OMB No. 1545-0074

OMB No. 1545-0074 Fertn 2555 Department of the Treasury Internal Revenue Service For Use by U.S. Citizens and Resident Aliens Only Name shown on Form 1040 Foreign Earned Income ►Attach to Form 1040. Complete the Foreign Earned Income Tax Worksheet In the Instructions for Form 10401f you enter an amount on line 45 or 50. ► Go to wwwits.gov/Form2555 for instructions and the latest Information. 2018 Attachment ... Sequence No. ;Sq Your social security number Part General Information 1 Your foreign address (including country) 2 Your occupation 3 Employer's name IP 4a Employer's U.S. address P b Employer's foreign address P 5 Employer is (check a 0 A foreign entity b 0 A U.S. company c 0 Self any that apply): d 0 A foreign affiliate of a U.S. company e 0 Other (specify) IP 6a If you previously filed Form 2555 or Form 2555-EZ, enter the last year you filed the form. IP b If you didn't previously file Form 2555 or 2555-EZ to claim either of the exclusions, check here ► 0 and go to line 7. c Have you ever revoked either of the exclusions? 0 Yes 0 No d If you answered "Yes," enter the type of exclusion and the tax year for which the revocation was effective. IP 7 Of what country are you a citizen/national? IP 8a Did you maintain a separate foreign residence for your family because of adverse living conditions at your tax home? See Second foreign household in the instructions 0 Yes 0 No b If "Yes," enter city and country of the separate foreign residence. Also, enter the number of days during your tax year that you maintained a second household at that address. ► 9 List your tax home(s) during your tax year and date(s) established. IP Next, complete either Part II or Part III. If an item doesn't apply, enter "NA." If you don't give the information asked for, any exclusion or deduction you claim may be disallowed. Part Taxpayers Qualifying Under Bona Fide Residence Test (see instructions) 10 Date bona fide residence began and ended IP 11 Kind of living quarters in foreign country ► a D Purchased house b 0 Rented house or apartment c 0 Rented room d D Quarters furnished by employer 12a Did any of your family live with you abroad during any part of the tax year? 0 Yes 0 No b If "Yes," who and for what period? ► 13a Have you submitted a statement to the authorities of the foreign country where you claim bona fide residence that you aren't a resident of that country? See instructions 0 Yes 0 No b Are you required to pay income tax to the country where you claim bona fide residence? See instructions 0 Yes 0 No If you answered "Yes" to 13a and "No" to 13b, you don't qualify as a bona Me resident Don't complete the rest of this part. 14 If you were present in the United States or its possessions during the tax year, complete columns (a)—(d) below. Don't include the income from column in Part IV, but report it on Form 1040. 140 Date arrived in U.S. (b) Date left U.S. (c) Number of d ii i one (d)pcome earned it U.S. on business (attach computation) (a) Date salved in U.S. (b) Date left U.S. (c) Number of days in U.S. on business (d) Income earned in U.S. on busies (attach computation) 15a List any contractual terms or other conditions relating to the length of your employment abroad. ► b Enter the type of visa under which you entered the foreign country. P. c Did your visa limit the length of your stay or employment in a foreign country? If "Yes," attach explanation 0 Yes 0 No d Did you maintain a home in the United States while living abroad? 0 Yes 0 No e If "Yes," enter address of your home, whether it was rented, the names of the occupants, and their relationship to you. P For Paperwork Reduction Act Notice, see the Form 1040 instructions. Form 2555 psis EFTA01222645 Form 2555 (2018) Page 2 Part III Taxpayers Qualifying Under Physical Presence Test (see instructions) 16 The physical presence test is based on the 12-month period from P. through IP 17 Enter your principal country of employment during your tax year. P. 18 If you traveled abroad during the 12-month period entered on line 16, complete columns (a)—(f) below. Exclude travel between foreign countries that didn't involve travel on or over international waters, or in or over the United States, for 24 hours or more. If you have no travel to report during the period, enter "Physically present in a foreign country or countries for the entire 12- month period." Don't include the income from column (1) below in Part IV, but report it on Form 1040. (a) Name of country bncluding U.S.) (b) Date arrived (c) Date left (d) Full days present in counby (e) Number of days in U.S. on business (I) Income earned in U.S. on business (attach computation) Part IV All Taxpayers Note: Enter on lines 19 through 23 all income, including noncash income, you earned and actually or constructively received during your 2018 tax year for services you performed in a foreign country. If any of the foreign earned income received this tax year was earned in a prior tax year, or will be earned in a later tax year (such as a bonus), see the instructions. Don't include income from line 14, column (d), or line 18, column (f). Report amounts in U.S. dollars. using the exchange rates in effect when you actually or constructively received the income. If you are a cash basis taxpayer, report on Form 1040 all income you received in 2018, no matter when you performed the service. 