Form 8840 - Closer Connection Exception Statement For Aliens - 2013
Download a blank fillable Form 8840 - Closer Connection Exception Statement For Aliens - 2013 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 8840 - Closer Connection Exception Statement For Aliens - 2013 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
48840
Closer Connection Exception Statement for Aliens
OMB No. 1545-0074
Form
2013
Attach to Form 1040NR or Form 1040NR-EZ.
▶
Information about Form 8840 and its instructions is at
▶
For the year January 1—December 31, 2013, or other tax year
Attachment
Department of the Treasury
101
beginning
, 2013, and ending
, 20
.
Sequence No.
Internal Revenue Service
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:
2013
2012
2011
.
6
During 2013, 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
Part II
Closer Connection to One Foreign Country
7
Where was your tax home during 2013?
8
Enter the name of the foreign country to which you had a closer connection than to the United States during 2013
▶
Next, complete Part IV on the back.
Part III
Closer Connection to Two Foreign Countries
9
Where was your tax home on January 1, 2013?
10
After changing your tax home from its location on January 1, 2013, where was your tax home for the remainder of 2013?
Did you have a closer connection to each foreign country listed on lines 9 and 10 than to the United States
11
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 2013 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
Yes
No
Have you filed or will you file tax returns for 2013 in the countries listed on lines 9 and 10? .
.
.
.
.
.
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.
Form
(2013)
Cat. No. 15829P
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial