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IRS2555EZ.xsl
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<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE stylesheet [
<!ENTITY nbsp " ">
]>
<xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" version="1.0">
<xsl:include href="CommonPathRef.xsl"/>
<xsl:include href="PopulateTemplate.xsl"/>
<xsl:include href="AddHeader.xsl"/>
<xsl:include href="AddOnTable.xsl"/>
<xsl:include href="IRS2555EZStyle.xsl"/>
<xsl:output method="html" indent="yes"/>
<xsl:strip-space elements="*"/>
<xsl:param name="FormData" select="$RtnDoc/IRS2555EZ"/>
<xsl:template match="/">
<html>
<head>
<META http-equiv="Content-Type" content="text/html"/>
<title>
<xsl:call-template name="FormTitle">
<xsl:with-param name="RootElement" select="local-name($FormData)"/>
</xsl:call-template>
</title>
<!-- No Browser Caching -->
<meta http-equiv="Pragma" content="no-cache"/>
<meta http-equiv="Cache-Control" content="no-cache"/>
<meta http-equiv="Expires" content="0"/>
<!-- No Proxy Caching -->
<meta http-equiv="Cache-Control" content="private"/>
<!-- Define Character Set -->
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1"/>
<meta name="Description" content="IRS Form 2555-EZ"/>
<script language="JavaScript" src="{$ScriptPath}/FormDisplay.js" type="text/javascript"/>
<xsl:call-template name="InitJS"/>
<style type="text/css">
<xsl:if test="not($Print) or $Print=''">
<xsl:call-template name="IRS2555EZStyle"/>
<xsl:call-template name="AddOnStyle"/>
</xsl:if>
</style>
<xsl:call-template name="GlobalStylesForm"/>
</head>
<body class="styBodyClass">
<form name="Form2555EZ">
<xsl:call-template name="DocumentHeader"/>
<div class="styTBB" style="width:187mm;height:22mm;">
<div class="styFNBox" style="width:40mm;height:22mm;">
<div style="padding-top:1mm;">
Form <span class="styFormNumber" style="font-size:18pt;">2555-EZ</span><br/>
<xsl:call-template name="SetFormLinkInline">
<xsl:with-param name="TargetNode" select="$FormData" />
</xsl:call-template>
<xsl:call-template name="LinkToLeftoverDataTableInline">
<xsl:with-param name="Desc">Claiming Foreign Earned Income Waiver Code</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/@ClaimFrgnEarnIncWaiverCd"/>
</xsl:call-template>
</div>
<div style="padding-top:1mm;">
<span class="styAgency" style="font-size:8pt;">Department of the Treasury</span>
<br/>
<span class="styAgency" style="font-size:8pt;">Internal Revenue Service(99)</span>
</div>
</div>
<div class="styFTBox" style="width:103mm;height:22mm;">
<div style="padding-top:2mm;" class="styMainTitle">
Foreign Earned Income Exclusion
</div>
<div class="styFBT" style="height:4mm;width:90mm">
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" /> Information about Form 2555-EZ and its separate instructions is available at www.irs.gov/form2555.<br/>
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" /> See separate instructions.
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin-left:5mm;"/> Attach to Form 1040.
</div>
</div>
<div class="styTYBox" style="width:36mm;height:22mm;">
<div class="styOMB" style="height:2mm;">OMB No. 1545-0074</div>
<div class="styTY" style="height:7mm;font-size:22pt;">2012</div>
<div class="stySequence" style="height:9mm;border-bottom-width:0px;padding-left:4mm;border-left-width:0px;">
Attachment<br/>
Sequence No. <span class="styBoldText">34A</span>
</div>
</div>
</div>
<!--Name Line -->
<div class="styBB" style="width:187mm;">
<div class="styNameBox" style="width:139mm;height:8mm;font-size:7pt;font-weight:normal;">
Name shown on Form 1040<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/Name"/>
</xsl:call-template>
</div>
<div class="styEINBox" style="width:48mm;height:8mm;padding-left:2mm;font-size:7pt;font-weight:bold;">
Your social security number<br/>
<span style="width: 40mm; text-align: left;font-weight:normal;">
<xsl:call-template name="PopulateSSN">
<xsl:with-param name="TargetNode" select="$FormData/SSN"/>
</xsl:call-template>
</span>
</div>
</div>
<!-- You may use this form line -->
<div style="width:187mm;clear:none;height:20mm;padding-top:3mm;border-bottom:1px solid black">
<div style="float:left;clear:none;width:30mm;height:20mm;font-size:9pt;text-align:center;padding-top:4mm">
<b>You May Use This Form If You:</b>
</div>
<div style="float:left;clear:none;width:60mm;height:20mm;">
<div style="width:60mm;">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;"> Are a U.S. citizen or a resident alien.</div>
</div>
<div style="width:60mm;padding-top:1px">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;">Earned wages/salaries in a foreign country.</div>
</div>
<div style="width:60mm;padding-top:1px">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;">Had total foreign earned income of $95,100 or less.</div>
</div>
<div style="width:60mm;padding-top:1px">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;">Are filing a calendar year return that covers a 12-month period.</div>
</div>
</div>
<span style="width:7mm;height:20mm;float:left;clear:none;"/>
<div style="float:left;clear:none;width:30mm;height:20mm;font-size:9pt;text-align:center;padding-top:6mm">
<b>And You:</b>
</div>
<div style="float:left;clear:none;width:60mm;height:20mm">
<div style="width:60mm">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;">Do not have self-employment income.</div>
</div>
<div style="width:60mm;padding-top:5px">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;">Do not have business/moving expenses.</div>
</div>
<div style="width:60mm;padding-top:5px">
<div style="float:left;clear:none;width:3mm;"><li/></div><div style="width:50mm;float:left;clear:none;">Do not claim the foreign housing exclusion or deduction.</div>
</div>
</div>
</div>
<!-- BEGIN PART I TITLE -->
<div class="styBB" style="width:187mm;padding:1mm 0mm;">
<div class="styPartName" style="font-family:sans-serif;">Part I</div>
<div class="styPartDesc">Tests To See If You Can Take the Foreign Earned Income Exclusion</div>
</div>
<!-- END PART I TITLE -->
<!-- Line 1 -->
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">1</div>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:176mm;">
<b>Bona Fide Residence Test</b>
</div>
</div>
<!-- Line 1a -->
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;">a</div>
<div style="float:left;width:156mm;height:8mm;padding-right:1mm;">
Were you a bona fide resident of a foreign country or countries for a period that includes an entire tax year (see page 2 of the instructions)?
<span style="font-weight:bold;letter-spacing:3mm;">..................................</span>
</div>
<div style="float:left;width:20mm;">
<div style="height:4mm;"/>
<div style="height:5mm;text-align:right;">
<input type="checkbox" style="padding:0;margin:0;height:15px;width:15px;">
<xsl:call-template name="PopulateYesCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/BonaFideResidentInd"/>
<xsl:with-param name="BackupName">IRS2555BonaFideResidentInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelYes">
<xsl:with-param name="TargetNode" select="$FormData/BonaFideResidentInd"/>
<xsl:with-param name="BackupName">IRS2555BonaFideResidentInd</xsl:with-param>
</xsl:call-template>
<b>Yes</b>
</label>
</span>
<input type="checkbox" style="padding:0;margin:0;height:15px;width:15px;">
<xsl:call-template name="PopulateNoCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/BonaFideResidentInd"/>
<xsl:with-param name="BackupName">IRS2555BonaFideResidentInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelNo">
<xsl:with-param name="TargetNode" select="$FormData/BonaFideResidentInd"/>
<xsl:with-param name="BackupName">IRS2555BonaFideResidentInd</xsl:with-param>
</xsl:call-template>
<b>No</b>
</label>
</span>
</div>
</div>
</div>
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:176mm;height:8mm;padding-right:1mm;">
<li>If you answered "Yes," you meet this test. Fill in line 1b and then go to line 3.</li>
<li>If you answered "No," you <b>do not</b> meet this test. Go to line 2 to see if you meet the Physical Presence Test.</li>
</div>
</div>
<!-- Line 1b -->
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;">b</div>
<div style="float:left;width:176mm;height:8mm;padding-right:1mm;">
Enter the date your bona fide residence began <img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="width:25mm;border-bottom:1px solid black">
<xsl:call-template name="PopulateMonthDayYear">
<xsl:with-param name="TargetNode" select="$FormData/TaxpayerBonaFideResGrp/BonaFideResidenceBeginDt"/>
</xsl:call-template>
</span>
, and ended (see instructions) <img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="width:25mm;border-bottom:1px solid black">
<xsl:choose>
<xsl:when test="$FormData/TaxpayerBonaFideResGrp/BonaFideResidenceEndDt">
<xsl:call-template name="PopulateMonthDayYear">
<xsl:with-param name="TargetNode" select="$FormData/TaxpayerBonaFideResGrp/BonaFideResidenceEndDt"/>
</xsl:call-template>
</xsl:when>
<xsl:when test="$FormData/TaxpayerBonaFideResGrp/BonaFideResidenceContinuedCd">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/TaxpayerBonaFideResGrp/BonaFideResidenceContinuedCd"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise></xsl:otherwise>
</xsl:choose>
</span>
.
</div>
</div>
<!-- Line 2 -->
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">2</div>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:176mm;">
<b>Physical Presence Test</b>
</div>
</div>
<!-- Line 2a -->
<div style="width:187mm;margin-top:1mm;height:5mm">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;">a</div>
<div style="float:left;width:156mm;height:8mm;padding-right:1mm;">
Were you physically present in a foreign country or countries for at least 330 full days during -
<div style="width:100mm;float:left;">
<img src="{$ImagePath}/2555EZ_sm_lft_bracket.gif" alt="left bracket" style="float:right;"/>
<img src="{$ImagePath}/2555EZ_sm_rt_bracket.gif" alt="left bracket" style="float:left;"/>
2012 <b>or</b><br/>
any other period of 12 months in a row starting or ending in 2012?
</div>
<div style="float:left;letter-spacing:3mm;font-weight:bold;line-height:4mm;">
..............
</div>
</div>
<div style="float:left;width:20mm;">
<div style="height:4mm;"/>
<div style="height:5mm;text-align:right;">
<input type="checkbox">
<xsl:call-template name="PopulateYesCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/PhysicalPresenceInd"/>
<xsl:with-param name="BackupName">IRS2555PhysicalPresenceInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelYes">
<xsl:with-param name="TargetNode" select="$FormData/PhysicalPresenceInd"/>
<xsl:with-param name="BackupName">IRS2555PhysicalPresenceInd</xsl:with-param>
</xsl:call-template>
<b>Yes</b>
</label>
</span>
<input type="checkbox">
<xsl:call-template name="PopulateNoCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/PhysicalPresenceInd"/>
<xsl:with-param name="BackupName">IRS2555PhysicalPresenceInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelNo">
<xsl:with-param name="TargetNode" select="$FormData/PhysicalPresenceInd"/>
<xsl:with-param name="BackupName">IRS2555PhysicalPresenceInd</xsl:with-param>
</xsl:call-template>
<b>No</b>
</label>
</span>
</div>
</div>
</div>
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:176mm;height:8mm;padding-right:1mm;">
<li>If you answered "Yes," you meet this test. Fill in line 2b and then go to line 3.</li>
<li>If you answered "No," you <b>do not</b> meet this test. You <b>cannot</b> take the exclusion unless you meet the Bona Fide Residence Test above.</li>
</div>
</div>
<!-- Line 2b -->
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;">b</div>
<div style="float:left;width:176mm;height:8mm;padding-right:1mm;">
The physical presence test is based on the 12-month period from <img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="width:25mm;border-bottom:1px solid black">
<xsl:call-template name="PopulateMonthDayYear">
<xsl:with-param name="TargetNode" select="$FormData/TaxpayerPhysicalPresenceGrp/PhysicalPresenceBeginDt"/>
</xsl:call-template>
</span>
through <img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="width:25mm;border-bottom:1px solid black">
<xsl:choose>
<xsl:when test="$FormData/TaxpayerPhysicalPresenceGrp/PhysicalPresenceEndDt">
<xsl:call-template name="PopulateMonthDayYear">
<xsl:with-param name="TargetNode" select="$FormData/TaxpayerPhysicalPresenceGrp/PhysicalPresenceEndDt"/>
</xsl:call-template>
</xsl:when>
<xsl:when test="$FormData/TaxpayerPhysicalPresenceGrp/PhysicalPresenceContinuedCd">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/TaxpayerPhysicalPresenceGrp/PhysicalPresenceContinuedCd"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise></xsl:otherwise>
</xsl:choose>
</span>
.
</div>
</div>
<!-- Line 3 -->
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">3</div>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:156mm;height:8mm;padding-right:1mm;">
<b>Tax Home Test.</b> Was your tax home in a foreign country or countries throughout your period of bona fide residence or physical presence, whichever applies?
<span style="font-weight:bold;letter-spacing:3mm;">............................</span>
</div>
<div style="float:left;width:20mm;">
<div style="height:4mm;"/>
<div style="height:5mm;text-align:right;">
<input type="checkbox">
<xsl:call-template name="PopulateYesCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/TaxHomeTestInd"/>
<xsl:with-param name="BackupName">IRS2555TaxHomeTestInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelYes">
<xsl:with-param name="TargetNode" select="$FormData/TaxHomeTestInd"/>
<xsl:with-param name="BackupName">IRS2555TaxHomeTestInd</xsl:with-param>
</xsl:call-template>
<b>Yes</b>
</label>
</span>
<input type="checkbox">
<xsl:call-template name="PopulateNoCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/TaxHomeTestInd"/>
<xsl:with-param name="BackupName">IRS2555TaxHomeTestInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelNo">
<xsl:with-param name="TargetNode" select="$FormData/TaxHomeTestInd"/>
<xsl:with-param name="BackupName">IRS2555TaxHomeTestInd</xsl:with-param>
</xsl:call-template>
<b>No</b>
</label>
</span>
</div>
</div>
</div>
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:176mm;height:8mm;padding-right:1mm;">
<li>If you answered "Yes," you can take the exclusion. Complete Part II below and then go to page 2.</li>
<li>If you answered "No," you <b>cannot</b> take the exclusion. <b>Do not</b> file this form.</li>
</div>
</div>
<!-- BEGIN PART II TITLE -->
<div class="styBB" style="width:187mm;padding:1mm 0mm;border-top:1px solid black;">
<div class="styPartName" style="font-family:sans-serif;">Part II</div>
<div class="styPartDesc">General Information</div>
</div>
<!-- END PART II TITLE -->
<!-- Line 4,5 container -->
<div style="width:187mm;border-bottom:1px solid black;">
<!-- Line 4 -->
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">4</div>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:137mm;border-right:1px solid black;">
Your foreign address (including country)<br/>
<xsl:call-template name="PopulateForeignAddressTemplate">
<xsl:with-param name="TargetNode" select="$FormData/ForeignAddress"/>
</xsl:call-template>
</div>
<!-- Line 5 -->
<div style="float:left;width:30mm;padding-left:1mm;">
<b style="margin-right:3mm;">5</b>Your occupation<br/>
<div style="margin-left:5mm">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/Occupation"/>
</xsl:call-template>
</div>
</div>
</div>
<!-- Line 6,7,8 container -->
<div style="height:18mm;width:187mm;border-bottom:1px solid black;">
<!-- Line 6 -->
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">6</div>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:35mm;">
Employer's name<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/EmployerName/BusinessNameLine1"/>
</xsl:call-template>
<xsl:if test="$FormData/EmployerName/BusinessNameLine2">
<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/EmployerName/BusinessNameLine2"/>
</xsl:call-template>
</xsl:if>
</div>
<!-- Line 7 -->
<div style="height:100%;float:left;width:71mm;padding-left:1mm;border-left:1px solid black;">
<b style="margin-right:3mm;">7</b>Employer's U.S. address (including ZIP code)<br/>
<div style="padding-left:5mm;">
<xsl:call-template name="PopulateUSAddressTemplate">
<xsl:with-param name="TargetNode" select="$FormData/EmployerUSAddress"/>
</xsl:call-template>
</div>
</div>
<!-- Line 8 -->
<div style="height:100%;float:left;width:71mm;padding-left:1mm;border-left:1px solid black;">
<b style="margin-right:3mm;">8</b>Employer's foreign address<br/>
<div style="margin-left:5mm">
<xsl:call-template name="PopulateForeignAddressTemplate">
<xsl:with-param name="TargetNode" select="$FormData/EmployerForeignAddress"/>
</xsl:call-template>
</div>
</div>
</div>
<!-- Line 9 -->
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">9</div>
<div style="float:left;width:5mm;font-weight:bold;"/>
<div style="float:left;width:176mm;">
Employer is (check any that apply):
</div>
</div>
<!-- Line 9a -->
<div style="width:187mm;">
<div style="float:left;width:7mm;padding-left:5mm;padding-top:1mm;font-weight:bold;">a</div>
<div style="float:left;width:173.5mm;height:4mm;padding-top:1mm;padding-left:3.5mm">A U.S. business
<span style="font-weight:bold;letter-spacing:3mm;">.......................................</span>
</div>
<div class="styGenericDiv" style="">
<input type="checkbox" style="height:4mm;width:4mm">
<xsl:call-template name="PopulateCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/EmployerUnitedStatesCompanyInd"/>
<xsl:with-param name="BackupName">IRS2555EZEmployerUnitedStatesCompanyInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabel">
<xsl:with-param name="TargetNode" select="$FormData/EmployerUnitedStatesCompanyInd"/>
<xsl:with-param name="BackupName">IRS2555EZEmployerUnitedStatesCompanyInd</xsl:with-param>
</xsl:call-template>
</label>
</div>
</div>
<!-- Line 9b -->
<div style="width:187mm;">
<div style="float:left;width:7mm;padding-top:1mm;padding-left:5mm;font-weight:bold;">b</div>
<div style="float:left;width:173.5mm;padding-top:1mm;padding-left:3.5mm">
A foreign business
<span style="font-weight:bold;letter-spacing:3mm;">......................................</span>
</div>
<div class="styGenericDiv" style="width:4mm;height:4mm">
<input type="checkbox" style="height:4mm;width:4mm">
<xsl:call-template name="PopulateCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/EmployerForeignEntityInd"/>
<xsl:with-param name="BackupName">IRS2555EZEmployerForeignEntityInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabel">
<xsl:with-param name="TargetNode" select="$FormData/EmployerForeignEntityInd"/>
<xsl:with-param name="BackupName">IRS2555EZEmployerForeignEntityInd</xsl:with-param>
</xsl:call-template>
</label>
</div>
</div>
<!-- Line 9c -->
<div style="width:187mm;">
<div style="float:left;width:7mm;padding-top:1mm;padding-left:5mm;font-weight:bold;">c</div>
<div style="float:left;width:173.5mm;padding-top:0.75mm;padding-left:3.5mm;height:4mm">
Other (specify)
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="border-bottom:1px solid black;width:140mm">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/OtherEmployerTypeGroup/OtherEmployerTypeDescTxt"/>
</xsl:call-template>
</span>
</div>
<div class="styGenericDiv" style="height:4mm;width:4mm">
<input type="checkbox" style="height:4mm;width:4mm">
<xsl:call-template name="PopulateCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/OtherEmployerTypeGroup/OtherEmployerTypeInd"/>
<xsl:with-param name="BackupName">IRS2555EZOtherEmployerTypeInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabel">
<xsl:with-param name="TargetNode" select="$FormData/OtherEmployerTypeGroup/OtherEmployerTypeInd"/>
<xsl:with-param name="BackupName">IRS2555EZOtherEmployerTypeInd</xsl:with-param>
</xsl:call-template>
</label>
</div>
</div>
<!-- Line 10a -->
<div style="width:187mm;">
<div style="float:left;width:7mm;padding-left:1.75mm;font-weight:bold;">10a</div>
<div style="float:left;width:176mm;padding-left:3.5mm;">
If you previously filed Form 2555 or 2555-EZ, enter the last year you filed the form.
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="border-bottom:1px solid black;width:48.5mm">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/LastFrgnEarnIncExclClaimedYr"/>
</xsl:call-template>
</span>
</div>
</div>
<!-- Line 10b -->
<div style="width:187mm">
<div style="float:left;width:7mm;padding-left:5mm;font-weight:bold;height:3.5mm;padding-top:1mm;">b</div>
<div style="float:left;width:95.5mm;padding-left:3.5mm;padding-top:1mm">
<label>
<xsl:call-template name="PopulateLabel">
<xsl:with-param name="TargetNode" select="$FormData/NoFrgnEarnIncExclPrevFiledInd"/>
<xsl:with-param name="BackupName">IRS2555NoFrgnEarnIncExclPrevFiledInd</xsl:with-param>
</xsl:call-template>
If you did not previously file Form 2555 or 2555-EZ, check here
<span style="width:5px"/>
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet"/>
</label>
</div>
<div class="styGenericDiv" style="padding-top:0.5mm;padding-left:0.5mm">
<input type="checkbox" style="height:4mm;width:4mm">
<xsl:call-template name="PopulateCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/NoFrgnEarnIncExclPrevFiledInd"/>
<xsl:with-param name="BackupName">IRS2555NoFrgnEarnIncExclPrevFiledInd</xsl:with-param>
</xsl:call-template>
</input>
</div>
<div class="styGenericDiv" style="padding-top:1mm;padding-left:0.5mm">and go to line 11a now.</div>
</div>
<!-- Line 10c -->
<div style="width:187mm;height:3mm;">
<div class="styLNLeftNumBox" style="width:10mm;padding-left:5mm">c</div>
<div class="styGenericDiv" style="width:156mm;height:3mm;padding-top:1mm;">
Have you ever revoked the foreign earned income exclusion?<span style="letter-spacing:3mm;">.....................</span>
</div>
<div class="styGenericDiv" style="width:20mm;margin-bottom:0.5mm;height:3mm" >
<input type="checkbox">
<xsl:call-template name="PopulateYesCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/ForeignEarnIncExclRevokedInd"/>
<xsl:with-param name="BackupName">IRS2555ForeignEarnIncExclRevokedInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelYes">
<xsl:with-param name="TargetNode" select="$FormData/ForeignEarnIncExclRevokedInd"/>
<xsl:with-param name="BackupName">IRS2555ForeignEarnIncExclRevokedInd</xsl:with-param>
</xsl:call-template>
<b>Yes</b>
</label>
</span>
<input type="checkbox">
<xsl:call-template name="PopulateNoCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/ForeignEarnIncExclRevokedInd"/>
<xsl:with-param name="BackupName">IRS2555ForeignEarnIncExclRevokedInd</xsl:with-param>
</xsl:call-template>
</input>
<span style="height:3mm;padding-bottom:1.15mm;">
<label>
<xsl:call-template name="PopulateLabelNo">
<xsl:with-param name="TargetNode" select="$FormData/ForeignEarnIncExclRevokedInd"/>
<xsl:with-param name="BackupName">IRS2555ForeignEarnIncExclRevokedInd</xsl:with-param>
</xsl:call-template>
<b>No</b>
</label>
</span>
</div>
</div>
<!-- Line 10d -->
<div style="width:187mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;">d</div>
<div style="float:left;width:176mm;">
If you answered "Yes," enter the tax year for which the revocation was effective.<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="border-bottom:1px solid black;width:57mm">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/ForeignEarnIncExclRevokeTaxYr"/>
</xsl:call-template>
</span>
</div>
</div>
<!-- Line 11a -->
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">11</div>
<div style="float:left;width:5mm;font-weight:bold;">a</div>
<div style="float:left;width:176mm;">
<span style="float:left;">
List your tax home(s) during 2012 and date(s) established.<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
</span>
<xsl:for-each select="$FormData/TaxHomeGroup">
<xsl:if test="position() != 1">
<span style="float:left;width:83mm"/>
</xsl:if>
<span style="width:93mm;float:right;">
<span style="border-bottom:1px solid black;width:84.5mm;">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="TaxHomeDescriptionTxt"/>
</xsl:call-template>
<span style="width:2mm;"/>
<xsl:call-template name="PopulateMonth"><xsl:with-param name="TargetNode" select="EstablishedDt"/></xsl:call-template>-
<xsl:call-template name="PopulateDay"><xsl:with-param name="TargetNode" select="EstablishedDt"/></xsl:call-template>-
<xsl:call-template name="PopulateYear"><xsl:with-param name="TargetNode" select="EstablishedDt"/></xsl:call-template>
</span>
</span>
<!--<br/>-->
</xsl:for-each>
</div>
</div>
<!-- Line 11b -->
<div class="styTBB" style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:5mm;font-weight:bold;">b</div>
<div style="float:left;width:176mm;">
Of what country are you a citizen/national?<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
<span style="border-bottom:1px solid black;">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/CitizenCountryNm"/>
</xsl:call-template>
</span>
</div>
</div>
<!-- Page Break and Footer-->
<div class="pageEnd" style="width:187mm;padding-top:1mm;">
<div style="float:left;">
<span class="styBoldText">For Paperwork Reduction Act Notice, see the Form 1040 instructions.</span>
<span style="width:13mm;"/>
Cat. No. 13272W
</div>
<div style="float:right;">
<span style="width:40px;"/>
Form <span class="styBoldText" style="font-size:8pt;">2555-EZ</span> (2012)
</div>
</div>
<!-- Page 2 Header -->
<div class="styTBB" style="width:187mm;padding-top:.5mm;">
<div style="float:left;">Form 2555-EZ (2012)</div>
<div style="float:right;">Page <span style="font-weight:bold;font-size:8pt;">2</span></div>
</div>
<!-- BEGIN PART III TITLE -->
<div style="width:187mm;padding:1mm 0mm;">
<div class="styPartName" style="font-family:sans-serif;">Part III</div>
<div class="styPartDesc">Days Present in the United States - <span style="font-weight:normal;">Complete this part if you were in the United States or its possessions during 2012.</span></div>
</div>
<!-- END PART III TITLE -->
<!-- Line 12 -->
<div class="styGenericDiv" style="text-align:right;width:187mm;height:4mm;clear:none;">
<xsl:call-template name="SetDynamicTableToggleButton">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup"/>
<xsl:with-param name="containerHeight" select="9"/>
<xsl:with-param name="containerID" select="'line12divctr'"/>
</xsl:call-template>
</div>
<div class="styTableContainer" id="line12divctr">
<xsl:call-template name="SetInitialState"/>
<table style="border-collapse:collapse;font-size:7pt;">
<thead style="vertical-align:top;">
<tr>
<th scope="col" style="border:1px solid black;border-left:none;font-weight:normal;width:46mm;"><b style="margin-left:3mm;">12</b> <b style="margin-left:5mm;">(a)</b> Date arrived in U.S.</th>
<th scope="col" style="border:1px solid black;font-weight:normal;width:46mm;"><b>(b)</b> Date left U.S.</th>
<th scope="col" style="border:1px solid black;font-weight:normal;width:46mm;"><b>(c)</b> Number of days in U.S. on business</th>
<th scope="col" style="border:1px solid black;border-right:none;font-weight:normal;width:49mm;"><b>(d)</b> Income earned in U.S. on business (attach computation)</th>
</tr>
</thead>
<tbody style="text-align:center;">
<tr>
<td style="border:1px solid black;border-left:none;">
<xsl:choose>
<xsl:when test="$Print = $Separated and count($FormData/PresenceInTheUSGroup) > 9">
<xsl:call-template name="PopulateAdditionalDataTableMessage">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<xsl:if test="$FormData/PresenceInTheUSGroup[1]">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/ArrivedInUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/ArrivedInUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/ArrivedInUSDt"/>
</xsl:call-template>
</xsl:if>
</xsl:otherwise>
</xsl:choose>
</td>
<td style="border:1px solid black;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:if test="$FormData/PresenceInTheUSGroup[1]">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/DepartedUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/DepartedUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/DepartedUSDt"/>
</xsl:call-template></xsl:if></xsl:if>
</td>
<td style="border:1px solid black;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/BusinessDaysCnt"/>
</xsl:call-template></xsl:if>
</td>
<td style="border:1px solid black;border-right:none;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/BusinessIncomeEarnedAmt"/>
</xsl:call-template>
<xsl:call-template name="SetFormLinkInline">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[1]/BusinessIncomeEarnedAmt"/>
</xsl:call-template></xsl:if>
</td>
</tr>
<tr>
<td style="border:1px solid black;border-left:none;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:if test="$FormData/PresenceInTheUSGroup[2]">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/ArrivedInUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/ArrivedInUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/ArrivedInUSDt"/>
</xsl:call-template></xsl:if></xsl:if>
</td>
<td style="border:1px solid black;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:if test="$FormData/PresenceInTheUSGroup[2]">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/DepartedUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/DepartedUSDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/DepartedUSDt"/>
</xsl:call-template></xsl:if></xsl:if>
</td>
<td style="border:1px solid black;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/PresenceInTheUSGroup[2]/BusinessDaysCnt"/>
</xsl:call-template></xsl:if>
</td>
<td style="border:1px solid black;border-right:none;">
<xsl:if test="$Print != $Separated or ($Print = $Separated and count($FormData/PresenceInTheUSGroup) < 10)">
<xsl:call-template name="PopulateAmount">
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