ÐÏà¡±á>þÿ <>þÿÿÿ;ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á` ø¿$bjbjæ‡æ‡ 4(„í„íAEÿÿÿÿÿÿ¤ÚÚÚÚÚÚÚîVVV8Žª$î0Ú‚\ \ \ \ ;Z•<Ñ ÓÕÕÕÕÕÕ$Àh( ùQÚ7;ùÚÚ\ \ ÛJÃÃÃXÚ\ Ú\ ÓÃÓÃÃëÚÚ7\ Î0ÔÑÅVõdT`0,ÈYÈ7ÈÚ7Hñ¼†Ã3lŸþñññùùkXñññîîîD2$îîî2îîîÚÚÚÚÚÚÿÿÿÿPlease Print: LAST NAMEFIRST NAMESOCIAL SECURITY NUMBER FORMTEXT FORMTEXT FORMTEXT For TEACHERS and RESEARCHERS Claiming exemption under Article 17 of the Income Tax Treaty Between the United States and Poland For Calendar Year 20 FORMTEXT I was a resident of Poland 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 U.S. government (or by a political subdivision or local authority thereof), or by a university or other recognized educational institution in the United States for a period not expected to exceed two years for the purpose of teaching or engaging in research at the Íøºì±¬ÁÏ, 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 Poland. I have not previously claimed an income tax exemption under this treaty for income received as a teacher, researcher, 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 xzŽ’œž ¢¶¸ºÄÆÈÊÞàâìîòôöþ. d x ê ì ö üîäÐî¼î¯îä›î¼î¯îä‡î¼î¯üƒ}t}t}tk}bh)U5CJ\h”e5CJ\h™`5CJ\ h™`CJh™`'jwhogöhç,ä5B*Uphÿ'jhogöhç,ä5B*Uphÿhogöhogö5B*phÿ&jhogö5B*UmHnHphÿu'jhogöhç,ä5B*Uphÿhogö5B*phÿjhogö5B*Uphÿhogö!2Hvx Èðúúñññpññd$$Ifa$gdogökd$$If–lÖÖF”ÿ„ü$xxxÖ0ÿÿÿÿÿÿö6ÖÿÿÿÖÿÿÿÖÿÿÿÖÿÿÿ4Ö laö $Ifgdç,ägdogö "Ž$ýýðòôö2 ¬ ø B D F î|wrrrrrpph$ &Fa$$a$gdogöƒkd$$If–lÖ”ÆÖF”ÿ„ü$€x€x€xÖ0ÿÿÿÿÿÿö6ÖÿÿÿÖÿÿÿÖÿÿÿÖÿÿÿ4Ö laö " 6 8 : > @ n z áä& G Z\prt~€ˆŠžé×¾é¢éž–ž–žž|nX|@|ž|n/jhogöhogö5>*B*UmHnHphÿu*jhogöhç,ä5>*B*Uphÿhogöhogö5>*B*phÿ$jhogöhogö5>*B*Uphÿh™`5\h”eh™`5h™`6jhogöhogö5>*B*CJU\mHnHphÿu1jšhogöhç,ä5>*B*CJU\phÿ"hogöhogö5>*B*CJ\phÿ+jhogöhogö5>*B*CJU\phÿîð½ ¾ ‚ƒ"""" """""""J"Œ"Ž""¤#¦#öîéîéîéîéöççççççççâââÝÑö$„h^„ha$gddQÆgdogö$a$$a$$ &Fa$$„h^„ha$ž ¢¬®23=> !¼!Â!""" """"""""¤#f$t$v$ˆ$Œ$Ž$$ê×¿×»×—×•¿×‘»Š‚Š»zvzvzvzv»r»n‘n»v»hò8|hdQÆhç,äjhç,äUhdQÆh™`5hdQÆh™`hogöU*j~hogöhç,ä5>*B*Uphÿhogöhogö5>*B*phÿh™`/jhogöhogö5>*B*UmHnHphÿu$jhogöhogö5>*B*Uphÿ*jÈhogöhç,ä5>*B*Uphÿ# (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. 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