Blank 14653 PDF Form

Blank 14653 PDF Form

Form 14653 is a certification document used by U.S. persons residing outside the United States to participate in the Streamlined Foreign Offshore Procedures. This form allows individuals to disclose previously unreported income and comply with U.S. tax obligations while minimizing penalties. If you need to fill out this form, click the button below to get started.

The 14653 form is an essential document for U.S. persons living outside the United States who wish to participate in the Streamlined Foreign Offshore Procedures. This form allows individuals to certify their eligibility for these procedures, which aim to simplify the process of rectifying past tax compliance issues. The form requires taxpayers to provide personal information, including names, taxpayer identification numbers, and contact details. It also asks for a detailed account of any unreported income from foreign financial assets and outlines the necessary steps for submitting delinquent or amended income tax returns for the last three years. Additionally, it emphasizes the importance of maintaining records related to income and assets for specified periods and requires a declaration that any failures to report were due to non-willful conduct. For joint certifications, both spouses must meet the eligibility criteria, and if they have different reasons for non-compliance, they must provide individual statements. Completing this form accurately is crucial, as it serves as a declaration under penalties of perjury, ensuring that all information provided is truthful and complete.

Document Sample

Form 14653

(October 2017)

Department of the Treasury - Internal Revenue Service

Certification by U.S. Person Residing Outside of the United

States for Streamlined Foreign Offshore Procedures

OMB Number

1545-2241

Name(s) of taxpayer(s)

TIN(s) of taxpayer(s)

Telephone number

Mailing address

City

State

ZIP code

Note: If this certification is a joint certification, the statements will be considered made on behalf of both spouses, even though the pronoun "I" is used. If spouses submitting a joint certification have different reasons for their failure to report all income, pay all tax, and submit all required information returns, including FBARs, they must state their individual reasons separately in the required statement of facts.

Certification

I am providing delinquent or amended income tax returns, including all required information returns, for each of the most recent 3 years for which the U.S. tax return due date (or properly applied for extended due date) has passed. The tax and interest I owe for each year are as follows

Year

(list years in order)

Amount of Tax I Owe Shown On

(Form 1040 or Form 1040X)

Interest

Total

Total

Note: Your payment should equal the total tax and interest due for all three years. You may receive a balance due notice or a refund if the tax or interest is not calculated correctly.

I failed to report income from one or more foreign financial assets during the above period.

I meet all the other eligibility requirements for the Streamlined Foreign Offshore procedures.

If I failed to timely file correct and complete FBARs for any of the last six years, I have now electronically filed those FBARs.

I agree to retain all records related to my income and assets during the period covered by my delinquent or amended returns until three years from the date of this certification. If I was required to file delinquent FBARs in accordance with these procedures, I also agree to retain all records (including, but not limited to, account statements) related to my foreign financial accounts until six years from the date of this certification. Upon request, I agree to provide all such records to the Internal Revenue Service.

My failure to report all income, pay all tax, and submit all required information returns, including FBARs, was due to non-willful conduct. I understand that non-willful conduct is conduct that is due to negligence, inadvertence, or mistake or conduct that is the result of a good faith misunderstanding of the requirements of the law.

I acknowledge the possibility that amended income tax returns I am submitting under the Streamlined Foreign Offshore Procedures may report income for tax years beyond the three-year assessment limitations period under I.R.C. § 6501(a). Other assessment limitations periods in I.R.C. § 6501 may allow the Internal Revenue Service to assess and collect tax. If I seek a refund for any tax or interest paid for the omitted income that I am reporting on my amended income tax returns because I feel that my payments were made beyond the assessment limitations period, I understand that I will forfeit the favorable terms of the Streamlined Procedures.

I recognize that if the Internal Revenue Service receives or discovers evidence of willfulness, fraud, or criminal conduct, it may open an examination or investigation that could lead to civil fraud penalties, FBAR penalties, information return penalties, or even referral to Criminal Investigation.

I meet the non-residency requirements for the Streamlined Foreign Offshore procedures as disclosed below.

Note: Both spouses filing a joint certification must meet the non-residency requirements.

Complete one of the following (two) sections regarding your residency status

If you are a U.S. citizen or lawful permanent resident (i.e., “green card holder”), complete this section:

For the covered tax period, indicate whether you were physically outside the United States for each year. You must have been physically outside the U.S. for at least 330 full days in any one or more of the most recent three years for which the U.S. tax return due date (or properly applied for extended due date) has passed, and you must not have had a U.S. abode. For more information on the meaning of “abode” see IRS Publication 54.

