Form 1040-C, U.S. Departing Alien Income Tax Return Instructions
This form contains 307 fields organized into 17 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Information | ||
| topmostSubform[0].Page1[0].f1_20[0 | Text |
Provide the required information for this field.
|
| topmostSubform[0].Page1[0].f1_21[0 | Text |
Provide the required information for this field.
|
| If "Yes," enter the expiration date | Text |
If you answered 'Yes' to the previous question, enter the expiration date here.
|
| d Other (specify) | Text |
Specify any other relevant information.
|
| Address | ||
| U.S. address (number, street, and apt. no. or rural route) | Text |
Enter your U.S. address, including number, street, and apartment number or rural route.
|
| City, state, and ZIP code | Text |
Enter the city, state, and ZIP code of your U.S. address.
|
| Checkboxes | ||
| topmostSubform[0].Page1[0].c1_1[0]_1 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page1[0].c1_2[0]_1 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page1[0].c1_3[0]_1 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page1[0].c1_4[0]_1 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page1[0].c1_4[1]_2 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page1[0].c1_5[0]_1 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page1[0].c1_5[1]_2 | CheckBox |
Check this box if applicable.
|
| Dependents Information | ||
| topmostSubform[0].Page2[0].Table_Dependents[0].Row1[0].f2_1[0 | Text |
Enter the first name of your dependent.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row1[0].f2_2[0 | Text |
Enter the Social Security Number (SSN) of your dependent. Maximum length is 9 digits.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row1[0].f2_3[0 | Text |
Enter the relationship of the dependent to you (e.g., son, daughter).
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row1[0].c2_1[0]_1 | CheckBox |
Check this box if the dependent is a U.S. citizen.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row1[0].c2_2[0]_1 | CheckBox |
Check this box if the dependent is a resident alien.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row2[0].f2_4[0 | Text |
Enter the first name of your second dependent.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row2[0].f2_5[0 | Text |
Enter the Social Security Number (SSN) of your second dependent. Maximum length is 9 digits.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row2[0].f2_6[0 | Text |
Enter the name of the dependent.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row2[0].c2_3[0]_1 | CheckBox |
Check this box if the dependent is a qualifying child for the child tax credit.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row2[0].c2_4[0]_1 | CheckBox |
Check this box if the dependent is a qualifying relative.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row3[0].f2_7[0 | Text |
Enter the dependent's relationship to you (e.g., son, daughter, parent).
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row3[0].f2_8[0 | Text |
Enter the dependent's Social Security Number (SSN). Maximum length is 9 digits.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row3[0].f2_9[0 | Text |
Enter the dependent's date of birth.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row3[0].c2_5[0]_1 | CheckBox |
Check this box if the dependent lived with you for more than half of the year.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row3[0].c2_6[0]_1 | CheckBox |
Check this box if the dependent did not live with you but is claimed under a multiple support agreement.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row4[0].f2_10[0 | Text |
Enter the dependent's name.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row4[0].f2_11[0 | Text |
Enter the dependent's Social Security Number (SSN). Maximum length is 9 digits.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row4[0].f2_12[0 | Text |
Enter the name of the dependent listed in row 4 of the dependents table.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row4[0].c2_7[0]_1 | CheckBox |
Check this box if the dependent listed in row 4 is a qualifying child for the child tax credit.
|
| topmostSubform[0].Page2[0].Table_Dependents[0].Row4[0].c2_8[0]_1 | CheckBox |
Check this box if the dependent listed in row 4 is a qualifying relative for the credit for other dependents.
|
| General Information | ||
| topmostSubform[0].Page2[0].c2_9[0]_1 | CheckBox |
Check this box if applicable.
|
| topmostSubform[0].Page2[0].f2_52[0 | Text |
Enter the required information for the specified field on Page 2 of the form.
|
| General Instructions | ||
| See instructions. 25 | Text |
Refer to the instructions for further details on how to complete this field.
|
| Income Details | ||
| topmostSubform[0].Page1[0].f1_38[0 | Text |
Enter your total income earned in the United States.
|
| 16 16 Total income (from page 3, Schedule A, line 4, column (d) or (e)) | Text |
Enter the total income amount from page 3, Schedule A, line 4, column (d) or (e).
|
| 17 17 Adjustments. See the instructions and attach appropriate form or statement | Text |
Enter any adjustments to income. Refer to the instructions and attach the appropriate form or statement.
|
| topmostSubform[0].Page2[0].f2_15[0 | Text |
Enter the total amount of adjustments to income.
|
| 19 19 Enter the amount from page 4, Schedule D, line 6 or 12, whichever applies | Text |
Enter the amount from page 4, Schedule D, line 6 or 12, whichever applies.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row1[0].f3_1[0 | Text |
Enter the income details for the first row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row1[0].f3_2[0 | Text |
Enter the income details for the first row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row1[0].f3_3[0 | Text |
Enter the income details for the first row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row1[0].f3_4[0 | Text |
Enter the income details for the first row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row1[0].f3_5[0 | Text |
Enter the income details for the first row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row1[0].f3_6[0 | Text |
Enter the income details for the first row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row2[0].f3_7[0 | Text |
Enter the income details for the second row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row2[0].f3_8[0 | Text |
Enter the income details for the second row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row2[0].f3_9[0 | Text |
Enter the income details for the second row of Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row2[0].f3_10[0 | Text |
Enter the specific income detail for the first item in Schedule A, Row 2.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row2[0].f3_11[0 | Text |
Enter the specific income detail for the second item in Schedule A, Row 2.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row2[0].f3_12[0 | Text |
Enter the specific income detail for the third item in Schedule A, Row 2.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row3[0].f3_13[0 | Text |
Enter the specific income detail for the first item in Schedule A, Row 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row3[0].f3_14[0 | Text |
Enter the specific income detail for the second item in Schedule A, Row 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row3[0].f3_15[0 | Text |
Enter the specific income detail for the third item in Schedule A, Row 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row3[0].f3_16[0 | Text |
Enter the specific income detail for the fourth item in Schedule A, Row 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row3[0].f3_17[0 | Text |
Enter the specific income detail for the fifth item in Schedule A, Row 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row3[0].f3_18[0 | Text |
Enter the specific income detail for the sixth item in Schedule A, Row 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row4[0].f3_19[0 | Text |
Enter the specific income detail for the first item in Schedule A, Row 4.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row4[0].f3_20[0 | Text |
Enter the specific income detail for Schedule A, Row 4, Column 1. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row4[0].f3_21[0 | Text |
Enter the specific income detail for Schedule A, Row 4, Column 2. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row4[0].f3_22[0 | Text |
Enter the specific income detail for Schedule A, Row 4, Column 3. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row4[0].f3_23[0 | Text |
Enter the specific income detail for Schedule A, Row 4, Column 4. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row4[0].f3_24[0 | Text |
Enter the specific income detail for Schedule A, Row 4, Column 5. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row5[0].f3_25[0 | Text |
Enter the specific income detail for Schedule A, Row 5, Column 1. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row5[0].f3_26[0 | Text |
Enter the specific income detail for Schedule A, Row 5, Column 2. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row5[0].f3_27[0 | Text |
Enter the specific income detail for Schedule A, Row 5, Column 3. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row5[0].f3_28[0 | Text |
Enter the specific income detail for Schedule A, Row 5, Column 4. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row5[0].f3_29[0 | Text |
Enter the specific income detail for Schedule A, Row 5, Column 5. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row5[0].f3_30[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 5.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row6[0].f3_31[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 6.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row6[0].f3_32[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 6.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row6[0].f3_33[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 6.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row6[0].f3_34[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 6.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row6[0].f3_35[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 6.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row6[0].f3_36[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 6.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row7[0].f3_37[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 7.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row7[0].f3_38[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 7.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row7[0].f3_39[0 | Text |
