??ࡱ?>?? qt????p???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ??Sbjbj+?+? ??I?I?S?????????     ????<Z????(YYY$~!?0$?A }e?Y}}A  WV???}  ?}??:c,?????@3?ߤ???????? l0?? ?$Q??$??$ ?dYh?J? <G6YYYAA??YYY?}}}}?????????????????????????????????????????????????????????????????????$YYYYYYYYY? ?: Non - Resident Alien Application FormComplete this form only if you are a Non- Resident alien for tax purposes, and want to exercise your tax Treaty Benefits. This form will be used to determine your tax status for wages paid by the University of Toledo.BASIC INFORMATION:Last Name: First Name: Middle: Social Security Number ______________________ University ID#________________ Date of Birth: USA ADDRESSStreet : Apt _________ Toledo, Ohio Zip Code:_____________Home Phone: Day Phone: E-Mail: FOREIGN ADDRESS(Enter your home or permanent address abroad.)Address line 1____________________________________________ Address line 2__________________________________City Postal Code ___________________ City _____________________________Providence / Region _____________________ Regional Postal Code_________________ Country_____________________COUNTRY INFORMATIONWhat country issued your passport? _________________ Passport Number ________________ Expiration Date_________Enter the Country for which you are a TAX resident ______________________________YEAR DATAEstimated annual income from employment at The University of Toledo this calendar year. (Jan 1 - Dec 31) ________________ What are you doing at the University? (IE: Professor, Researcher, Teaching Assistant?) ______________________________PERSONAL FACTS(Check only if applicable.)[ ] I have taken step to become a lawful permanent resident of the U.S. (Attached Green Card or Application)[ ] I am married to a U.S. citizen[ ] I will not be a Tax Resident in my Tax Resident Country at year end. Date tax resident ends_____________[ ] I am a Dual Resident Taxpayer. List countries________________________________________________[ ] I do not wish to claim Treaty Exemptions from taxes even though I may qualify.[ ] I have made an election to be taxed as a U.S. resident (Attach Form 1078)Page 2 TYPE OF STUDENT YOU ARE: (check one)[ ] Undergraduate [ ] Graduate Student [ ] Post Graduate [ ] Medical StudentCheck one:[ ] I am engaged in FULL-TIME study, training, teaching or research.