ronn1040NR

ronn1040NR Department of the Treasu ry Internal Revenue Service U.S. Nonresident Alien Income Tax Return Do Go to vnweirs.gov/Form1040NR for instructions and the latest information. For the year January 1-December 31. 2018. or other tax year begeming . 2018. and ending .20 OMB No. 154S-0074 018 Please print or type Your first ame and initial Last name Identifying number (see instructions) Present home address (number and street or rural route). If you have a P.O. box. see instructions. Apt. no. Check if: 0 Individual O Estate or Trust City. town or post office. state. and ZIP code. If you have a foreign address. also complete spaces below. See instructions. Foreign country name I Foreign province/state/county Foreign postal code Filing Status Check onty one box. 1 0 Reserved 4 2 0 Single nonresident alien 5 3 0 Reserved 6 • Reserved • Married nonresident alien • Qualifying widow(er) (see instructions) Child's name Ito Dependents If more than four dependents. see instructions and check note, E. 7 Dependents: (see Instructions) (1) First name Last name (2) Dependent's identifying number (3) Dependent's relationship to you (4)s, if qualifies Chid tax credit for (see inst.): Credit for other dependents 0 0 0 0 0 0 El 0 Income Effectively Connected With U.S. Trade/ Business Attach Form(s) W-2, 1042-S, SSA-1042S, RRB04ZS, and Ea88-A here. Also attach Fcwrit ) 1099-R if tax was withheld. 8 Wages. salaries, tips, etc. Attach Form(s) W-2 9a Taxable interest b Tax-exempt interest. Do not include on line 9a 19b I 8 9a 10a 10a Ordinary dividends b Qualified dividends (see instructions) I10b I 11 Taxable refunds, credits, or offsets of state and local income taxes (see 12 Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement 13 Business income or (loss). Attach Schedule C or C-EZ (Form 1040) 14 Capital gain or (loss). Attach Schedule D (Form 1040) if required. If not required, 15 Other gains or (losses). Attach Form 4797 16 Reserved 17a IRAs. pensions, and annuities 117a I I 17b Taxable instructions) . . (see instructions) check here 0 amount (see inst.) 11 12 13 14 15 16 17b 18 18 Rental real estate, royalties, partnerships, trusts, etc. Attach Schedule 19 Farm income or (loss). Attach Schedule F (Form 1040) 20 Unemployment compensation 21 Other income. List type and amount (see instructions) 22 Total income exempt by a treaty from page 5. Schedule Of, Item L (1Xe) 122 I E (Form 1040) . . 19 20 21 P3 23 Combine the amounts in the far right column for lines 8 through 21. effectively connected income This is your total IIP Adjusted Gross Income 24 Educator expenses (see instructions) 24 25 Health savings account deduction. Attach Form 8889 . . . 25 26 Moving expenses for members of the Armed Forces. Attach Form 3903 26 27 Deductible part of self-employment tax. Attach Schedule SE (Form 1040) 27 _ 28 Self-employed SEP, SIMPLE, and qualified plans . . . . 28 29 Self-employed health insurance deduction (see instructions) 29 30 Penalty on early withdrawal of savings 30 31 Scholarship and fellowship grants excluded 31 32 IRA deduction (see instructions) 32 33 Student loan interest deduction (see instructions) . . . 33 34 Add lines 24 through 33 35 Adjusted Gross Income. Subtract line 34 from line 23. Is' 34 35 Tax and Credits 36 Amount from line 35 (adjusted gross income) 37 Itemized deductions from page 3, Schedule A, line 8 38 Qualified business income deduction (see instructions) 39 Exemptions for estates and trusts only (see instructions) 36 37 38 39 For Disclosure. Privacy Act, and Paperwork Reduction Act Notice. see instructions. Form 1040NR psis EFTA01222566 Form 1040NFt (20 8) Page 2 Tax and Credits (continued) 40 Add lines 37 through 39 41 Taxable income. Subtract line 40 from line 36. If zero or less, enter -0- 42 Tax (see instr.). Check if any is from Form(s): a O 8814 bO 4972 c O 40 41 42 43 Alternative minimum tax (see instructions). Attach Form 6251 44 Excess advance premium tax credit repayment. Attach Form 8962 45 Add lines 42, 43. and 44 46 Foreign tax credit. Attach Form 1116 if required 46 IV. 43 44 45 47 Credit for child and dependent care expenses. Attach Form 2441 47 48 Retirement savings contributions credit. Attach Form 8880 48 49 Child tax credit and credit for other dependents (see instructions) 49 50 Residential energy credit. Attach Form 5695 50 51 Other credits from Form: a 03B00 b • 8801 c O 51 52 Add lines 46 through 51. These are your total credits 53 Subtract line 52 from line 45. If zero or less. enter -0- Ili. 52 53 Other Taxes 54 Tax on income not effectively connected with a U.S. trade or business from page 4, Schedule NEC, line 15 55 Self-employment tax. Attach Schedule SE (Form 1040) 56 Unreported social security and Medicare tax from Form: a O 4137 b 08919 57 Additional tax on IRAs, other qualified retirement plans, etc. Attach Forrn 5329 if required 58 Transportation tax (see instructions) 59a Household employment taxes from Schedule H (Form 1040) b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required . 