Identifying number (see page 8)

ndividual

Estate or Trust
Type of entry visa (see page 8)

resent home address (number, street, and apt. no., or rural route). If you have a P.O. box, see page 8.

City, town or post office, state, and ZIP code. If you have a foreign address, see page 8.

Country 䊳
Give address outside the United States to which you want any
refund check mailed. If same as above, write “Same.”

Of what country were you a citizen or national during the tax year? 䊳

Give address in the country where you are a permanent resident.
If same as above, write “Same.”

U.S. Nonresident Alien Income Tax Return

For the year January 1–December 31, 2007, or other tax year

Form
Department of the Treasury
Internal Revenue Service

Your first name and initial

Please print or type.

Also attach Form(s) 1099-R if tax was withheld.

Attach Forms W-2 here.

No. of boxes checked
on 7a and 7b

No. of children on
7c who:

● lived with you
● did not live with
you due to divorce
or separation

Dependents on 7c
not entered above

11
12
13
14
15
16b
17b
18
19
20
21

If you check box 7b, enter your spouse’s
identifying number 䊳

(4)
if qualifying
child for child tax
credit (see page 9)

Filing status. Check only one box (1–6 below).

1

2

3

4

5

6

Caution: Do not check box 7a if your parent (or someone else) can claim you as a dependent.
Do not check box 7b if your spouse had any U.S. gross income.
7c

Single resident of Canada or Mexico, or a single U.S. national
Other single nonresident alien
Married resident of Canada or Mexico, or a married U.S. national

Married resident of the Republic of Korea (South Korea)

Other married nonresident alien

Qualifying widow(er) with dependent child (see page 9)

Dependents: (see page 9)

Filing Status and Exemptions for Individuals (see page 8)

(2) Dependent’s
identifying number

.
.
.

.
.
.

.
.
.

.
.
.

Total number of exemptions claimed

Wages, salaries, tips, etc. Attach Form(s) W-2

Taxable interest
Tax-exempt interest. Do not include on line 9a
Ordinary dividends

Qualified dividends (see page 11)
Taxable refunds, credits, or offsets of state and local income taxes (see page 11)

Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement (see page 11)

Business income or (loss). Attach Schedule C or C-EZ (Form 1040)

Capital gain or (loss). Attach Schedule D (Form 1040) if required. If not required, check here

Other gains or (losses). Attach Form 4797
IRA distributions

Pensions and annuities
Rental real estate, royalties, partnerships, trusts, etc. Attach Schedule E (Form 1040)
Farm income or (loss). Attach Schedule F (Form 1040)

Unemployment compensation
Other income. List type and amount (see page 15)
Total income exempt by a treaty from page 5, Item M
Add lines 8, 9a, 10a, 11–15, 16b, and 17b–21. This is your total effectively connected income 䊳

Educator expenses (see page 15)
Health savings account deduction. Attach Form 8889
Moving expenses. Attach Form 3903
Self-employed SEP, SIMPLE, and qualified plans

Self-employed health insurance deduction (see page 16)
Penalty on early withdrawal of savings

Scholarship and fellowship grants excluded

IRA deduction (see page 16)

Student loan interest deduction (see page 16)

Domestic production activities deduction. Attach Form 8903

Add lines 24 through 33
Subtract line 34 from line 23. Enter here and on line 36. This is your adjusted gross income 䊳

24
25
26
27
28
29
30
31
32
33

Taxable amount (see page 12)

Taxable amount (see page 13)

11
12
13
14
15
16a
17a
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

Income Effectively Connected With U.S. Trade/Business

Adjusted Gross Income

Enclose, but do not attach, any payment.

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 32.