Question	Answer
Form Name	Form 2155
Form Length	3 pages
Fillable?	Yes
Fillable fields	1
Avg. time to fill out	57 sec
Other names	2155-Rev, oYes, fillable boat coi, oAgency

Employer’s name ▶
Employer’s U.S. address ▶
Employer’s foreign address ▶
Employer is (check	a	A foreign entity	b	A U.S. company	c Self
any that apply):	d	A foreign affiliate of a U.S. company	e	Other (specify) ▶
If you previously filed Form 2555 or Form 2555-EZ, enter the last year you filed the form. ▶
If you didn’t previously file Form 2555 or Form 2555-EZ to claim either of the exclusions, check here ▶					and go to line 7.
Have you ever revoked either of the exclusions?					Yes	No
If you answered “Yes,” enter the type of exclusion and the tax year for which the revocation was effective. ▶
Of what country are you a citizen/national? ▶
Did you maintain a separate foreign residence for your family because of adverse living conditions at your
tax home? See Second foreign household in the instructions					Yes	No

10	Date bona fide residence began ▶	, and ended ▶
11	Kind of living quarters in foreign country ▶ a Purchased house	b Rented house or apartment	c	Rented room
	d Quarters furnished by employer
12a	Did any of your family live with you abroad during any part of the tax year?			Yes	No

13a Have you submitted a statement to the authorities of the foreign country where you claim bona fide
residence that you aren’t a resident of that country? See instructions	Yes	No
b Are you required to pay income tax to the country where you claim bona fide residence? See instructions .	Yes	No

15a	List any contractual terms or other conditions relating to the length of your employment abroad. ▶
b Enter the type of visa under which you entered the foreign country. ▶
c	Did your visa limit the length of your stay or employment in a foreign country? If “Yes,” attach explanation .	Yes	No
d	Did you maintain a home in the United States while living abroad?	Yes	No

Form 2555 (2021)		Page 2
Part III	Taxpayers Qualifying Under Physical Presence Test
	Note: U.S. citizens and all resident aliens can use this test. See instructions.
16 The physical presence test is based on the 12-month period from ▶		through ▶

	2021 Foreign Earned Income	Amount
	2021 Foreign Earned Income	(in U.S. dollars)
		(in U.S. dollars)

19	Total wages, salaries, bonuses, commissions, etc	19
20	Allowable share of income for personal services performed (see instructions):
a	In a business (including farming) or profession	20a
b In a partnership. List partnership’s name and address and type of income. ▶
		20b

a	Cost of living and overseas differential	22a
b	Family	22b
c	Education	22c
d	Home leave	22d
e	Quarters	22e

24	Add lines 19 through 21d, line 22g, and line 23	24
25	Total amount of meals and lodging included on line 24 that is excludable (see instructions) . . . .	25
26	Subtract line 25 from line 24. Enter the result here and on line 27 on page 3. This is your 2021 foreign
	earned income . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶	26

28	Qualified housing expenses for the tax year (see instructions)			28
29a	Enter location where housing expenses incurred. See instructions. ▶
b	Enter limit on housing expenses. See instructions			29b
30	Enter the smaller of line 28 or line 29b			30
31	Number of days in your qualifying period that fall within your 2021 tax year
	(see instructions)	31	days
32	Multiply $47.65 by the number of days on line 31. If 365 is entered on line 31, enter $17,392 here . .			32

	Part IX	. . . . . . .		33
34	Enter employer-provided amounts. See instructions	34

37	Maximum foreign earned income exclusion. Enter $108,700				.	37
38	• If you completed Part VI, enter the number from line 31.	}
	• All others, enter the number of days in your qualifying period that fall		38	days
	within your 2021 tax year. See the instructions for line 31.
39	• If line 38 and the number of days in your 2021 tax year (usually 365) are the same, enter “1.000.”				}
	• Otherwise, divide line 38 by the number of days in your 2021 tax year and enter the result as a					39
	decimal (rounded to at least three places).
40	Multiply line 37 by line 39				.	40
41	Subtract line 36 from line 27				.	41
42	Foreign earned income exclusion. Enter the smaller of line 40 or line 41. Also, complete Part VIII . .				▶	42

46	Subtract line 36 from line 33	46
47	Subtract line 43 from line 27	47
48	Enter the smaller of line 46 or line 47	48
	Note: If line 47 is more than line 48 and you couldn’t deduct all of your 2020 housing deduction
	because of the 2020 limit, use the Housing Deduction Carryover Worksheet in the instructions to
	figure the amount to enter on line 49. Otherwise, go to line 50.

Form 2155 – Fill Out and Use This PDF

Form 2155 PDF Details