Form 2555 (2009) Page 3

Summary: This is an example of Form 2555 (2009), page 3, with items included as described in the text. Additionally, the following line items have been completed:

Under Part V: All Taxpayers:
- 27. Enter the amount from line 26 field contains 98,000
- Are you claiming the housing exclusion or housing deduction? Yes. Complete Part VI. checkbox checked
Under Part VI: Taxpayers Claiming the Housing Exclusion and/or Deduction:
- 31. Number of days in your qualifying period that fall within your 2009 tax year (see instructions) field contains 365 days
- 32. Multiply $40.07 by the number of days on line 31. If 365 is entered on line 31, enter $14,624.00 here field contains 14,624
- 33. Subtract line 32 from line 30. If the result is zero or less, do not complete the rest of this part or any of Part IX field contains 12,796
- 34. Enter employer-provided amounts (see instructions) field contains 98,000
- 35. Divide line 34 by line 27. Enter the result as a decimal (rounded to at least three places), but do not enter more than 1.000 field contains 1.000
- 36. Housing exclusion. Multiply line 33 by line 35. Enter the result but do not enter more than the amount on line 34. Also, complete Part VIA field contains 12,796
Under Part VII: Taxpayer Claiming the Foreign Earned Income Exclusion:
- 37. Maximum foreign earned income exclusion. field contains 91,400
- 40..Multiply line 37 by line 39 field contains 91,400
- 41. Subtract line 36 from line 27 field contains 85,204
- 42. Foreign earned income exclusion. Enter the smaller of line 40 or line 41. Also complete Part VIA field contains 85,204
- 43. Add lines 36 and 42field contains 98,000
- 45. Subtract line 44 from line 43. Enter the result here and in parentheses on Form 1040, line 21 field contains 98,000

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