Catalog Number 67042A

www.irs.gov

Form 14653 (Rev. 10-2017)

Page of

I was physically outside the United States for at least 330 full days (answer Yes or No for each year)

Year

Yes

No

Both spouses filing a joint certification must meet the non-residency requirement. If the number of days physically outside of the U.S. differs for each spouse, disclose that on the chart above or in an attachment to this certification.

If you are not a U.S. citizen or lawful permanent resident, complete this section:

If you are not a U.S. citizen or a lawful permanent resident, please attach to this certification your computation showing that you did not meet the substantial presence test under I.R.C. sec. 7701(b)(3). Your computation must disclose the number of days you were present in the U.S. for the three years included in your Streamlined Foreign Offshore Procedures submission and the previous two years. If you do not attach a complete computation showing that you did not meet the substantial presence test, your submission will be considered incomplete and your submission will not qualify for the Streamlined Foreign Offshore Procedures.

Both spouses filing a joint certification must meet the non-residency requirement. If the number of days inside the U.S. differs for each spouse, disclose that on the chart above or in an attachment to this certification.

Note: You must provide specific facts on this form or on a signed attachment explaining your failure to report all income, pay all tax, and submit all required information returns, including FBARs. Any submission that does not contain a narrative statement of facts will be considered incomplete and will not qualify for the streamlined penalty relief.

Provide specific reasons for your failure to report all income, pay all tax, and submit all required information returns, including FBARs. Include the whole story including favorable and unfavorable facts. Specific reasons, whether favorable or unfavorable to you, should include your personal background, financial background, and anything else you believe is relevant to your failure to report all income, pay all tax, and submit all required information returns, including FBARs. Additionally, explain the source of funds in all of your foreign financial accounts/assets. For example, explain whether you inherited the account/asset, whether you opened it while residing in a foreign country, or whether you had a business reason to open or use it. And explain your contacts with the account/asset including withdrawals, deposits, and investment/ management decisions. Provide a complete story about your foreign financial account/asset. If you relied on a professional advisor, provide the name, address, and telephone number of the advisor and a summary of the advice. If married taxpayers submitting a joint certification have different reasons, provide the individual reasons for each spouse separately in the statement of facts. The field below will automatically expand to accommodate your statement of facts.

Catalog Number 67042A

www.irs.gov

Form 14653 (Rev. 10-2017)

Page of

Under penalties of perjury, I declare that I have examined this certification and all accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete.

Signature of Taxpayer

Name of Taxpayer

Date

 

 

 

Signature of Taxpayer (if joint certification)

Name of Taxpayer (if joint certification)

Date

 

 

 

For Estates Only

Signature of Fiduciary

Date

 

 

Title of Fiduciary (e.g., executor or administrator)

Name of Fiduciary

For Paid Preparer Use Only (the signature of taxpayer(s) or fiduciary is required even if this form is signed by a paid preparer)

Signature of Preparer

Name of Preparer

 

 

Date

 

 

 

 

 

Firm’s name

 

 

 

Firm’s EIN

 

 

 

 

 

Firm’s address

City

 

State

ZIP code

 

 

 

 

 

Telephone number

PTIN

 

 

Check if

 

 

 

 

 

 

 

 

Self-Employed

 

 

 

 

Do you want to allow another person to discuss this form with the IRS

Yes (complete information below)

No

 

 

 

 

Designee’s name

 

 

Telephone number

 

 

 

 

 

Privacy Act and Paperwork Reduction Notice

We ask for the information on this certification by U.S. person residing in the United States for streamlined domestic offshore procedures to carry out the Internal Revenue laws of the United States. Our authority to ask for information is sections 6001, 6109, 7801, 7803 and the regulations thereunder. This information will be used to determine and collect the correct amount of tax under the terms of the streamlined filing compliance program. You are not required to apply for participation in the streamlined filing compliance program. If you choose to apply, however, you are required to provide all the information requested on the streamlined certification. You are not required to provide the information requested on a document that is subject to the Paperwork Reduction Act unless the document displays a valid OMB control number. Books or records relating to a document or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103. Section 6103, however, allows or requires the Internal Revenue Service to disclose or give this information to others as described in the Internal Revenue Code. For example, we may disclose this information to the Department of Justice to enforce the tax laws, both civil and criminal, and to cities, states, the District of Columbia, and U.S. commonwealths or possessions to carry out their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. Failure to provide this information may delay or prevent processing your application. Providing false information may subject you to penalties. The time needed to complete and submit the streamlined certification will vary depending on individual circumstances. The estimated average time is: 8 hours

