Instructions For Form 8802 - Application For United States Residency Certification - 2012 Page 2

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User Fee
Value Added Tax (VAT)
Once your electronic payment has
been processed, you will receive an
Form 6166 may also be used as proof
Form 8802 application(s) will not be
electronic payment confirmation
of U.S. tax residency status for
processed until the non-refundable user
number for the transaction. Enter the
purposes of obtaining an exemption
fee is paid. The user fee is $85 for a
electronic payment confirmation
from a VAT imposed by a foreign
Form 8802 filed after March 31, 2012.
number on page 1 of Form 8802 before
country. In connection with a VAT
you submit the application. You can
Additional request. Additional
request, the United States can certify
use either the Agency Tracking ID or
requests for Form 6166 submitted on a
only to certain matters in relation to
the Pay.gov ID as the electronic
separate Form 8802, following the
your U.S. federal income tax status,
payment confirmation number. Either
procedures established on page 4, will
and not that you meet any other
one is acceptable. If you make an
require the payment of an $85 user fee.
requirements for a VAT exemption in a
electronic payment covering multiple
foreign country.
Forms 8802, the same electronic
Applicants are advised to
!
payment confirmation number must be
request all Forms 6166 on a
General Instructions
written on each form. Form 8802 will
single Form 8802 to avoid
CAUTION
not be processed if the electronic
paying the $85 user fee charged for
payment confirmation number has not
Purpose of Form
processing a second Form 8802.
been entered on the application.
Method of Payment
Form 8802 is used to request Form
The user fee website requires the
6166, a letter of U.S. residency
Payment of the user fee can be by
entry of the following information.
certification for purposes of claiming
check, money order, or electronic
Applicant’s name.
benefits under an income tax treaty or
payment.
Applicant’s TIN or EIN.
VAT exemption. You cannot use Form
Check or Money Order
Submitter’s name (name of person or
6166 to substantiate that U.S. taxes
entity submitting the payment).
were paid for purposes of claiming a
Form 8802 must be accompanied by a
Contact email address.
foreign tax credit.
check or money order in U.S. dollars,
Number of Form(s) 6166 requested.
payable to the United States Treasury,
You cannot claim a foreign tax credit
Payment amount.
to reduce your U.S. tax liability with
in the appropriate amount. Do not send
Selection of Automatic Clearing
respect to foreign taxes that have been
cash.
House (ACH) debit or credit card will
reduced or eliminated by reason of a
Multiple Forms 8802. If you are
open a window for account information.
treaty. If you receive a refund of foreign
submitting multiple Forms 8802, you
taxes paid with the benefit of Form
Supplemental User Fee
may submit a single check or money
6166, you may need to file an amended
order payment to cover the aggregate
Payment
return with the IRS adjusting any
amount of the user fee for all Forms
If you have been contacted by the U.S.
foreign tax credits previously claimed
8802. No more than 200 Forms 8802
Residency Certification Unit to make a
for those taxes.
can be associated with one check or
supplemental payment, you can use the
money order.
When To Apply
e-payment system on IRS.gov by
Note. If you pay by check, it will be
checking the supplemental user fee
You should mail your application,
converted into an electronic funds
checkbox.
including full payment of the user fee,
transfer (EFT). This means we will copy
at least 45 days before the date you
your check and use the account
Where To Apply
need Form 6166. We will contact you
information on it to electronically debit
after 30 days if there will be a delay in
The method by which you can submit
your account for the amount of the
processing your application. You can
Form 8802 to the IRS depends upon
check. The debit from your account will
call (267) 941-1000 (not a toll free
how you choose to pay the user fee.
usually occur within 24 hours, and will
number) and select the U.S. residency
be shown on your regular account
Payment by Check or Money
option if you have questions regarding
statement. You will not receive your
your application.
Order
original check back. We will destroy
Early submission for a current year
your original check, but we will keep a
If you are paying the user fee by check
certification. The IRS cannot accept
copy of it. If the EFT cannot be
or money order, send the payment,
an early submission for a current year
processed for technical reasons, you
Form 8802, and all required
Form 6166 that has a postmark date
authorize us to process the copy in
attachments to:
before December 1. Requests received
place of your original check.
with a postmark date earlier than
Internal Revenue Service
Electronic Payment (e-payment)
December 1 will be returned to the
P.O. Box 71052
sender. For example, a Form 6166
Visit the IRS website at IRS.gov and
Philadelphia, PA 19176-6052
request for 2012:
enter “e-pay” in the search box. Click
Received with a postmark date
on the first search result, “e-pay.”
Or, by private delivery service to:
before December 1, 2011, cannot be
Choose “User Fees” at the bottom of
processed.
the Electronic Payments Options Home
Citibank
Received with a postmark date on or
Page and then click on U.S. Residency
Attn: IRS Lockbox Operations
after December 1, 2011, can be
User Fee. Complete the form and
500 White Clay Center Drive
processed with the appropriate
submit online the information requested
Bldg. 500
documentation.
on the website.
Newark, DE 19711
-2-

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