Federal Initial and Annual Expatriation Statement
Extracted from PDF file 2023-federal-form-8854.pdf, last modified December 2023Initial and Annual Expatriation Statement
Form 8854 Initial and Annual Expatriation Statement For calendar year 2023 or other tax year beginning Department of the Treasury Internal Revenue Service OMB No. 1545-0074 , 2023, and ending Attachment Sequence No. 112 Identifying number (see instructions) Name Part I 2023 , 20 Go to www.irs.gov/Form8854 for instructions and the latest information. Please print or type. General Information. For all filers. 1 Mailing address and telephone number where you can be reached after expatriation 2 Address of principal foreign residence (if different from line 1) 3 Country of tax residence (if different from line 2) 4 Check the box that applies. See instructions. Initial expatriation statement for persons who expatriated in 2023. Complete Part II. Annual expatriation statement for persons who expatriated before 2023. Complete Part III. 5 Date of expatriation under section 877A(g)(3) for expatriating citizens and long-term residents (see instructions). Citizen Long-term resident Long-term resident with dual residency in a treaty country. Date commencing to be treated, for tax purposes, as a resident of the treaty country 6 List all countries (including the United States) of which you are a citizen. See instructions. a Name of country b Date you became a citizen of each country listed in line 6a (see instructions) 7 How you became a U.S. citizen 8a Date you became a U.S. lawful permanent resident By birth By naturalization b Date your U.S. lawful permanent resident status was revoked or abandoned (see instructions) c Date you relinquished your permanent resident card (see instructions) Part II Initial Expatriation Statement for Persons Who Expatriated in 2023 Section A Expatriation Information 1 Enter your U.S. income tax liability (after foreign tax credits) for the 5 tax years ending before the date of your expatriation. Caution: These amounts are not your balance due. See instructions. 1st Year Before Expatriation $ 2nd Year Before Expatriation $ 3rd Year Before Expatriation 4th Year Before Expatriation $ 5th Year Before Expatriation $ $ 2 Enter your net worth on the date of your expatriation for tax purposes . 3 Did you become at birth a U.S. citizen and a citizen of another country, and do you continue to be a citizen of, and taxed as a resident of, that other country? . . . . . . . . . . . . . . . . . . . Yes No If you answered “Yes” to question 3, have you been a resident of the United States for not more than 10 of the last 15 tax years (including the year of your expatriation)? . . . . . . . . . . . . . . . . Yes No Were you under age 181/2 on the date you expatriated and have you been a U.S. resident for not more than 10 tax years? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Do you certify under penalties of perjury that you have complied with all of your tax obligations for the 5 preceding tax years? See instructions . . . . . . . . . . . . . . . . . . . . . . . Yes No 4 5 6 For Paperwork Reduction Act Notice, see the separate instructions. . . . . . . Cat. No. 24126N . . . . $ Form 8854 (2023) Page 2 Form 8854 (2023) Section B Balance Sheet List in U.S. dollars the fair market value (FMV) and the U.S. adjusted basis of your assets and liabilities as of your expatriation date. For lines 6 and 7, list in U.S. dollars the present value of your pensions and deferred compensation interests as of your expatriation date. For more details, see the instructions. Assets 1 2 3 4 5 a (a) FMV (b) U.S. adjusted basis Cash, including bank deposits . . . . . . . . . . . Marketable stock and securities issued by U.S. companies . Marketable stock and securities issued by foreign companies Nonmarketable stock and securities issued by U.S. companies Nonmarketable stock and securities issued by foreign companies Separately state stock issued by foreign companies that would be controlled foreign corporations if you were still a U.S. citizen or permanent resident. See instructions . . . . . . . . b Provide the name, address, and EIN, if any, of any such company 6 Pensions or similar retirement arrangements (both U.S. and foreign) (see instructions) . . . . . . . . . . . . . 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Deferred compensation (including stock options) (see instructions) Partnership interests (see instructions) . . . . . . . . Assets held in trust (see instructions) . . . . . . . . . Beneficial interests in trusts not included in line 9 (see instructions) Intangibles used in the United States . . . . . . . . . Intangibles used outside the United States . . . . . . . Loans to U.S. persons . . . . . . . . . . . . . . Loans to foreign persons . . . . . . . . . . . . . Real property located in the United States . . . . . . . Real property located outside the United States . . . . . Business property located in the United States. . . . . . Business property located outside the United States . . . . Other assets (see instructions) . . . . . . . . . . . Total assets. Add lines 1 through 5 and lines 6 through 19. Don’t include amounts on line 5a in this total . . . . . . . . 21 22 23 24 25 Liabilities Installment obligations. . . . . . . . . . Mortgages, etc. . . . . . . . . . . . . Other liabilities (see instructions) . . . . . . Total liabilities. Add lines 21 through 23 . . . . Net worth. Subtract line 24 from line 20, column (a) Amount . . . . . . . . . . . . . . . . . . . . Form 8854 (2023) Page 3 Form 8854 (2023) Section C Property Owned on Date of Expatriation Don’t complete Section C if: • Your average net income tax liability for the 5 tax years immediately before expatriation (see line 1 in Section A) wasn’t more than $190,000, your net worth on the date of your expatriation (see line 2 in Section A) was under $2 million, and you checked “Yes” on line 6 in Section A; • In Section A, you checked “Yes” on lines 3, 4, and 6; or • In Section A, you checked “Yes” on lines 5 and 6. 