1040 NR-EZ U.S. Income Tax Return for Certain Nonresident Aliens Wi

Form

1040NR-EZ

OMB No. 1545-0074

U.S. Income Tax Return for Certain
Nonresident Aliens With No Dependents

2008

Department of the Treasury
Internal Revenue Service

Your first name and initial

Last name

Identifying number (see page 4)

Present home address (number, street, and apt. no., or rural route). If a P.O. box, see page 4.

Type of entry visa (see page 4)

Please print or type.

©

City, town or post office, state, and ZIP code. If a foreign address, see page 4.
Country ©
Of what country were you a citizen or national during 2008? ©
Give address outside the United States to which you want any
refund check mailed. If same as above, write “Same.”

Attach Form(s) W-2 here.
Also attach Form(s) 1099-R if tax was withheld.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

Give address in the country where you are a permanent resident.
If same as above, write “Same.”

Filing status (see page 4). Check only one box.
Single nonresident alien
Married nonresident alien
3
4
5

Wages, salaries, tips, etc. Attach Form(s) W-2 (see page 4)
Taxable refunds, credits, or offsets of state and local income taxes (see page 5)
Scholarship and fellowship grants. Attach explanation (see page 5)
6
Total wages and scholarships exempt by a treaty from page 2, Item J
Add lines 3, 4, and 5
8
Scholarship and fellowship grants excluded (see page 5)
9
Student loan interest deduction (see page 5)
Adjusted gross income. Subtract the sum of line 8 and line 9 from line 7
Itemized deductions (see page 6)
Subtract line 11 from line 10
Exemption deduction (see page 6)
Taxable income. Subtract line 13 from line 12
Tax. Find your tax in the Tax Table on pages 12–20
Form 4137 b
Form 8919
Unreported social security and Medicare tax from: a
Add lines 15 and 16. This is your total tax
18
Federal income tax withheld (from Form W-2, 1042-S, and 1099-R)
19
2008 estimated tax payments and amount applied from 2007 return
20
Credit for amount paid with Form 1040-C
Add lines 18 through 20. These are your total payments

7

©

©

22 If line 21 is more than line 17, subtract line 17 from line 21. This is the amount you overpaid
Refund
23a Amount of line 22 you want refunded to you.
©
If Form 8888 is attached, check here
Direct deposit?
c Type:
Checking
Savings
See page 7.
b Routing number
d Account number
24 Amount of line 22 you want applied to your 2009 estimated tax

©

25 Amount you owe. Subtract line 21 from line 17. For details on how to pay, see page 8
26 Estimated tax penalty (see page 9). Also include on line 25
26

Third
Party
Designee

Do you want to allow another person to discuss this return with the IRS (see page 9)?
Phone
©
no.

(

21
22
23a

24

Amount
You Owe

Designee’s
©
name

10
11
12
13
14
15
16
17

)

©

25

Yes. Complete the following.

No

Personal identification
©
number (PIN)

Sign
Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and accurately list all amounts and sources of U.S. source income I received during the tax year. Declaration of
preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Keep a copy of
this return for
your records.

©

Paid
Preparer’s
Use Only

Your signature

Preparer’s
signature

©

Firm’s name (or
yours if self-employed),
address, and ZIP code

Date

Date

©

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 11 of instructions.

Your occupation in the United States

Check if
self-employed

Preparer’s SSN or PTIN

EIN
Phone no.
Cat. No. 21534N

(
Form

)

1040NR-EZ

(2008)

Form 1040NR-EZ (2008)

Page

2

Other Information (If an item does not apply to you, enter “N/A.”)
A What country issued your passport?
B Were you ever a U.S. citizen?
C Give the purpose of your visit to the United States

F

No

Yes

No

Yes

No

Yes

No

Yes

No

1040NR-EZ

(2008)

©

D Current nonimmigrant status and date of change (see page 9)

E Date you entered the United States (see page 9)

Yes

©

©

Did you give up your permanent residence as an immigrant in the United States this year?

G Dates you entered and left the United States during the year. Residents of Canada or Mexico entering and
leaving the United States at frequent intervals, give name of country only. ©

H Give number of days (including vacation and nonworkdays) you were present in the United States during
2006
, 2007
, and 2008
.
I

Did you file a U.S. income tax return for any year before 2008?
If “Yes,” give the latest year and form number ©

J

If you are claiming the benefits of a U.S. income tax treaty with a foreign country, give the following
information. See page 9 for additional information.
● Country ©
● Type and amount of income exempt from tax and the applicable tax treaty article. Enter treaty-exempt
income for 2008 below and on line 6; not on line 3 or 5.
For 2008 ©

For 2007

©

● Were you subject to tax in that country on any of the income that you claim is entitled to the treaty
benefits?
K During 2008, did you apply for, or take any affirmative steps to apply for, lawful permanent resident status
in the United States or have an application pending to adjust your status to that of a lawful permanent
resident of the United States?
If “Yes,” explain ©

Form