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EFTA01222561

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F0.1NONR Department of the Treasury Internal Revenue Service U.S. Nonresident Alien Income Tax Return Ili Go to www.irs.gov/Form1040NR for instructions and the latest information. For the year January 1-December 31. 2017. or other tax year begnning . 2017. and ending .20 OMB No. 154S-0074 0 1 7 Please print or type Your first ame and initial Last name Identifying number (see Instructions) Present home address (number. street. and apt. no.. or rural route). If you have a M . box see instructions. Check it O Individual O Estate or That City, town or post office. state. and ZIP code. If you have a foreign address. also complete spaces below. See instructions. Foreign county name Foreign promise/state/county Foreign postal code Filing Status Check onty one box. 1 0 Single resident of Canada or Mexico or single U.S. national 4 2 0 Other single nonresident alien 5 3 0 Married resident of Canada or Mexico or monied U.S. national 6 M Married resident of South Korea • Other married nonresident alien M Qualifying widow(er) (see instructions) If you checked box 3 or 4 above, enter the information below. Child's name O. (I) Spouse's first name and initial 00 Spouse's last name (IV) Spouse's identifying number Exemptions If more than lour dependents. see instructions 7a 0 Yourself. If someone can claim you as a dependent, do not check box 7a . . . . Boxes checked on 7a and lb b 0 Spouse. Check box 7b only if you checked box 3 or 4 above and have any U.S. gross income your spouse did not No. of children on 7c who: c Dependents: (see Instructions) (1) Frst name Last name (2) Dependent's identifying number (3) Dependent's relationship to you RV if qualifying child for child tax credit (see Instr.) . lived with you • did not live with 0 you due to divorce 0 instructions) or separation (see 0 Dependents on 7c 0 not entered above d Total number of exemptions claimed Add numbers on lines above Po Income

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Independent research project. Not affiliated with the U.S. Department of Justice, FBI, any government agency, or Anthropic. All analytical text on this site is AI-generated (Claude, Anthropic) and iteratively fact-checked against source documents, but may contain errors. Verify all claims against linked EFTA sources before citing.
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