EFTA00788399.pdf

Print Form 1040INFO Non-Virgin Islands Source Income of Virgin Islands Residents 2017 Calendar year 2017, or other tax year beginning , 20_, ending 10 Your first name and initial Last Name Your social security number If a joint return spouse's first name and initial Last Name Spouse's social security number Mailing Address City, town, state, and ZIP code PART I . ❑ 100% U.S. Income. Check this box if 100 percent of your income shown on the attached Form 1040, Form 1040A or Form 1040EZ is from United States sources and go to Part IV. It is not necessary to complete Parts H and III. If less than 100 percent of your income is from United States sources, complete Part II. PART II. Report Non-Virgin Islands source income only. Income 7. Wages, salaries, tips, etc. 8a. Taxable interest income 8a. b. Tax-exempt interest 8b. 9. Ordinary Dividends 9a. Qualified Dividends 9b. 10. Taxable refunds, credits, or offsets of state and local taxes 10. II. Alimony received I I. 12. Business income or (loss) 12. 13. Capital gain or (loss) 13. 14. Other gains (or losses) 14. I5a. Total IRS distributions 15a. b. Taxable Amount 15b. 16a. Total pensions and annuities 16a. b. Taxable Amount I 6b. 17. Rental real estate, royalties, partnerships, S. Corporations, trusts, etc. 17. 18. Farm income or (loss) 18. 19. Unemployment compensation 19. 20a. Social Security Benefits 20a. b. Taxable Amount 20b. 21. Other income. List type and amount. 21. 22. Add the amounts shown in the far right column for lines 7 through 21. 22. EFTA00788399  Form 1040INFO Page 2 Source of Income Part III. If you received Non-Virgin Islands source income from sources other than the United States, it should be included in the amounts reported under Part II. If you included such income under Part II, please specify the foreign country(ies), type of income, and amounts below. Country Type of Income Amount Payments Part IV. If you made payments of estimated tax to the Internal Revenue Service (IRS), please specify the dates and amounts of such payments and the IRS office or other depository to which they were made. Date Amount Where Made Instructions 1. Why is Form 1040INFO required? The Tax Reform Act of 1986 added section 932 to the Internal Revenue Code, which requires individual residents of the Virgin Islands who derive gross receipts from sources outside the Virgin Islands to identify such income when filing their income tax returns with the Virgin Islands Bureau of Internal Revenue (the Bureau). 2. Who must file Form 1040INFO? All individuals who are bona fide residents of the Virgin Islands at the close of their taxable year, generally December 31, and who receive gross income from sources outside of the Virgin Islands must file Form 1040INFO. 3. What is done with Form 1040INFO after it is completed? Form 1040INFO must be attached to Form 1040, 1040A, or 1040EZ. The completed Form 1040, 1040A, or 1040EZ is then filed with the Bureau. 4. Where and when must Form 1040 be filed? Forms 1040, 1040A, and 1040EZ, with Form 1040INFO attached, are filed with the Bureau at 6115 Estate Smith Bay, Suite 225, St. Thomas, Virgin Islands, 00802 or Leroy A. Quinn Government Finance Center, 4008 Estate Diamond Plot 7-B, Christiansted, St. Croix, Virgin Islands, 00820. Forms 1040, 1040A, and 1040EZ for calendar year 2017 are due on or before April 17, 2018. Penalties will apply if Form 1040INFO is required and a taxpayer fails to file it. Virgin Islands Bureau of Internal Revenue Form 1040INFO EFTA00788400