ࡱ> >@=` $bjbj 4(E 8  $0{Z< bdddddd$ChEw{>>>Xb>b>>f p| pd~T0,KKK\1,]>39111X111D2 d2  Please Print: LAST NAMEFIRST NAMESOCIAL SECURITY NUMBER FORMTEXT       FORMTEXT       FORMTEXT       For TEACHERS and RESEARCHERS Claiming exemption under Article 20 of the Income Tax Treaty Between the United States and France For Calendar Year 20 FORMTEXT    I was a resident of France 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 visiting the United States for the purpose of teaching or conducting research for a period not expected to exceed two years at the 챬, Baltimore, which is a recognized educational institution. I will receive compensation for my teaching or research activities. The teaching or research compensation received during the entire tax year (or for the portion of the year from  FORMTEXT       to  FORMTEXT      ) qualifies for exemption from withholding of federal tax under the tax treaty between the United States and France. I have not previously claimed an income tax exemption under this treaty for income received as a teacher, resxz. d v x  }t}tk}kb}kh2T5CJ\ha5CJ\hB&5CJ\ hB&CJhB&'jwhX @ n z o r    짟ykUy=yy/jhX**Ա*****$*B*Uph h7h5\hWNh7h5h7hh2Tha5hB&0jhX**䴳mԱ1**䴳p**䴳p%*B*CJU\ph    " """"""" "$"&"T""""# $h^ha$gd=]gdX**aB&/**Ա$******B*ph$earcher, or student before the date of my arrival in the United States. 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  FORMTEXT       (date of my last arrival in the United States before beginning the teaching or research services for which exemption is claimed). The treaty exemption is available only for compensation received during a period of two years beginning on that date.     REVENUE PROCEDURE 87-9 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) ###D$p$r$$$$$$a$gdZ_h^h$h^ha$ 21h:pX