Enter the amount for the specific income or deduction item in Schedule A, Row 7.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row7[0].f3_40[0 | Text |
Enter the specific income detail for Schedule A, Row 7. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row7[0].f3_41[0 | Text |
Enter the specific income detail for Schedule A, Row 7. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row7[0].f3_42[0 | Text |
Enter the specific income detail for Schedule A, Row 7. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row8[0].f3_43[0 | Text |
Enter the specific income detail for Schedule A, Row 8. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row8[0].f3_44[0 | Text |
Enter the specific income detail for Schedule A, Row 8. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row8[0].f3_45[0 | Text |
Enter the specific income detail for Schedule A, Row 8. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row8[0].f3_46[0 | Text |
Enter the specific income detail for Schedule A, Row 8. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row8[0].f3_47[0 | Text |
Enter the specific income detail for Schedule A, Row 8. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row8[0].f3_48[0 | Text |
Enter the specific income detail for Schedule A, Row 8. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row9[0].f3_49[0 | Text |
Enter the specific income detail for Schedule A, Row 9. This could be a type of income or a specific amount related to your stay in the U.S.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row9[0].f3_50[0 | Text |
Enter the specific income detail for Schedule A, Row 9, Column 1. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row9[0].f3_51[0 | Text |
Enter the specific income detail for Schedule A, Row 9, Column 2. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row9[0].f3_52[0 | Text |
Enter the specific income detail for Schedule A, Row 9, Column 3. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row9[0].f3_53[0 | Text |
Enter the specific income detail for Schedule A, Row 9, Column 4. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row9[0].f3_54[0 | Text |
Enter the specific income detail for Schedule A, Row 9, Column 5. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row10[0].f3_55[0 | Text |
Enter the specific income detail for Schedule A, Row 10, Column 1. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row10[0].f3_56[0 | Text |
Enter the specific income detail for Schedule A, Row 10, Column 2. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row10[0].f3_57[0 | Text |
Enter the specific income detail for Schedule A, Row 10, Column 3. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row10[0].f3_58[0 | Text |
Enter the specific income detail for Schedule A, Row 10, Column 4. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row10[0].f3_59[0 | Text |
Enter the specific income detail for Schedule A, Row 10, Column 5. This is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row10[0].f3_60[0 | Text |
Enter the specific income detail for Schedule A, Row 10. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row11[0].f3_61[0 | Text |
Enter the specific income detail for Schedule A, Row 11. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row11[0].f3_62[0 | Text |
Enter the specific income detail for Schedule A, Row 11. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row11[0].f3_63[0 | Text |
Enter the specific income detail for Schedule A, Row 11. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row11[0].f3_64[0 | Text |
Enter the specific income detail for Schedule A, Row 11. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row11[0].f3_65[0 | Text |
Enter the specific income detail for Schedule A, Row 11. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row11[0].f3_66[0 | Text |
Enter the specific income detail for Schedule A, Row 11. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row12[0].f3_67[0 | Text |
Enter the specific income detail for Schedule A, Row 12. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row12[0].f3_68[0 | Text |
Enter the specific income detail for Schedule A, Row 12. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row12[0].f3_69[0 | Text |
Enter the specific income detail for Schedule A, Row 12. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row12[0].f3_70[0 | Text |
Enter the specific income detail for Schedule A, Row 12. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row12[0].f3_71[0 | Text |
Enter the specific income detail for Schedule A, Row 12. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row12[0].f3_72[0 | Text |
Enter the specific income detail for Schedule A, Row 12. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row13[0].f3_73[0 | Text |
Enter the specific income detail for Schedule A, Row 13. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row13[0].f3_74[0 | Text |
Enter the specific income detail for Schedule A, Row 13. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row13[0].f3_75[0 | Text |
Enter the specific income detail for Schedule A, Row 13. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row13[0].f3_76[0 | Text |
