2010-10-17 05:15:28 +00:00
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OMB No. 1545-0074
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2007
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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, 20
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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Identifying number (see page 8)
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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2010-12-25 08:41:11 +00:00
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I
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2010-10-17 05:15:28 +00:00
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Check if:
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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ndividual
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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Estate or Trust
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Type of entry visa (see page 8)
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䊳
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2011-02-27 10:48:22 +00:00
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resent home address (number, street, and apt. no., or rural route). If you have a P.O. box, see page 8.
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City, town or post office, state, and ZIP code. If you have a foreign address, see page 8.
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Country 䊳
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Of what country were you a citizen or national during the tax year? 䊳
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Give address in the country where you are a permanent resident.
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Give address outside the United States to which you want any
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refund check mailed. If same as above, write “Same.”
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If same as above, write “Same.”
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2011-05-14 16:22:51 +00:00
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U.S. Nonresident Alien Income Tax Return
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For the year January 1–December 31, 2007, or other tax year
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, 2007, and ending
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Last name
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1040NR
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Form
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Department of the Treasury
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beginning
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Internal Revenue Service
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Your first name and initial
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P
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Please print or type.
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Also attach Form(s) 1099-R if tax was withheld.
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Attach Forms W-2 here.
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2010-12-25 08:41:11 +00:00
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7a
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2010-10-17 05:15:28 +00:00
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Yourself
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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7b
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2010-10-17 05:15:28 +00:00
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Spouse
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2010-03-22 04:34:52 +00:00
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2011-02-27 10:48:22 +00:00
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兵
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2010-10-17 05:15:28 +00:00
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䊳
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2010-10-17 05:15:28 +00:00
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䊳
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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䊳
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2011-02-27 10:48:22 +00:00
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2010-10-17 05:15:28 +00:00
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䊳
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2011-02-27 10:48:22 +00:00
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2010-10-17 05:15:28 +00:00
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䊳
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2011-02-27 10:48:22 +00:00
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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No. of boxes checked
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on 7a and 7b
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No. of children on
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7c who:
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2010-12-25 08:41:11 +00:00
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● lived with you
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● did not live with
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you due to divorce
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or separation
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Dependents on 7c
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not entered above
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dd numbers entered
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on lines above
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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8
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2010-12-25 08:41:11 +00:00
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9a
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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A
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2011-02-27 10:48:22 +00:00
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10a
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2010-03-26 11:11:35 +00:00
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2011-02-27 10:48:22 +00:00
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11
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12
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13
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14
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15
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16b
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17b
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2011-02-27 10:48:22 +00:00
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34
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35
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2011-02-27 10:48:22 +00:00
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Form 1040NR (2007)
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2010-10-17 05:15:28 +00:00
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(3) Dependent’s
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relationship
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to you
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2010-03-26 11:11:35 +00:00
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2010-10-17 05:15:28 +00:00
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(4)
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if qualifying
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child for child tax
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credit (see page 9)
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2010-12-25 08:41:11 +00:00
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2011-02-27 10:48:22 +00:00
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If you check box 7b, enter your spouse’s
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identifying number 䊳
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2010-12-25 08:41:11 +00:00
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2010-10-17 05:15:28 +00:00
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其
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2010-03-22 04:34:52 +00:00
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Filing Status and Exemptions for Individuals (see page 8)
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Filing status. Check only one box (1–6 below).
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2010-10-17 05:15:28 +00:00
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1
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2010-03-22 04:34:52 +00:00
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Single resident of Canada or Mexico, or a single U.S. national
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2010-10-17 05:15:28 +00:00
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2
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2010-03-22 04:34:52 +00:00
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Other single nonresident alien
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2010-10-17 05:15:28 +00:00
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3
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2010-03-22 04:34:52 +00:00
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Married resident of Canada or Mexico, or a married U.S. national
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2010-10-17 05:15:28 +00:00
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4
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2010-03-22 04:34:52 +00:00
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Married resident of the Republic of Korea (South Korea)
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2010-10-17 05:15:28 +00:00
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5
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2010-03-22 04:34:52 +00:00
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Other married nonresident alien
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2010-10-17 05:15:28 +00:00
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6
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2010-03-22 04:34:52 +00:00
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Qualifying widow(er) with dependent child (see page 9)
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2010-10-17 05:15:28 +00:00
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2010-03-22 04:34:52 +00:00
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Caution: Do not check box 7a if your parent (or someone else) can claim you as a dependent.
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Do not check box 7b if your spouse had any U.S. gross income.
