OMB No. 1545-0074
2007

, 20

Identifying number (see page 8)

ndividual

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

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

dd numbers entered
on lines above

8

9a

1040NR

Form
Department of the Treasury
beginning
Internal Revenue Service

Your first name and initial

U.S. Nonresident Alien Income Tax Return

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

, 2007, and ending
Last name

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

Please print or type.

Also attach Form(s) 1099-R if tax was withheld.
Attach Forms W-2 here.

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

(3) Dependent’s
relationship
to you

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

Filing Status and Exemptions for Individuals (see page 8)

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

1
Single resident of Canada or Mexico, or a single U.S. national

2
Other single nonresident alien

3
Married resident of Canada or Mexico, or a married U.S. national

4
Married resident of the Republic of Korea (South Korea)

5
Other married nonresident alien

6
Qualifying widow(er) with dependent child (see page 9)

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
Dependents: (see page 9)

(2) Dependent’s
identifying number

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

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
10b

Qualified dividends (see page 11)

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

12
Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement (see page 11)

13
Business income or (loss). Attach Schedule C or C-EZ (Form 1040)

14
Capital gain or (loss). Attach Schedule D (Form 1040) if required. If not required, check here

15
Other gains or (losses). Attach Form 4797
16a
16b
16a
Taxable amount (see page 12)
IRA distributions

17a

17b
17a
Taxable amount (see page 13)
Pensions and annuities

18
Rental real estate, royalties, partnerships, trusts, etc. Attach Schedule E (Form 1040)
19
Farm income or (loss). Attach Schedule F (Form 1040)

20
Unemployment compensation

21
Other income. List type and amount (see page 15)
22
22
Total income exempt by a treaty from page 5, Item M

23
Add lines 8, 9a, 10a, 11–15, 16b, and 17b–21. This is your total effectively connected income 䊳

24
24
Educator expenses (see page 15)
25
25
Health savings account deduction. Attach Form 8889
26
26
Moving expenses. Attach Form 3903
27

27
Self-employed SEP, SIMPLE, and qualified plans
28

28
Self-employed health insurance deduction (see page 16)
29
29
Penalty on early withdrawal of savings
30

30
Scholarship and fellowship grants excluded
31

IRA deduction (see page 16)
31
32

32
Student loan interest deduction (see page 16)
33

33
Domestic production activities deduction. Attach Form 8903

34
Add lines 24 through 33
35
Subtract line 34 from line 23. Enter here and on line 36. This is your adjusted gross income 䊳

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 32.
Cat. No. 11364D

Income Effectively Connected With U.S. Trade/Business

Enclose, but do not attach, any payment.

Adjusted Gross Income