Enter the specific income detail for Schedule A, Row 13. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row13[0].f3_77[0 | Text |
Enter the specific income detail for Schedule A, Row 13. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row13[0].f3_78[0 | Text |
Enter the specific income detail for Schedule A, Row 13. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row14[0].f3_79[0 | Text |
Enter the specific income detail for Schedule A, Row 14. This could be a type of income or a specific amount.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row14[0].f3_80[0 | Text |
Enter the specific income detail for Schedule A, Row 14. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row14[0].f3_81[0 | Text |
Enter the specific income detail for Schedule A, Row 14. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row14[0].f3_82[0 | Text |
Enter the specific income detail for Schedule A, Row 14. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row14[0].f3_83[0 | Text |
Enter the specific income detail for Schedule A, Row 14. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row14[0].f3_84[0 | Text |
Enter the specific income detail for Schedule A, Row 14. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row15[0].f3_85[0 | Text |
Enter the specific income detail for Schedule A, Row 15. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row15[0].f3_86[0 | Text |
Enter the specific income detail for Schedule A, Row 15. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row15[0].f3_87[0 | Text |
Enter the specific income detail for Schedule A, Row 15. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row15[0].f3_88[0 | Text |
Enter the specific income detail for Schedule A, Row 15. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row15[0].f3_89[0 | Text |
Enter the specific income detail for Schedule A, Row 15. This field is part of the income details section.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row15[0].f3_90[0 | Text |
Enter the specific income detail for Row 15 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row16[0].f3_91[0 | Text |
Enter the specific income detail for Row 16 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row16[0].f3_92[0 | Text |
Enter the specific income detail for Row 16 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row16[0].f3_93[0 | Text |
Enter the specific income detail for Row 16 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row16[0].f3_94[0 | Text |
Enter the specific income detail for Row 16 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row16[0].f3_95[0 | Text |
Enter the specific income detail for Row 16 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row16[0].f3_96[0 | Text |
Enter the specific income detail for Row 16 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row17[0].f3_97[0 | Text |
Enter the specific income detail for Row 17 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row17[0].f3_98[0 | Text |
Enter the specific income detail for Row 17 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row17[0].f3_99[0 | Text |
Enter the specific income detail for Row 17 in Schedule A on Page 3.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row17[0].f3_100[0 | Text |
Enter the specific income detail for Schedule A, Row 17.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row17[0].f3_101[0 | Text |
Enter the specific income detail for Schedule A, Row 17.
|
| topmostSubform[0].Page3[0].Table_ScheduleA[0].Row17[0].f3_102[0 | Text |
Enter the specific income detail for Schedule A, Row 17.
|
| topmostSubform[0].Page3[0].f3_103[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_104[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_105[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_106[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_107[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_108[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_109[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_110[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_111[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_112[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].f3_113[0 | Text |
Enter the specific income detail required for this field. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].f3_114[0 | Text |
Enter the specific income detail required for this field. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].f3_116[0 | Text |
Enter the specific income detail required for this field. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].f3_117[0 | Text |
Enter the specific income detail required for this field. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].f3_118[0 | Text |
Enter the specific income detail required for this field. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].f3_119[0 | Text |
Enter the specific income detail required for this field. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row2[0].f3_124[0 | Text |
Enter the specific income detail for the second row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row2[0].f3_125[0 | Text |
Enter the specific income detail for the second row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row2[0].f3_126[0 | Text |
Enter the specific income detail for the second row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row2[0].f3_127[0 | Text |
Enter the specific income detail for the second row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row2[0].f3_128[0 | Text |
Enter the specific income detail for the second row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row2[0].f3_129[0 | Text |
Enter the specific income detail for the second row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row3[0].f3_130[0 | Text |
Enter the specific income detail for the third row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row3[0].f3_131[0 | Text |
Enter the specific income detail for the third row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row3[0].f3_132[0 | Text |
Enter the specific income detail for the third row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row3[0].f3_133[0 | Text |
Enter the specific income detail for the third row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row3[0].f3_134[0 | Text |
Enter the specific income detail for the third row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row3[0].f3_135[0 | Text |
Enter the specific income detail for the third row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row4[0].f3_136[0 | Text |
Enter the specific income detail for the fourth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row4[0].f3_137[0 | Text |
Enter the specific income detail for the fourth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row4[0].f3_138[0 | Text |
Enter the specific income detail for the fourth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row4[0].f3_139[0 | Text |
Enter the specific income detail for the fourth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row4[0].f3_140[0 | Text |
Enter the specific income detail for the fourth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row4[0].f3_141[0 | Text |
Enter the specific income detail for the fourth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row5[0].f3_142[0 | Text |
Enter the specific income detail for the fifth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row5[0].f3_143[0 | Text |
Enter the specific income detail for the fifth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row5[0].f3_144[0 | Text |
Enter the specific income detail for the fifth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row5[0].f3_145[0 | Text |
Enter the specific income detail for the fifth row of Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row5[0].f3_146[0 | Text |
Enter the specific income detail for Row 5 in Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row5[0].f3_147[0 | Text |
Enter the specific income detail for Row 5 in Schedule B on Page 3.
|
| topmostSubform[0].Page3[0].f3_148[0 | Text |
Enter the specific income detail for Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row3[0].f3_157[0 | Text |
Enter the specific income detail for the third row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row3[0].f3_158[0 | Text |
Enter the specific income detail for the third row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row3[0].f3_159[0 | Text |
Enter the specific income detail for the third row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row3[0].f3_160[0 | Text |
Enter the specific income detail for the third row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row4[0].f3_161[0 | Text |
Enter the specific income detail for the fourth row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row4[0].f3_162[0 | Text |
Enter the specific income detail for the fourth row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row4[0].f3_163[0 | Text |
Enter the specific income detail for the fourth row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row4[0].f3_164[0 | Text |
Enter the specific income detail for the fourth row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row5[0].f3_165[0 | Text |
Enter the specific income detail for the fifth row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row5[0].f3_166\.[0 | Text |
Enter the specific income detail for the fifth row of Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row5[0].f3_167[0 | Text |
Enter the amount for the specified line in Schedule C, Row 5.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row5[0].f3_168[0 | Text |
Enter the amount for the specified line in Schedule C, Row 5.
|
| 2 | Text |
Enter the amount for the specified line on Page 3.
|
| IRS Information | ||
| (Field Assistance Area Director) Internal Revenue Service | Text |
Enter the name of the Field Assistance Area Director of the Internal Revenue Service.
|
| topmostSubform[0].Page2[0].f2_50[0 | Text |
Enter any additional information required by the IRS.
|
| topmostSubform[0].Page2[0].f2_51[0 | Text |
Enter the 4-digit code related to the IRS information.
|
| Miscellaneous | ||
| topmostSubform[0].Page2[0].f2_26[0 | Text |
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
|
| topmostSubform[0].Page2[0].f2_27[0 | Text |
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
|
| (see inst.) | Text |
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
|
| topmostSubform[0].Page2[0].f2_34[0 | Text |
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
|
| topmostSubform[0].Page2[0].f2_37[0 | Text |
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
|
| Passport Information | ||
| Your number | Text |
Enter your passport number.
|
| Spouse's number | Text |
Enter your spouse's passport number.
|
| Personal Information | ||
| topmostSubform[0].Page1[0].f1_5[0 | Text |
Enter your first name and middle initial.
|
| Last name | Text |
Enter your last name.
|
| Your social security number | Text |
Enter your social security number (SSN).
|
| topmostSubform[0].Page1[0].f1_8[0 | Text |
Enter your spouse's last name.
|
| spouse's first name and initial (see instructions) | Text |
Enter your spouse's first name and initial as instructed.
