Federal Free Printable 2016 Form 1040-C for 2017 Federal U.S. Departing Alien Income Tax Return

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U.S. Departing Alien Income Tax Return
2016 Form 1040-C

Form 1040-C Department of the Treasury Internal Revenue Service Print or type U.S. Departing Alien Income Tax Return For tax period or year beginning ▶ , 2016, and ending OMB No. 1545-0074 , 2016 Information on Form 1040-C and its separate instructions is at www.irs.gov/form1040c. ▶ File original and one copy. Your first name and initial Last name Your social security number If a joint return, spouse’s first name and initial (see instructions) Last name Spouse’s identifying number U.S. address (number, street, and apt. no. or rural route) Passport or alien registration card number Your number City, state, and ZIP code Date on which you first arrived in the U.S. Spouse’s number Date of departure Complete foreign address Date on which you last arrived in the U.S. Of what country are you a citizen or national? Of what country are you a resident for tax purposes? Caution: Form 1040-C is not a final income tax return. You must file a final return on the correct form after your tax year ends. See Final Return Required on the instructions. Part I 1 2 3 4 5 6 Explanation of Status—Resident or Nonresident Alien Check the applicable box or boxes. Note: A nonresident alien who has income from U.S. real property may elect to treat this income as effectively connected income. Gain or loss on the disposition of a U.S. real property interest by a nonresident alien is effectively connected income or loss. For details, see the 2015 Form 1040NR instructions or Pub. 519, U.S. Tax Guide for Aliens. Group I—Resident alien. Group II—Nonresident alien with income effectively connected with a U.S. trade or business. Group III—Nonresident alien with income not effectively connected with a U.S. trade or business. Type of trade or business or occupation in the United States ▶ Visa number and class under which you were last admitted to the United States ▶ Do you have a permit to reenter the United States? . . . . . . . . . . . . . . . . . . . If “Yes,” enter the expiration date ▶ Have you signed a waiver of rights, privileges, exemptions, and immunities as described under Exceptions in the instructions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If “Yes,” enter the date signed ▶ During your stay in the United States did you furnish either of the following forms to a withholding agent: Form W-9, Request for Taxpayer Identification Number and Certification, or Form 1078, Certificate of Alien Claiming Residence in the United States? . . . . . . . . . . . . . . . . . . . . . . 7a Have you applied for U.S. citizenship? . . . . . . . . . . . . . . . . . . . . . . . b Have you applied for, or taken other affirmative steps to apply for, lawful permanent resident status (green card holder) in the United States, or do you have an application pending to change your status to that of a lawful permanent resident of the United States? . . . . . . . . . . . . . . . . . . . . Yes No Yes No Yes Yes No No Yes No If you filed income tax returns in the United States, give the following information for 2015: Type of return filed (for example, Form 1040, 1040NR, etc.) ▶ Your U.S. address, if any, shown on return ▶ Taxable income reported $ d Total tax payments $ e Balance due $ Do you know of any current charges against you concerning your U.S. taxes for any tax period? . . . . Yes No Do you plan to return to the United States? . . . . . . . . . . . . . . . . . . . . . . Yes No If “Yes,” complete lines 11 through 13 below . Yes No 11 Are your spouse and any children remaining in the United States? . . . . . . . . . . . . . . 12 Show the approximate value and location in the United States of any property held by you: Value Location ; . . . . . . . . $ a Real property ; . . . . . . . . $ ; b Stocks and bonds . . . . . . . . $ ; c Cash . . . . . . . . . . . . $ $ ; d Other (specify) ▶ 13 If you will not return to the United States before the due date for filing a final U.S. income tax return for the current year or the due date for filing a final U.S. income tax return for the preceding year, what arrangements have you made to file the final income tax return(s) and pay the tax(es)? ▶ 8 a b c 9 10 { For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see the instructions. Cat. No. 11310F Form 1040-C (2016) Page 2 Form 1040-C (2016) Part II Exemptions Group I — If you are a resident alien, you may claim the same exemptions allowed U.S. citizens on Form 1040. Group II — If you are a nonresident alien with income effectively connected with a U.S. business, you may claim one exemption. Residents of Canada, India, Mexico, or South Korea, or U.S. nationals, see the instructions. Group III — If you are a nonresident alien with income not effectively connected with a U.S. business, do not claim any exemptions for that income. 