Form 1040nr Foreign National Questionnaire Page 2

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Exhibit 1: Form 1040NR foreign national questionnaire— Continued
10.
Please indicate the purpose of your assignment in
the U.S.
Training
Intercompany Transfer
Other
11.
Did your children accompany you to the U.S.?
Yes / No
Yes / No
If “yes,” for what period of time?
12.
Were you a permanent resident (green card
holder) or citizen of the U.S. during the tax year?
Yes / No
Yes / No
If so, when did you become a permanent resident
or citizen?
13.
Were you ever a U.S. citizen in prior years?
Yes / No
Yes / No
14.
Have you taken any steps or do you have an
application pending for a change of status to that
of a U.S. permanent resident (a green card
holder)?
15.
Did you give up your U.S. lawful permanent
residence status (i.e., green card) this year or in
Yes / No
Yes / No
any other year? If yes, please provide Form
I-407.
If yes, please provide the date on which status
was relinquished.
TAX RETURN FILINGS
Where do you file foreign tax returns?
16.
Please provide contact information for non-U.S.
17.
adviser.
18.
Did you file a U.S. tax return for any year prior
to 2007?
Yes / No
Yes / No
If “yes,” please indicate the following:
1040 1040NR 1040A
Circle type of return
.
1040 1040NR 1040A
Other____________
Other____________
Please provide copies of prior returns.
Continued on next page

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