Instructions For Form 8802 - Application For United States Residency Certification - 2012 Page 3

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Electronic Payment
You filed a return as a nonresident
If you are described in category 2 or
(including Form 1040NR, U.S.
3, attach a statement and
After the electronic confirmation
Nonresident Alien Income Tax Return;
documentation to establish why you
number has been entered on page 1 of
Form 1040NR-EZ, U.S. Income Tax
believe you should be entitled to
Form 8802, you can submit Form 8802
Return for Certain Nonresident Aliens
certification as a resident of the U.S. for
and all required attachments to the
With No Dependents; Form 1120-F,
purposes of the relevant treaty. Under
following address or by fax (see below
U.S. Income Tax Return of a Foreign
many U.S. treaties, U.S. citizens or
for limitations on the use of faxed
Corporation; Form 1120-FSC, U.S.
green card holders who do not have a
transmissions).
Income Tax Return of a Foreign Sales
substantial presence, permanent home,
Mail or private delivery service.
Corporation; or any of the U.S.
or habitual abode in the United States
Send Form 8802 and all required
possession tax forms).
during the tax year are not entitled to
attachments to this address only if you
You are a dual resident individual
treaty benefits. U.S. citizens or green
paid the user fee by e-payment.
who has made (or intends to make),
card holders who reside outside the
pursuant to the tie breaker provision
United States must examine the
within an applicable treaty, a
specific treaty to determine if they are
Department of the Treasury
determination that you are not a
eligible for treaty benefits and U.S.
Internal Revenue Service
resident of the United States and are a
residency certification. See Exceptions,
Philadelphia, PA 19255-0625
resident of the other treaty country. For
below.
Fax. You can fax up to 10 Forms 8802
more information and examples, see
If you are described in category 2
(including all required attachments) for
Reg. section 301.7701(b)-7.
and are claiming treaty benefits under a
a maximum of 50 pages to the fax
You are a fiscally transparent entity
provision applicable to payments
numbers below. A fax cover sheet
organized in the United States (that is,
received in consideration of teaching or
stating the number of pages included in
a domestic partnership, domestic
research activities, see Table 2 for the
the transmission must be used.
grantor trust, or domestic LLC
penalties of perjury statement you must
disregarded as an entity separate from
The following fax numbers are not
either enter on line 10 of Form 8802 or
its owner) and you do not have any
toll-free:
attach to the form.
U.S. partners, beneficiaries, or owners.
(267) 941-1035
Exceptions
The entity requesting certification is
(267) 941-1366
an exempt organization that is not
You do not need to attach the
organized in the United States.
Who Is Eligible for Form
additional statement or documentation
requested if you:
Special Rules
6166
Are a U.S. citizen or green card
holder; and
In general, under an income tax treaty,
Form 8802 Filed Before
Are requesting certification only for
an individual or entity is a resident of
Return Posted by the IRS
Bangladesh, Bulgaria, Cyprus,
the United States if the individual or
Hungary, Iceland, India, Kazakhstan,
entity is subject to U.S. tax by reason of
If your return has not been posted by
Malta, New Zealand, Russia, South
residence, citizenship, place of
the IRS by the time you file Form 8802,
Africa, Sri Lanka, or Ukraine; and
incorporation, or other similar criteria.
you will receive a request to provide a
The country for which you are
U.S. residents are subject to tax in the
signed copy of your most recent return.
requesting certification and your
United States on their worldwide
If you recently filed your return, it may
country of residence are not the same.
income. An entity may be considered
take less time to process your
subject to tax on its worldwide income
application if you include a copy of the
Form 1116, Foreign Tax
even if it is statutorily exempt from tax,
income tax return with your Form 8802.
Credit
such as a pension fund or charity.
Write “COPY — do not process” on the
Similarly, individuals are considered
If you have filed or intend to file a Form
tax return.
subject to tax even if their income is
1116, Foreign Tax Credit, claiming
Individuals With Residency
less than the amount that would require
either a foreign tax credit amount in
that they file an income tax return.
Outside the United States
excess of $5,000 U.S. or a foreign tax
credit for any amount of foreign earned
In general, Form 6166 is issued only
If you are in any of the following
income for the tax period for which
when the IRS can verify that for the
categories for the current or prior tax
certification is requested, you must
year for which certification is requested
year for which certification is requested,
submit evidence that you were (or will
one of the following applies:
you must submit a statement and
be if the request relates to a current
You filed an appropriate income tax
documentation, as described below,
year) a resident of the United States
return (for example, Form 1120 for a
with Form 8802.
and that the foreign taxes paid were not
domestic corporation),
1. You are a resident under the
imposed because you were a resident
In the case of a certification year for
internal law of both the United States
of the foreign country.
which a return is not yet due, you filed a
and the treaty country for which you are
return for the most recent year for
In addition, individuals who have
requesting certification (you are a dual
which a return was due, or
already filed their federal income tax
resident).
You are not required to file an
return must submit a copy of it,
2. You are a green card holder or
income tax return for the tax period on
including any information return(s)
U.S. citizen who filed Form 2555,
which certification will be based and
relating to income, such as Form W-2
Foreign Earned Income.
other documentation is provided.
or Form 1099, along with the Form
3. You are a bona fide resident of a
1116. Your request for U.S. residency
U.S. possession.
Who Is Not Eligible for
certification may be denied if you do not
submit the additional materials.
If you are a dual resident described
Form 6166
in category 1, above, your request may
United Kingdom
In general, you are not eligible for Form
be denied unless you submit evidence
6166 if, for the tax period for which your
to establish that you are a resident of
If you are applying for relief at source
Form 6166 is based, any of the
the United States under the tie breaker
from United Kingdom (U.K.) income tax
following applies:
provision in the residence article of the
or filing a claim for repayment of U.K.
You did not file a required U.S.
treaty with the country for which you
income tax, you may need to complete
return.
are requesting certification.
a U.K. certification form (US/Individual
-3-

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