______
_________
x 1
=
__________
Current Year
______
__________
_______
_________
x 1/3 =
__________
Last Year
______
__________
_______
_________
x 1/6 =
__________
Two Years ago
If total is less than 183: You are a NONRESIDENT ALIEN for tax purposes. Skip Test 3.
Check appropriate line in "test results" section below.
Total:_______________
If total is equal to or more than 183: Complete test 3 below.
Test 3:
Check applicable line:
EXCEPTIONS
Have you been or do you plan to be in the United States for less than 183 days this calendar year
TO THE
AND do you pay taxes in your country of residence AND do you have a closer connection to that
SUBSTANTIAL
country than the United States (by virtue of family ties, friends, business/banking relationships, etc.)?
PRESENCE
TEST
_____ YES. You are a NONRESIDENT ALIEN for tax purposes. Check the line in "test results" below.
_____ NO. You are a RESIDENT ALIEN for tax purposes. Check the line in "test results" below.
TEST
Mark the appropriate Federal Tax Withholding Status. (you must check one of the lines!)
RESULTS
For tax purposes I am a:
YOUR
_____ RESIDENT ALIEN
RESIDENCE
STATUS
_____ NONRESIDENT ALIEN
C. ADDRESS INFORMATION (must be completed)
Mailing Address and in the United States:
Mailing Address in Your Country of Residence:
City
State
Zip Code
City
Country
Postal Code
US telephone number
Work (if working)
E-Mail address:
@
D. CERTIFICATE OF INFORMATION PROVIDED ON FORM (must be completed)
The Internal Revenue Service does not require your consent to any provisions of this document other than the certifications required
to establish your status as a non-U.S. person and, if applicable, obtain a reduced rate of withholding.
I Certify that to the best of my knowledge and belief, all of the information that I have provided is true and correct.
Signature: _____________________________________________________
Date: _____________________________
Attach this form to your payment request or email to Konstantin Perepelitsa ( )
Form RF-702 rev. 12/2011

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