OMB No. 1545-0070 Application for Extension of Time 2350 To File U.S. Income Tax Return Form

Department of the Treasury

Internal Revenue Service

For U.S. Citizens and Resident Aliens Abroad Who Expect To Qualify for Special Tax Treatment

I request an extension of time until to file my income tax return for the calendar year 2001,

or other tax year ending , because my tax home is in a foreign country and I expect to qualify

for special tax treatment by meeting the “bona fide residence test” or the “physical presence test.” (See instructions.)

1

2 Were you previously granted an extension of time to file for this tax year? Yes No

3 Will you need additional time to allocate moving expenses? Yes No

4a Date you first arrived in the foreign country

b Date qualifying period begins ; ends

c Your foreign home address

d Date you expect to return to the United States

Note: This is not an extension of time to pay tax. Full payment is required to avoid interest and late payment charges.

5 Enter the amount of income tax paid with this form  5

If you expect to file a gift or generation-skipping transfer (GST) tax return, complete line 6 (and 7a

or 7b if applicable). Do not include income tax on these lines. (See instructions.)

If you or your spouse plan to file a gift or GST tax return (Form 709 or 709-A) Yourself 

for 2001, generally due by April 15, 2002, see the instructions and check here

6

Spouse 

7a Enter the amount of gift or GST tax that you are paying with this form 7a

b Enter the amount of gift or GST tax that your spouse is paying with this form 7b

Signature and Verification

Signature of taxpayer  Date 

Signature of spouse 

Signature of preparer

other than taxpayer 

For Privacy Act and Paperwork Reduction Act Notice, see page 4. Cat. No. 11780H Form 2350 (2001)

 See instructions on page 3.



Date 

Date 

Please fill in the Return Label below with your name, address, and social security number. The IRS will complete the Notice to Applicant

and return it to you. If you want it sent to another address or to an agent acting for you, enter the other address and add the agent’s name.

Notice to

Applicant 

We have approved your application.

We have not approved your application.

However, we have granted a 45-day grace period to . This grace period is

considered a valid extension of time for elections otherwise required to be made on a timely return.

We have not approved your application. After considering the above information, we cannot grant your

request for an extension of time to file. We are not granting a 45-day grace period.

We cannot consider your application because it was filed after the due date of your return.

Other 

Director Date

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; and, if prepared by someone other than the taxpayer, that I am authorized to prepare this form.

Please fill in the Return Label at the bottom of this page.

To Be

Completed

by the IRS

(Do not detach)

Your first name and initial Last name Your social security number

If a joint return, spouse’s first name and initial Last name Spouse’s social security number

Taxpayer’s name (and agent’s name, if applicable). If a joint return, also give spouse’s name.

Number and street (include suite, room, or apt. no.) or P.O. box number

City or town, province or state, and country (including postal or ZIP code)

Please

type or

print.

File by

the due

date for

filing

your

return.

Taxpayer’s social security number

Spouse’s social security number

Return Label

(Please type or print)

Home address (number and street)

City or town, province or state, and country (including postal or ZIP code)

Agents:

Always include taxpayer’s name on Return Label.

2001
Form 2350 (2001) Page 3

Foreign country. A foreign country is a country other than the

United States or any of its possessions or territories.

Additional Information

Pub. 54, Tax Guide for U.S. Citizens and Resident Aliens Abroad,

has a detailed discussion of the foreign earned income exclusion,

the foreign housing exclusion and deduction, the bona fide residence

test, and the physical presence test. You can get Pub. 54 from most

U.S. embassies and consulates or by writing to: Eastern Area

Distribution Center, P.O. Box 25866, Richmond, VA 23286-8107.

You can also download Pub. 54 (and other forms and publications)

from the IRS Web Site at www.irs.gov.

When To File

File Form 2350 on or before the due date of your Form 1040. For a

2001 calendar year return, this is April 15, 2002. However, if you

have 2 extra months to file your return because you were out of the

country (defined below), file Form 2350 on or before June 17, 2002.

You should file Form 2350 early enough so that if it is not approved,

you can still file your return on time.

Caution: If we give you more time to file and later find that the

statements on this form are false or misleading, the extension is null

and void. You will owe the late filing penalty explained on page 4.

Out of the country. You may already have 2 extra months to file

your return and pay any tax due. But see Interest under Filing Your

Tax Return on page 4. “Out of the country” means that on the

regular due date of your return, either (a) you live outside the United

States and Puerto Rico and your main place of work is outside the

United States and Puerto Rico or (b) you are in military or naval

service outside the United States and Puerto Rico. You do not have

to file a form to get this 2-month extension. But you will have to

attach a statement to your tax return explaining how you qualified.

