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ronn1040NR Department of the Treasu ry Internal Revenue Service U.S. Nonresident Alien Income Tax Return Do Go to vnweirs.gov/Form1040NR for instructions and the latest information. For the year January 1-December 31. 2018. or other tax year begeming . 2018. and ending .20 OMB No. 154S-0074 018 Please print or type Your first ame and initial Last name Identifying number (see instructions) Present home address (number and street or rural route). If you have a P.O. box. see instructions. Apt. no. Check if: 0 Individual O Estate or Trust City. town or post office. state. and ZIP code. If you have a foreign address. also complete spaces below. See instructions. Foreign country name I Foreign province/state/county Foreign postal code Filing Status Check onty one box. 1 0 Reserved 4 2 0 Single nonresident alien 5 3 0 Reserved 6 • Reserved • Married nonresident alien • Qualifying widow(er) (see instructions) Child's name Ito Dependents If more than four dependents. see instructions and check note, E. 7 Dependents: (see Instructions) (1) First name Last name (2) Dependent's identifying number (3) Dependent's relationship to you (4)s, if qualifies Chid tax credit for (see inst.): Credit for other dependents 0 0 0 0 0 0 El 0 Income Effectively Connected With U.S. Trade/ Business Attach Form(s) W-2, 1042-S, SSA-1042S, RRB04ZS, and Ea88-A here. Also attach Fcwrit ) 1099-R if tax was withheld. 8 Wages. salaries, tips, etc. Attach Form(s) W-2 9a Taxable interest b Tax-exempt interest. Do not include on line 9a 19b I 8 9a 10a 10a Ordinary dividends b Qualified dividends (see instructions) I10b I 11 Taxable refunds, credits, or offsets of state and local income taxes (see 12 Scholarship and fellowship grants. Attach Form(s) 1042-S or required statement 13 Business income or (loss). Attach Schedule C or C-EZ (Form 1040) 14 Capital gain or (loss). Attach Schedule D (Form 1040) i

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