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OMB No. 1545-0074
Foreign Earned Income
Form 2555
Attach to Form 1040 or 1040-SR. 2023
Department of the Treasury Go to www.irs.gov/Form2555 for instructions and the latest information. Attachment
Internal Revenue Service Sequence No. 34
For Use by U.S. Citizens and Resident Aliens Only
Name shown on Form 1040 or 1040-SR Your social security number
Part I General Information
1 Your foreign address (including country) 2 Your occupation
3 Employer’s name
4 a Employer’s U.S. address
b Employer’s foreign address
5 Employer is (check a A foreign entity b A U.S. company c Self
any that apply): d A foreign affiliate of a U.S. company e Other (specify)
6 a If you previously filed Form 2555 or Form 2555-EZ, enter the last year you filed the form.
b If you didn’t previously file Form 2555 or Form 2555-EZ to claim either of the exclusions, check here and go to line 7.
c Have you ever revoked either of the exclusions? . . . . . . . . . . . . . . . . . . . . Yes No
d If you answered “Yes,” enter the type of exclusion and the tax year for which the revocation was effective.
7 Of what country are you a citizen/national?
8a Did you maintain a separate foreign residence for your family because of adverse living conditions at your
tax home? See Second foreign household in the instructions . . . . . . . . . . . . . . . Yes No
b If “Yes,” enter city and country of the separate foreign residence. Also, enter the number of days during your tax year that you
maintained a second household at that address.
9 List your tax home(s) during your tax year and date(s) established.
Next, complete either Part II or Part III. If an item doesn’t apply, enter “N/A.” If you don’t give
the information asked for, any exclusion or deduction you claim may be disallowed.
Part II Taxpayers Qualifying Under Bona Fide Residence Test
Note: Only U.S. citizens and resident aliens who are citizens or nationals of U.S. treaty countries can use this
test. See instructions.
10 Date bona fide residence began , and ended
11 Kind of living quarters in foreign country: a Purchased house b Rented house or apartment c Rented room
d Quarters furnished by employer
12a Did any of your family live with you abroad during any part of the tax year? . . . . . . . . . . . Yes No
b If “Yes,” who and for what period?
13a Have you submitted a statement to the authorities of the foreign country where you claim bona fide
residence that you aren’t a resident of that country? See instructions . . . . . . . . . . . . . Yes No
b Are you required to pay income tax to the country where you claim bona fide residence? See instructions . Yes No
If you answered “Yes” to 13a and “No” to 13b, you don’t qualify as a bona fide resident. Don’t complete the rest of
this part.
14 If you were present in the United States or its territories during the tax year, complete columns (a)–(d) below. Don’t include the
income from column (d) in Part IV, but report it on Form 1040 or 1040-SR.
(a) Date (b) Date left (c) Number of (d) Income earned in (a) Date (b) Date left (c) Number of (d) Income earned in
arrived in U.S. U.S. days in U.S. U.S. on business arrived in U.S. U.S. days in U.S. on U.S. on business
on business (attach computation) business (attach computation)
15a List any contractual terms or other conditions relating to the length of your employment abroad.
b Enter the type of visa under which you entered the foreign country.
c Did your visa limit the length of your stay or employment in a foreign country? If “Yes,” attach explanation . Yes No
d Did you maintain a home in the United States while living abroad? . . . . . . . . . . . . . . Yes No
e If “Yes,” enter address of your home, whether it was rented, the names of the occupants, and their relationship
to you.
For Paperwork Reduction Act Notice, see the Instructions for Form 1040. Cat. No. 11900P Form 2555 (2023)
