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efta-efta01222609DOJ Data Set 9Other

Foreign Tax Credit

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DOJ Data Set 9
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EFTA Disclosure
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Foreign Tax Credit OMB No. 154S-0121 Forth 1116 Department of the Treasury Memel Reverue Semce (99) Name (Individual. Estate. or Trust) ► Attach to Form 1040. 1040NR. 1041. or 990-T. Is. Go to www.irs.gov/Fortn1116 for instructions and the latest information. 2017 Attachment Sequence No. 19 identifying number as shown on page 1 of your tax return Use a separate Form 1116 for each category of Income listed below. See Categories of Income In the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. Et 0 Passive category income CO Section 9010) income eO Lump-sum distributions bO General category income dO Certain income re-sourced by treaty f Resident of (name of country) ► Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to more than one foreign country or U.S. possession, use a separate column and line for each country or possession. Taxable Income or Loss From Sources Outside the United States (for Cateaory Checked Abovel 9 Enter the name of the foreign country or U S. possession P. 1a Gross income from sources within country shown above and of the type checked above (see instructions): b Check if line la is compensation for personal services as an employee, your total compensation from all sources is 5250.000 or more, and you used an alternative basis to determine its source (see instructions) . . lir. 0 Foreign Country or U.S. Possession Total A B C (Add cols. A. B and C.) la Deductions and losses (Caution: See instructions.): 2 Expenses definitely related to the income on line I a (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction (see instructions) b Other deductions (attach statement) c Add lines 3a and 3b d Gross foreign source income (see instructions) e Gross income from all sources (see instructions) f Divide line 3d by line 3e (see instructions) . . g Multiply line 3c by line 3f 4 Pro rata share of interest expense (see instructions): a Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) . b Other interest expense 5 Losses from foreign sources 6 Add fines 2, 3g, 4a, 4b, and 5 6 7 Subtract line 6 from line la. Enter the result here and on line 15, page 2 P. 7 Part II Foreign Taxes Paid or Accrued (see instructions) Country Credit for lyou must (14 (I) Is claimed taxes check one) M Paid O Accrued Foreign taxes paid or accrued In foreign currency In U.S. dollars Taxes withheld at source on: 9,) Omer Taxes withheld at source on: (r) Other (a) Total foreign 00 Dividends IP Rents and royalties (m) Interest foreign taxes paid of accrued (o) Dividends MI Rents and royalties (q) Interest foreign taxes paid or accrued taxes paid cc accrued (add cols. (o) through 09) g) Date paid or accrued A B C 8 Add lines A through C, column (s). Enter the total here and on line 9, page 2 li. 8 For Paperwork Reduction Act Notice, see Instructions. Form 1116 poin EFTA01222609 Form 1116(2017) 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part I . 10 Canyback or carryover (attach detailed computation) 11 Add lines 9 and 10 12 Reduction in foreign taxes (see instructions) 13 Taxes reclassified under high tax kickout (see instructions) Page 2 14 Combine lines 11. 12. and 13. This is the total amount of foreign taxes available for credit . . . 14 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United States (before adjustments) for the category of income checked above Part I (see instructions) 16 Adjustments to line 15 (see instructions) 17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax credit for the category of income you checked above Part I. Skip lines 18 through 22. However. if you are filing more than one Form 1116. you must complete line 20 ) 18 Individuals: Enter the amount from Form 1040. line 41; or Form 1040NR. line 39. Estates and trusts: Enter your taxable income without the deduction for your exemption Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see instructions. 19 Divide line 17 by line 18. If line 17 is more than line 18. enter "1' 20 Individuals: Enter the total of Form 1040, lines 44 and 46. If you are a nonresident alien, enter the total of Form 1040NR. lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G. line la; or the total of Form 990-T. lines 36, 37. and 39. Foreign estates and trusts should enter the amount from Form 1040NR. line 42 Caution: If you are completing line 20 for separate category e (lump-sum distributions), see instructions. 21 Multiply line 20 by line 19 (maximum amount of credit) 22 Enter the smaller of line 14 or line 21. If this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this amount on line 28. Otherwise, complete the appropriate line in Part IV (see instructions) Separate Parts III (see instructions) 23 Credit for taxes on passive category income 24 Credit for taxes on general category income 25 Credit for taxes on certain income re•sourced by treaty . 26 Credit for taxes on lump-sum distributions 26 27 Add lines 23 through 26 28 Enter the smaller of line 20 or line 27 29 Reduction of credit for international boycott operations. See instructions for line 12 30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040. line 48: Form 1040NR. line 46: Form 1041. Schedule G. line 2a: or Form 990-T. line 41a 23 24 25 27 28 29 Form 1116 (2017) 30 EFTA01222610

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