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2017 Form 8843

form 8843 Department of the Treasury Internal Revenue ServiceStatement for Exempt Individuals and Individuals With a Medical ConditionFor use by alien individuals only. Go to for the latest the year January 1 December 31, 2017, or other tax yearbeginning, 2017, and ending, No. 1545-00742017 Attachment Sequence No. 102 Your first name and initial Last nameYour taxpayer identification number, if anyFill in your addresses only if you are filing this form by itself and not with your tax returnAddress in country of residenceAddress in the United StatesPart IGeneral Information1aType of visa (for example, F, J, M, Q, etc.)

Penalty for Not Filing Form 8843 If you don’t file Form 8843 on time, you may not exclude the days you were present in the United States as a

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