1
Did you receive any salary income from the US during the year? Yes No
If yes, attach a statement describing the payor, amount earned, related expenses, nature of
employment. Provide a Form W-2.
2
Did you receive any business income from the US during the year? Yes No
If yes, attach a statement describing the nature of the business, the income and expenses for the
year, assets purchased and information about US office premises and US agents.
3
Did you receive any rental income from US real estate? Yes No
If yes, provide details in Section 6.
4
Did you sell any US real estate during the year? Yes No
If yes, provide full details of acquisition and sale.
5
Did you receive any income from US Partnerships, Estates & Trusts or S-Corporations? Yes No
Provide copies of forms K-1 for each partnership.
6
Did you realise any capital gains or losses from disposal of any assets during the tax year? Yes No
This includes shares and securities, traded options and also currency transactions including offshore
currency loans. If yes, provide the cost of the initial purchase, the date of purchase, sale
proceeds, and date of sale.
7
Did you receive any other income from US sources? Yes No
If yes, provide details, including payor and amount:
8
Did your spouse (if applicable) receive any US income? Yes No
9
Will your spouse (if applicable) be filing a US income tax return? Yes No
Other:
Attach a list of your non-US income for the year. You should note that if your worldwide income
for the year exceeded US $100,000, it is necessary to provide very specific details of your income.
10
Did your income exceed US $100,000? Yes No
Provide details and amounts of any taxes withheld or paid in the US during the year. Also provide details
of charitable contributions, casualty or theft losses in the US and any business expenses.
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John McLaughlin – 020 3861 2951
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Khush Shah – 020 3861 2959
Paul Devonshire – 020 3861 2941
Bonnetta Brady – 020 3861 2945
Dan Blythe – 020 3861 2957
Anusa Sivayoganathan – 020 3861 2947
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Maira Atif – 020 3861 2965
Jack Turner – 020 3861 2962
Daniella Ekwedike – 020 3861 2969
Anam Akhter – 020 3861 2953