[ ] I am engaged in PART-TIME study, training, teaching or research.Visa DetailFill in the Visa and Immigration status for each of the last 7 years.Visa TypeVisa NumberPRIMARY reason for entering the U.S. (use code below)Date Arrived in U.S.Left U.S. (or expected departure date)J1 SubtypeCurrent Visa:Prior Visa:Prior Visa:Prior Visa:Primary Activity Codes:01 Studying Degree Program 08 Acquire Training 15 Supporting an artist / athlete02 Studying Non Degree Program 09 Demonstrating Special Skills 16 Tourist03 Teaching 10 Clinical Activities 17 Business Activities04 Lecturing 11 Temporary Employment 18 Board of Director Activities05 Observing 12 Here with Spouse or Relative 19 Practical Training / J-1 F-1 06 Consulting 13 Performing as an artist 20 Educational/ Professional Activities 07 Conducting Research 14 Performing as an Athlete 21 Summer Travel Work J-1 Subtypes 01 Student 06 Specialist 11 Trainee Medical02 Short Term Scholar 07 Alien Physician 12 Research Scholar03 Trainee- Non-Medical 08 Other - International Visitor 13 Summer Travel/ Work04 Teacher 09 Other - Alien of the 99 Not Applicable05 Professor 10 Other - Camp CounselorATTACHMENTS CHECKLIST: Before this form can be processed, you must attach copies of the following:Passport (Page 1 only showing your identification and passport number)Visa (Attach copies of your U.S. Visa plus pages clearly showing entry and exit dates)Form I-94 showing current Immigration Status and duration of stay. Copy front and back.Form I-20-ID Certification of Eligibility of Non-immigration (F-1) Studentor IAP66 Certification of Eligibility for Exchange visitor (J-1) Status.Remember to bring your visa with you when submitting this form in case there are any questions.Page 3AUTHORIZATIONUnder penalties of perjury, I certify that the above information is true, complete, and correct.Sign___________________________________________ Date__________________Before submitting this form, PLEASE REVIEW: Did you complete each item and fill in all the blanks? Incomplete forms cannot be processed. Did you attach the required documents? Do you have your visa with you when submitting this form to payroll? (Main Campus University Hall 2300)Please send completed application form and required documents to:Email:  HYPERLINK "mailto:payroll@utoledo.edu" payroll@utoledo.eduorMail: The University of Toledo Payroll Department 2801 W Bancroft St MS 975 Toledo, OH 43606If you have any questions, please contact me at the following:Email:  HYPERLINK "mailto:payroll@utoledo.edu" payroll@utoledo.edu Phone: (419) 530-8780Fax: (419) 530-8787 Process: 1) Fill out and return Non-Resident Alien Application Form; 2) Tax Treaty Status and Tax Benefit information is determined;3) Applicant is informed of Tax Benefits, and Tax Forms are generated and sent to applicant for signatures and dates.4) Once signed and dated forms have been returned to the Payroll Department, the tax Treaty benefit is entered into the payroll system.Note: When you go to file your annual tax return, you will be issued a W2 by Jan 31st, and for those who have received a Federal Tax Benefit, you will also receive a 1042-S Form that you will be required to file your taxes with as well. &,-v?  ' . = D M Q ? ? ? ? ? ? ? ? ? # ' 8 = G S T c d e ? ? ? ? ? ? ????Ͽ????????????????????????????????z?o?? *hER8hER85?>*hER8hER86?hER8hIy?6? hER86? hIy?5? hIy?>* *hIy?5?>* hIy?5?>*h?5CJaJhER8hIy?CJaJhIy?hER8hIy?5?>*B*CJph?h?55?>*B*CJph?hER85?>*CJhER8h?I?5?>*CJjhER8UmHnHu+,-   P Q ? ? ? ?   ? @ R S T d ? ? ???????????????????????????$a$gdER8gd$a$?  I J ? ? ? ? ? B C ? ? ? ? ??????34Z[???????????????????????????????? ? ? ????????34Z[??45`????????"bkmn???????  S??????????????????????????????????м???????颚鍀???hh5?B*ph?hhIy?5?B*ph?hIy?5?;?>* *hIy?5?;?>*h?I?hIy?>*hER8hIy?5?hER8 *h?ahER85?>* h?I?5?h?I?h?I?hIy?5?>* *h?I?hIy?5?>*hIy? hIy?5?>* *hER8hER85?>*2?45????????abmn????  QRS]?????????????????????????? $$Ifa$gd$Ifgd?I?]i??????????? $$Ifa$gd????."$If $$Ifa$gd?kd$$If?l???֞??Xpx?<?%?*?????0???????????????????????????????????????4? la?yt???????????$If??  ."$If $$Ifa$gd?kd?$$If?l???֞??Xpx?<?%?*??????0???????????????????????????????????????4? la?yt? %2:RS????? -5TUVWX`???????????????ƾ??????sbWhER8hIy?CJaJ hER8hIy?5?B*CJaJph?jh?a5?UmHnHuh?I?h?ahIy?5?>*h?ah?I?CJaJh?ah?I?>*CJaJh?ahIy?>*CJaJh?ahIy?CJaJh?ah?a5?h?ah?I?5? *h?I?h?I?5?>* *h?I?hIy?5?>*h hIy?5?>*hIy?hhIy?5?B*ph?  ??????$If."$If $$Ifa$gd?kd?$$If?l???֞??Xpx?<?%?*??????0???????????????????????????????????????4? la?yt !"#$?????$If$%12."" $$Ifa$gd?kd^$$If?l???֞??Xpx?<?%?*??????0???????????????????????????????????????4? la?yt2345678??????$If89:RS.,,,?kd($$If?l???֞??Xpx?<?%?*??????0???????????????????????????????????????4? la?ytS??G??T?????/????VW??Q????????????????????????????h^?h ?h?h^?h`?hgd?a ??d`??gd?a?????QR^??????????HIOPR_a??????? ??????????̵????̱????????x??lala?h?5hIy?CJaJh?5hIy?5?CJaJh?ah?aCJaJh?ahIy?CJaJ hIy?5?>* *hIy?5?>* *h5?>*h?ah?ahIy?5?hIy?hER8hER8CJaJhER8hIy?5?CJaJhER8hIy?CJaJ hER8hIy?5?B*CJaJph?.jh?a5?B*CJUaJmHnHph?u"?HIPQR`a?? :<????123uv???????????????????????????`??gd?5gd?a??^??gd?a??`??gd?a$a$gd?a;<=??????/01}~???????????????Ǽ?Ǽ?ǴǬ??????s??k??[I"h?ah?a5?@???CJPJ\?aJh?ah?a5?CJPJ\?aJh?5CJaJh?Qh?Z\0J5?CJaJh?Z\h?Z\5?CJaJh?Z\5?CJaJjh?Z\5?CJUaJh?aCJaJhIy?CJaJh?Z\CJaJh?ah?aCJaJh?ahIy?CJaJ(jh?ah?aCJUaJmHnHuh?ah?a5?CJaJh?ahIy?5?CJaJ?????? &'fg??????"d??c?????????????????????? ??d^??gdRd?dgdRd?gd?n[??????d??]??^??`??gd?5??`??gd?5gd?a????????  %&ISmno?????????sk_kSE<0h?Z\h?Z\5?CJaJh?Z\5?CJaJjh?Z\5?CJUaJh?5h?55?CJaJhRd?h?5>*CJaJh?5CJaJ&h?Z\h?Z\5?CJPJaJmHnHu h?a5?CJPJaJmHnHu h?Z\5?CJPJaJmHnHuh?55?CJaJh?ah?a5?CJaJh?ah?a5?CJPJaJ"h?ah?a5?@?CJPJ\?aJh?ah?a5?CJPJ\?aJ"h?ah?a5?@???CJPJ\?aJ??????????????g??????ABdi??RS?????????ν??????????????}??hRd?hRd?CJH*aJhRd?hRd?5?CJaJhRd?5?CJaJhRd?hRd?CJaJhRd?h?n[CJaJh?55?CJaJh?n[5?CJaJh?5CJaJh?5h?55?CJaJh?Qh?Z\0J5?CJaJjh?Z\5?CJUaJh?Z\5?CJaJcdS?? ???`?^??`?`?gdRd???^??gdRd?(??/ ??=!?`"?`#??$??%????? ??n?t85??t?8M i?L?Z?r??PNG  IHDR,s"???bKGD??????? IDATx??wx????즇?;???"%?6?X?w+*\ Y?????{W?x?r??"?fCQ? i?????s??6$???f7لD??<<??@???~?Eӳk[4??Q???11?5??????a??H??U??Z????$??O?u?? ?݆Oü?gt? K?? ?LLLj?????N?[?FM?ѓ?ʒJ??&Bҙ???0u_a~????Q?n?H&?2+?ϑ????o?:J?TX?&???rB????v?0!??yE?_ X???;\y6?Օ/37???YlٕS???;9????y?yd?xs밿??O?*?D9W ????{??~?!?!`)i ???Kݴ"???I)?:K?֍???S}y??4m?{߮??ͳ*???bƼ??ޜ? ?G?Ǻ?䝯?9??}ǁ??!??5ѱ??ߝz??zulΕ??\m;?~=??ӆ]???O|?`5?????-{??H>?3??&????X?ūs???p???j!?9??I?²H???[3?O?N???S:ҦY"k??f?c?is?cw՗t???X?E?͸????2?R^|?b?/??7?ma???8t? ?w6????$???3@??x???i? ?=sٵ?(?c??cd?E?C7XEY-?l?@?vM?ڶ)??7?[??tm۔????m?p?چ??,2?ly&.??VF$??*[o??Nl??ek?d??-??~'+7??e&>?9?Z?Ĥ?? ?~]8?s +?M?DZ5IDJ?ۣs,???B?.??p{t???(!??h+?i? ???cn?ήGپ???Y??,???h+?t`?'q???S?q?d?=??ٲ+?-;s؛?K??\??#???c?Ÿ=:?.?Q?I??h???i?$??MоEC?4K?]??4??!??wj?ML?*???t??????p?H>{srq{?N??b7????_?ޝȞ?sj?Vtoߌn?r??7-?$кib?⭌?G??s0???????1 ?ݜޭuMފ??_c?%?2rI8???r|????њ?턣????a???L????('?"??D?_?B?G?Jg??d`?n_?⛘??0VXJd?j?ڬ??@??M?????j?5$???_?O?p?-(6w?#@Bl??Ĥ^b???[r]U??????Xa??p?ST?&?j.g"?Q???ڕ?Ĥ?h?e??????9_?z?R???,LLLΰ,??~E.q1?ª.i?ML???²r???Ѽ"%???Ӥ?qс#?0?4???Xay0 ?;?_D??%M?ͱ????Мچ?1????? ?????ѩ?yE?V????V!?m?z?'?!I???C??!?"??k,B?MFڸ?k?&????\ ??S??A??b4??Cp]Ng??????Qt?Y ?%cA? ?ڋ!ݰ?~?$PQ(??9e"??B?L=?=iy ????)? ??#????rY???M(.D????????K?x??D?C⡱|=˻Ñ?z/?sQƒ?K??^.?|RA???!?gX???Ն6>`3?_%???(? ??.??:???Dˡ|?VV?$C{??"P?d???m?I???}:??i?@??3?6R?^??3:??dq?_???g#΋p:???ׁ??)??i???5E׿??E,.?????Cz?!?܇???$Mz )?"#?)??#-??n?6?ř(>e??C%rg?<9)??1}???F$=??1J?é?(?$6},n?2?L??%?|??~?2?????2?zc?.x?%E o?4&?????{pɧI?X???K?=v?4">?E???J?5?+?Ha,;5 (???8?Ɔ?_??B?,:?sS??.?8?RQy??h?{2Ӧ?>?B?Q?????{?8?g?}??(?? ?=??l3O??>ۚ˴U׿ ?B??? ?3 ?p????d?% ?&I????Mv?]?{???t??/P??G?O?܌_?A?$%?*??9u???CK??- ??6o??? M?o+??8???m?L? ]}???U򝹬?ߝ(؁^???6g?D???:???????I"y?n??'????O???~?l??С???9?!h?(?=??4?w,??g?C|????nb??z?:????h??μ?=8?T??kz2wMO?q^ϭF?kQ?G?)I?^????d ?W*XÝTPX??ЦY???:N~q???????Ėɳh??`??????xZ??p? ?/V??U?y??/???bͯf??O/ ??M|lG),?R???"Fr??ìӽ???/ɩ@???)??}+??8Ӟ")?3?w??]???+Bw???????G?v&??/$?Fȭ8'??"ѝ?? ?2?P?Xaᵛ ?p:?s9R=??B?L???A???> w?c,??o??4YZ!???DZ*??????F(1???8?x??????Ɇ??$?o)?????@f(Cs[?+1S??s????+?xn<+v??;??mB?+ S?????Ʋ3??߉?A|?"?R???F? =j??? ??1????G-?C?V#??z.??? ?ð'{T??ԅ~Ex?6)!F???s=j)R-A??_??