Attachment To Form W-9 - Tax Treaty Claim By A Resident Alien

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ATTACHMENT TO FORM W-9
TAX TREATY CLAIM BY A RESIDENT ALIEN
Typically this form is used by a resident alien who has passed the Substantial Presence
Test and is relying upon the exception to the Savings Clause of the tax treaty.
TAXPAYER NAME: _____________________________________________________
UMID: ________________________________________________________________
PERMANENT FOREIGN ADDRESS: _______________________________________
________________________________________
________________________________________
ORIGINAL DATE OF ENTRY INTO THE USA: ________________________________
THE TAXPAYER IS RELYING UPON AN EXCEPTION TO THE SAVING CLAUSE OF
THE TAX TREATY TO CLAIM THE BENEFIT OR EXCLUSION.
CORRECT
TAXPAYER IS CLAIMING A BENEFIT OR EXCLUSION UNDER THE TAX TREATY
BETWEEN THE USA AND ______________________________________.
(Tax Treaty Country)
UNDER WHICH TREATY ARTICLE(S) IS THE TAXPAYER CLAIMING A BENEFIT OR
EXCLUSION? _________________________________________________________
THE TAXPAYER IS A:
STUDENT
TEACHER/RESEARCHER
THE EXPECTED INCOME COVERED BY THE TREATY IS $__________________.
W9Attachment.doc, 10/2/07

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