1a Do you have any eligible deferred compensation items? Checking the “Yes” box is an irrevocable waiver of any right to claim any reduction in withholding for such eligible deferred compensation item under any treaty with the United States . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No b Do you have any ineligible deferred compensation items? If “Yes,” you must include in income the present value of your account on the day before your expatriation date . . . . . . . . . . . . Yes No Yes No Yes No c Do you have an interest in a specified tax deferred account? If “Yes,” you must include in income the amount of your entire interest in the account on the day before your expatriation date . . . . . . . d Are you a beneficiary of a nongrantor trust? See instructions . . . . . . . . . . . . . . . Check this box to elect under section 877A(f)(4)(B) to be treated as having received the value of your entire interest in the trust (as determined for purposes of section 877A) as of the day before your expatriation date. Attach a copy of your valuation letter ruling issued by the IRS. See instructions. 2 Recognition of gain or loss on the deemed sale of mark-to-market property. Caution: Don’t include in column (a) any property described on line 1a, 1b, 1c, or 1d. Complete column (g) only if you are deferring tax on gain from any property listed in column (a). (a) Description of property (b) FMV on day before date of expatriation (c) Cost or other basis* (d) Gain or (loss). Subtract (c) from (b) (e) Gain after allocation of the exclusion amount (see instructions) (f) Form or schedule on which gain or loss is reported (g) Amount of tax deferred (attach computations) 3 Total. Add the amounts in column (d) and column (e) . . . 4 Total tax deferred. Add the amounts in column (g). Enter here and on Part II, Section D, line 5 . . . . . . . . . * You must identify as “(h)(2)” any property for which you are making the special basis election under section 877A(h)(2). This election is irrevocable. See the instructions for Part II, Section C, line 2, column (c). Form 8854 (2023) Page 4 Form 8854 (2023) Section D Deferral of Tax Election to defer tax. You can defer tax only if you have provided adequate security. Adequate security is described in the instructions. 1 Are you electing to defer tax under section 877A(b)? Checking the “Yes” box is an irrevocable waiver of any right under any treaty of the United States that would prevent assessment or collection of any tax imposed because of section 877A . . . . . . Yes No If you checked the “Yes” box, continue to line 2. Otherwise, don’t complete lines 2 through 5. 2 Enter the total tax you would have reported, absent the deferral election, on Form 1040 or 1040-SR, line 24, for the part of the year including the day before the expatriation date absent the deferral election . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enter the total tax for the same part of the tax year determined without regard to the amounts attributable to section 877A(a). Attach computation . . . . . . . . . . . . . . . . 2 4 Subtract line 3 from line 2. This is the amount of tax eligible for deferral . . . . . . . . 4 5 Enter the total tax deferred from Part II, Section C, line 4, column (g) . . . . . . . . 5 3 . . 3 • If you are filing Form 1040 or 1040-SR, enter this amount in brackets to the left of the entry space for line 24. Identify as “EXP.” • If you are filing Form 1040-NR, enter this amount in brackets to the left of the entry space for line 24. Identify as “EXP.” Part III Annual Expatriation Statement for Persons Who Expatriated Before 2023 • If you made an election to defer the payment of tax, complete line 1. • If you have an item of eligible deferred compensation, complete line 2. • If you are a beneficiary of a nongrantor trust, complete line 3. 1 Complete columns (a), (b), and (c) for all property on which you deferred tax on a prior year Form 8854. Complete column (d) for any property you disposed of in 2023 and see the instructions for Part III. (a) Description of property (b) Amount of mark-to-market gain or (loss) reported on prior year Form 8854 (c) Amount of tax deferred on prior year Form 8854 (d) Date of disposition (if any) Form 8854 (2023) Page 5 Form 8854 (2023) Part III 2 Annual Expatriation Statement for Persons Who Expatriated Before 2023 (continued) Did you receive any distributions of eligible deferred compensation items for 2023? . . If “Yes,” enter the amount of distribution(s) and amount withheld at source, if any, below. Amount of distribution . . . . . . Yes No . . . . . . Yes No Amount withheld at source, if any 1 2 3 3 Did you receive any distributions from a nongrantor trust for 2023? . . . . . . . . If “Yes,” enter the amount of distribution(s) and amount withheld at source, if any, below. Amount of distribution Amount withheld at source, if any 1 2 3 Sign Here Paid Preparer Use Only Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than filer) is based on all information of which preparer has any knowledge. Your signature Print/Type preparer’s name Date Preparer’s signature Date Check if self-employed Firm’s name Firm’s EIN Firm’s address Phone no. PTIN Form 8854 (2023)
2023 Form 8854
More about the Federal Form 8854 Other TY 2023
We last updated the Initial and Annual Expatriation Statement in January 2024, so this is the latest version of Form 8854, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 8854 directly from TaxFormFinder. You can print other Federal tax forms here.
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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 8854 from the Internal Revenue Service in January 2024.
Historical Past-Year Versions of Federal Form 8854
We have a total of thirteen past-year versions of Form 8854 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2011 Form 8854
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