2018 Foreign Earned Income Amount (In U.B. dollars) 19 Total wages, salaries, bonuses, commissions, etc 20 Allowable share of income for personal services performed (see instructions): a In a business (including farming) or profession b In a partnership. List partnership's name and address and type of income. ► 21 Noncash income (market value of property or facilities furnished by employer —attach statement showing how it was determined): a Home (lodging) b Meals c Car d Other property or facilities. List type and arnount. ► 22 Allowances, reimbursements, or expenses paid on your behalf for services you performed: a Cost of living and overseas differential 22a b Family c Education d Home leave e Quarters f For any other purpose. List type and amount. P. 22b 22c 22d 22e 19 20a 20b ■ 21a 21b 21c 22f g Add lines 22a through 22f 23 Other foreign earned income. List type and arnount. ► 24 Add lines 19 through 21d, line 22g, and line 23 25 Total amount of meals and lodging included on line 24 that is excludable (see instructions) . 26 Subtract line 25 from line 24. Enter the result here and on line 27 on page 3. This is your 2018 foreign earned income ► 21d 22g 24 26 Form 2555 (2018) EFTA01222646 Forth 2555 (2018) Page 3 Part V All Taxpayers 27 Enter the amount from line 26 Are you claiming the housing exclusion or housing deduction? K Yes. Complete Part VI. K No. Go to Part VII. 27 Part VI Taxpayers Claiming the Housing Exclusion and/or Deduction 28 Qualified housing expenses for the tax year. See instructions 29a Enter location where housing expenses incurred. See instructions ► b Enter limit on housing expenses. See instructions 30 Enter the smaller of line 28 or line 29b 31 Number of days in your qualifying period that fall within your 2018 tax year (see instructions) 31 J days 32 Multiply $45.55 by the number of days on line 31. If 365 is entered on line 31, enter $16,624 here 33 Subtract line 32 from line 30. If the result is zero or less, don't complete the rest of this part or any of Part IX 34 Enter employer-provided amounts. See instructions 134 35 Divide line 34 by line 27. Enter the result as a decimal (rounded to at least three places), but don't enter more than "1.000" 36 Housing exclusion. Multiply line 33 by line 35. Enter the result but don't enter more than the amount on line 34. Also, complete Part VIII ► Note: The housing deduction is figured in Part IX. If you choose to claim the foreign earned income exclusion, complete Parts VII and VIII before Part IX. 28 29b 30 32 33 35 36 Part VII Taxpayers Claiming the Foreign Earned Income Exclusion 37 Maximum foreign earned income exclusion 38 • If you completed Part VI, enter the number from line 31. • All others, enter the number of days in your qualifying period that 138 1 days fall within your 2018 tax year. See the instructions for line 31. 11 39 • If line 38 and the number of days in your 2018 tax year (usually 365) are the same, enter "1.000." • Otherwise, divide line 38 by the number of days in your 2018 tax year and enter the result as a decimal (rounded to at least three places). 11 40 Multiply line 37 by line 39 41 Subtract line 36 from line 27 42 Foreign earned income exclusion. Enter the smaller of line 40 or line 41. Also, complete Part VIII ► 37 $1032001 00 39 40 41 42 Part VIII Taxpayers Claiming the Housing Exclusion, Foreign Earned Income Exclusion, or Both 43 Add lines 36 and 42 44 Deductions allowed in figuring your adjusted gross income (Form 1040, line 7) that are allocable to the excluded income. See instructions and attach computation 45 Subtract line 44 from line 43. Enter the result here and in parentheses on Schedule 1 (Form 1040), line 21. Next to the amount, enter "Form 2555." On Schedule 1 (Form 1040), subtract this amount from your additional income to arrive at the amount reported on Schedule 1 (Form 1040), line 22 43 44 45 Part IX Taxpayers Claiming the Housing Deduction—Complete this part only if (a) line 33 is more than line 36 and (b) line 27 is more than line 43. 46 Subtract line 36 from line 33 47 Subtract line 43 from line 27 48 Enter the smaller of line 46 or line 47 Note: If line 47 is more than line 48 and you couldn't deduct all of your 2017 housing deduction because of the 2017 limit, use the Housing Deduction Carryover Worksheet in the instructions to figure the amount to enter on line 49. Otherwise, go to line 50. 49 Housing deduction carryover from 2017 (from the Housing Deduction Carryover Worksheet in the instructions) 50 Housing deduction. Add lines 48 and 49. Enter the total here and on Schedule 1 (Form 1040) to the left of line 36. Next to the amount on Schedule 1 (Form 1040), line 36, enter "Form 2555." Add it to the total adjustments to income reported on line 36 ► 46 47 48 49 50 Form 2555 pole} EFTA01222647