Form 8898 - Statement For Individuals Who Begin Or End Bona Fide Residence In A U.s. Possession Page 2

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2
Form 8898 (Rev. 1-2007)
Page
Closer Connection to the United States, Foreign Country, or Possession (Continued)
Part III
18
Where was the bank(s) with which you conducted your routine personal banking activities during the tax year located?
a
c
b
d
19
Did you conduct business activities in a location other than your tax home?
Yes
No
If “Yes,” where?
20a
Where was your driver’s license issued?
b
If you hold a second driver’s license, where was it issued?
21
Were you registered to vote during the tax year?
Yes
No
If “Yes,” where?
22
Did you claim a homestead exemption for the tax year (see instructions)?
Yes
No
If “Yes,” where?
23
When completing official documents, forms, etc., what address did you list as your residence?
Note. If you used more than one address, specify the type of documents, forms, etc., and the addresses used.
a
Address
b
Address
c
Address
d
Address
e
Address
24
Where (for example, in the United States, possession, other country) did you keep your personal, financial, and legal documents?
25
Where (for example, from the United States, possession, other country) did you derive the majority of your income for the tax year?
26
Did you have any income from U.S. sources for the tax year (see instructions)?
Yes
No
If “Yes,” what type(s)?
27
Did you have any income from possession sources for the tax year (see instructions)?
Yes
No
If “Yes,” what type(s)?
28
Where (for example, in the United States, possession, other country) were your investments located (see instructions)?
Source of Income
Part IV
During the tax year, did you have an office in the possession from which you conducted a trade or business?
Yes
No
29
If “Yes,” provide the address of that office and a short description of your trade or business:
30
During the tax year, did you receive compensation for personal services?
Yes
No
If “Yes,” where did you perform these services?
31
During the tax year, did you manufacture an article in the possession for sale to customers?
Yes
No
Yes
No
Did you sell or exchange appreciated property during the tax year after becoming a resident of the possession?
32
If “Yes,” provide a short description of the property and the amount of the gain (see instructions).
33
If you conducted a trade or business in the possession during the tax year, did that business consist of:
a
Receiving rents or royalties for the use of intangible property?
Yes
No
b
Receiving dividends or interest in connection with a banking, financing, or similar business?
Yes
No
c
The sale or exchange (outside the possession) of personal property consisting of stock in trade or inventory?
Yes
No
Note. If you have any other information to substantiate your closer connection to the United States or the possession, or you wish to explain in
more detail any of your responses, attach a statement to this form.
Sign
Under penalties of perjury, I declare that I have examined this form and the accompanying attachments and to the best of my knowledge and
belief, they are true, correct, and complete.
Here
Keep a copy for
your records.
Your signature
Date
8898
Form
(Rev. 1-2007)

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