Federal Free Printable Form 8833 (Rev. December 2013) for 2017 Federal Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b)

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Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b)
Form 8833 (Rev. December 2013)

Form 8833 (Rev. December 2013) Department of the Treasury Internal Revenue Service Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) ▶ OMB No. 1545-1354 Attach to your tax return. ▶ Information about Form 8833 and its instructions is at www.irs.gov/form8833. Attach a separate Form 8833 for each treaty-based return position taken. Failure to disclose a treaty-based return position may result in a penalty of $1,000 ($10,000 in the case of a C corporation) (see section 6712). Name U.S. taxpayer identifying number Reference ID number, if any (see instructions) Address in country of residence Address in the United States Check one or both of the following boxes as applicable: • The taxpayer is disclosing a treaty-based return position as required by section 6114 . . . . . . • The taxpayer is a dual-resident taxpayer and is disclosing a treaty-based return position as required by Regulations section 301.7701(b)-7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ . . . . . . . ▶ Note. If the taxpayer is a dual-resident taxpayer and a long-term resident, by electing to be treated as a resident of a foreign country for purposes of claiming benefits under an applicable income tax treaty, the taxpayer will be deemed to have expatriated pursuant to section 877A. For more information, see the instructions. Check this box if the taxpayer is a U.S. citizen or resident or is incorporated in the United States . . . . . . . . . . ▶ 3 Name, identifying number (if available to the taxpayer), and 1 Enter the specific treaty position relied on: address in the United States of the payor of the income (if a Treaty country fixed or determinable annual or periodical). See instructions. b Article(s) List the Internal Revenue Code provision(s) overruled or 2 modified by the treaty-based return position 4 5 6 List the provision(s) of the limitation on benefits article (if any) in the treaty that the taxpayer relies on to prevent application of that article ▶ Is the taxpayer disclosing a treaty-based return position for which reporting is specifically required pursuant to Regulations section 301.6114-1(b)? . . . . . . . . . . . . . . . . . . . . . . . Yes No If “Yes,” enter the specific subsection(s) of Regulations section 301.6114-1(b) requiring reporting . . . . ▶ Also include the information requested in line 6. Explain the treaty-based return position taken. Include a brief summary of the facts on which it is based. Also, list the nature and amount (or a reasonable estimate) of gross receipts, each separate gross payment, each separate gross income item, or other item (as applicable) for which the treaty benefit is claimed For Paperwork Reduction Act Notice, see the instructions. Cat. No. 14895L Form 8833 (Rev. 12-2013) [This page left blank intentionally] Form 8833 (Rev. 12-2013) Section references are to the Internal Revenue Code unless otherwise noted. Future Developments For the latest information about developments related to Form 8833 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form8833. General Instructions Purpose of Form Form 8833 must be used by taxpayers to make the treaty-based return position disclosure required by section 6114. The form must also be used by dual-resident taxpayers (defined later) to make the treaty-based return position disclosure required by Regulations section 301.7701(b)-7. A separate form is required for each treaty-based return position taken by the taxpayer. Who Must File Generally, a taxpayer who takes a treaty-based return position must disclose that position. See Exceptions from reporting below. A taxpayer takes a treaty-based return position by maintaining that a treaty of the United States overrules or modifies a provision of the Internal Revenue Code and thereby causes (or potentially causes) a reduction of tax on the taxpayer’s tax return. For these purposes, a treaty includes, but is not limited to, an income tax treaty; estate and gift tax treaty; or friendship, commerce, and navigation treaty. See Regulations sections 301.6114-1(a) and (b) for more details and for examples of treaty-based return positions taken by taxpayers for which they must make disclosure. Exceptions from reporting. See Regulations section 301.6114-1(c) for examples of treaty-based return positions taken by taxpayers for which they are not required to make disclosure. In general, disclosure of a treatybased return position is not required for amounts that are: 1. Reported on Form 1042-S, and 2. Received by a: a. Related party from a reporting corporation within the meaning of section 6038A (relating to information returns on Form 5472 filed by U.S. corporations that are 25-percent owned by a foreign person), Page b. Beneficial owner that is a direct account holder of a U.S. financial institution or qualified intermediary, or a direct partner, beneficiary or owner of a withholding foreign partnership or trust, from that U.S. financial institution, qualified intermediary, or withholding foreign partnership or trust, or c. Taxpayer that is not an individual or a State, if the amounts are not received through an account with an intermediary or with respect to an interest in a partnership or a simple or grantor trust, and if the amounts do not total more than $500,000 for the tax year. However, Regulations sections 301.6114-1(c)(6)(ii), (7)(iv), and (8)(ii) provide that the exceptions described above do not apply to any amounts for which a treaty-based return disclosure is specifically required under these instructions. The following are amounts for which a treaty-based return disclosure on Form 8833 is specifically required. • Amounts described in paragraph 2a or 2c earlier that are received by a corporation that is a resident under the domestic law of both the United States and a foreign treaty jurisdiction. • Amounts described in paragraph 2a or 2c earlier that are received by a corporation that is a resident of both the jurisdiction whose treaty is invoked and another foreign jurisdiction that has an income tax treaty with that treaty jurisdiction. See Revenue Ruling 2004-76, 2004-31 I.R.B. 111, available at www.irs.gov/pub/irs-irbs/irb04-31.pdf. • Amounts described in paragraph 2a or 2c earlier that are received by a foreign collective investment vehicle that is a contractual arrangement and not a person under foreign law. See Example 7 of Regulations section 1.894-1(d)(5). • Amounts described in paragraph 2a or 2c earlier that are received by a foreign “interest holder” in a “domestic reverse hybrid entity,” as those terms are used in Regulations section 1.894-1(d)(2). Dual-resident taxpayer. An alien individual is a dual-resident taxpayer if that individual is considered to be a resident of both the United States and another country under each country’s tax laws. If the income tax treaty between the United States and the other country contains a provision for resolution of conflicting claims of residence by the United States and its treaty partner, and the individual determines that under those provisions he or she is a resident of the foreign country for treaty purposes, the individual may claim treaty benefits as a resident of that foreign country, provided that he or she complies with the instructions below. 