Taxable refunds, credits, or offsets of state and local income taxes (see page 11)
1 2
Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement (see page 11)
1 3
Business income or (loss). Attach Schedule C or C-EZ (Form 1040)
1 4
Capital gain or (loss). Attach Schedule D (Form 1040) if required. If not required, check here
1 5
Other gains or (losses). Attach Form 4797
16a
1 6b
16a
Taxable amount (see page 12)
IRA distributions
17a
1 7b
17a
Taxable amount (see page 13)
Pensions and annuities
1 8
Rental real estate, royalties, partnerships, trusts, etc. Attach Schedule E (Form 1040)
1 9
Farm income or (loss). Attach Schedule F (Form 1040)
2 0
Unemployment compensation
2 1
Other income. List type and amount (see page 15)
2 2
2 2
Total income exempt by a treaty from page 5, Item M
2 3
Add lines 8, 9a, 10a, 11–15, 16b, and 17b–21. This is your total effectively connected income '
2 4
2 4
Educator expenses (see page 15)
2 5
2 5
Health savings account deduction. Attach Form 8889
2 6
2 6
Moving expenses. Attach Form 3903
2 7
2 7
Self-employed SEP, SIMPLE, and qualified plans
2 8
2 8
Self-employed health insurance deduction (see page 16)
2 9
2 9
Penalty on early withdrawal of savings
3 0
3 0
Scholarship and fellowship grants excluded
3 1
IRA deduction (see page 16)
3 1
3 2
3 2
Student loan interest deduction (see page 16)
3 3
3 3
Domestic production activities deduction. Attach Form 8903
3 4
Add lines 24 through 33
3 5
Subtract line 34 from line 23. Enter here and on line 36. This is your adjusted gross income '
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 32.
Cat. No. 11364D
1 0a
1 1
1 2
1 3
1 4
1 5
1 6b
1 7b
1 8
1 9
2 0
2 1
2 3
3 4
3 5
Form 1040NR (2007)
Please print or type. Attach Forms W-2 here.Also attach Form(s) 1099-R if tax was withheld. Income Effectively Connected With U.S. Trade/Business Enclose, but do not attach, any payment. Adjusted Gross Income