Purpose of Form

Use Form 2350 to ask for an extension of time to file your tax return

if you need the time to meet either the bona fide residence test or

the physical presence test to qualify for the foreign earned income

exclusion and/or the foreign housing exclusion or deduction.

Note: If you file your return after the regular due date, you cannot

have the IRS figure your tax.

If you need more time to file but do not expect to meet the bona

fide residence or the physical presence test, file Form 4868,

Application for Automatic Extension of Time To File U.S. Individual

Income Tax Return.

Where To File

File Form 2350 with either the Internal Revenue Service Center,

Philadelphia, PA 19255-0002, or the local IRS representative or other

IRS employee.

Who Should File

You should file Form 2350 if all three of the following apply:

1. You are a U.S. citizen or resident alien.

Period of Extension

2. You expect to qualify for the foreign earned income exclusion

and/or the foreign housing exclusion or deduction by meeting either

the bona fide residence test or the physical presence test but not

until after your tax return is due.

If you are given an extension, it will generally be to a date 30 days

after the date on which you expect to meet either the bona fide

residence test or the physical presence test. But if you must allocate

moving expenses (see Pub. 54), you may be given an extension to

90 days after the end of the year following the year you moved to

the foreign country.

3. Your tax home is in a foreign country (or countries) throughout

your period of bona fide residence or physical presence, whichever

applies.

Bona fide residence test. To meet this test, you must be a U.S.

citizen or resident alien who is a bona fide resident of a foreign

country (or countries) for an uninterrupted period that includes an

entire tax year.

Physical presence test. To meet this test, you must be a U.S.

citizen or resident alien who is physically present in a foreign country

(or countries) for at least 330 full days during any period of 12

months in a row.

Tax home. Generally, your tax home is your regular or main place of

business or post of duty regardless of where you maintain your

family home. If you do not have a regular or main place of business

because of the nature of your work, then your tax home is the place

where you regularly live.

It’s Convenient,

Safe, and Secure

IRS e-file is the IRS’s electronic filing program. Now you can get an

automatic extension of time to file your tax return by filing Form

2350 electronically by April 15, 2002. You will receive an electronic

acknowledgment once you complete the transaction. Keep it with

your records. Do not send in Form 2350 if you file electronically.

If you think you may owe tax and wish to make a payment, you

may pay by electronic funds withdrawal (direct debit).

Complete Form 2350 to use as a worksheet. If you think you may

owe tax when you file your return, estimate your total tax liability and

subtract how much you have already paid (include amount on line 5).

E-file Using Your Personal Computer

or Through a Tax Professional

Refer to your tax software package or tax preparer for ways to file

electronically. Be sure to have a copy of last year’s tax return — you

File a Paper Form 2350

If you wish to file on paper instead of electronically, fill in the Form

2350 and mail it to the address shown below.

Form 709 or 709-A. An extension of time to file your income tax

return also extends the time to file Form 709 or 709-A. To make a

payment of the gift or GST tax, pay by electronic funds withdrawal

or send a check or money order to the the address shown under

Where To File below. Enter “2001 Form 709” and the donor’s name

and social security number on the payment.

General Instructions

will be asked to provide information from the return for taxpayer

verification. If you wish to make a payment, you can pay by

electronic funds withdrawal (see page 4) or send your check to the

address shown under Where To File below.

Form 709 or 709-A. An extension of time to file your 2001 calendar

year Form 1040 also extends the time to file a gift or

generation-skipping transfer (GST) tax return.
Form 2350 (2001) Page 4

Specific Instructions

If you owe tax and wish to have the money electronically

withdrawn from your account, you will be asked to make the

following declaration:

I authorize the U.S. Treasury and its designated Financial Agent to

initiate an ACH electronic funds withdrawal (direct debit) entry to the

financial institution account indicated for payment of my Federal

taxes owed, and the financial institution to debit the entry to this

account. This authorization is to remain in full force and effect until

Note: This is your written copy of the electronic funds withdrawal

authorization you made to have the amount you owe withdrawn.

Keep it for your records.

● Make your check or money order payable to the “United States

Treasury.” Do not send cash.

● Do not staple or attach your payment to the form.

● Write your social security number, daytime phone number, and

“2001 Form 2350” on your check or money order.

Paying by Check or Money Order

● When paying by check or money order with Form 2350, see

Where To File on page 3.

Paying by Electronic Funds Withdrawal

(Direct Debit)

You can e-file Form 2350 and make a payment by authorizing an

electronic funds withdrawal (direct debit) from your checking or

savings account. You can authorize an electronic funds withdrawal

for your extension tax payment and/or for payment of your gift or

GST tax. Check with your financial institution to make sure that an

electronic funds withdrawal is allowed and to get the correct routing

and account numbers.