Catalog Number 67042A

www.irs.gov

Form 14653 (Rev. 10-2017)

File Specifics

Fact Name Description
Purpose The 14653 form is used for certification by U.S. persons residing outside the United States who wish to participate in the Streamlined Foreign Offshore Procedures.
Governing Law This form is governed by the Internal Revenue Code, specifically I.R.C. § 6501 and related regulations.
Eligibility Taxpayers must meet specific eligibility requirements to use this form, including the requirement of non-willful conduct regarding their tax obligations.
Joint Certification If spouses file a joint certification, both must meet the non-residency requirements and provide individual reasons for any failures to report income.
Record Retention Taxpayers must retain records related to their income and assets for three years from the date of certification, or six years for FBARs.
Amended Returns Taxpayers must provide delinquent or amended income tax returns for the most recent three years for which the due date has passed.
Submission Completeness Any submission lacking a narrative statement of facts explaining failures to report income will be considered incomplete and ineligible for penalty relief.

How to Use 14653

Filling out Form 14653 is an important step if you are a U.S. person residing outside the United States and need to certify your compliance with tax obligations. After completing this form, you will submit it along with any required documentation to the IRS as part of the Streamlined Foreign Offshore Procedures. Make sure to gather all necessary information before you begin.

  1. Gather Personal Information: Collect your name(s), Tax Identification Number(s) (TIN), telephone number, mailing address, city, state, and ZIP code.
  2. Determine Filing Status: If you are filing jointly with a spouse, ensure both signatures will be included.
  3. Complete Certification Section: Confirm you are providing delinquent or amended tax returns for the last three years. Include the amount of tax owed, interest, and total for each year.
  4. Address Foreign Income: Indicate if you failed to report income from foreign financial assets during the specified period.
  5. FBAR Filing: Confirm that you have electronically filed any required FBARs for the last six years.
  6. Record Retention Agreement: Agree to retain all records related to your income and assets for three years, or six years for FBARs.
  7. Non-Willful Conduct Declaration: State that your failure to report was due to non-willful conduct, which includes negligence or misunderstanding of the law.
  8. Residency Status: Complete the appropriate section regarding your residency status, confirming if you were physically outside the U.S. for at least 330 days in the past three years.
  9. Statement of Facts: Provide a detailed narrative explaining your failure to report income, including personal and financial background, and the source of funds in foreign accounts.
  10. Sign and Date: Ensure all required signatures are provided, including those of both spouses if filing jointly.

Your Questions, Answered

  1. What is Form 14653?

    Form 14653 is a certification form used by U.S. persons residing outside the United States to participate in the Streamlined Foreign Offshore Procedures. This form allows individuals to report previously unreported income, pay taxes owed, and submit required information returns, including Foreign Bank Account Reports (FBARs).

  2. Who needs to file Form 14653?

    U.S. citizens and lawful permanent residents living outside the U.S. who have failed to report all income, pay all taxes, or submit required information returns may need to file this form. Both spouses must meet the eligibility criteria if filing jointly.

  3. What are the eligibility requirements for Streamlined Foreign Offshore Procedures?

    To be eligible, you must:

    • Have failed to report income from foreign financial assets.
    • Provide delinquent or amended income tax returns for the last three years.
    • Have been physically outside the U.S. for at least 330 full days during one or more of the last three years.
    • Have not had a U.S. abode during that time.
    • Agree to retain all relevant records for the required retention periods.
  4. What should I include in the statement of facts?

    Your statement of facts must detail your reasons for failing to report income and pay taxes. Include:

    • Your personal and financial background.
    • The source of funds in foreign accounts.
    • Any advice received from professionals regarding your tax obligations.
  5. What happens if I don’t meet the non-residency requirement?

    If you do not meet the non-residency requirement, your submission will be considered incomplete. This could disqualify you from the Streamlined Foreign Offshore Procedures and expose you to penalties.

  6. How long should I retain my records?

    You must retain all records related to your income and assets for three years from the date of certification. If you filed delinquent FBARs, retain those records for six years. This ensures you can provide documentation if requested by the IRS.

  7. What if I made a mistake in calculating my tax or interest?

    If your payment does not equal the total tax and interest due, you may receive a balance due notice or a refund. It’s crucial to double-check your calculations before submission to avoid complications.

  8. What does “non-willful conduct” mean?

    Non-willful conduct refers to failures that arise from negligence, inadvertence, or a good faith misunderstanding of the law. If you can demonstrate this in your submission, it may protect you from severe penalties.

