Form 2555 (2011) Page 3
Summary: This is an example of Form 2555 (2010), 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 2010 tax year (see
instructions)
field contains 365 days 
32. Multiply $40.11 by the number of days on line 31. If 365 is entered on line 31, enter $14,640.00
here
field contains 14,640 
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 12,810 
34. Enter employerprovided 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 12,810
 Under
Part VII: Taxpayer Claiming the Foreign Earned Income Exclusion
: 

37. Maximum foreign earned income exclusion.
field contains 91,500 
40. Multiply line 37 by line 39
field contains 91,500 
41. Subtract line 36 from line 27
field contains 85,190 
42. Foreign earned income exclusion. Enter the smaller of line 40 or line 41. Also complete Part
VIA
field contains 85,190 
43. Add lines 36 and 42
field 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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