Nonresident Alien Taxation
Alien Taxation
and Forms
and Other Resources
OPTION OUT FORM
Date: ________________________
To: San Francisco State University
1600 Holloway Avenue
San Francisco, CA 94132
I am requesting payment for services I performed for the _______________________ (campus department) at San Francisco State
University on _______________________(date) as a ____________________________(e.g. Guest Speaker, Lecturer or
Consultant) in the amount of $______________. In addition:
1. I do not wish to complete the necessary forms to determine if I qualify for a tax exemption or a reduced
income tax.
2. I understand that San Francisco State University must withhold the mandatory Federal tax-withholding
rate of 30% and State tax-withholding rate of 7% from the amount I am to receive above.
3. I understand that it is my responsibility to file a US Federal and State (California) tax return.
4. I understand that I must apply for a Social Security Number or an Individual Taxpayer Identification
Number prior to filing a US tax return.
I hereby certify that I understand the statements above
Print Name: _________________________________ Date: __________________
Signature of Nonresident Alien Payee: ____________________________________