Form 1040 Schedule Form 1040 Schedule 6 Foreign Address and Third Party Des

Caution: DRAFT—NOT FOR FILING
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Income Tax Return, which the IRS is providing for your information,
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Foreign Address and Third Party Designee

SCHEDULE 6

OMB No. 1545-0074

(Form 1040)
Department of the Treasury
Internal Revenue Service

▶ Go

▶ Attach to Form 1040.
to www.irs.gov/Form1040 for instructions and the latest information.

Your social security number

Name(s) shown on Form 1040

Foreign
Address

Foreign country name

2018

Attachment
Sequence No. 05A

Foreign province/county

Foreign postal code

DRAFT AS OF
August 13, 2018
DO NOT FILE

Third Party
Designee

Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designee’s
name ▶

For Paperwork Reduction Act Notice, see your tax return instructions.

Yes. Complete below.

No

Personal identification number
(PIN) ▶

Phone
no. ▶

Cat. No. 71483N

Schedule 6 (Form 1040) 2018