1040-C U.S. Departing Alien Income Tax Return
Form 1040-C (2020) Page 3 Schedule A Income (see instructions) 1 (a) Payer of income (b) Type of income (such as Nonresident alien income salary, wages, taxable interest, dividends, rents, etc.) (c) Amount of U.S. income tax paid or withheld at source ................
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