Transcription of 2021 Form 8843 - IRS
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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.)
may not exclude the days you were present in the United States as a professional athlete or because of a medical condition or medical problem that arose while you were in the United States. Failure to exclude days of presence in the United States could result in your being considered a U.S. resident under the substantial presence test.
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