Form 2555-EZ Foreign Earned Income Exclusion 2005. Summary: This is an example of Form 2555-EZ (2005) as pertains to the text. The line items are completed as follows:
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“Name shown on Form 1040” field contains Judith E. Adams
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“Your social security number” field contains 221-00-2222
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Under
“Part I: Tests To See If You Can Take the Foreign Earned Income Exclusion”:
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“1a. Were you a bona fide resident ....” field contains checkbox checked No
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“2a. Were you physically present ...” field contains checkbox checked Yes
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“2b. The physical presence test is based on the 12-month period from” field contains 1-1-05 through
12-31-05
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