  9. What are the consequences of willful conduct?

    If the IRS finds evidence of willful conduct, it may initiate an examination or investigation. This could lead to civil fraud penalties, FBAR penalties, or even criminal charges, depending on the severity of the conduct.

  10. Can I allow someone else to discuss my Form 14653 with the IRS?

    Yes, you can designate another person to discuss your form with the IRS. You must provide their name and contact information on the form to authorize this communication.

Common mistakes

  1. Incomplete Information: Many people fail to provide all required details, such as their Tax Identification Number (TIN) or mailing address. Missing information can lead to delays or rejection of the form.

  2. Incorrect Residency Status: Some individuals misstate their residency status. It's crucial to accurately indicate whether you were outside the U.S. for the required 330 days in the past three years.

  3. Failure to Explain Reasons: A common mistake is not providing a detailed narrative of why income was not reported. The IRS requires a thorough explanation of the circumstances surrounding the failure to report.

  4. Not Meeting Non-Willfulness Standard: Applicants sometimes do not clearly demonstrate that their failure to report was non-willful. It's important to explain any negligence or misunderstanding of tax obligations.

  5. Missing Signatures: Some individuals forget to sign the form. A signature is necessary for the form to be valid, whether it's a single or joint certification.

  6. Incorrect Tax Calculations: Errors in calculating owed taxes and interest can occur. Ensuring that the total matches the amounts listed on the appropriate tax forms is essential to avoid issues.

Documents used along the form

The 14653 form is a crucial document for U.S. persons residing outside of the United States who wish to participate in the Streamlined Foreign Offshore Procedures. This form helps certify eligibility for these procedures, which can provide relief from certain penalties associated with failing to report foreign income and assets. Along with the 14653 form, several other forms and documents are typically required to ensure compliance and proper processing. Below is a list of these associated documents.

  • Form 1040: This is the standard individual income tax return form used by U.S. citizens and residents to report their annual income, claim tax deductions and credits, and calculate their tax liability.
  • Form 1040X: This form is used to amend a previously filed Form 1040. Taxpayers can correct errors or make changes to their tax return using this document.
  • FBAR (FinCEN Form 114): This form must be filed by U.S. persons who have foreign financial accounts exceeding certain thresholds. It reports the existence of these accounts to the Financial Crimes Enforcement Network.
  • Form 8938: This is the Statement of Specified Foreign Financial Assets. It is required for certain taxpayers to report specified foreign financial assets to the IRS, in addition to the FBAR.
  • Form 8854: This form is used by expatriates to report their status and any tax obligations upon renouncing U.S. citizenship or terminating long-term residency.
  • Statement of Facts: This is a narrative document that explains the reasons for failing to report income or file necessary returns. It provides context and details about the taxpayer’s situation.
  • Supporting Documentation: This may include bank statements, records of foreign income, and any other relevant documents that substantiate the taxpayer's claims and financial situation.

Understanding these forms and documents is essential for anyone navigating the Streamlined Foreign Offshore Procedures. Properly completing and submitting them can significantly impact the outcome of a taxpayer's compliance efforts. Each document serves a specific purpose and contributes to a comprehensive understanding of the taxpayer's financial activities and obligations.

Similar forms

Form 8854, the Initial and Annual Expatriation Statement, is similar to Form 14653 in that both are used by U.S. citizens and long-term residents to report their tax status while living abroad. Form 8854 is specifically for individuals who have expatriated, meaning they have given up their U.S. citizenship or long-term residency. Like Form 14653, it requires detailed information about income and assets. Both forms aim to ensure compliance with U.S. tax laws and provide a pathway for individuals to rectify past reporting issues.

Form 1040, the U.S. Individual Income Tax Return, is another document that shares similarities with Form 14653. Both forms require individuals to report their income and tax obligations to the Internal Revenue Service (IRS). While Form 1040 is the standard tax return for U.S. citizens and residents, Form 14653 is a specialized form for those residing outside the U.S. Both forms necessitate accuracy in reporting and may include penalties for incorrect or incomplete submissions.

Form 8938, the Statement of Specified Foreign Financial Assets, is also comparable to Form 14653. This form is required for certain U.S. taxpayers who have foreign financial assets exceeding specific thresholds. Like Form 14653, Form 8938 aims to promote transparency regarding foreign assets and income. Both forms require taxpayers to provide detailed information about their foreign financial accounts and investments, ensuring compliance with U.S. tax regulations.

