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Form 1040-C - U.S. Departing Alien Income Tax Return

Form 1040-C - U.S. Departing Alien Income Tax Return

Departing Alien Income Tax Return

Department of the Treasury — Internal Revenue Service

Taxpayer Information

Name: [First Name] [M.I.] [Last Name]

SSN/ITIN: [SSN]

Address: [Address], Apt. [Apt], [City], [State] [ZIP]

Departure Information

Date of departure: [Departure Date]

Country of residence: [Country]

Passport number: [Passport No.]

Type of U.S. visa: [Visa Type]

Date first entered U.S.: [Entry Date]

Length of stay: [Length of Stay]

Income

Wages from U.S. sources: [US Wages]

Interest income: [Interest]

Dividend income: [Dividends]

Other U.S. source income: [Other Income]

Total income: [Total Income]

Taxable income: [Taxable Income]

Tax: [Tax]

Sign Here

Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and complete.

Party 1

________________

Signature

Date: ________________

Party 2

________________

Signature

Date: ________________

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What Is a Form 1040-C - U.S. Departing Alien Income Tax Return?

A Form 1040-C - U.S. Departing Alien Income Tax Return in the United States sets out the financial particulars the authority requires to assess the tax owed.

The filing requirement is established under IRC Section 6851(d), which grants the IRS authority to require a tax return from any alien about to depart the United States. The form covers all U.S.-source income received during the tax year up to and including the departure date. This includes wages, salaries, investment income, rental income, and any effectively connected income (ECI) from a U.S. trade or business as defined under IRC Section 864(b). The tax computation follows the same graduated rate structure as the standard Form 1040, but only for income effectively connected with a U.S. trade or business.

Form 1040-C is distinct from Form 1040-NR, which is the annual return for nonresident aliens. The 1040-C serves as a preliminary return that must be filed before departure, while the 1040-NR is the final annual return filed after the tax year ends. Any tax paid with Form 1040-C is credited against the liability reported on the annual Form 1040-NR. Departing aliens must obtain a certificate of compliance from the IRS (sometimes called a "tax clearance") before leaving the country, which requires filing Form 1040-C or demonstrating exemption under the regulations.

When Do You Need a Form 1040-C - U.S. Departing Alien Income Tax Return?

Form 1040-C must be filed by any alien departing the United States who has received taxable income during the current tax year, unless they qualify for an exemption. Resident aliens departing permanently and nonresident aliens who have engaged in a U.S. trade or business or earned U.S.-source income above the filing threshold are required to file this form before their departure date.

Specific scenarios requiring Form 1040-C include: nonresident aliens who worked in the U.S. on temporary visas (H-1B, L-1, O-1, or TN) and are returning to their home country, foreign students (F-1 or J-1 visa holders) who earned income through authorized employment such as OPT or CPT, resident aliens who are abandoning their green card or relinquishing permanent resident status, foreign nationals who received rental income from U.S. real property, and aliens who realized capital gains from the sale of U.S. real property interests subject to FIRPTA (Foreign Investment in Real Property Tax Act, IRC Section 897).

Certain categories of aliens are exempt from filing Form 1040-C, including diplomatic personnel covered by the Vienna Convention on Diplomatic Relations, students and exchange visitors with no taxable income beyond the exempt amount, and aliens whose departure is temporary and who can demonstrate they will return to the U.S. Failing to obtain a departure permit can result in delays at the port of departure and potential penalties under IRC Section 6851, including immediate assessment of tax by the IRS.

What to Include in Your Form 1040-C - U.S. Departing Alien Income Tax Return

Form 1040-C requires several critical pieces of information for proper completion. First, personal identification details including the alien's full name, current U.S. address, foreign address, passport number, visa type, Social Security Number or Individual Taxpayer Identification Number (ITIN), and the intended date and port of departure from the United States.

Second, a complete income statement must report all U.S.-source income received from January 1 of the current tax year through the departure date. This includes wages (reported on Form W-2), self-employment income, interest and dividends (reported on Forms 1099-INT and 1099-DIV), rental income, capital gains from U.S. property dispositions, and any income effectively connected with a U.S. trade or business. The distinction between ECI and fixed or determinable annual or periodical (FDAP) income is critical because ECI is taxed at graduated rates while FDAP income is generally subject to a flat 30% withholding rate under IRC Section 871(a).

Third, applicable deductions and credits must be calculated, including allowable itemized deductions for ECI (limited compared to U.S. citizens under IRC Section 873), the personal exemption if applicable, and any treaty-based positions claimed under an applicable income tax treaty. Fourth, the tax computation must reflect the correct tax rates for the alien's filing status. Fifth, tax payments already made through withholding (Form W-2, Form 1042-S) and estimated tax payments must be credited against the total liability. Sixth, the form must be signed under penalties of perjury and submitted to the IRS, typically at the local IRS office, to obtain the certificate of compliance needed for departure.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Form 1040-C - U.S. Departing Alien Income Tax Return (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/government/tax-forms/form-1040-c

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"Form 1040-C - U.S. Departing Alien Income Tax Return (United States)." Forms Legal, 2026, https://forms-legal.com/usa/government/tax-forms/form-1040-c.

BibTeX
@misc{formslegal-form-1040-c,
  author       = {{Forms Legal}},
  title        = {Form 1040-C - U.S. Departing Alien Income Tax Return (United States)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/usa/government/tax-forms/form-1040-c}},
  note         = {Free legal document template. Based on Internal Revenue Code Section 6851 (26 U.S.C. §6851)}
}

Frequently Asked Questions

Based on Internal Revenue Code Section 6851 (26 U.S.C. §6851) — Template last modified June 2026Verify the source →

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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