$???jY?S??R??B?A?DT?7 ?خ*?6?? "?2d?6$<»4c{΢??#xG+U?z?U?????WX?]?m?A?????;VT?????????מ\춰jW??+tI?T?T?(?,2?>?t?KW ӞAF??Pdl? :?(B?????XA,??v4g???;Pd?? )?W?R? ?k?y˫9? ?^?C%???'m??3?? ???=$i?m????.??D????s??f::?z1K%??Jq?٠?p?w@??? ???9ͻSgt?BX8njٿa:???O7)۔????#?|??????)<?aU??B885'B9?&??P?????????DS~-?hb6?!-!?K??(???݇?ҶI????G?.??{??ju??m?ՆH仢???{??Z7M$?P?UENt?KBASo???ک?(?"J?Eq??5??? U?i?r??5?}H2Z?_Ⲥ?it??'K+????3??w???]??Qqh{I?p+???6?DS ?[u??C?}RD?%??R?B?M??F?엠??S???h?P??9?$i???vM^a wQޖ%_?j???D???`q7*?G6@????????? ?(u???Kl??p?q??˹O@?w???O??]?\MA4f??8??v?l`m?????/?x??bDRo??|?;?ޏ???>?.}????`?|???o??,?ڑ?go?n?K?q??j?;r???p???Iy?????Ù??ȑ?O???ن؆s??6?L?:a)?:[?y?u???Pֱ?Q? BO?9??K?$I?%??w6??އB?B???1}m???N%Z=?P?P?C?"???L?K??^C?????8?|???L?]?Ù6??>?[A*%??x?R?Q??D? ?}qN?P??π???Q?8?RM?%?T?g??g? ???C??3}*ɩAN??7ѻ??ב?????w????kuBȆ?"?Y????^?Ox?V?(??(?TC?????g 8%J?If??[?8iZd???R?H???Ȣ?p????~?˱XnbQ"???r??? La5F?U<<"?/=r)??~???kJa=5b!????? k?&,?ԙy?*7K?????j?"{~??????X=4KȧG?.??R?~??(??????'?v? F??6?L????1????06??g[o۞ôi?H|l???w?k??ح>]ه?f????o?I??Oa??? ~??ү?y=?2??O???3h?Ļ??m?R?[?&&??ʲ??9n?~??8?$?????|[{n???e??]??????*[6?pn!E??.?ڂ?????La??x???f??ڵ~?)??7??8??8?.?+7??A\ 'wn??m??.?M??w??[?????qׇ??0&@?M ?Q??m?&??^MϮt?c??G?a?F]?# ?:R5?0r???}:???@?$??"???1?s:JtA?? <(?j+????)?oT0l; ?\? ????R+˂??5?]X??mB|n???b(?iaO?N??c(??%3??R?f?]?!???,!+?0?~Z?5???5G׷??Y?ԟ??޿?Sz ?Ɔ?E????Pr;@x???,???????f???FG???+?^/??@#?-?1??^?tl???`#B?BY~ ?`F?^ ??O?'?s+B܁??Fz??^:?؃???g?j?w-*WXJ??^?pƪ,l?u╹+?:?ߎ??ڱ>k??K?`Uh??????LH??f??D9/???p4|?? ??!)5?? 8??!lJ-D????X-??(?: ????? ?M?߄-u?˼?????:Eo?LB?;0?/??[? ?9F͏ܽ[???c??? ?;?(????Y;@?????6+?/?hH2`?????5z???(q%??$??k??????;AR?]}:??????????uX؇t7????.u#?YzcA??f?袉UYT??t??????y~??p??[ӯG~?}??I]???U$EKD׏??G1?\?C?_??i!?w.~?b?62???o??,?@? ??6?͊???Q6?؊?w??W? 88v:Qҁ???X??>gڇ??'#}?x?$?B0ʠ?Cd?}??PX?? o??L???Q|??H?NF?fW?~?{??A??P?f?A??a[?$;?7?}?v&B_??F?w)>z?a ^??Qķ:!/u/^E??D1?}RޏC?9?}b???g???*A??X,???*????4ACX?-w?x???KIҮ"S %SH)??qn?q-??2VgѶy??o?xk??l??????g?????b??D"3?[Ce?c? R??9u3?)??K??w??ţk??qR8??m????o?V???2(BZ??=??Ni??t:??!@ɒʿ ?ȑ<?ĥ????C?r???oF9??&?~e????hF? .׌?uCIg )??ϰ???G?"??jGq?My1????I??>#G?????d ? ?5/? wϝ%???qhn?i?@U?(??s?M Y?T????O??_??I?B?o͐?),v??f??bE??Ry?j?š~??r:J?l????r_?4+@ Zm??R?㊷:?S?????j;??៓=T?˰͠?QX?ǩ-y%TPtJ?L???Vށ&????ʍG?%deUnT??6?b?F ???Rf??????'sC?<)?Z?M??N??Gb???w{B?.p^?.d?ʢ?e0??R'???q????d,?q%??'g??M??Z?D???̓1g???g????׋?K???/?F?"???,O?qEdv???????–zm?k?myMjG ?OQ? ???•[?????,??z'%?Pq?F?7B?"#}J?ۜ???!????o]ġm$S?|c?8???U ??F?/?gIь???h???ǡ??Z??E?F???8??4?-?)?_ES]W?w??b?,?s???h?8?J??8??wY??sbS5?J?? ?ֵ??lh?-?u?/Qb?bpj?e?tK???R??x8??`847B??k???6k??h[ʥ???k˒ ?hg??Ļ*?<?e?,?2s???NL????????u?^|?Y?vӹ??n??j?)