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Federal Free Printable 2022 Form 1040-C for 2023 Federal U.S. Departing Alien Income Tax Return

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U.S. Departing Alien Income Tax Return
2022 Form 1040-C

Form 1040-C U.S. Departing Alien Income Tax Return For tax period or year beginning ▶ Department of the Treasury Internal Revenue Service Print or type OMB No. 1545-0074 , 2022, and ending , 2022 Go to www.irs.gov/Form1040C for instructions and the latest information. ▶ 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 Date on which you first arrived in the U.S. Spouse’s number City, state, and ZIP code Date of departure Date on which you last arrived in the U.S. Complete foreign address 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 in the instructions. Part I 1 2 3 4 5 6 Explanation of Status—Resident or Nonresident Alien—See instructions. Check the box or boxes that apply. 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 2021 Form 1040-NR 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 Form W-9, Request for Taxpayer Identification Number and Certification, to a withholding agent? . . . . . . . . . . . . . . . . . . . 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 8 a b c 9 10 If you filed income tax returns in the United States, give the following information for 2021. Type of return filed (for example, Form 1040, 1040-SR, 1040-NR, 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)? ▶ { For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see the instructions. Cat. No. 11310F Form 1040-C (2022) Page 2 Form 1040-C (2022) Part II Dependents—See instructions. 14 (a) First name (b) Social security number Last name (c) Relationship to you (d) ✓ if qualifies for (see instructions): Child tax credit Credit for other dependents Part III Figuring Your Income Tax 15 16 17 Groups 18 I and II 19 20 21 22 23 Group 24 Total income (from page 3, Schedule A, line 4, column (d) or (e)) . . . . . . . . . . . Adjustments. See the instructions and attach appropriate form or statement . . . . . . . Adjusted gross income. Subtract line 16 from line 15 . . . . . . . . . . . . . . . Enter the amount from page 4, Schedule D, line 6 or 12, whichever applies . . . . . . . Credits. See the instructions and attach appropriate form or statement . . . . . . . . . Subtract line 19 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . . Other taxes. See the instructions and attach appropriate form . . . . . . . . . . . . Tax for Group I or II. Add lines 20 and 21 . . . . . . . . . . . . . . . . . . . 23 Total income (from page 3, Schedule A, line 4, column (f)) . . . . . . Tax (multiply line 23 by 30% (0.30)). If less than 30% (0.30), attach statement showing computation. See instructions . . . . . . . . . . . . . . . . . . . . . . III 25 Total tax. Add lines 22 and 24 . . . . . . . . . . . . . . . . Note: Your tax liability on your final return may be different from line 25. Tax 26 U.S. income tax paid or withheld at source (from page 3, Schedule A, lines 4 Summary and 5, column (c)) . . . . . . . . . . . . . . . . . . . . . . . ▶ 26 2022 estimated tax payments and amount applied from 2021 return . . . 27 28 Other payments (specify) ▶ Total payments. Add lines 26 through 28 . . . . . . . . . . . . . . . . . ▶ If line 25 is more than line 29, subtract line 29 from line 25. This is the amount you owe . . . 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 . . . 27 28 29 30 31 Sign Here 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. Your signature ▲ Joint return? See instructions. Keep a copy for your records. Paid Preparer Use Only . 15 16 17 18 19 20 21 22 Spouse’s signature. If a joint return, both must sign. Phone no. Print/Type preparer’s name Firm’s name ▶ Firm’s address ▶ Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) ▶ Date Spouse’s occupation If the IRS sent your spouse an Identity Protection PIN, enter it here (see inst.) ▶ Email address Preparer’s signature Date Check if self-employed PTIN 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 , 2022, and ending , , or the tax year ended , . (Field Assistance Area Director) Internal Revenue Service Date , By (Name) (Title) Form 1040-C (2022) Page 3 Form 1040-C (2022) Schedule A 1 2 3 4 5 (a) Payer of income 2 (b) Type of income (such as salary, wages, taxable interest, dividends, rents, 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—See instructions. • If you are a resident alien reporting income on Schedule A, column (d), you may claim the same deductions allowable on Schedule A (Form1040). • 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 1040-NR). 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. See instructions for the extent to which casualty and theft losses are deductible. • If you are a nonresident alien reporting income on Schedule A, column (f), do not claim any deductions related to that income. 1 (a) Type of deduction (b) Amount (c) Type of deduction (d) Amount of (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 8, whichever applies. . . . . . . . . . . . . . . . . . deduction 2 Form 1040-C (2022) Page 4 Form 1040-C (2022) Schedule D Tax Computation—See instructions. 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 . 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 Taxable income. Subtract line 2 from line 1 3 4 Tax. Figure your tax on the amount on line 3 by using the 2022 Tax Rate Schedules in the instructions. Include in the total any tax from Form 4972 and Form 8814. Enter the tax here . . . . . . . . 4 5 Alternative minimum tax (AMT). Enter the amount, if any, of AMT from Form 6251 . . . . . . 5 6 Add lines 4 and 5. Enter the result here and on Form 1040-C, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . ▶ 6 Tax for Nonresident Alien With Income Effectively Connected With a U.S. Trade or Business—Group II Only 7 Enter amount from page 2, line 17 . 8 Enter itemized deductions from page 3, Schedule C, line 2 9 Taxable income. Subtract line 8 from line 7 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . . . . . . . . . . . . . . 8 . . . . . . . . . . . . . . 9 Tax. Figure your tax on the amount on line 9 by using the 2022 Tax Rate Schedules in the instructions. Include in the total any tax from Form 4972 and Form 8814. Enter the tax here . . . . . . . . 10 11 Alternative minimum tax (AMT). Enter the amount, if any, of AMT from Form 6251 . . . . . . 11 12 Add lines 10 and 11. Enter the result here and on Form 1040-C, line 18 . . . . . . . . . . ▶ 12 Form 1040-C (2022)
Extracted from PDF file 2022-federal-form-1040-c.pdf, last modified January 2022

More about the Federal Form 1040-C Individual Income Tax Tax Return TY 2022

Aliens who intend to leave the United States or any of its possessions file this form to report income received or expected to be received for the entire tax year, and pay the expected tax liability on that income, if they are required to do so.

We last updated the U.S. Departing Alien Income Tax Return in December 2022, so this is the latest version of Form 1040-C, fully updated for tax year 2022. 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.

Other Federal Individual Income Tax Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 1040-V Payment Voucher
W-4P Withholding Certificate for Pension or Annuity Payments
Publication 17 Your Federal Income Tax Guide
1040 (Schedule A) Itemized Deductions
Form 1040-EZ Income Tax Return for Single and Joint Filers With No Dependents

Download all  tax forms View all 775 Federal Income Tax Forms


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 December 2022.

Show Sources >

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 seven 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:


2022 Form 1040-C

2022 Form 1040-C

2021 Form 1040-C

2021 Form 1040-C

2020 Form 1040-C

2020 Form 1040-C

2019 Form 1040-C

2019 Form 1040-C

2017 Form 1040-C

2017 Form 1040-C

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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