Form 2555-Ez -Foreign Earned Income Exclusion - 2017
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1
2Foreign Earned Income Exclusion
2555-EZ
OMB No. 1545-0074
Form
2017
Attach to Form 1040. Complete the Foreign Earned Income Tax Worksheet in the
▶
Instructions for Form 1040 if you enter an amount on line 18.
Department of the Treasury
Attachment
34A
Go to for instructions and the latest information.
(99)
Sequence No.
Internal Revenue Service
▶
Your social security number
Name shown on Form 1040
• Are a U.S. citizen or a resident alien.
• Don't have self-employment income.
You May Use
• Earned wages/salaries in a foreign country.
• Don't have business/moving expenses.
This Form
And You:
• Had total foreign earned income
• Don't claim the foreign housing
If You:
of $102,100 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 don't 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
2017 or
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any other period of 12 months in a row starting or ending in 2017?
• If you answered “Yes,” you meet this test. Fill in line 2b and then go to line 3.
• If you answered “No,” you don't meet this test. You can't 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 can't take the exclusion. Don't 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 didn't 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 2017 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
(2017)
Cat. No. 13272W
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