FILLING FORM 8843 FEB 20 & 24, 2012 PHASE 1 TAX WORKSHOPS

WHO SHOULD BE HERE? If you worked or DID NOT work in 2011 If you entered the US between 2007 and 2011 or You have been in the US no longer than 5 years If you started school this Spring 2012 and entered the US in 2011 IF 2011 was your 6 th year or arrived to the US in 2012 for the first time…. YOU DO NOT HAVE TO FILL THIS FORM

NAME & SOCIAL SECURITY # NAME & LAST NAME SOCIAL SECURITY NUMBER IF YOU ARE FILLING OUT TAX FORMS LATER LEAVE BLANK. IF YOU ARE NOT FILLING OUT TAX FORMS WRITE ADDRESSES.

PART 1 DAYS YOU WERE INSIDE THE U.S. DURING THOSE YEARS. LOOK AT YOUR PASSPORT. VISA TYPE AND DATE YOU FIRST ENTERED THE U.S ON THIS VISA

DAYS IN ’10, ’11, ‘12

PART 2

PART 3 IF YOU ATTENDED ANOTHER INSTITUTION IN 2011 WRITE IT HERE IF YOU ATTENDED ANOTHER IN 2011 INSTITUTION WRITE THE NAME, ADDRESS, AND PHONE OF DIRECTOR HERE VISA TYPE DURING THAT YEAR

PART 3 cont. GREEN CARD LOTTERY DOES NOT COUNT

PART 4 AND 5

SIGNATURE IF YOU ARE FILLING OUT TAX FORMS LATER DO NOT SIGN. IF YOU ARE NOT FILLING OUT TAX FORMS SIGN.

MAILING THE FORM IF YOU ARE FILLING TAX FORMS, MAIL FORM WITH YOUR FEDERAL TAX FORMS. IF YOU ARE NOT FILLING TAX FORMS SEND TO: Department of the Treasury, Internal Revenue Service Austin, TX , U.S.A.

MAIL BEFORE APRIL 17, 2013