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Form 8689 Allocation of Individual Income Tax
to the U.S. Virgin Islands
OMB No. 1545-0074
2014
Department or the Treasury ► Attach to Form 1040. Attachment
Internal Revenue Service Ir. Information about Form 8689 and Its Instructions Is at www.irs.gov/form8689. Sequence No. 85
Name(s) shown on Form 1040 Your social security number
Part I Income From the U.S. Virgin Islands (USW)
1 Wages, salaries, tips, etc. 1
2 Taxable interest 2
3 Ordinary dividends 3
4 Taxable refunds, credits, or offsets of local USVI income taxes 4
5 Alimony received 5
6 Business income or (loss) 6
7 Capital gain or (loss) 7
8 Other gains or (losses) 8
9 IRA distributions (taxable amount) 9
10 Pensions and annuities (taxable amount) 10
11 Rental real estate, royalties, partnerships, S corporations, trusts, etc 11
12 Farm income or (loss) 12
13 Unemployment compensation 13
14 Social security benefits (taxable amount) 14
15 Other income. List type and amount la. 15
16 Add lines 1 through 15. This is your total USVI income ► 16
Adjusted Gross Income From the USVI
17 Educator expenses 17
18 Certain business expenses of reservists, performing artists, and
fee-basis government officials 18
19 Health savings account deduction 19
20 Moving expenses 20
21 Deductible part of self-employment tax 21
22 Self-employed SEP, SIMPLE, and qualified plans 22
23 Self-employed health insurance deduction 23
24 Penalty on early withdrawal of savings 24
25 IRA deduction 25
26 Student loan interest deduction 26
27 Tuition and fees deduction 27
28 Add lines 17 through 27 28 I
29 Subtract line 28 from line 16. This is your USVI adjusted gross income P. 29
Lial111_ Allocation of Tax to the USVI
30 Enter amount from Form 1040, line 63 30
31 Enter the total of the amounts from Form 1040, lines 57, 58, 60a, 66a, 67, 68, and 73 (box d).
Include any uncollected social security and Medicare or tier 1 RRTA tax, tax on excess golden
parachute payments, or excise tax on insider stock compensation reported on line 62. Also
include any amount from Form 5329, Parts III, IV, V, VI, VII, or VIII reported on Form 1040, line 59 31
32 Subtract line 31 from line 30 32
33 Enter amount from Form 1040, line 38 I 33 I
34 Divide line 29 above by ine 33. Enter the result as a decimal (rounded to at least 3 places). Do not enter more than 1.000 34 x
35 Multiply line 32 by line 34. This is your tax allocated to the USVI 35
Part IV Payments of Income Tax to the USVI
38 Income tax withheld by the USVI 36
37 2014 estimated tax payments and amount applied from 2013 return 37
38 Amount paid with Form 4868 (extension request) 38
39 Add lines 36 through 38. These are your total payments to the USVI 39
40 Enter the smaller of line 35 or line 39. Include this amount in the total on Form 1040, line 74. On
the dotted line next to line 74, enter "Form 8689" and show this amount 40
41 Overpayment to the USVI. If line 39 is more than line 35, subtract line 35 from line 39 41
42 Amount of line 41 you want refunded to you P 42
43 Amount of line 41 you want applied to your 2015 estimated tax . . 143 I
44 Amount you owe to the USVI. If line 39 is less than line 35, subtract line 39 from line 35 . . . . 44
45 Enter the amount from line 44 that you will pay when you file your income tax return. Include this amount in
the total of Form 1040, line 74. On the dotted line next to Is 74. enter 'Form 8689" and show this amount 45
For Paperwork Reduction Act Notice, see Form 1040 instructions. Form 8689 (mu)
EFTA01220935
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