EFTA01222642.pdf

f0. 2555 Foreign Earned Income ► Attach to Form 1040. Complete the Foreign Earned Income Tax Worksheet in OMB No. 15,15-0074 2017 Department of the Treasury the Instructions for Form 1040 if you enter an amount on lines 45 or 50. Attachment Internal Revenue Service ► Go to wwwirs.gov/Form2555 for Instructions and the latest information. Sequence No. 34 For Use by U.S. Citizens and Resident Aliens Only Name shown on Form 1040 Your social security number Part I General Information 1 Your foreign address (including country) 2 Your occupation 3 Employer's name ► 4a Employer's U.S. address P b Employer's foreign address P 5 Employer is (check a 0 A foreign entity b 0 A U.S. company c 0 Self any that apply): d 0 A foreign affiliate of a U.S. company e 0 Other (specify) P. 8a If you previously filed Form 2555 or Form 2555-EZ, enter the last year you filed the form. ► b If you didn't previously file Form 2555 or 2555-EZ to claim either of the exclusions, check here and go to line 7. c Have you ever revoked either of the exclusions? 0 Yes 0 No d If you answered "Yes," enter the type of exclusion and the tax year for which the revocation was effective. P. 7 Of what country are you a citizen/national? ► 8a Did you maintain a separate foreign residence for your family because of adverse living conditions at your tax home? See Second foreign household in the instructions 0 Yes 0 No b If "Yes," enter city and country of the separate foreign residence. Also, enter the number of days during your tax year that you maintained a second household at that address. ► 9 List your tax home(s) during your tax year and date(s) established. ► Next, complete either Part II or Part Ill. If an item doesn't apply, enter "NA." If you don't give the information asked for, any exclusion or deduction you claim may be disallowed. Part II Taxpayers Qualifying Under Bona Fide Residence Test (see instructions) 10 Date bona fide residence began P. and ended P. 11 Kind of living quarters in foreign country ► a D Purchased house b D Rented house or apartment c 0 Rented room d D Quarters furnished by employer 12a Did any of your family live with you abroad during any part of the tax year? 0 Yes 0 No b If "Yes," who and for what period? ► 13a Have you submitted a statement to the authorities of the foreign country where you claim bona fide residence that you aren't a resident of that country? See instructions 0 Yes 0 No b Are you required to pay income tax to the country where you claim bona fide residence? See instructions 0 Yes 0 No If you answered "Yes" to 13a and "No" to 13b, you don't qualify as a bona fide resident Don't complete the rest of this part 14 If you were present in the United States or its possessions during the tax year, complete columns (a)—(d) below. Don't include the income from column in Part IV, but report it on Form 1040. as Date left (c) Number of (d)fncome earned in (a) Date os Date bah (c) Number of (d1 Income earned il W Date day on business s in U.S. ont Uaon .S. on 00rn business onnotion) days in U.S. on U.S. on bustess armed in U.S. U.S. anived in U.S. U.S. business (attach computation) 15a List any contractual terms or other conditions relating to the length of your employment abroad. P b Enter the type of visa under which you entered the foreign country. ► c Did your visa limit the length of your stay or employment in a foreign country? If "Yes," attach explanation 0 Yes 0 No d Did you maintain a home in the United States while living abroad? 0 Yes 0 No e If "Yes," enter address of your home, whether it was rented, the names of the occupants, and their relationship to you. P For Paperwork Reduction Act Notice. see the Form 1040 instructions. Form 2555 gol0 EFTA01222642 Form 2555 (2017) Page 2 Part III Taxpayers Qualifying Under Physical Presence Test (see instructions) 16 The physical presence test is based on the 12-month period from PD. through PD. 17 Enter your principal country of employment during your tax year. PD. 18 If you traveled abroad during the 12-month period entered on line 16, complete columns (a)-(0 below. Exclude travel between foreign countries that didn't involve travel on or over international waters, or in or over the United States, for 24 hours or more. If you have no travel to report during the period, enter "Physically present in a foreign country or countries for the entire 12- month period." Don't include the income from column (1) below in Part IV, but report it on Form 1040. (a) Name of coultry (d) Full days (e) Number of (I) Income earned in U.S. (b) Date arrived (c) Date left present in days in U.S. on business (attach Oncluding U.S.) oounby on business computation) Part IV All Taxpayers Note: Enter on lines 19 through 23 all income, including noncash income, you earned and actually or constructively received during your 2017 tax year for services you performed in a foreign country. If any of the foreign earned income received this tax year was earned in a prior tax year, or will be earned in a later tax year (such as a bonus), see