|
| topmostSubform[0].Page1[0].f1_10[0 | Text |
Enter your spouse's social security number (SSN).
|
| Date of departure | Text |
Enter the date on which you plan to depart from the United States.
|
| Complete foreign address | Text |
Provide your complete address in the foreign country where you will reside after departing the United States.
|
| Date on which you last arrived in the U.S | Text |
Enter the date on which you last arrived in the United States.
|
| Of what country are you a citizen or national | Text |
Specify the country of which you are a citizen or national.
|
| Of what country are you a resident for tax purposes | Text |
Indicate the country where you are considered a resident for tax purposes.
|
| topmostSubform[0].Page1[0].f1_23[0 | Text |
Enter your full name as it appears on your tax documents.
|
| topmostSubform[0].Page1[0].c1_6[0]_1 | CheckBox |
Check this box if you are a nonresident alien.
|
| topmostSubform[0].Page1[0].c1_6[1]_2 | CheckBox |
Check this box if you are a resident alien.
|
| topmostSubform[0].Page1[0].c1_7[0]_1 | CheckBox |
Check this box if you are married.
|
| topmostSubform[0].Page1[0].c1_7[1]_2 | CheckBox |
Check this box if you are single.
|
| topmostSubform[0].Page1[0].c1_8[0]_1 | CheckBox |
Check this box if you have dependents.
|
| topmostSubform[0].Page1[0].c1_8[1]_2 | CheckBox |
Check this box if you do not have dependents.
|
| b Your U.S. address, if any, shown on return | Text |
Enter your U.S. address, if any, as shown on your return.
|
| Text |
Enter your foreign address.
|
|
| Text |
Enter your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN).
|
|
| Text |
Enter your date of birth.
|
|
| topmostSubform[0].Page1[0].c1_9[0]_1 | CheckBox |
Check this box if you are filing jointly with your spouse.
|
| topmostSubform[0].Page1[0].c1_9[1]_2 | CheckBox |
Check this box if you are filing separately from your spouse.
|
| topmostSubform[0].Page1[0].c1_10[0]_1 | CheckBox |
Check this box if you are a nonresident alien departing the United States.
|
| topmostSubform[0].Page1[0].c1_10[1]_2 | CheckBox |
Check this box if you are filing a joint return with your spouse.
|
| topmostSubform[0].Page1[0].c1_11[0]_1 | CheckBox |
Check this box if you are claiming any dependents.
|
| topmostSubform[0].Page1[0].f1_29[0 | Text |
Enter your first name.
|
| topmostSubform[0].Page1[0].f1_30[0 | Text |
Enter your last name.
|
| topmostSubform[0].Page1[0].f1_31[0 | Text |
Enter your Social Security Number (SSN).
|
| topmostSubform[0].Page1[0].f1_32[0 | Text |
Enter your address in the United States.
|
| Text |
Enter your address in your home country.
|
|
| topmostSubform[0].Page1[0].f1_34[0 | Text |
Enter your date of birth.
|
| Text |
Enter your country of citizenship.
|
|
| topmostSubform[0].Page1[0].f1_36[0 | Text |
Enter your passport number.
|
| topmostSubform[0].Page1[0].c1_12[0]_1 | CheckBox |
Check this box if you are a nonresident alien departing the United States.
|
| topmostSubform[0].Page1[0].c1_12[1]_2 | CheckBox |
Check this box if you have filed a previous Form 1040-C.
|
| topmostSubform[0].Page1[0].f1_40[0 | Text |
Enter your first name.
|
| topmostSubform[0].Page1[0].f1_41[0 | Text |
Enter your last name.
|
| Your occupation | Text |
Enter your occupation.
|
| Spouse's occupation | Text |
Enter your spouse's occupation.
|
| Phone no | Text |
Enter your phone number.
|
| Email address | Text |
Enter your email address.
|
| (Name) | Text |
Enter your full name as it appears on your official documents.