3 If you are an individual who is a dual-resident taxpayer and you choose to claim treaty benefits as a resident of the foreign country, you are treated as a nonresident alien in figuring your U.S. income tax liability for the part of the tax year you are considered a dual-resident taxpayer. If you are eligible to be treated as a resident of the foreign country pursuant to the applicable income tax treaty and you choose to claim benefits as a resident of such foreign country, attach Form 8833 to Form 1040NR, U.S. Nonresident Alien Income Tax Return, or Form 1040NR-EZ, U.S. Income Tax Return for Certain Nonresident Aliens With No Dependents. In order to be treated as a resident of the foreign country, you must timely file (including extensions) Form 1040NR or Form 1040NR-EZ with the Form 8833 attached. If you choose to be treated as a resident of a foreign country under an income tax treaty, you are still treated as a U.S. resident for purposes other than figuring your U.S. income tax liability (see Regulations section 301.7701(b)-7(a)(3)). When and Where To File Attach Form 8833 to your tax return (i.e., Form 1040NR, Form 1040NR-EZ, Form 1120-F, etc.). If you would not otherwise be required to file a tax return, you must file one at the IRS Service Center where you would normally file a return to make the treaty-based return position disclosure under section 6114 (see Regulations section 301.6114-1(a)(1)(ii)) or under Regulations section 301.7701(b)-7. Specific Instructions U.S. Taxpayer Identifying Number The identifying number of an individual is his or her social security number or individual taxpayer identification number. The identifying number of all others is their employer identification number. For more information about identifying numbers, see the instructions for the tax return with which this form is filed. Reference ID Number If the taxpayer is a foreign corporation, enter any reference ID number assigned to the foreign corporation by a U.S. person with respect to which information reporting is required (for example, on Form 5471 or Form 5472). Address in Country of Residence Enter the information in the following order: city, province or state, and country. Follow the country’s practice for entering the postal code. Please do not abbreviate the country name. Form 8833 (Rev. 12-2013) Page Termination of U.S. Residency Line 5 If you are a dual-resident taxpayer and a long-term resident (LTR) and you are filing this form to be treated as a resident of a foreign country for purposes of claiming benefits under an applicable U.S. income tax treaty, you will be deemed to have terminated your U.S. residency status for federal income tax purposes. Because you are terminating your U.S. residency status, you may be subject to tax under section 877A and you must file Form 8854, Initial and Annual Expatriation Statement. You are an LTR if you were a lawful permanent resident of the United States in at least 8 of the last 15 tax years ending with the year your status as an LTR ends. For additional information, see the Instructions for Form 8854, and Publication 519, U.S. Tax Guide for Aliens. If the taxpayer answers “Yes” to the question on line 5, the taxpayer must enter the subsection of Regulations section 301.6114-1(b) with respect to which the taxpayer is disclosing a treatybased return position. The taxpayer must also provide the information requested on line 6. Line 3 Income that is fixed or determinable annual or periodical includes interest (other than original issue discount), dividends, rents, premiums, annuities, salaries, wages, and other compensation. For more information (including other items of income that are fixed or determinable annual or periodical), nonresident aliens and dualresident taxpayers filing as nonresident aliens should see section 871(a) and Regulations section 1.871-7(b) and (c). Foreign corporations should see section 881(a) and Regulations section 1.881-2(b) and (c). Line 6 All taxpayers taking a treaty-based return position must provide the requested information on line 6, regardless of whether reporting is explicitly required under Regulations section 301.6114-1(b). Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us the information. We need it to ensure that you are complying with these laws and to allow us to figure and collect the right amount of tax. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103. 4 The time needed to complete and file this form will vary depending on individual circumstances. The estimated burden for individual taxpayers filing this form is approved under OMB control number 1545-0074 and is included in the estimates shown in the instructions for their individual income tax return. The estimated burden for all other taxpayers who file this form is shown below. Recordkeeping . . . . Learning about the law or the form . . 3 hr., 7 min. . . 1 hr., 35 min. Preparing and sending the form to the IRS . . 1 hr., 43 min. If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. See the instructions for the tax return with which this form is filed.
Extracted from PDF file 2016-federal-form-8833.pdf, last modified October 2006

More about the Federal Form 8833 Other TY 2016

We last updated the Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) in May 2017, so this is the latest version of Form 8833, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 8833 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 8833 from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 8833

We have a total of five past-year versions of Form 8833 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 8833

Form 8833 (Rev. December 2013)

Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) 2015 Form 8833

Form 8833 (Rev. December 2013)

Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) 2013 Form 8833

Form 8833 (Rev. December 2013)

Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) 2012 Form 8833

Form 8833 (Rev. December 2012)

Treaty-Based Return Position Disclosure Under Section 6114 or 7701(b) 2011 Form 8833

Form 8833 (Rev. August 2006)


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