Form 1040nr Foreign National Questionnaire Page 3
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4Exhibit 1: Form 1040NR foreign national questionnaire— Continued
For tax year:
Date tax form was filed:
19.
Have you utilized a tax treaty in prior filings?
Yes / No
Yes / No
20.
Have you ever made a Sec. 6013(g) or 6013(h)
election? Please explain.
21.
To which IRS office, if any, have you paid
estimated taxes or other income tax payments for
2007?
TRAVEL
What was the date you first entered the U.S.?
22.
How long will you be in the U.S.?
23.
Exact dates of arrivals and departures from the
24.
U.S. during the calendar year:
PLEASE COMPLETE ATTACHED ALLOCATION OF DAYS SCHEDULE
Number of days (including vacation and
25.
nonwork days) of presence in the U.S. during:
1st preceding calendar year
2nd preceding calendar year
26.
Please provide the number of business days:
a. How many days did you work in the U.S.
before your U.S. assignment began?
b. How many foreign work days did you have
before your U.S. assignment began?
GIFTS
27.
In 2007, did you receive any amount in gifts or
bequests from non-U.S. sources (e.g., from non-
Yes / No
Yes / No
U.S. individuals, trusts, corporations)?
28.
In 2007, did you transfer more than $125,000 in
cash or property valued at more than $125,000 to
a spouse who is not a U.S. citizen? Note: Please
Yes / No
Yes / No
consider transfers under community property
laws when answering this question.
29.
Did you give or receive any other gifts in 2007?
Yes / No
Yes / No
If yes, please explain.
Continued on next page
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