Загрузил Игорь Левченко

SUMMARY

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Personal Tax Summary
GENERAL INFO
First Name
Olena
Last Name
Tanchyk
Country of
Ukraine
Passport/Citizenship
Current Immigrant
Status
J1 - Student
Your SSN/ITIN
N/A
Applied for SSN/ITIN Yes
Entity / affiliate
Institute of
Foreign Taxpayer ID 3195603923
International Education
Sevis ID
N0032222875
RESIDENCY INFORMATION
US tax residency
status
Non-resident
Date First in USA
03/09/2019
First day in USA on
J1 - Student
08/10/2021
Last day in USA on
J1 - Student
06/22/2022
SPT results
Substantial Presence
Test not met
Residency starting
date
N/A
Immigration status
change date
03/09/2019
Degree candidate
No
OPT/CPT participant No
Primary Purpose of
Visit
Student
Occupation at
University
(Institution)
Student
Tax Residence
Ukraine
FICA tax
Exempt
FICA tax exemption
finishes
06/22/2022
FUTA tax
Exempt
FUTA tax exemption
N/A
finishes
TAX TREATY AND INCOME TAX DETAILS
Full-time Student
Yes
PERSONAL AND CONTACT DETAILS
Date of Birth
06/29/1987
Marital Status
Single/Married
Nonresident Alien
Day Phone
(480) 791-5892
Email Address
tanchyk.olena@gmail.com
SUPPORTING DOCUMENTS (COPIES)
Visa J1 - Student copy
Passport copy, only pages with stamps and ID page
DS-2019 copy
I confirm that the following information is correct and up to date
Name: Olena Tanchyk
Signature:
Date: 02/17/2022
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