ÐÏà¡±á>þÿ =?þÿÿÿ<ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á` ø¿€$bjbjæ‡æ‡ 4(„í„ípEÿÿÿÿÿÿ¤ÚÚÚÚÚÚÚîVVV8Žª$î=0Ú‚\ \ \ \ ;Z•<Ñ ŒŽŽŽŽŽŽ$mhÕ ²EÚ7;²ÚÚ\ \ Û÷|||XÚ\ Ú\ Œ|Œ||¤ÚÚð\ Î ®ß½ÑÅVrd¼8T 0=Ä,uÖNuðuÚðHñæ×¤|{„ÿñññ²²$Xñññ=îîîD2$îîî2îîîÚÚÚÚÚÚÿÿÿÿPlease 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 Indonesia For Calendar Year 20 FORMTEXT I was a resident of Indonesia 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 have accepted an invitation by the Íøºì±¬ÁÏ, Baltimore to come to the United States solely for the purpose of teaching or engaging in research at that educational institution. I will receive compensation for my teaching or research activities. The teaching or research compensation received during the entire tax year (or during the period from FORMTEXT to FORMTEXT ) qualifies for exemption from withholding of federal tax under the tax treaty between the United States and Indonesia. I have not previously claimed an income tax exemption under that treaty for income received as a teacher oxzŽ’œž ¢¶¸ºÄÆÈÊÞàâìîòôöþ. d x ê ì ü " & üîäÐî¼î¯îä›î¼î¯îä‡î¼î¯üƒ}t}t}tk}bhGˆ5CJ\hê9È5CJ\hJ¾5CJ\ hJ¾CJhJ¾'jwhU,Íhr?’5B*Uphÿ'jhU,Íhr?’5B*UphÿhU,ÍhU,Í5B*phÿ&jhU,Í5B*UmHnHphÿu'jhU,Íhr?’5B*UphÿhU,Í5B*phÿjhU,Í5B*UphÿhU,Í!2Hvx Èðúúñññpññd$$Ifa$gdU,Íkd$$If–lÖÖF”ÿ„ü$xxxÖ0ÿÿÿÿÿÿö6ÖÿÿÿÖÿÿÿÖÿÿÿÖÿÿÿ4Ö laö $Ifgdr?’gdU,Í ô!~$ýýðòôö2 ¬ þ H J L ú|wrrrrrpph$ &Fa$$a$gdU,Íƒkd$$If–lÖ”ÆÖF”ÿ„ü$€x€x€xÖ0ÿÿÿÿÿÿö6ÖÿÿÿÖÿÿÿÖÿÿÿÖÿÿÿ4Ö laö & ( < > @ D F t † #Ei j t u *ìÝÄì«ì§Ÿ§˜§…wa…I…§…w/jhU,ÍhU,Í5>*B*UmHnHphÿu*jhU,Íhr?’5>*B*UphÿhU,ÍhU,Í5>*B*phÿ$jhU,ÍhU,Í5>*B*UphÿhJ¾5\hê9ÈhJ¾5hJ¾0jhU,Í5>*B*CJU\mHnHphÿu1jšhU,Íhr?’5>*B*CJU\phÿhU,Í5>*B*CJ\phÿ%jhU,Í5>*B*CJU\phÿúü |~Ö Ø ð!ò!ô!ø!ú!þ!""" "":"|"~"€"”#–#öîéîéîéîéöççççççççâââÝÑö$„h^„ha$gdü ígdU,Í$a$$a$$ &Fa$$„h^„ha$*,.8:ÂÄØÚÜæèò’ ˜ Ô Ö ô!ö!ú!ü!"""""€"”#V$d$f$x$|$~$€$ê×¿×»¹»×«•×¿×»ƒ|»tptptptp»l»hdh»p»hU,Íh³ hü íhr?’jhr?’Uhü íhJ¾hü íhJ¾5\hü íhJ¾\*j~hU,Íhr?’5>*B*UphÿhU,ÍhU,Í5>*B*phÿUhJ¾/jhU,ÍhU,Í5>*B*UmHnHphÿu$jhU,ÍhU,Í5>*B*Uphÿ*jÈhU,Íhr?’5>*B*Uphÿ$r researcher before the date specified in the next paragraph. I arrived in the United States on FORMTEXT (date of my arrival into the United States before beginning the teaching or research services for which the exemption is claimed). The treaty exemption is available only for compensation paid during a period of two years beginning on that date. Any research I perform will be undertaken in the public interest and not primarily for the private benefit of a specific person or persons. 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