EFTA01222819.pdf

8689 Form Allocation of Individual Income Tax to the U.S. Virgin Islands OMB No. 1545-0074 Department 0' IN? Treasury ► Attach to Form 1040. 2017 Attachment Internal Revenue Service ► Go to www.ks.govIForm8689 for the latest information. Sequence No. 85 Name(s) shown on Form 1040 Your social security number Part I Income From the U.S. Virgin Islands (USVI) 1 Wages, salaries, tips, etc. 1 2 Taxable interest 2 3 Ordinary dividends 3 4 Taxable refunds, credits, or offsets of local USVI income taxes 4 5 Alimony received 5 6 Business income or (loss) 6 7 Capital gain or (loss) 7 8 Other gains or (losses) 8 9 IRA distributions (taxable amount) 9 10 Pensions and annuities (taxable amount) 10 11 Rental real estate, royalties, partnerships, S corporations, trusts, etc 11 12 Farm income or (loss) 12 13 Unemployment compensation 13 14 Social security benefits (taxable amount) 14 15 Other income. List type and amount ► 15 16 Add lines 1 through 15. This is your total USVI income . ► 18 Adjusted Gross Income From the USVI 17 Educator expenses 17 18 Certain business expenses of reservists, performing artists, and fee-basis government officials 18 19 Health savings account deduction 19 20 Moving expenses 20 21 Deductible part of self-employment tax 21 22 Self-employed SEP, SIMPLE, and qualified plans 22 23 Self-employed health insurance deduction 23 24 Penalty on early withdrawal of savings 24 25 IRA deduction 25 26 Student loan interest deduction 26 27 Tuition and fees deduction 27 28 Add lines 17 through 27 28 29 Subtract line 28 from line 16. This is your USVI adjusted gross income ► 29 nil Allocation of Tax to the USVI 30 Enter amount from Form 1040, line 63 30 31 Enter the total of the amounts ham Form 1040. lines 57, 58. 60a, 66a. 67, 68, 73 (boxes c and 4. Include any uncollected social security and Medicare or tier 1 RATA tax, tax on excess golden parachute payments, or excise tax an insider stock cornpensation reported on line U. Also include any amount from Form 5329. Parts III, IV, V. VI. VII, VIII, a IX reported on Form 1040, line 59 . 31 32 Subtract line 31 from line 30 32 33 Enter amount from Form 1040, line 38 I 33 I 34 Divide line 29 above by Me 33. Enter the result as a decimal (rounded to at least 3 places). Do not enter mae than 1.000 34 x 35 Multiply line 32 by line 34. This is your tax allocated to the USVI 35 Part IV Payments of Income Tax to the USVI 36 Income tax withheld by the USVI 36 37 2017 estimated tax payments and amount applied from 2016 return 37 38 Amount paid with Form 4868 (extension request) 38 39 Add lines 36 through 38. These are your total payments to the USVI ► 40 Enter the smaller of line 35 or line 39. Include this amount in the total on Form 1040, line 74 On the dotted line next to line 74, enter "Form 8689" and show this amount 40 41 Overpayment to the USVI. If line 39 is more than line 35. subtract line 35 from line 39 41 42 Amount of line 41 you want refunded to you ► 42 43 Amount of line 41 you want applied to your 2018 estimated tax . . 143 I 44 Amount you owe to the USVI. If line 39 is less than line 35, subtract line 39 from line 35 . . . . 44 45 Enter the amount from fine 44 that you will pay when you file your income tax retum. Include this amount in the total of Forrn 1040. line 74. On the dotted line next to line 74. enter Worm 8689" and show this amount 45 For Paperwork Reduction Act Notice, see the Form 1040 Instructions. Form 8689 (2017) EFTA01222819