Form 2555-Ez - Foreign Earned Income Exclusion - 2014
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22555-EZ
Foreign Earned Income Exclusion
OMB No. 1545-0074
Form
2014
Attach to Form 1040.
▶
Department of the Treasury
Attachment
34A
Information about Form 2555-EZ and its separate instructions is at
(99)
Sequence No.
Internal Revenue Service
▶
Your social security number
Name shown on Form 1040
• Are a U.S. citizen or a resident alien.
• Do not have self-employment income.
You May Use
• Earned wages/salaries in a foreign country.
• Do not have business/moving expenses.
This Form
And You:
• Had total foreign earned income
• Do not claim the foreign housing
If You:
of $99,200 or less. See line 17.
exclusion or deduction.
• Are filing a calendar year return that covers
a 12-month period.
Tests To See If You Can Take the Foreign Earned Income Exclusion
Part I
1
Bona Fide Residence Test
a Were you a bona fide resident of a foreign country or countries for a period that includes an entire tax year
(see instructions)? .
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Yes
No
• If you answered “Yes,” you meet this test. Fill in line 1b and then go to line 3.
• If you answered “No,” you do not meet this test. Go to line 2 to see if you meet the Physical Presence Test.
b Enter the date your bona fide residence began
, and ended (see instructions)
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2
Physical Presence Test
a Were you physically present in a foreign country or countries for at least 330 full days during—
{
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Yes
No
2014 or
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any other period of 12 months in a row starting or ending in 2014?
• If you answered “Yes,” you meet this test. Fill in line 2b and then go to line 3.
• If you answered “No,” you do not meet this test. You cannot take the exclusion unless you meet the
Bona Fide Residence Test above.
b The physical presence test is based on the 12-month period from
through
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3
Tax Home Test. Was your tax home in a foreign country or countries throughout your period of bona fide
Yes
No
residence or physical presence, whichever applies? .
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• If you answered “Yes,” you can take the exclusion. Complete Part II below and then go to page 2.
• If you answered “No,” you cannot take the exclusion. Do not file this form.
General Information
Part II
4 Your foreign address (including country)
5 Your occupation
6 Employer’s name
7 Employer’s U.S. address (including ZIP code) 8 Employer’s foreign address
Employer is (check any that apply):
9
a A U.S. business .
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b A foreign business .
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c Other (specify)
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10 a If you previously filed Form 2555 or 2555-EZ, enter the last year you filed the form.
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b If you did not previously file Form 2555 or 2555-EZ, check here
and go to line 11a.
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Yes
No
c Have you ever revoked the foreign earned income exclusion?
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d If you answered “Yes,” enter the tax year for which the revocation was effective.
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11a List your tax home(s) during 2014 and date(s) established.
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b Of what country are you a citizen/national?
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2555-EZ
For Paperwork Reduction Act Notice, see the Form 1040 instructions.
Form
(2014)
Cat. No. 13272W
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