???ׯ {?r???*?bk)?????O?EU????[???ƭ?$ig?l?VT Y>?hF?Q?JQ?p-?~2,N6?+??"??p????T?^?kn?Υ??+/}???_??S?eӯc????p?W?)????"??ӝ+????W'???fk?`x?g?SGP???bUt??g?w???*8??v?[Eza??DJ?ڣ0X???x?'\??Kj?a??r??????ea??? ?p?%??w?4?߫?k)??5????-g?a?iޜ??,??z`Ê???!????@???Њ8?(?&????u?~ۚ͊?????3???璝?r??7????????ZNk???s?c???? \?T 贋?f??X??׾u??d]???N??u?=F??j???Bu2t?^?UE????Z?u<????x g zI|r?՝?P??ܕo??? ?R(?? B?2?{??e,Gx ??YE???T,̇߭a?Ͷ???u??????,??M?9?O???=?S?Q????5?[??E???a ??qZ???`Q???????????N??=D.׸???Q? ?k^5??D??3:5?% ??[???s????9?M?Q??k?e?z????&8??L??YUWX?쒆?d?g;ynzw2?#???7?;??Yi/?چF:6=??q?g??|~?f\????ۂ'?r??3x~N?x??+??X׈?C?v5??x9*???Y;F???פ??wS???as31r??j?R?, ??(??Uvi??/?????U[??s?>xQ???I??j????+O?H????õn??էo`?K??!p,?7a???|?,@? ?,?u?O?x??L???l?=?K?`??????F? Bc?A????-??5?p?????l [ȔƑ?5?~?Z?[?|]???{Bp V?????a ?B???+w????S??g????]??f??X?~3ӗ?J*̂?xl??#E?,???z'?/)?]yaI5???C1?aO?A?E????V??H???[j?I?I?I??1(?F??Jy??0 ??M=Ti???t?w???????L?,?#?_(u#????A?[꣤h?Wj??xl??+8????????|?9?&I?A??V!pκ??v?p???Df? 4?+b???H?)f???\????1Ҝ{?I,x?V???"??4?A܏?]j\aԚ?鄢'B<?a??BM?ÏX-?qhU?q??5FW?@݃?r??W??f???7?`?-?E F甴U?????߾? ?K?)?b?I?UV.???! P?TV???Tʇ?(9?????? ;!?>%1?F???{?l QF$?dA?_?a9 ??m؄V??O?Q?????`?y??|$-?e;?OE?d?????z???7???v????h ??P?7?e?G????g7,rp?e?? Pb?b?Ò?ܢ)?>?aE?>'???????)s???(oW?g?J^?ޛ?٣m???s?? ???(+?߾???l?/?? ?d??F?d?F??J?a2??U?q?բǁ???97^?x?`???`*????,?R????C?d?L?B?%O??ˑa7N??o?cK??[? ?"?'Pߑ?^?m.|R?t??"|?W???*??"??c?kf?6hJ?\$yF???R?T?-aݶ}Lzs?=z???ɾC5W>nh????E(?괋??3?? ??q?1V&????Nr-/֘?)?s?)??S?#xJ#?ݔ??????PL???s?f?>?h?\ * do???G?w???`#J.?udq?o?V׳??yX???+?* K?Z??=-?Ey|wՄł?B???h??a--????8?TG?2O?gA",??(? ?d.˗???e*O??LVKnO VK??͹U6[D?,???,???S?;^LC?7A?&#?A???D{?߹???%ׂ?O&?GB?Ț?S?^??|??H)X???-??IGt??8ǾKRײ??\????n??ޝZ??[?2??Y?+u???ֈ&&3"??ӡm ????}???$n?P}*&?????"yo•?;c}`e??iy?F01???m?7????v ??j?????/M?֏?Q?:?漕d????IWa?T'?Z??ѷY????]?(?(??ϧ??{????.?%>??}C~?Q????oвA?lhNnτ?m???\ `??C2??^Eg?zL??r?g{?&:%??8"??~?????h׼!???W J ?鼓?N?Hr???^??},???/qR3???ùc??,?=?p?2?ߔ?c??̻_e{v??|?q?#ܸ:??'E???/C?E8??;k?t?^??;Jlaϡ??R?fK?!Z??k?"T? ?a??y?E|?ہ???? ????????a?p??sJg?t????????1?Ρ|?`???W>??Ǜ??d????ٚ??5?p~,Q?(??7????|6?-?????%{??˸f??0 ?????`?I???r{,??k&?u??U?OK??,?"?N\K????r~C????7!??d?w ?;HNm????S4+?g8?THב????7>6?????ɘT?v֦? ??6??ߒ9?s????ڹ??5_>y????? Pc????I?ЬQ¨? ?n?O???nU???!To?Uю?4????cq?g??????P??)?7??LE???-?r?????x^_???b,U':?œ)??U?>??0}??n?r????K??CWϢ?bHj.R?B!?e`X-?!? ?????\"?]?]?т??? ??cUW?~Œ??????嚫 B^?2???°??sм?s?H??ڒ?$x????-Q-Ǖ??? +#G?=C???c??~???|?-2f??0˟+ EkM???v&զf???r????????eW?l???_α?? Y<#??Y_?U?? ??]??J???=??mk??>?&?čt9wY?ܣ?.??k?4?'v?sB}??^-s?=ih:??Y_????}Qj??(lt??? r17?*?{?5udݏ?),?(4?{t??Չ??ǟ?n??\D??????tC??dL-???&vq)i???C[??jt?=J?D???d?GZ?b?l????