Slovenia

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Attachment to IRS Form 8233 Slovenia, Article 20(1) – Students I was a resident of Slovenia on the date of my arrival in the United States. I am not an 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 study, training or research at the University of Washington. 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 Slovenia in an amount not in excess of $5,000 for any tax year. I arrived in the United States on ________________ (insert the date of your last arrival in the United States before beginning studies at the University of Washington). The treaty exemption is available only for compensation paid during a period of five tax years beginning with the tax year that includes my arrival date. Name (Please print) ______________________ Signature ________________________ Social security number _____________________ Date __________________________

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