Information and Documentation Requirements. IDENTIFICATION DOCUMENTATION REQUIRED: W-8BEN and copies of Passport and I-94 Departure Record. ………………………………………………………………………………………………………………………………………………………….. WHAT COUNTRY DID YOU LIVE IN PRIOR TO THIS U.S. VISIT? DID YOU PAY TAXES AS A RESIDENT OF THAT COUNTRY? YES NO DID YOUR TAX RESIDENCY IN THAT COUNTRY END PRIOR TO THIS VISIT TO THE U.S.? YES NO IF YES, DATE THAT TAX RESIDENCY ENDED …………………………………………………………………………………………………. VISA type: Issue Date: Expiration Date: Have you ever had another immigration status in the U.S.? YES NO Have you ever been present in the U.S. prior to this visit? YES NO This agreement is made by and between the Trustees of the University of Pennsylvania, a Pennsylvania tax-exempt educational corporation (“University”), and (“Individual”), and is effective as of this day of . The parties agree as follows:
Information and Documentation Requirements. IDENTIFICATION DOCUMENTATION REQUIRED: W-8BEN and copies of Visa (if applicable*), Passport Biographical Page, and U.S. Entry Stamp in Passport. ………………………………………………………………………………………………………………………………………………………….. WHAT COUNTRY DID YOU LIVE IN PRIOR TO THIS U.S. VISIT? DID YOU PAY TAXES AS A RESIDENT OF THAT COUNTRY? __YES __NO DID YOUR TAX RESIDENCY IN THAT COUNTRY END PRIOR TO THIS VISIT TO THE U.S.? __YES __NO IF YES, DATE THAT TAX RESIDENCY ENDED …………………………………………………………………………………………………. Visa Information for current visit to U.S.: Visa Issue Date Visa Expiration Date Have You Ever Had Another Immigration Status in the U.S.? __Yes __No Have you ever been present in the U.S. prior to this visit? __Yes __ No If Yes, please complete the substantial presence test below ………………………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………………….. Date you first entered the United Sates Please provide the days of presence in the US for the last 3 calendar years and all F, J, M, Q, and H visa periods. Date of U.S. Entry Month/Day/Year Date of U.S. Exit Month/Day/ Year Visa Month/Day/Year Classification Month/Day/Year Primary Activity Have you taken any tax treaty benefits? __Y __N __Y __N __Y __N __Y __N __Y __N ………………………………………………………………………………………………………………………………………………………. This agreement is made by and between the Trustees of the University of Pennsylvania, a Pennsylvania not-for-profit educational corporation (“University”), and ________________________________________________________________(“Individual”), and is effective as of this ______ day of _________________________, _______. The parties agree as follows:
Information and Documentation Requirements. IDENTIFICATION DOCUMENTATION REQUIRED: W-9 (for U.S. persons), W-8BEN, and Certificate of Foreign Source Income (non- U . S . persons only). ……………………………………………………………………………………………………………………………… This agreement is made by and between the Trustees of the University of Pennsylvania, a Pennsylvania tax exempt educational corporation (“University”), and (“Individual”), and is effective as of this day of . The parties agree as follows:
