Form 1040NR (2007), Page 4. Summary: This is an example of Form 1040NR (2007), page 4, with items included as described in the text. Additionally, these
line items are
completed:
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“76a. Dividends paid by: U.S. corporations (c) 15%” field contains 240
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“86. Total U.S. tax withheld at source. Add column (a) of lines 765a through 85. Enter the total here and on Form 1040NR, line
66”
field contains 36
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“87. Add lines 76a through 85 in columns (b)-(e): (c) 15%” field contains 240
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“88. Multiply line 87 by rate of tax at top of each column” field contains 36
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“89. Tax on income not effectively connected with a U.S. trade or business. Add columns (b)-(e) of line 88. Enter the total
here and on Form
1040NR, line 53” field contains 36
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