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2010-12-25 08:41:11 +00:00
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7c
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Dependents: (see page 9)
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2010-10-17 05:15:28 +00:00
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(1) First name
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Last name
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2010-10-17 05:15:28 +00:00
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(2) Dependent’s
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identifying number
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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2010-10-17 05:15:28 +00:00
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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2010-03-26 11:11:35 +00:00
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2010-10-17 05:15:28 +00:00
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2010-12-25 08:41:11 +00:00
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9b
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2010-03-26 11:11:35 +00:00
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2010-03-22 04:34:52 +00:00
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Total number of exemptions claimed
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Wages, salaries, tips, etc. Attach Form(s) W-2
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Taxable interest
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Tax-exempt interest. Do not include on line 9a
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Ordinary dividends
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2010-12-25 08:41:11 +00:00
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10b
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2010-03-22 04:34:52 +00:00
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Qualified dividends (see page 11)
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2010-12-25 08:41:11 +00:00
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11
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2010-03-22 04:34:52 +00:00
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Taxable refunds, credits, or offsets of state and local income taxes (see page 11)
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2010-12-25 08:41:11 +00:00
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12
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2010-03-22 04:34:52 +00:00
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Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement (see page 11)
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2010-12-25 08:41:11 +00:00
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13
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2010-03-22 04:34:52 +00:00
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Business income or (loss). Attach Schedule C or C-EZ (Form 1040)
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2010-12-25 08:41:11 +00:00
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14
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2010-03-22 04:34:52 +00:00
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Capital gain or (loss). Attach Schedule D (Form 1040) if required. If not required, check here
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2010-12-25 08:41:11 +00:00
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15
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2010-03-22 04:34:52 +00:00
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Other gains or (losses). Attach Form 4797
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16a
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2010-12-25 08:41:11 +00:00
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16b
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16a
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2010-03-22 04:34:52 +00:00
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Taxable amount (see page 12)
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IRA distributions
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17a
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2010-12-25 08:41:11 +00:00
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17b
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17a
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2010-03-22 04:34:52 +00:00
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Taxable amount (see page 13)
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Pensions and annuities
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2010-12-25 08:41:11 +00:00
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18
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2010-03-22 04:34:52 +00:00
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Rental real estate, royalties, partnerships, trusts, etc. Attach Schedule E (Form 1040)
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2010-12-25 08:41:11 +00:00
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19
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2010-03-22 04:34:52 +00:00
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Farm income or (loss). Attach Schedule F (Form 1040)
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2010-12-25 08:41:11 +00:00
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20
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2010-03-22 04:34:52 +00:00
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Unemployment compensation
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2010-12-25 08:41:11 +00:00
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21
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2010-03-22 04:34:52 +00:00
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Other income. List type and amount (see page 15)
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2010-12-25 08:41:11 +00:00
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22
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22
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2010-03-22 04:34:52 +00:00
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Total income exempt by a treaty from page 5, Item M
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2010-12-25 08:41:11 +00:00
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23
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Add lines 8, 9a, 10a, 11–15, 16b, and 17b–21. This is your total effectively connected income 䊳
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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24
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24
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2010-03-22 04:34:52 +00:00
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Educator expenses (see page 15)
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2010-12-25 08:41:11 +00:00
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25
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25
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2010-03-22 04:34:52 +00:00
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Health savings account deduction. Attach Form 8889
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2010-12-25 08:41:11 +00:00
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26
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26
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2010-03-22 04:34:52 +00:00
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Moving expenses. Attach Form 3903
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2010-12-25 08:41:11 +00:00
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27
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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27
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2010-03-22 04:34:52 +00:00
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Self-employed SEP, SIMPLE, and qualified plans
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2010-12-25 08:41:11 +00:00
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28
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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28
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2010-03-22 04:34:52 +00:00
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Self-employed health insurance deduction (see page 16)
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2010-12-25 08:41:11 +00:00
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29
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29
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2010-03-22 04:34:52 +00:00
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Penalty on early withdrawal of savings
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2010-12-25 08:41:11 +00:00
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30
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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30
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2010-03-22 04:34:52 +00:00
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Scholarship and fellowship grants excluded
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2010-12-25 08:41:11 +00:00
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31
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2010-03-22 04:34:52 +00:00
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IRA deduction (see page 16)
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2010-12-25 08:41:11 +00:00
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31
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32
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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32
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2010-03-22 04:34:52 +00:00
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Student loan interest deduction (see page 16)
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2010-12-25 08:41:11 +00:00
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33
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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33
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2010-03-22 04:34:52 +00:00
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Domestic production activities deduction. Attach Form 8903
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2010-12-25 08:41:11 +00:00
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34
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2010-03-22 04:34:52 +00:00
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Add lines 24 through 33
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2010-12-25 08:41:11 +00:00
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Subtract line 34 from line 23. Enter here and on line 36. This is your adjusted gross income 䊳
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2011-02-27 10:48:22 +00:00
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35
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2010-12-25 08:41:11 +00:00
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2010-03-22 04:34:52 +00:00
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For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 32.
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Cat. No. 11364D
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2010-12-25 08:41:11 +00:00
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Income Effectively Connected With U.S. Trade/Business
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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Enclose, but do not attach, any payment.
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2010-03-22 04:34:52 +00:00
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2010-12-25 08:41:11 +00:00
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8
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9a
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b
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10a
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b
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Adjusted Gross Income
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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2010-03-22 04:34:52 +00:00
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2011-02-27 10:48:22 +00:00
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2011-05-14 16:22:51 +00:00
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d
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2010-03-22 04:34:52 +00:00
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2010-10-17 05:15:28 +00:00
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