Privacy Act and Paperwork Reduction Act Notice. We ask for the

information on this form to carry out the Internal Revenue laws of the

United States. We need this information to determine your eligibility

for an extension of time to file your individual income tax return. If

you choose to apply for an extension of time to file, you are required

by Internal Revenue Code sections 6001, 6011(a), and 6081 to

provide the information requested on this form. Under section 6109,

you must disclose your social security number (SSN). Routine uses

of this information include giving it to the Department of Justice for

civil and criminal litigation, and to cities, states, and the District of

Columbia for use in administering their tax laws. If you fail to provide

this information in a timely manner, or provide incomplete or false

information, you may be liable for interest and penalties.

The time needed to complete and file this form will vary depending

on individual circumstances. The estimated average time is:

Recordkeeping, 13 min.; Learning about the law or the form, 9

min.; Preparing the form, 24 min.; and Copying, assembling, and

sending the form to the IRS, 14 min.

If you have comments concerning the accuracy of these time

estimates or suggestions for making this form simpler, we would be

happy to hear from you. You can write to the Tax Forms Committee,

Western Area Distribution Center, Rancho Cordova, CA 95743-0001.

Do not send the form to this address. Instead, see Where To File

on page 3.

Interest. You will owe interest on any tax not paid by the regular

due date of your return. This is April 15, 2002, for a 2001 calendar

year return even if you qualify for the 2-month extension. The

interest runs until you pay the tax. Even if you had a good reason for

not paying on time, you will still owe interest.

maximum penalty is 25%. You might not owe this penalty if you

have a good reason for not paying on time. Attach a statement to

your return, not Form 2350, explaining the reason.

Late filing penalty. A penalty is usually charged if your return is filed

after the due date (including extensions). It is usually 5% of the tax

not paid by the regular due date, even if an extension of time to pay

has been granted, for each month or part of a month your return is

late. Generally, the maximum penalty is 25%. If your return is more

than 60 days late, the minimum penalty is $100 or the balance of tax

due on your return, whichever is smaller. You might not owe the

penalty if you have a good reason for filing late. Attach a statement

to your return, not Form 2350, explaining the reason.

How to claim credit for payment made with this form. When you

file Form 1040, show the amount of any income tax payment (line 5)

sent with Form 2350. Enter it on Form 1040, line 64.

Gift Tax Return Filers

Signature and Verification

Others who can sign for you. Anyone with a power of attorney can

sign. But the following can sign for you without a power of attorney:

Filing Your Tax Return

You may file Form 1040 any time before the extension expires. But

remember, Form 2350 does not extend the time to pay taxes. If you

do not pay the amount due by the regular due date, you will owe

interest. You may also be charged penalties.

● Attorneys, CPAs, and enrolled agents.

● A person in a close personal or business relationship to you who

is signing because you cannot. There must be a good reason why

you cannot sign, such as illness or absence. Attach an explanation.

If the post office does not deliver mail to your street address, enter

your P.O. box number instead.

Return Label If you or your spouse plan to file Form 709 or 709-A for 2001, check

whichever box applies on line 6. Also, write “Gift Tax” at the top of

the form. If you are paying gift or GST tax with this form, show the

amount(s) on line 7a and/or 7b. But if your spouse files a separate

Form 2350, do not check the box on line 6 for your spouse or

complete line 7b.

This form must be signed. If you plan to file a joint return, both of

you should sign. If there is a good reason why one of you cannot,

You must complete the Return Label to receive the Notice to

Applicant. We will use it to tell you if your application is approved.

Do not attach it to your return—keep it for your records.

Name, Address, and Social Security

Number (SSN)

Enter your name, address, and SSN. If you plan to file a joint return,

include your spouse’s name and SSN in the same order they will

apear on your return. Do not abbreviate the country name.

You are not required to provide the information requested on a

form that is subject to the Paperwork Reduction Act unless the form

displays a valid OMB control number. Books or records relating to a

form or its instructions must be retained as long as their contents

may become material in the administration of any Internal Revenue

law. Generally, tax returns and return information are confidential, as

required by section 6103.

How To Make a Payment With Your Extension

Late payment penalty. The penalty is usually 1⁄2 of 1% of any tax

(other than estimated tax) not paid by the due date (including the

2-month extension for taxpayers who are out of the country). It is

charged for each month or part of a month the tax is unpaid. The

the other spouse may sign for both. Attach a statement explaining

why the other spouse cannot sign.

I notify the U.S. Treasury Financial Agent to terminate the

authorization. To revoke a payment, I must contact the U.S. Treasury

Financial Agent at 1-888-353-4537 no later than 2 business days

prior to the payment (settlement) date. I also authorize the financial

institutions involved in the processing of the electronic payment of

taxes to receive confidential information necessary to answer

inquiries and resolve issues related to the payment.