Instructions For Form 8802 - Application For United States Residency Certification - 8802 Page 4

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On the Internet at
Form 8802, you must include in line 10,
1-800-829-4933. For individuals, the
,
a written statement authorizing the third
number is 1-800-829-1040.
or
party appointee to request Form 6166
Telephone at: 44-115-974-1945 if
covering the same tax period for any
Line 2. Applicant’s
calling from outside the U.K., or
country.
Address
0115-974-1945 if calling from the U.K.
Foreign Claim Form
Send the completed U.K. form to the
Do not enter a P.O. box number
Check the box if you have included with
IRS with your completed Form 8802.
!
or C/O address. Certification
Form 8802 a foreign claim form sent to
may be denied if the applicant
you by a foreign country. The
CAUTION
enters a P.O. box or C/O address.
submission or omission of a foreign
Specific Instructions
claim form will not affect your residency
Enter your address for the calendar
certification. If the IRS does not have
year for which you are requesting
Check Boxes at Top of
an agreement with the foreign country
certification. If you are an individual
to date stamp, or otherwise process the
who lived outside the United States
Page 1
form, we will not process it and such
during the year for which certification is
foreign claim form will be mailed back
requested, the special rules under
Additional Requests
to you.
Individuals With Residency Outside the
Check this box if Form 8802 is being
United States, on page 3, may apply to
Note. For more information about
submitted to request additional Form(s)
you.
foreign countries with which the IRS
6166 for a tax period for which the IRS
has an agreement to process a foreign
has previously issued to you a Form
Line 3a. Mailing Address
claim form, call the U.S. residency
6166. The appropriate user fee for the
certification unit at 215-516-2000 (not a
Form 6166 and any related
request is dependent upon the number
toll-free number).
correspondence may be mailed to you
of additional Form(s) 6166 requested.
or to a third party appointee. If you
See the table under Payment Schedule
Applicant’s Name and
provide an address on line 3a it will be
on page 2.
used for all mail correspondence
U.S. Taxpayer
An applicant can only use this
relating to your Form 6166 request. If
additional request procedure if there
Identification Number
you do not indicate a mailing address
are no changes to the applicant’s tax
on line 3a, Form 6166 will be mailed to
As part of certifying U.S. residency, the
information provided on the original
the address on line 2.
IRS must be able to match the name(s)
Form 8802. An applicant may use this
and taxpayer identification number(s)
procedure to obtain a Form 6166 for
Line 3b. Third Party
(TIN(s)) on this application to those
any country or countries, whether or not
previously verified on either the U.S.
the country was identified on a
Appointee’s Information
return filed for the tax period for which
previously filed Form 8802. An
If the mailing address entered on line
certification is to be based or on other
additional request for Form 6166 using
3a is for a third party appointee, you
documentation you provide.
this procedure must be made within 12
must provide written authorization for
months of the most recently issued
Enter the applicant’s name and TIN
the IRS to release the certification to
Form 6166 relating to the same tax
exactly as they appear on the U.S.
the third party. By filling out the
period.
return filed for the tax period(s) for
appointee’s information in lines 3a and
Additional documentation. If you are
which certification will be based. If the
3b (name and address), written
requesting certification for a previously
applicant was not required to file a U.S.
authorization will be deemed to have
identified country and if additional
return, enter the applicant’s name and
been provided when you sign and date
documentation was necessary for the
TIN as they appear on documentation
the Form 8802. You are not required to
original application, it does not need to
previously provided to the IRS (for
enter a phone number or a fax number
be resubmitted with the request for an
example, Form 8832, Entity
of your third party appointee. However,
additional Form 6166. In the signature
Classification Election) or on
by providing a phone number or fax
line of the additional request form, write
documentation provided by the IRS (for
number, you are authorizing the IRS to
“See attached copy of the original Form
example, a determination letter).
call or fax your third party appointee.
8802.” Attach a copy of the original
Joint return. If a joint income tax
Form 8802.
The Centralized Authorization File
return was filed for a tax period for
(CAF) contains information on third
If you are requesting Form 6166 for
which certification will be based, enter
parties authorized to represent
a country not identified on a previously
the spouse’s name and TIN exactly as
taxpayers before the IRS and/or receive
filed Form 8802 that requires
they appear on the return filed.
and inspect confidential tax information.
documentation not previously
Change in taxpayer’s name. If the
If your appointee has a CAF number,
submitted, you must include that
taxpayer’s name has changed since the
enter it on line 3b.
documentation with the additional
most recent Form 8802 was filed with
request. Sign and date the additional
Form 8821, Taxpayer Information
the IRS, the Form 8802 and tax
request form. Attach a copy of the
Authorization, and Form 2848, Power
disclosure authorization for each
original Form 8802.
of Attorney and Declaration of
individual or entity must be submitted
Additional request made by third
Representative. Form 8821 is used to
under the taxpayer’s new name. In
party appointees. Third party
authorize disclosure of tax information
addition, documentation of the name
appointees cannot use this special
to a third party designee of the
change must be submitted with Form
procedure to request additional Form(s)
taxpayer. Form 8821 cannot be used to
8802 (for example, trust agreement,
6166 for countries that were not
authorize a third party to sign Form
corporate charter).
originally authorized by the taxpayer in
8802 on your behalf, and it does not
their previously signed and dated Form
Certification will not be issued if the
authorize a third party to represent you
8802. If you anticipate using the
name change has not been updated in
before the IRS. Pursuant to section
additional request procedure to
the IRS database. For information on
6103(c) and the regulations thereunder,
authorize a third party appointee to
how to update the IRS on your new
authorization on Form 8821 will not be
request additional Forms 6166 for a
name, contact customer service. For
accepted if it covers matters other than
country not identified in your current
businesses, the number is
federal tax matters.
-4-

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