Form 14077 - Internal Revenue Service (Irs) Survey Of Individuals Living Abroad Form

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Internal Revenue Service (IRS)
Survey of Individuals Living Abroad
The IRS is committed to improving services to individuals living abroad, including those in United States (U.S.) territo-
ries. You can help this important effort by providing your feedback below, regardless of whether or not you have filed a
U.S. federal income tax return while living abroad. This voluntary survey should take less than 10 minutes to complete.
Our survey partner, ICF International, will not provide any identifying information to the IRS and will keep your identity
confidential to the extent permitted by law. Questions asked in this survey are for research purposes only, and your re-
sponses will not be linked to your name, address, taxpayer identification number, or social security number. If you have
any questions about this survey, please contact the ICF Survey Help Desk at
or 001-301-407-6914
Please fill in the answer bubbles completely to select your answer.
This kind of mark will work:
These kinds of marks will NOT work:
Correct Mark
Incorrect Marks
O
O
O
O
O
O
O
O
O
O
Section 1: About You
1A.
How long has it been since you last lived in one of the 50 United States or the District of Columbia (D.C.)?
Less than a year
O
1-2 years
O
3-5 years
O
6-9 years
O
10 years or more
O
I have never lived in one of the 50 United States of D.C. (please skip to Question 1D)
O
If you have lived in one of the 50 States or D.C. at some point, please answer Questions 1B-1C.
1B. What led you to move abroad to a U.S. territory or another country? (please select all that apply)
Job career opportunity
O
Educational opportunity
O
Family/marriage
O
Retirement
O
Political reasons
O
Financial reasons
O
Other (please specify): –––––––––––––––––––––––––––––––––––––––––––––––
O
1C. When, if ever, do you expect to move back to one of the 50 States or D.C.?
Within the next 12 months
O
More than a year from now, but within 5 years
O
More than 5 years from now
O
I do not expect to move back to the U.S.
O
I have already moved back to the U.S.
O
Not sure
O
1D.
Not including the U.S., how many countries have you lived in?
One
O
Two
O
Three
O
More than three
O
I have lived only in the U.S.
O
14077
1
Form
(Rev. 2-2014) Catalog Number 5329IN
Department of the Treasury - Internal Revenue Service

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