the instructions. Don't include income from line 14, column (d), or line 18, column M. Report amounts in U.S. dollars. using the exchange rates in effect when you actually or constructively received the income. If you are a cash basis taxpayer, report on Form 1040 all income you received in 2017, no matter when you performed the service. Amount 2017 Foreign Earned Income (in U.S. dollars) 19 Total wages, salaries, bonuses, commissions, etc 19 20 Allowable share of income for personal services performed (see instructions): a In a business (including farming) or profession 20a b In a partnership. List partnership's name and address and type of income. ► 2013 21 Noncash income (market value of property or facilities furnished by employer—attach statement showing how it was determined): t. a Home (lodging) 21a b Meals 21b c Car 21c d Other property or facilities. Ust type and amount. Ile 21d 22 Allowances, reimbursements, or expenses paid on your behalf for services you performed: a Cost of living and overseas differential 22a b Family 22b c Education 22c d Home leave 22d e Quarters 22e f For any other purpose. List type and amount. ► I 22f g Add lines 22a through 22f 22g 23 Other foreign earned income. Ust type and amount. ► 23 24 Add lines 19 through 21d, line 22g, and line 23 24 25 Total amount of meals and lodging included on line 24 that is excludable (see instructions) . . 25 26 Subtract line 25 from line 24. Enter the result here and on line 27 on page 3. This is your 2017 foreign earned income ► 26 Form 2555 (2017) EFTA01222643 Fomi 2555 (2017) Page 3 Part V All Taxpayers 27 Enter the amount from line 26 27 Are you claiming the housing exclusion or housing deduction? ❑ Yes. Complete Part VI. ❑ No. Go to Part VII. Part VI Taxpayers Claiming the Housing Exclusion and/or Deduction 28 Qualified housing expenses for the tax year (see instructions) 28 29a Enter location where housing expenses incurred (see instructions)► b Enter limit on housing expenses (see instructions) 29b 30 Enter the smaller of line 28 or line 29b 30 31 Number of days in your qualifying period that fall within your 2017 tax year (see instructions) 131 J days F 32 Multiply $44.76 by the number of days on line 31. If 365 is entered on line 31, enter $16,336 here 32 33 Subtract line 32 from line 30. If the result is zero or less, don't complete the rest of this part or any of Part IX 33 34 Enter employer-provided amounts (see instructions) IJ 35 Divide line 34 by line 27. Enter the result as a decimal (rounded to at least three places), but don't enter more than "1.000" 36 36 Housing exclusion. Multiply line 33 by line 35. Enter the result but don't enter more than the amount on line 34. Also, complete Part VIII ► 36 Note: The housing deduction is figured in Part IX. If you choose to claim the foreign earned income exclusion, complete Parts VII and VIII before Part IX. Part VII Taxpayers Claiming the Foreign Earned Income Exclusion 37 Maximum foreign earned income exclusion 37 $102.100il 00 38 • If you completed Part VI, enter the number from line 31. 1r • All others, enter the number of days in your qualifying period that 1 138 I days fall within your 2017 tax year (see the instructions for line 31). 11 39 • If line 38 and the number of days in your 2017 tax year (usually 365) are the same, enter "1.000." • Otherwise, divide line 38 by the number of days in your 2017 tax year and enter the result as 39 a decimal (rounded to at least three places). 11 40 Multiply line 37 by line 39 40 41 Subtract line 36 from line 27 41 42 Foreign earned income exclusion. Enter the smaller of line 40 or line 41. Also, complete Part VIII► 42 Part VIII Taxpayers Claiming the Housing Exclusion, Foreign Earned Income Exclusion, or Both 43 Add lines 36 and 42 43 44 Deductions allowed in figuring your adjusted gross income (Form 1040, line 37) that are allocable to the excluded income. See instructions and attach computation 44 45 Subtract line 44 from line 43. Enter the result here and in parentheses on Form 1040, line 21. Next to the amount enter "Form 2555? On Form 1040, subtract this amount from your income to arrive at total income on Form 1040, line 22 45 Part IX Taxpayers Claiming the Housing Deduction—Complete this part only if (a) line 33 is more than line 36 and (b) line 27 is more than line 43. 46 Subtract line 36 from line 33 46 47 Subtract line 43 from line 27 47 48 Enter the smaller of line 46 or line 47 48 Note: If line 47 is more than line 48 and you couldn't deduct all of your 2016 housing deduction because of the 2016 limit, use the housing deduction carryover worksheet in the instructions to figure the amount to enter on line 49. Otherwise, go to line 50. 49 Housing deduction carryover from 2016 (from the housing deduction carryover worksheet in the instructions) 49 50 Housing deduction. Add lines 48 and 49. Enter the total here and on Form 1040 to the left of line 36. Next to the amount on Form 1040, enter "Form 2555." Add it to the total adjustments reported on that line ► 50 Form 2555 C2017) EFTA01222644