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Form 2555-EZ Foreign Earned Income Exclusion 2006. Summary: This is an example of Form 2555-EZ (2006) as pertains to the text. The line items are completed as follows:

“Name shown on Form 1040” field contains Judith E. Adams

“Your social security number” field contains 221-00-2222

Under “Part I: Tests To See If You Can Take the Foreign Earned Income Exclusion”:

“1a. Were you a bona fide resident ....” field contains checkbox checked No

“2a. Were you physically present ...” field contains checkbox checked Yes

“2b. The physical presence test is based on the 12-month period from” field contains 1-1-06 through 12-31-06