14a b Yourself Spouse Boxes checked on 14a and 14b Caution: If someone can claim you as a dependent on his or her 2016 tax return, do not check box 14a. c Dependents: (1) First name Last name No. of children on 14c who: (4) ✓ if qualifying child for child tax credit (3) Dependent’s relationship to you (2) Dependent’s SSN or ITIN • lived with you • did not live with you due to divorce or separation Dependents on 14c not entered above d Total number of exemptions claimed . Part III . . . . . . . . . . . . . . . . . . . Figuring Your Income Tax 15 Total income (from page 3, Schedule A, line 4, column (d) or (e)) . . . . . . . . . . 16 Adjustments. See the instructions and attach appropriate form or statement . . . . . . 17 Adjusted gross income. Subtract line 16 from line 15 . . . . . . . . . . . . . . Groups 18 Enter the amount from page 4, Schedule D, line 8 or 16, whichever applies . . . . . . I and II 19 Credits. See the instructions and attach appropriate form or statement . . . . . . . . 20 Subtract line 19 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . 21 Other taxes. See the instructions and attach appropriate form . . . . . . . . . . . 22 Tax for Group I or II. Add lines 20 and 21 . . . . . . . . . . . . . . . . . . Group 23 Total income (from page 3, Schedule A, line 4, column (f)) . . . 23 III 24 Tax (30% of line 23). If less than 30%, attach statement showing computation . . . . . 25 Total tax. Add lines 22 and 24 . . . . . . . . . . . . . . . . . . . . ▶ Note: Your tax liability on your final return may be different from line 25. 26 U.S. income tax paid or withheld at source (from page 3, Schedule Tax Summary A, lines 4 and 5, column (c)) . . . . . . . . . . . . . 26 27 2016 estimated tax payments and amount applied from 2015 return . . . . . . . . . . . . . . . . . . . . 27 28 Other payments (specify) ▶ 28 29 Total payments. Add lines 26 through 28 . . . . . . . . . . . . . . . . ▶ 30 If line 25 is more than line 29, subtract line 29 from line 25. This is the amount you owe 31 If line 29 is more than line 25, subtract line 25 from line 29. This is the amount you overpaid. Any overpayment of tax will be refunded only when you file your final return for the tax year Paid Preparer Use Only Your signature Date (A return made by an agent must be accompanied by a power of attorney.) Print/Type preparer’s name ▲ Keep a copy of this return for your records. 15 16 17 18 19 20 21 22 24 25 29 30 31 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 complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. ▲ Sign Here Add numbers on lines above ▶ . Date Spouse’s signature (If filing jointly, both must sign even if only one had income.) Preparer’s signature Date Check if PTIN self-employed Firm’s name ▶ Firm’s address ▶ Firm’s EIN ▶ Phone no. Certificate of Compliance This certifies that the above individual(s) has satisfied all the requirements of the Internal Revenue Code and the Internal Revenue Regulations relating to departing aliens according to all information available to me at this date. This certificate is effective for the tax period beginning , 2016, and ending , , or the tax year ended , . (Field Assistance Area Director) Internal Revenue Service Date , By (Name) (Title) Form 1040-C (2016) Page 3 Form 1040-C (2016) Schedule A 1 2 3 4 5 (a) Payer of income 2 (b) Type of income (such as salary, wages, taxable interest, dividends, rents, alimony received, etc.) Net gain, if any, from Schedule D (Form 1040) Net gain, if any, from Schedule B, line 2 . Totals . . . . . . . . . . . . Exempt income. Do not include on line 4 . Schedule B 1 Income (see instructions) (c) Amount of U.S. income tax paid or withheld at source (d) Resident alien income Nonresident alien income (e) Effectively connected with a U.S. trade or business 2 3 4 5 Certain Gains and Losses From Sales or Exchanges by Nonresident Aliens of Property Not Effectively Connected With a U.S. Trade or Business (see instructions). Include any U.S. income tax that was paid or withheld on these sales or exchanges on Schedule A, line 3, column (c). (a) Description of property (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 Net gain. Combine the gains and losses entered on line 1, column (f). If the total is greater than zero, enter this net gain amount on Schedule A, line 3, column (f). . . . . . . . . . . . . . . . Schedule C (f) Not effectively connected with a U.S. trade or business (f) Gain or (loss) subtract (e) from (d) 2 Itemized Deductions • If you are a resident alien reporting income on Schedule A, column (d), you may claim the same deductions allowable on Schedule A (Form 1040). • If you are a nonresident alien reporting income on Schedule A, column (e), you may claim only deductions that are connected to U.S. trade or business income and not deducted elsewhere. See Schedule A (Form 