|
| Preparer Information | ||
| PTIN | Text |
Enter the Preparer Tax Identification Number (PTIN). This is an 11-character identifier issued by the IRS.
|
| Firm's name | Text |
Enter the name of the firm preparing the tax return.
|
| Firm's address | Text |
Enter the address of the firm preparing the tax return.
|
| Firm's EIN | Text |
Enter the Employer Identification Number (EIN) of the firm preparing the tax return. This is a 10-character identifier.
|
| Phone no | Text |
Enter the phone number of the firm preparing the tax return.
|
| Schedule B - Income Details | ||
| topmostSubform[0].Page3[0].SchBTable[0].Row1[0].f3_118[0 | Text |
Enter the specific income detail for Schedule B, Row 1. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row1[0].f3_119[0 | Text |
Enter the specific income detail for Schedule B, Row 1. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row1[0].f3_120[0 | Text |
Enter the specific income detail for Schedule B, Row 1. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row1[0].f3_121[0 | Text |
Enter the specific income detail for Schedule B, Row 1. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row1[0].f3_122[0 | Text |
Enter the specific income detail for Schedule B, Row 1. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| topmostSubform[0].Page3[0].SchBTable[0].Row1[0].f3_123[0 | Text |
Enter the specific income detail for Schedule B, Row 1. Refer to the instructions on Page 3 of Form 1040-C for more information.
|
| Tax Computations | ||
| topmostSubform[0].Page1[0].c1_11[1]_2 | CheckBox |
Check this box if you are claiming any tax credits.
|
| topmostSubform[0].Page1[0].f1_39[0 | Text |
Enter the total tax withheld from your income.
|
| 20 20 Credits. See the instructions and attach appropriate form or statement | Text |
Enter the total amount of credits. Refer to the instructions and attach the appropriate form or statement.
|
| 21 Subtract line 20 from line 19. If zero or less, enter -0-. 21 | Text |
Subtract the amount on line 20 from the amount on line 19. If the result is zero or less, enter -0-.
|
| topmostSubform[0].Page2[0].f2_19[0 | Text |
Enter the total tax amount after credits and adjustments.
|
| 23 | Text |
Enter the total tax amount due.
|
| topmostSubform[0].Page2[0].f2_21[0 | Text |
Enter any additional tax amounts.
|
| 26 Total tax. Add lines 23 and 25 26 | Text |
Enter the total tax amount by adding the values from lines 23 and 25.
|
| 27 U.S. income tax paid or withheld at source (from page 3, Schedule A, lines 4 and 5, column (c)) 27 | Text |
Enter the U.S. income tax paid or withheld at the source, as detailed on page 3, Schedule A, lines 4 and 5, column (c).
|
| 28 Current year's estimated tax payments and amount applied from preceding year's tax return. 28 | Text |
Enter the current year's estimated tax payments and any amount applied from the preceding year's tax return.
|
| 30 Total payments. Add lines 27 through 29 30 | Text |
Enter the total payments by adding the values from lines 27 through 29.
|
| 31 If line 26 is more than line 29, subtract line 30 from line 26. This is the amount you owe 31 | Text |
If the amount on line 26 is more than the amount on line 29, subtract the value on line 30 from the value on line 26. This is the amount you owe.
|
| 32 If line 30 is more than line 26, subtract line 26 from line 30. This is the amount you overpaid. Any 32 | Text |
If the amount on line 30 is more than the amount on line 26, subtract the value on line 26 from the value on line 30. This is the amount you overpaid.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row1[0].f3_149[0 | Text |
Enter the specific tax computation detail for Row 1 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row1[0].f3_150[0 | Text |
Enter the specific tax computation detail for Row 1 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row1[0].f3_151[0 | Text |
Enter the specific tax computation detail for Row 1 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row1[0].f3_152[0 | Text |
Enter the specific tax computation detail for Row 1 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row2[0].f3_153[0 | Text |
Enter the specific tax computation detail for Row 2 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row2[0].f3_154[0 | Text |
Enter the specific tax computation detail for Row 2 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row2[0].f3_155[0 | Text |
Enter the specific tax computation detail for Row 2 in Schedule C on Page 3.
