ࡱ> <>;`  bjbj 4$E 8 * $i0Z ^ B ,$hEv  vv #vX  v X N /Z X$dT90i,,&fXX Vsg+KXivvvv $  Please Print: LAST NAMEFIRST NAMESOCIAL SECURITY NUMBER FORMTEXT       FORMTEXT       FORMTEXT       For STUDENT EMPLOYEES Claiming exemption under Article 22(1) of the Income Tax Treaty Between the United States and Thailand For Calendar Year 20 FORMTEXT    I was a resident of Thailand 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 the 챬, Baltimore. 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 Thailand in an amount not in excess of $3,000 for any tax year. I arrived in the United States on  FORMTEXT       (date of last arrival in the United States before beginning study at the University of Maryland, Baltimore). The treaty exemption is available only for compensation paid during a period of five tax years beginning with the tax year that includes myxz V f h j p }t}kbYb}hr @ B |wrrrrrpph$ & Fa$$a$gdNbkd$$IflF $x x x 06    4 la    2 4 6 : < j z % . 6 A F I J Q r u   L T s t u Ǯ֑֕}}yrnjf^Y hr*B*CJU\mHnHphu1jhNbh5>*B*CJU\phhNb5>*B*CJ\ph%jhNb5>*B*CJU\phhR5CJ\ hRCJ hr*B*UmHnHphu*jhNbh5>*B*UphhNb5>*B*phjhNb5>*B*Uphh hRhAdh7,h'ah[h'a5+ arrival date.     REVENUE PROCEDURE 87-8 TAX TREATY REPRESENTATION LETTER Under penalties of perjury, to the best of my knowledge and belief, I certify that the statements above, are true, correct, and complete. ________________________________________________ _______________________ Signature Date Rev. 10/05 (UMB) T $ & Fa$$a$gdJfh^h21h:pNb/ =!"#$% $$If!vh5x 5x 5x #vx :V l065x 4tDText1tDText2D Text3 ###-##-####$$If!vh5x 5x 5x #vx :V l06,5x 4xDText4##DText5M/d/yyEnter date in format m/d/yyH@H Normal CJOJQJ_HaJmH sH tH DAD Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List N%@N Envelope ReturnCJOJQJ^JaJl$@l Envelope Address!@ &+D/^@ CJOJQJ^J4@4 Header  !4 @"4 Footer  !$$;<Pdxyz{ !tu0@0@0 @0 @0 @0 0 0 0 0 @00h000000 00 00 00 0y00y00y00y00y00y00y00y00@0@0@0y00.@0@0@0@0@0@0@0y00y00,$;<Pdxyz{0My00y00 {00{00{00y00 0 00A FFDDDG u   T  <HNP\bdpvFFFFF8@0(  B S  ?Text1Text2Text3Text4Text5<PdOcw~d~%~+#~~C ~ʽ~~~ֿ~TG ~T~ H ~|& ~ W~~~~~~F ~4B~   ~$ 5_zzQ_ii:LL $$     =l~~%[grrGTT"-- B*urn:schemas-microsoft-com:office:smarttagscountry-regionh *urn:schemas-microsoft-com:office:smarttagsCity0http://www.5iamas-microsoft-com:office:smarttagsZ *urn:schemas-microsoft-com:office:smarttags PlaceNamehttp://www.5iantlavalamp.com/=*urn:schemas-microsoft-com:office:smarttags PlaceTypeV*urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/ ?   z5=}~&&.6AAFIJJLTtu~ tjh^`.h^`.hpLp^p`L.h@ @ ^@ `.h^`.hL^`L.h^`.h^`.hPLP^P`L.t         =<plz yA[bmf!$kU$c%A(7,39*D LN*RfYOUZ[#[e_^NbAdJf^~jkSOlS6or