corm 1116 Computation of Foreign Tax Credit
Individual, Fiduciary, or Nonresident Alien Individual

Department of the Treasury
i > Attach to Form 1040, 1041, or 1040NR.
Internal Revenue Service > See separate instructions.

OMB No. 1545-0121

1981

For calendar year 1981, or other tax year beginning 19 and ending 19 :
Name Identifying number as shown on page 1 of your
tax return

Use a separate Form 1116 for each type of income. Check only one box below.

This form is being completed for credit for taxes on: Resident of (name of country)

1 Nonbusiness (section 904(d)) interest income
Dividends from a DISC or former DISC

7 Foreign oil related income Citizen of (name of country)

(D All other income from sources outside the U.S. (including income from sources
within U.S. possessions)

Note: /f, for the box checked above, you have income from or have paid taxes to MORE THAN ONE foreign country or U.S. possession,
you must complete and attach Schedule A, Form 1116, Schedule of Foreign Taxable Income and Foreign Taxes Paid or Accrued.

If you use Schedule A, do not complete Parts | and II below.

Taxable Income from Sources Outside the U.S.

Name of Foreign Country or U.S. Possession. . 2. 2. 1. 1 1 ee ee
1 Gross income from sources outside the U.S.: Wd
a Dividends. 1 ee ee ee ee ee ee ee eee we fe
b Gross rents and royalties . 2. 1 6 ee ee ee ee ew fb
¢ Foreign source capital gain net income. . . . .... (de)
d Wages, salaries, and other employee compensation. . . . . . . |_2d_)
e Business or profession (sole proprietorship) . . . . . .. . . |2e_
f Gross income from trusts and estates. . . . . . . . 1. « [Jf]
g Other (including interest—attach schedule) . . . . . ~~... (28)
h Total (add lines lathroughig) . . . . . . . . - . ee ee et te ee
2 Applicable deductions and losses (see instructions): YU
a Expenses directly allocable to business or profession . . . . = «

b Depreciation and depletion directly allocable to rent and royalty income .

c Repairs and other expenses directly allocable to rent and royalty income .

di Other expenses directly allocable to specific income items (attach schedule). . .

e Pro rata share of all other deductions not directly allocable: QU!»
(i) Itemized deductions not directly allocable

(attach schedule). . 2 2. 2 eee

Other deductions not directly allocable

(attach schedule). . 2. . 2 2. ew we

Total (Add lines 2e(i) and 2e(ii)). . . .

Total foreign source income (see instructions). .

Gross income from all sources (see in-

z|ple|y

A

Structions). . 2. 2. ee ee ee

(vi) Divide line 2e(iv) by line 2e(v) 2 ww

(vii) Multiply line 2e(vi) by line 2e(iii). 2 2. 6. 1 wee ee

f Losses from foreign sources . . 2. se sw ee we es L2t

g Total applicable deductions and losses (add lines 2a—2d, 2e(vii), and 2f). . . . . . . - ~~. . | 2g
3 Taxable income or (loss) from sources outside the U.S. (before recapture of prior year overall foreign

losses). Subtract line 2g from line 1h. Enter here and in Part Ill, line 6. ee ey _.-/3

Foreign Taxes Paid or Accrued (Attach receipt or copy of return)
Dollars

1 Credit is for taxes [] paid or Y Date Paid In Foreign InUS.
[accrued (you must check one) ) or Accrued Currency
2 Foreign taxes paid or accrued: Yi)

a Taxes withheld at source on dividends. .|_2a

royalties... ee ee eww 2D

b Taxes withheld at source on rents and |

© Other foreign taxes paid or accrued. . « 2c |

d Total foreign taxes paid or accrued in U.S. dollars. Add lines 2a, 2b, and 2c. Enter here and in Part Ill,

line 1 we ee et

co

For Paperwork Reduction Act Notice, see page 1 of separate instructions. 343-114-1

Form 1116 «ss


Form 1116 (1981)

Poge 2

WZ Computation of Foreign Tax Credit

1 Total foreign taxes paid or accrued (from Part Il, line 2d or from
Schedule A, Part II, “Total’’) eee eee

2 > Carryback or carryover (attach detailed computation). . . .

3 Addlinelandline2. 2. 6 6 6 ee ee ee

~P Pr

4 Reduction in foreign taxes, See instructions .

5 Total foreign taxes available for credit (subtract line 4 fromline3). . . » . « 2 + + «
6 Taxable income or (loss) from sources outside the U.S. (from Part I,
line 3 or from Schedule A, Part |, line 3). If loss, you have no foreign
tax credit for the income you checked above. Skip lines 7 through 17 |_6_

7 Recapture of prior year overall foreign losses (attach computation) . Z
8 Net foreign source taxable income (subtract line 7 fromline6). . . . » 2 © ee ewe
9 Individuals: Enter amount from Form 1040, line 32c or Form 1040NR,

line 38, Estates and trusts: Make no entry; skip to line 11. . 9

a CC KCyra

10 Enter $3,400 (joint return or widow(er)), $2,300 (single or head of

household), or $1,700 (married filing separate return). . . i

11 Individuals: Subtract line 10 from line 9. Estates and trusts: Enter on this line your taxable income
without the deduction foryourexemption. . . . © 6 © © © © © © © © © © we

12 Divide line 8 by line 11 (if line 8 is more than line 11, enter the figure “1"), . 2 2 2 2 + +

13 Total U.S. income tax before any credits. . . 2. + + + + [43]

14 Credit for the elderly. 2 6 6 6 ee ee ew ee et 14

15 Subtract line14fromline13. 2 6 6 ee we et ew ww we we he te

12

15

in

16 Limitation on credit (multiply line 15 by line 12). 2. 2 2 2 2 ee we ew we we ee

17 Foreign tax credit (line 5 or line 16, whichever is smaller)... . «+ + ee

17

Summary of Credits from Separate Parts Ill

1 Credit for taxes on nonbusiness (section 904(d)) interest .
2 Credit for taxes on dividends from a DISC or former DISC. . . |_2
3

3 Credit for taxes on foreign oil-related income .

Tl

4 Credit for taxes on all other income from sources outside the us s. (in
cluding income from sources within U.S. possessions). . . « 4

5 Total (add lines 1 through 4). «6 6 ee ee ee ew ee ee ee ee
6 Reduction in credit for international boycott operations (see “Reduction of Credit for International
Boycott Operations” in instructions for Part III}... 2 6 6 6 + ee ee ee

7__ Foreign tax credit (subtract line 6 from line 5). Enter here and on yourtaxreturn. «ss ss >

-> ; Se

‘# US, GOVERNMENT PRINTING OFFICE : 1981—O-343-114

343-114-1