|
| topmostSubform[0].Page3[0].SchCTable[0].Row2[0].f3_156[0 | Text |
Enter the specific tax computation detail for Row 2 in Schedule C on Page 3.
|
| 1 Enter amount from page 2, line 18. 1 | Text |
Enter the amount from Page 2, Line 18.
|
| 2 | Text |
Enter the amount for the specified line on Page 4.
|
| 3 Taxable income. Subtract line 2 from line 1 3 | Text |
Enter the taxable income by subtracting Line 2 from Line 1.
|
| 4 Tax. Figure your tax on the amount on line 3 by using the current year's Tax Rate Schedules in the instructions. Include in the total any tax from Form 4972 and Form 8814. Enter the tax here . 4 S | Text |
Calculate your tax on the amount on Line 3 using the current year's Tax Rate Schedules. Include any tax from Form 4972 and Form 8814, and enter the total tax here.
|
| topmostSubform[0].Page4[0].f4_5[0 | Text |
Enter the amount for the specified line on Page 4.
|
| 6 Add lines 4 and 5. Enter the result here and on Form 1040-C, line 19 6 | Text |
Add the amounts from Lines 4 and 5, and enter the result here and on Form 1040-C, Line 19.
|
| 7 | Text |
Enter the amount for the specified line on Page 4.
|
| 8 | Text |
Enter the amount for the specified line on Page 4.
|
| 6 | Text |
Enter the amount for the specified line on Page 4.
|
| 10 Tax. Figure your tax on the amount on line 9 by using the current year's Tax Rate Schedules in the instructions. Include in the total any tax from Form 4972 and Form 8814. Enter the tax here . 10 | Text |
Calculate your tax on the amount on Line 9 using the current year's Tax Rate Schedules. Include any tax from Form 4972 and Form 8814, and enter the total tax here.
|
| 11 = Alternative minimum tax (AMT). Enter the amount, if any, of AMT from Form 6251 11 | Text |
Enter the amount of Alternative Minimum Tax (AMT) from Form 6251, if any.
|
| 12 Add lines 10 and 11. Enter the result here and on Form 1040-C, line 19 12 | Text |
This field requires you to add the amounts from lines 10 and 11 and enter the total here. This total should also be entered on Form 1040-C, line 19.
|
| Tax Information | ||
| SR, 1040-NR, etc.) | Text |
Enter the type of return you are filing (e.g., 1040-NR).
|
| Tax Period | ||
| For tax period or year beginning | Text |
Enter the beginning date of the tax period or year for which you are filing this form.
|
| topmostSubform[0].Page1[0].PgHeader[0].f1_2[0 | Text |
Enter the month (in two digits) when the tax period or year begins.
|
| and ending | Text |
Enter the ending date of the tax period or year for which you are filing this form.
|
| topmostSubform[0].Page1[0].PgHeader[0].f1_4[0 | Text |
Enter the month (in two digits) when the tax period or year ends.
|
| beginning | Text |
Enter the beginning date of the tax period.
|
| topmostSubform[0].Page2[0].f2_44[0 | Text |
Enter the month of the beginning date of the tax period.
|
| topmostSubform[0].Page2[0].f2_45[0 | Text |
Enter the day of the beginning date of the tax period.
|
| topmostSubform[0].Page2[0].f2_46[0 | Text |
Enter the month of the ending date of the tax period.
|
| or the tax year ended | Text |
Enter the ending date of the tax period.
|
| f1fd ,20 | Text |
Enter the year of the ending date of the tax period.
|
| Travel Information | ||
| Date on which you first arrived in the U.S | Text |
Enter the date on which you first arrived in the U.S.
|