Form 8689 Department of the Treasury Internal Revenue Service Allocation of Individual Income Tax to the U.S. Virgin Islands a Attach to Form 1040. a Information about Form 8689 and its instructions is at www.irs.gov/form8689. OMB No. 1545- 0074 20 13 Attachment Sequence No. 85 Name(s) shown on Form 1040 Your social security number Part I Income From the U.S. Virgin Islands (USVI) 1 Wages, salaries, tips, etc. ........................ 1 2 Taxable interest ............................ 2 3 Ordinary dividends ........................... 3 4 Taxable refunds, credits, or offsets of local USVI income taxes ............ 4 5 Alimony received ........................... 5 6 Business income or (loss) ........................ 6 7 Capital gain or (loss) .......................... 7 8 Other gains or (losses) ......................... 8 9 IRA distributions (taxable amount) ...................... 9 10 Pensions and annuities (taxable amount) ................... 10 11 Rental real estate, royalties, partnerships, S corporations, trusts, etc. .......... 11 12 Farm income or (loss) .......................... 12 13 Unemployment compensation ....................... 13 14 Social security benefits (taxable amount) ................... 14 15 Other income. List type and amount a 15 16 Add lines 1 through 15. This is your total USVI income ............. a 16 Part II Adjusted Gross Income From the USVI 17 Educator expenses ................. 17 18 Certain business expenses of reservists, performing artists, and fee-basis government officials .............. 18 19 Health savings account deduction ............ 19 20 Moving expenses .................. 20 21 Deductible part of self-employment tax ........... 21 22 Self-employed SEP, SIMPLE, and qualified plans ........ 22 23 Self-employed health insurance deduction .......... 23 24 Penalty on early withdrawal of savings ........... 24 25 IRA deduction ................... 25 26 Student loan interest deduction ............. 26 27 Tuition and fees deduction ............... 27 28 Add lines 17 through 27 ......................... 28 29 Subtract line 28 from line 16. This is your USVI adjusted gross income ........ a 29 Part III Allocation of Tax to the USVI 30 Enter amount from Form 1040, line 61 .................... 30 31 Enter the total of the amounts from Form 1040, lines 56, 57, 59a, 64a, 65, 66, and 71 (boxes c and d). Include any uncollected social security and Medicare or tier 1 RRTA tax, tax on excess golden parachute payments, or excise tax on insider stock compensation reported on line 60. Also include any amount from Form 5329, Parts III, IV, V, VI, VII, or VIII reported on Form 1040, line 58 . 31 32 Subtract line 31 from line 30 ....................... 32 33 Enter amount from Form 1040, line 38 ........... 33 34 Divide line 29 above by line 33. Enter the result as a decimal (rounded to at least 3 places). Do not enter more than 1.000 34 × . 35 Multiply line 32 by line 34. This is your tax allocated to the USVI ........... 35 Part IV Payments of Income Tax to the USVI 36 Income tax withheld by the USVI ............. 36 37 2013 estimated tax payments and amount applied from 2012 return . 37 38 Amount paid with Form 4868 (extension request) ........ 38 39 Add lines 36 through 38. These are your total payments to the USVI ......... a 39 40 Enter the smaller of line 35 or line 39. Include this amount in the total on Form 1040, line 72. On the dotted line next to line 72, enter “Form 8689” and show this amount ......... 40 41 Overpayment to the USVI. If line 39 is more than line 35, subtract line 35 from line 39 ..... 41 42 Amount of line 41 you want refunded to you ................. a 42 43 Amount of line 41 you want applied to your 2014 estimated tax .. 43 44 Amount you owe to the USVI. If line 39 is less than line 35, subtract line 39 from line 35 .... 44 45 Enter the amount from line 44 that you will pay when you file your income tax return. Include this amount in the total of Form 1040, line 72. On the dotted line next to line 72, enter "Form 8689" and show this amount 45 For Paperwork Reduction Act Notice, see Form 1040 instructions. Cat. No. 64603D Form 8689 (2013) ----------------Page (0) Break----------------