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2021 Form 8843 - IRS

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.)

resident alien or nonresident alien status under the “substantial presence test” as a result of having applied the COVID-19 Medical Condition Travel Exception to exclude days of presence in the United States in 2020, see Rev. Proc. 2020-20, 2020-20 I.R.B. 801, available at www.irs. gov/irb/2020-20_IRB#REV-PROC-2020-20. Exempt Individuals

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