Closer Connection Exception Statement For Aliens
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48840
Closer Connection Exception Statement for Aliens
OMB No. 1545-0074
Form
2008
Attach to Form 1040NR or Form 1040NR-EZ.
For the year January 1—December 31, 2008, or other tax year
Attachment
Department of the Treasury
101
beginning
, 2008, and ending
, 20
.
Internal Revenue Service
Sequence No.
Your first name and initial
Last name
Your U.S. taxpayer identification number, if any
Address in country of residence
Address in the United States
Fill in your
addresses only if
you are filing this
form by itself and
not with your U.S.
tax return
Part I
General Information
1
Type of U.S. visa (for example, F, J, M, etc.) and date you entered the United States
2
Of what country or countries were you a citizen during the tax year?
3
What country or countries issued you a passport?
Enter your passport number(s)
4
5
Enter the number of days you were present in the United States during:
2008
2007
2006
.
6
During 2008, did you apply for, or take other affirmative steps to apply for, lawful permanent resident
status in the United States or have an application pending to change your status to that of a lawful
permanent resident of the United States (see instructions)?
Yes
No
Closer Connection to One Foreign Country
Part II
7
Where was your tax home during 2008?
Enter the name of the foreign country to which you had a closer connection than to the United States during 2008
8
Next, complete Part IV on the back.
Closer Connection to Two Foreign Countries
Part III
Where was your tax home on January 1, 2008?
9
10
After changing your tax home from its location on January 1, 2008, where was your tax home for the remainder of 2008?
11
Did you have a closer connection to each foreign country listed on lines 9 and 10 than to the United
States for the period during which you maintained a tax home in that foreign country?
Yes
No
If “No,” attach an explanation.
12
Were you subject to tax as a resident under the internal laws of (a) either of the countries listed on lines
9 and 10 during all of 2008 or (b) both of the countries listed on lines 9 and 10 for the period during
which you maintained a tax home in each country?
Yes
No
13
Have you filed or will you file tax returns for 2008 in the countries listed on lines 9 and 10?
Yes
No
If “Yes” to either line 12 or line 13, attach verification.
If “No” to either line 12 or line 13, please explain
Next, complete Part IV on the back.
8840
For Paperwork Reduction Act Notice, see page 4.
Cat. No. 15829P
Form
(2008)
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