Form 3520, the Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts, is another document that aligns with Form 14653. Both forms are designed to report foreign financial interests and ensure compliance with U.S. tax laws. Form 3520 requires taxpayers to disclose transactions involving foreign trusts or gifts from foreign persons, similar to how Form 14653 addresses foreign financial assets. Both forms emphasize the importance of full disclosure to avoid potential penalties.

Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, is similar in purpose to Form 14653. This form is used by U.S. citizens and residents who are officers, directors, or shareholders in certain foreign corporations. Both forms require detailed reporting of foreign financial interests and aim to ensure compliance with U.S. tax laws. They both highlight the necessity of transparency regarding foreign income and assets.

Form 8939, the Allocation of Increase in Basis for Property Acquired from a Decedent, also bears similarities to Form 14653. Both forms require taxpayers to report information related to foreign assets and income. Form 8939 is specifically used for reporting the basis of property inherited from a decedent, while Form 14653 focuses on rectifying past tax reporting issues for those living abroad. Both forms aim to clarify tax obligations and ensure compliance with U.S. tax regulations.

Dos and Don'ts

When filling out Form 14653, it is crucial to follow specific guidelines to ensure your submission is complete and accurate. Here’s a list of what you should and shouldn't do:

  • Do provide accurate information for all required fields, including your name, TIN, and contact details.
  • Do include a detailed statement of facts explaining your failure to report income and submit required returns.
  • Do ensure that both spouses meet the non-residency requirements if filing jointly.
  • Do retain all relevant records for at least three years after submitting the form.
  • Don't leave any sections blank; incomplete submissions may be rejected.
  • Don't provide misleading or false information, as this can lead to penalties or further investigation.

Misconceptions

Understanding the 14653 form can be crucial for U.S. persons living abroad who need to navigate their tax obligations. However, several misconceptions often cloud the process. Here are six common misunderstandings about the 14653 form:

  • Misconception 1: The 14653 form is only for people who have willfully avoided taxes.
  • This form is designed for those who have failed to report income due to non-willful conduct, such as negligence or misunderstanding of tax laws. It is not solely for individuals with malicious intent.

  • Misconception 2: Submitting the form guarantees immunity from penalties.
  • While the form provides a pathway for penalty relief, it does not guarantee immunity. If the IRS finds evidence of willfulness or fraud, penalties may still apply.

  • Misconception 3: Only U.S. citizens can use the 14653 form.
  • Lawful permanent residents (green card holders) can also utilize this form. It's essential for anyone who meets the criteria to understand their eligibility.

  • Misconception 4: You don’t need to provide a detailed explanation of your tax failures.
  • A narrative statement explaining the reasons for your tax issues is crucial. Failing to provide this information can result in your submission being deemed incomplete.

  • Misconception 5: Filing the 14653 form means you can ignore your FBAR obligations.
  • Filing the 14653 does not exempt you from submitting Foreign Bank Account Reports (FBARs). You must still comply with FBAR requirements to qualify for the streamlined procedures.

  • Misconception 6: Once you file the 14653 form, you can forget about record-keeping.
  • It’s vital to retain all records related to your income and foreign financial accounts for the specified periods. This documentation may be requested by the IRS in the future.

By dispelling these misconceptions, individuals can better prepare themselves for the responsibilities that come with filing the 14653 form and ensure compliance with U.S. tax laws.

Key takeaways

Filling out Form 14653 is an important step for U.S. persons residing outside the United States who wish to participate in the Streamlined Foreign Offshore Procedures. Here are key takeaways to keep in mind:

  • Eligibility Requirements: Ensure you meet all eligibility criteria for the Streamlined Foreign Offshore procedures before submitting the form.
  • Joint Certification: If you are filing jointly with your spouse, both of you must meet the non-residency requirements. Individual reasons for non-compliance should be stated separately.
  • Complete Tax Returns: You must provide delinquent or amended income tax returns for the last three years, including all required information returns.
  • FBAR Compliance: If you failed to file FBARs, you need to electronically file those returns before submitting Form 14653.
  • Record Retention: Agree to retain all records related to your income and assets for three years, and FBAR records for six years from the date of certification.
  • Statement of Facts: Provide a detailed narrative explaining your failure to report income and submit returns. Include personal and financial background information.
  • Non-Willful Conduct: Clearly state that your failure to comply was due to non-willful conduct, which can include negligence or misunderstandings of the law.
  • Potential Consequences: Understand that evidence of willfulness or fraud may lead to severe penalties or investigations by the IRS.

By following these guidelines, you can help ensure a smoother process when submitting Form 14653. Remember, thoroughness and honesty are key to successfully navigating the Streamlined Foreign Offshore Procedures.