Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal Page 2
Download a blank fillable Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
32
Form W-12 (Rev. 9-2012)
Page
7 Professional
Check all that apply. Enter state abbreviation and appropriate number(s):
Credentials
Number(s):
Expiration Date(s):
Attorney - Licensed in which state(s):
Certified Public Accountant (CPA) -
Licensed in which state(s):
Number(s):
Expiration Date(s):
Number(s):
Expiration Date(s):
Enrolled Agent (EA)
Number(s):
Expiration Date(s):
Enrolled Actuary
Number(s):
Expiration Date(s):
Enrolled Retirement Plan Agent (ERPA)
State Regulated Tax Preparer-State(s):
Number(s):
Expiration Date(s):
Certified Acceptance Agent
None
Skip lines 8, 9, and 10 if you are an attorney, CPA, or EA.
8 Form 1040
Do you prepare Form 1040 series tax returns (or accompanying schedules) for
Preparation
compensation? (If you ONLY prepare Form 1040-PR or Form 1040-SS for residents of Puerto
Rico, check “No.”)
Yes
No
Are you employed by an attorney or CPA firm, or other recognized firm at least 80 percent
9 Supervised
owned by attorneys, CPAs, or Enrolled Agents?
Preparer
Yes
No
Determination
Yes
No
Are you supervised by an attorney, CPA, EA, ERPA, or Enrolled Actuary?
Does an attorney, CPA, EA, ERPA, or Enrolled Actuary sign all of the tax returns that you
prepare?
Yes
No
If you checked “Yes” to all of these questions, you are a supervised preparer and must enter
your supervisor's PTIN: P
10 Continuing
For renewal applicants only.
Education (CE)
Answer line 10 if either of the following apply: a) you are required to pass the Registered Tax
Completion
Return Preparer test by December 31, 2013, or b) you are a Registered Tax Return Preparer.
Do you certify that you have completed or intend to complete your continuing education
requirement for 2012?
Yes
No
If “No,” please provide a detailed explanation. You can still renew your PTIN this first year, but
you must provide an explanation and you may be contacted.
11 Business
Yes
No
Are you self-employed or an owner, partner, or officer of a tax preparation business?
Identification
If you check “Yes,” complete this line. If you check “No,” go to line 12.
Numbers
Your CAF Number
EIN
EFIN
-
12 Business
Business address
Mailing
Address
Business city or town, state/province, and, if outside U.S., country. Include ZIP or postal code where
appropriate. Do not abbreviate name of country.
W-12
Form
(Rev. 9-2012)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (ptin) Application And Renewal - 2014
Legal
Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (ptin) Application And Renewal - 2013
Financial
Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (ptin) Application And Renewal
Financial
Related Categories
Parent category: Financial