60 Taxes from: a O Form 8959 b O Instructions; enter code(s) 61 Total tax. Add lines 53 through 60 ► 64 55 56 57 58 59a 59b 60 61 Payments 62 Federal income tax withheld from: a Form(s) W-2 and 1099 62a b Form(s) 8805 62b e Form(s) 8288-A 62c d Form(s) 1042-S 62d 63 2018 estimated tax payments and amount applied 1101112017 return 63 64 Additional child tax credit. Attach Schedule 8812 . . . . 64 65 Net premium tax credit. Attach Form 8962 65 66 Amount paid with request for extension to file (see instructions) 66 67 Excess social security and tier 1 RRTA tax withheld (see instructions) 67 68 Credit for federal tax on fuels. Attach Form 4136 . . . . 68 69 Credits from Fcem:aO 2439 b O Reserved c O 8885 d O 69 70 Credit for amount paid with Form 1040-C 70 71 Add lines 62a through 70. These are your total payments IP. 71 Refund Direct deposit? See instructions. 72 If line 71 is more than line 61, subtract line 61 from line 71. This is the amount you overpaid 73a Amount of line 72 you want refunded to you. U Forrn 8888 is attached, check here . , O 72 73a b Routing number I I IIP. c Type: O Cheeldnig O Savings d Account number I I I I 1 e If you want your refund check mailed to an address outside the United States not shown on page 1. enter it here. 74 Amount of line 72 you want applied to your 2019 estimated tax P. 1 74 T Amount You Owe 75 Amount you owe. Subtract line 71 from line 61. For details on how to pay, see instructions DP 76 Estimated tax penalty (see instructions) 1 76 I 75 Third Party Designee Do you want to allow another person to discuss this return with the IRS? See instructions Phone Personal • Yes. Complete below. identification • No Designee's name lo no. a. number (PIN) 0. f Mi l Sign Here Keep a copy of this return for your records. Unde beser pena they altreiestrofnep:rry. I.da•Zanre thlettInhave Decraxam rannn inednf Vow signature this return preparer otanncel Date acconmpanying schedules based n nanacili isntfanttemenrintsn.nar Your occupation ii the United States yl ttliodihe bestre orfnmaz knowled any ge wind. If the IRS sent you an Identity Protection PIN. enter it here (see instr.) Mi l l i Paid Preparer Use Only Pnnt/Type prepares name Preparer'a signature Date Check El If self-employed PTIN Firm's name P. Firm's BN 10, Firm's address P Phone no. Form 1040NR ooun EFTA01222567 Form 1040NR (20 i8) Page 3 Schedule A—Itemized Deductions (see instructions) 07 Taxes You Paid i a State and local income taxes State and local income taxes la b Enter the smaller of line la and $10.000 ($5.000 if married) lb Gifts 2 Gifts by cash or check. If you made any gift of $250 or more. to U.S. see instructions 2 Charities 3 Other than by cash or check. If you made any gift of $250 or more. see instructions. You must attach Form 8283 if the If you made a gift and received a benefit in 4 amount of your deduction is over $500 Carryover from prior year 3 4 retum. see instructions. 5 Add lines 2 through 4 5 Casualty and Theft 6 Casualty and theft loss(es) from a federally declared disaster (other than net qualified disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See it Losses instructions 6 Other Itemized 7 Other—from list in instructions. List type and amount PIP ill Deductions 7 Total Itemized 8 Add the amounts in the far right column for lines 1 b through 7. Also, enter this amount on Deductions Form 1040NR, line 37 8 Fcan 1040NR pole) EFTA01222568 Form 1040NR120019 Page 4 Schedule NEC —Tax on Income Not Effectively Connected With a U.S. Trade or Business (see instructions) Nature of Income Enter amount of Income under the appropriate rate of tax (see instructions) (a) 10% (b) 15% (c) 30% (d) Other (specify) % V 1 a b c 2 a b c 3 4 5 6 7 8 9 10 a b 11 12 13 14 15 Dividends and dividend equivalents: Dividends paid by U.S. corporations Dividends paid by foreign corporations Dividend equivalent payments received with respect to section 871(m) transactions Interest: Mortgage Paid by foreign corporations Other Industrial royalties (patents, trademarks, etc.) Motion picture or T.V. copyright royalties Other royalties (copyrights. recording. publishing. etc .) Real property income and natural resources royalties Pensions and annuities Social security benefits Capital gain from line 18 below Gambling—Residents of Canada only. Enter net income in column (c). If zero or less, enter -0-. Winnings la lb 1c 2a 2b 2c 3 4 5 6 7 8 10c Losses Gambling winnings—Residents of counties other than Canada. Note: Losses not allowed Other (specify) 10, Add lines la through 12 in columns (a) through (d) Multiply line 13 by rate of tax at top of each column Tax on income not effectively connected with a U.S. trade or business. Form 1040NR. line 54 11 12 ,— 13 14 Add columns (a) through (d) of line 14. Enter the total here and on ► 15 Enter only the capita gate and losses from property sales or exchanges that are from solaces within the United States and not effectively connected with a U.S. business. Do not include a gain or loss on disposing of a V.S. real property interest; report these gains and losses on Schedule D (Form 1040). Report property sales or exchanges that are effectively connected with a U.S. business on Schedule D (Form 1040). roan 4797. or both. Capital Gains and Losses From Sales or Exchanges of Property 16 (a) Kind of property and description (if necessary. attach statement of descriptive details not shown below) (b) Date acquired (mo.. day, yr.) (c) Date sold (mo.. day. yr.) (d) Sales price (e) Cost or other basis (f) LOSS If (e) is more than Kg. subtract (d) from (e) (g) GAIN lf (d) 'smote than (e). subtract (e) from (d) 17 Add columns (f) and (g) of line 16 17 18 Capital gain. Combine columns (f) and (q) of line 17. Enter the net gain here and on line 9 above (if a loss. enter -0-) P. Eli Form 1040NR pots) EFTA01222569 Form 1040NR (2018) Page 5 Schedule O1—Other Information (see instructions) Answer all questions A Of what country or countries were you a citizen or national during the tax year? B In what country did you claim residence for tax purposes during the tax year? C Have you ever applied to be a green card holder (lawful permanent resident) of the United States? K Yes K No D Were you ever: 1. A U.S. citizen? K Yes K No 2. A green card holder (lawful permanent resident) of the United States, K Yes K No If you answer "Yes" to (1) or (2), see Pub. 519, chapter 4, for expatriation rules that apply to you. E If you had a visa on the last day of the tax year, enter your visa type. If you did not have a visa, enter your U.S. immigration status on the last day of the tax year. F Have you ever changed your visa type (nonimmigrant status) or U.S. immigration status? K Yes K No If you answered "Yes," indicate the date and nature of the change. ► G List all dates you entered and left the United States during 2018. See instructions. Note: If you are a resident of Canada or Mexico AND commute to work in the United States at frequent intervals, check the box for Canada or Mexico and skip to item H K Canada K Mexico Date entered United States mmrdcVyy Date departed United States mm/dcVyy Date entered United States mmicid/yy Date departed United States mmicid/yy H Give number of days (including vacation, nonwodcdays, and partial days) you were present in the United States during: 2016 , 2017 ,and 2018 Did you file a U.S. income tax return for any prior year? K Yes K No If "Yes," give the latest year and form number you filed . . . ► J Are you filing a retum fora trust? K Yes K No If 'Yes," did the trust have a U.S. or foreign owner under the grantor trust rules, make a distribution or loan to a U.S. person, or receive a contribution from a U.S. person? K Yes K No K Did you receive total compensation of $250,000 or more during the tax year? K Yes K No If "Yes," did you use an alternative method to determine the source of this compensation? K Yes K No L Income Exempt from Tax—If you are claiming exemption from income tax under a U.S. income tax treaty with a foreign country, complete (1) through (3) below. See Pub. 901 for more information on tax treaties. 1. Enter the name of the country, the applicable tax treaty article, the number of months in prior years you claimed the treaty benefit, and the amount of exempt income in the columns below. Attach Form 8833 if required. See instructions. (a) Country (b) Tax treaty article (c) Number of months claimed In prior tax years (d) Amount of exempt Income In current tax year (e) Total. Enter this amount on Form 1040NR, line 22. Do not enter it on line 8 or line 12. . . ► 2. Were you subject to tax in a foreign country on any of the income shown in 1(d) above? 3. Are you claiming treaty benefits pursuant to a Competent Authority determination? If "Yes," attach a copy of the Competent Authority determination letter to your retum. M Check the applicable box it 1. This is the first year you are making an election to treat income from real property located in the United States as effectively connected with a U.S. trade or business under section 871k6. See instructions ► K 2. You have made an election in a previous year that has not been revoked, to treat income from real property located in the United States as effectively connected with a U.S. trade or business under section 871(d). See instructions ► K K Yes K No K Yes K No Form 1040NR pour) EFTA01222570