`M????i??ܜ?Lz3??ab????_????????b?q???P???X#˜?E}?֙??O4'f?u????1?¯?o)[v???<7?"ڷh???F?hrt????#I>?3?>?ne!B?ג?柏???~?jS8? `@?o?kѓ??ga????1???Ѱ?n?ҾEC??u3n??%O|?ޜJf?? ? MLLj???N+&O?@????m?y?A?{?_??r7]?V-??o?V,e;?%???+WV𔩬LLN?o[?}Y>O??y?7q???P*N???8}???? ??ΰ?c?O? A?ї?煇??q???kʽ?|Ň߅T???d??\Yj?jQ?@R???[Y?SNj?Ի?1???|??A8??#phK*ojbbr??? `H???h?^7?~ Ω?#ا??IPw??BaI???r?/2p?sLeebR??_ `??)K?"/???|?k9???ĤƩ_KŠ???D?qU?Q?q?Ĥ?Q?@?6]?hB??HymmM?ebby?ߒ?"m R?C?o????dSY???_?? ? A??3??r?sQj ??? ?LLL"?_Iay?zR| ?~?Fs????_Oa???Iԯ w??|ݬjcbbbbbbbbbbbbbbbR??&?=??K%VIEND?B`??$$If?!vh#v?#v#v#v?#v?#v?:V ?l???0????????,?5??5?5?5??5??5??4?yt?$$If?!vh#v?#v#v#v?#v?#v?:V ?l???0????????,?5??5?5?5??5??5??4?yt?$$If?!vh#v?#v#v#v?#v?#v?:V ?l???0????????,?5??5?5?5??5??5??4?yt?$$If?!vh#v?#v#v#v?#v?#v?:V ?l???0????????,?5??5?5?5??5??5??4?yt?$$If?!vh#v?#v#v#v?#v?#v?:V ?l???0????????,?5??5?5?5??5??5??4?yt^ 2???? 0@P`p??????2(?? 0@P`p?????? 0@P`p?????? 0@P`p?????? 0@P`p?????? 0@P`p?????? 0@P`p??8X?V~_HmH nH sH tH 8`??8 Normal_HmH sH tH DA`???D Default Paragraph FontVi@???V  Table Normal :V ?4?4? la? (k ???(No List 6U`???6 ?a Hyperlink >*B*ph?PK!????[Content_Types].xml???N?0E?H???-J??@%?ǎǢ|?ș$?ز?U??L?TB? l,?3??;?r??Ø??J??B+$?G]??7O٭V??$????????? !)O?^?r?C$?y@?????/?yH*??񄴽)?޵??߻??UDb?`}"?qۋ?Jח???X^?)I`n?E???p)???li?V[]?1M???G?M?Ge???D?????3Vq%'#q?????$?8??K?????)f?w9:ĵ?? x}r?x????w???r?:\TZaG?*?y8I?j?bR??c|XŻ?ǿ?I u3KG?nD1?NIB?s??? ??R??u???K>V?.EL+M2?#'?f??i ~?V? ?vl?{u8??z??H? ?*???:?(W?☕~??J??T?e\O*?tHG??HY??}KN??P?*ݾ˦???TѼ?9/#??A7?qZ??$*c????qU??n??w?N??%??O??i?4 =3??N???)cbJu?V?4????(Tn??? 7??_????m-ٛ?{U????B?w??z???n???ʜ"Z ??x??J?Z??p;???? ???{/???SR!???3??K4'+?r?zQ TT??I????Ivt]K?c⫲?K#?v?5+?|??D??????~??O@%\w???_?nN[?L??9K????q??g?V?h??n R!?y+??U?n?;?*&?/H?r??T?? ?>??>\ ?t??=.Tġ ???S; Z?~?!??????P??9gi???C?ڧ!?# B??,??;?X=ۻ,I?2UW?V?9$l?k???=A??j???;?{?A?P79?|s*Y?????;?̠?[?MC?ۿ?hf??]o??{oY=1k?yV??V????5E8?Vk+֜???\8???0X4D)?!!???*|f?v?u????"?x??A?@T_??????q??6?4)kڬu?V?7? ?t ?'??%;???i?9s?9?x???,??ڎ-45x?d???8??ǘ?d?/Y|t?? &LIL?J`?& ?-G?t?/??PK!ѐ??'theme/theme/_rels/themeManager.xml.rels??M ?0???wooӺ?&݈Э???56?$Q???,.?a??i????c2?1h?:?q??m??@RN??;d?`??o7?g?K(M&$R(.1?r'J??ЊT???8??V?"??AȻ?H?u}??|?$?b{??P????8?g/]?QAsم(????#??L?[??????PK-!????[Content_Types].xmlPK-!?֧??6 0_rels/.relsPK-!ky???theme/theme/themeManager.xmlPK-!0?C)???theme/theme/theme1.xmlPK-!ѐ??'? theme/theme/_rels/themeManager.xml.relsPK]? SP????? ????S!#%&? ?]??? $28S??cS "$'}??n??SX??X???l?   ?,b?$5??t?8M i?L?Z?r?|8*P@??????????? ?x?( ? ???? ? ? ?J??A????????$????*UT HortzPicture 1File:UT Hortz.svg???y??????K? ???y??????K? ?http://upload.wikimedia.org/wikipedia/commons/b/b8/UT_Hortz.svgyX??;H?,?]