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OMB No. 1545.0074 b 2 a Sam 2555-EZ Department of the Treasury Internal Revenue Servce (99) Name shown on Form 1040 Foreign Earned Income Exclusion P Attach to Form 1040. Complete the Foreign Earned Income Tax Worksheet in the Instructions for Form 1040 if you enter an amount on line 18. P Go to www.irs.gov/Form2555EZ for instructions and the latest information. 2017 Attachment Sequence No. 34A You May Use This Form If You: • Are a U.S. citizen or a resident alien. • Earned wages/salaries in a foreign country. • Had total foreign earned income of $102,100 or less. See line 17. • Are filing a calendar year return that covers a 12-month period. I Your social security number • Don't have self-employment income. And You • Don't have business/moving expenses. : • Don't claim the foreign housing exclusion or deduction. Part I Tests To See If You Can Take the Foreign Earned Income Exclusion 1 Bona Fide Residence Test a Were you a bona fide resident of a foreign country or countries for a period that includes an entire tax year (see instructions)? • If you answered "Yes." you meet this test. Fill in line 1 b and then go to line 3. • If you answered "No," you don't meet this test. Go to line 2 to see if you meet the Physical Presence Test. Enter the date your bona fide residence began IP. . and ended (see instructions) ► K Yes O No Physical Presence Test Were you physically present in a foreign country or countries for at least 330 full days during — I 2017 or l any other period of 12 months in a row starting or ending in 2017? • If you answered "Yes." you meet this test. Fill in line 2b and then go to line 3. • If you answered "No," you don't meet this test. You can't take the exclusion unless you meet the Bona Fide Residence Test above. b The physical presence test is based on the 12-month period from P. through ► K Yes 0 No 3 Tax Home Test. Was your tax home in a foreign country or countries throughout your period of bona

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