ATTACHMENT TO FORM 8233- NONRESIDENT TEACHERS AND RESEARCHERS
.04 BELGIUM and JAPAN




I was a  (insert the name of the country under whose treaty you claim exemption) on the date of my arrival in the United States. I am not a United States citizen. I have not been lawfully accorded the privilege of residing permanently in the United States as an immigrant.

I have accepted an invitation by the United States government or by a university or other recognized educational institution in the United States to come to the United States for the purpose of teaching or engaging in research at Michigan State University, which is recognized educational institution. I will receive compensation for my teaching or research activities.

The teaching or research compensation received during the entire taxable year (or during the period ) qualifies for exemption from withholding of federal tax under the tax treaty between the United States and [insert the name of the country under whose treaty you claim exemption]. I have not previously claimed an income tax exemption under this treaty for income received as a teacher, researcher, or student before the date of my arrival in the United States.

Any research I perform will be undertaken in the public interest and not primarily for the private benefit of a specific person or persons.

I (insert the date of your last arrival in the United States before beginning the teaching or research services for which exemption is claimed). The treaty exemption is available only for compensation received during a period of two years beginning on that date.



Signature __________________________________________     Date _____________________









Michigan State University