ą'c??#"? ?`????6 ? "?????6 ? "?????6 ? "?????6 ? "?????6 ?  "?????6 ?  "?????6 ?  "?????B ?S ???? ??W??Q<??S???????tA??tA??tA??t A??tP0??t P??t P??t?? ?? ?? ???????????????JJU?????TTU9*?urn:schemas-microsoft-com:office:smarttags?State?8*?urn:schemas-microsoft-com:office:smarttags?City?B*?urn:schemas-microsoft-com:office:smarttags?country-region?9*?urn:schemas-microsoft-com:office:smarttags?place? h,U??r}mx????8<_c??qu??? ? \m??????U3333333333333333&v|??/}????????%een????RU&v?/}????????%een????RUV?8?:bE?N=a??E??h???^?h`???OJQJo(?h?HO?h????h^?h`???9B*CJOJQJTXo(q?N=aV?8??????????????5? ?& 0?6ER8?`<?n[?Z\?a?`i3??s??I? ?Iy??~?Rd?SU?@?????S?@??Unknown????????????G??*?Ax? ?Times New Roman5??Symbol3.? ?*?Cx? ?Arial5.? ?.?[`?)?Tahoma7.?????@?Calibri?=? ?*?Cx? ?Courier New;??WingdingsA????$B?Cambria Math"????h"E2?jbG+TFT? (T? (!??????24HH??5W-3?Q?????HX ?????????????????????????Iy?2!xx? ???%Non - Resident Alien Information Form Doris CelianFaculty and Staff  ???????Oh??+'??0???????  (4 T ` lx?????(Non - Resident Alien Information FormDoris Celian Normal.dotmFaculty and Staff4Microsoft Office Word@?@jv?e??@t?zD?@Rb?ߤ?T?????՜.??+,??D??՜.??+,??P  hp|??? ????? ??UT( H &Non - Resident Alien Information Form Title? 8@ _PID_HLINKS?A?Chmailto:payroll@utoledo.eduChmailto:payroll@utoledo.edu=????@http://upload.wikimedia.org/wikipedia/commons/b/b8/UT_Hortz.svg  !"#$%&'()*+,-./0123456789:;<=>?@ABCD????FGHIJKL????NOPQRSTUVWXYZ[\]^_????abcdefg????ijklmno????????rs?????vwxyz{|}~????Root Entry???????? ?F` ??ߤ?u@Data ????????????E1Table????????M?$WordDocument??????SummaryInformation(????????????`DocumentSummaryInformation8????????hMacros @3?ߤ?@3?ߤ?VBA???????? @3?ߤ?@3?ߤ?dir?????????????ThisDocument ???? :_VBA_PROJECT????????????- PROJECT ????J? ???????? !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHI????KLMNOP????????????T?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????0*? pH?d?ProjectQ(@=? l ????V J< rstdole>stdolePh%^*\G{00020?430-C 0046}#2.0#0#C:\Windows\system32\e2.tlb#OLE Aut?omation`nMSFor ms> MSFFrmHs3?ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#MicrosPoft ?: ?^ Ob?? Libr@ary/;D1????u?????00h}#0??#?04???? D9AFEB17-0B6E-463B-BC58-79F53CCED497H.DOCUME~1\jbejara\LOCALSTemp\Word8.0\?M.exd?4?"??.E???.`?M ?KA???N`al??NED_a? ? 1?*\C ???:?OffDic??Of@iTc??????G{2DF8D04?C-5BFA?q@CHDE5?SAA??4?2HC?gram Files\C`ommonrShared\OF@FICE14?FO{?z?& N?z@%??? ???ThisDocumentGU? T@?i??D?HcDu??en@?? 2? ?H?1?ts?"?,??"" +???????????m ???????????????????????????????x??ME????????????? ????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????(S"????S????S"????