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2021 Form 8843 - IRS tax forms

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.) and date you entered the United States bCurrent nonimmigrant status.

because of a medical condition or medical problem. When and Where To File If you are filing a 2021 Form 1040-NR, attach Form 8843 to it. Mail your tax return by the due date (including extensions) to the address shown in your tax return instructions. If you don’t have to file a 2021 tax return, mail Form 8843 to the Department of the

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