1040NR). However, casualty or theft losses and charitable contributions do not have to be related to U.S. trade or business income. You should file Form 4684, Casualties and Thefts, to support casualty or theft losses shown below. • If you are a nonresident alien reporting income on Schedule A, column (f), do not claim any deductions related to that income. (a) Type of deduction (b) Amount (c) Type of deduction (d) Amount of 1 (such as interest, taxes, contributions, etc.) 2 of deduction (such as interest, taxes, contributions, etc.) Total itemized deductions. Add the amounts in columns (b) and (d) of line 1. Enter the total here and on Schedule D, line 2 or line 10, whichever applies. Exception. If the amount on Form 1040-C, line 17, is over $311,300 ($285,350 if head of household, $259,400 if single, $155,650 if married filing separately), see the instructions for the amount to enter . . . . . . . . . . . . . . . . deduction 2 Form 1040-C (2016) Page 4 Form 1040-C (2016) Schedule D Tax Computation Tax for Resident Alien—Group I Only (For description of groups, see line 1 on page 1.) 1 Enter amount from page 2, line 17 . . 1 2 If you itemize deductions, enter amount from page 3, Schedule C, line 2. If you do not plan to itemize deductions, enter your standard deduction. See Standard Deduction (Group I only) in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Subtract line 2 from line 1 . 3 4 Exemptions. If line 1 above is less than $311,300 ($285,350 if head of household, $259,400 if single, $155,650 if married filing separately), multiply $4,050 by the total number of exemptions claimed on Form 1040-C, line 14d. If line 1 above is more than the amount listed above for your filing status, see the worksheet in the instructions for the amount to enter . . . . . . . . . 4 5 Taxable income. Subtract line 4 from line 3 . 5 6 Tax. Figure your tax on the amount on line 5 by using the 2016 Tax Rate Schedules in the instructions. Include in the total any tax from Form 4972 and Form 8814. Enter the tax here . . 6 7 Alternative minimum tax (AMT). Enter the amount, if any, of AMT from Form 6251 . . . . . 7 8 Add lines 6 and 7. Enter the result here and on Form 1040-C, line 18 . . . ▶ 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax for Nonresident Alien With Income Effectively Connected With a U.S. Trade or Business—Group II Only 9 . . . . . . . . . . . . . . 9 10 Enter itemized deductions from page 3, Schedule C, line 2 . . . . . . . . . . . . . . 10 11 Subtract line 10 from line 9 . . . . . . . . . . . . . . 11 12 Exemptions. If line 9 above is less than $311,300 ($285,350 if head of household, $259,400 if single, $155,650 if married filing separately), multiply $4,050 by the total number of exemptions claimed on Form 1040-C, line 14d. If line 9 above is more than the amount listed above for your filing status, see the worksheet in the instructions for the amount to enter . . . . . . . . . 12 13 Taxable income. Subtract line 12 from line 11 . 13 14 Tax. Figure your tax on the amount on line 13 by using the 2016 Tax Rate Schedules in the instructions. Include in the total any tax from Form 4972 and Form 8814. Enter the tax here . . 14 15 Alternative minimum tax (AMT). Enter the amount, if any, of AMT from Form 6251 . . . . . 15 16 Add lines 14 and 15. Enter the result here and on Form 1040-C, line 18 . . . ▶ 16 Enter amount from page 2, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Form 1040-C (2016)
Extracted from PDF file 2016-federal-form-1040-c.pdf, last modified January 2016

More about the Federal Form 1040-C Individual Income Tax Tax Return TY 2016

We last updated the U.S. Departing Alien Income Tax Return in January 2017, so this is the latest version of Form 1040-C, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 1040-C directly from TaxFormFinder. You can print other Federal tax forms here.


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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 1040-C from the Internal Revenue Service in January 2017.

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Form 1040-C is a Federal Individual Income Tax form. Like the Federal Form 1040, states each provide a core tax return form on which most high-level income and tax calculations are performed. While some taxpayers with simple returns can complete their entire tax return on this single form, in most cases various other additional schedules and forms must be completed, depending on the taxpayer's individual situation, to create a complete income tax return package.

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Federal Form 1040-C

We have a total of two past-year versions of Form 1040-C in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 1040-C

2016 Form 1040-C

U.S. Departing Alien Income Tax Return 2015 Form 1040-C

2016 Form 1040-C


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