2024 Personal Tax Summary

GENERAL INFO

First Name Lorine Middle Name Shisia

Country of
Last Name Makokha Kenya
Passport/Citizenship
Current Immigrant
F1 - Student Your SSN/ITIN 299-65-7837
Status
Applied for SSN/ITIN N/A Entity / affiliate Brown University
Foreign Taxpayer ID A019571339T Payroll system ID 652886
Sevis ID N0034361701
RESIDENCY INFORMATION

US tax residency
Non-resident Date First in USA 08/25/2023
status
First day in USA on Last day in USA on
08/25/2023 05/30/2027
F1 - Student F1 - Student
Substantial Presence Residency starting
SPT results 05/31/2027
Test not met date
Immigration status
05/31/2027
change date
TAX TREATY AND INCOME TAX DETAILS

Full-time Student Yes Degree candidate Yes

Primary Purpose of
OPT/CPT participant No Student
Visit
Occupation at
University Student Tax Residence Kenya
(Institution)
TAX TREATY INCOME CODE 16 - SCHOLARSHIP OR FELLOWSHIP (NO SERVICE)

16 Scholarship or
Income code Tax treaty article N/A
fellowship grants
Tax treaty duration
Tax treaty limit N/A N/A
period
Tax treaty start Tax treaty expiry
N/A N/A
date date
Wish to claim treaty
N/A
benefits
TAX TREATY INCOME CODE 20 - STUDENT OR TRAINEES COMPENSATION/COMPENSATORY GRANT

20 - Compensation
during studying and
Income code Tax treaty article N/A
training/Compensatory
grant
Tax treaty duration
Tax treaty limit $ 0.00 N/A
period
Tax treaty expiry
Tax treaty start date N/A N/A
date
Federal Tax Wish to claim treaty
Graduated rate N/A
withholding rate benefits
FICA tax exemption
FICA tax NRA Exempt 05/30/2027
finishes
FUTA tax exemption
FUTA tax Exempt N/A
finishes
PERSONAL AND CONTACT DETAILS

Single/Married Nonresident
Date of Birth 07/20/2004 Marital Status
Alien
Day Phone (401) 255-6304 Email Address lorine_makokha@brown.edu
TAX FORMS EXPIRY DATES

Form W-8 BEN, Form W-4

12/31/2026 Unlimited
Income code 16 (Nonresident)
SUPPORTING DOCUMENTS (COPIES)

Visa F1 - Student copy

Passport copy, only pages with stamps and ID page
I-20 copy

I confirm that the following information is correct and up to date

Name: Lorine Makokha Date: 03/04/2024

Signature: