Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal - 2013 Page 2

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additional form as part of the PTIN application process.
Code, which must be satisfied within the periods specified
The form you must complete is Form 8945, PTIN
for each taxable period in which you have a legal
Supplemental Application For U.S. Citizens Without a
obligation to file.
Social Security Number Due To Conscientious Religious
Use the space in line 6 to provide the details of any
Objection. On Form 8945, you will verify information about
noncompliance, including the steps you have taken to
your identity, citizenship, and conscientious religious
resolve the issue, and why you believe it should not affect
objection. See Form 8945 for instructions on completing
your fitness to practice before the IRS. Providing false or
and submitting the form and the required documents.
misleading information on this form is a criminal offense
Foreign persons. If you are a foreign person who
that may result in prosecution and criminal penalties. In
does not have an SSN, you must complete an additional
addition, providing false or misleading information is a
form as part of the PTIN application process. A foreign
separate ground to deny your application for a PTIN or
person is an individual who does not have and is not
terminate it after it has been assigned. All the facts and
eligible to obtain a social security number and is neither a
circumstances as related in your explanation will be
citizen of the United States nor a resident alien of the
considered. You will be contacted if additional information
United States as defined in section 7701(b)(1)(A). The
is needed.
form you must complete is Form 8946, PTIN
Line 7. Check the appropriate boxes to indicate your
Supplemental Application For Foreign Persons Without a
professional credentials. Check all that apply. Please
Social Security Number. On Form 8946, you will verify
include the licensing number, jurisdiction, and expiration
information about your foreign status and identity. See
date. If you do not have any professional credentials,
Form 8946 for instructions on completing and submitting
check the “None” box.
the form and the required documents.
Attorney. An attorney is any person who is a member
in good standing of the bar of the highest court of any
Note. Line 2 of Form 8946 must contain a non-U.S.
state, territory, or possession of the United States,
physical address. This address cannot be a P.O. Box. If a
including a Commonwealth, or the District of Columbia.
P.O. Box is listed on line 2 of the Form 8946, your
application will be rejected and returned to you.
Certified public accountant (CPA). A CPA is any
person who is duly qualified to practice as a CPA in any
Renewing without a SSN. You do not need to
state, territory, or possession of the United States,
resubmit Form 8945 or Form 8946. However, you are
including a Commonwealth, or the District of Columbia.
required to enter your date of birth on line 3 of Form W-12.
Enrolled agent (EA). An EA is any individual enrolled
Line 4. Enter the email address we should use if we need
as an agent who is not currently under suspension or
to contact you about matters regarding this form.
disbarment from practice before the IRS.
We will also send PTIN related emails with general
Enrolled actuary. An enrolled actuary is any individual
information, reminders, and requirements. Any valid email
who is enrolled as an actuary by the Joint Board for the
address that you check regularly for PTIN
Enrollment of Actuaries pursuant to 29 U.S.C. 1242 who is
communications is acceptable.
not currently under suspension or disbarment from
practice before the IRS. Also, the enrolled actuary must
Line 5. You are required to fully disclose any information
file with the IRS a written declaration stating that he or she
concerning prior felony convictions. Be advised that a
is currently qualified as an enrolled actuary and is
felony conviction may not necessarily disqualify you from
authorized to represent the party or parties on whose
having a PTIN. However, crimes related to federal tax
behalf he or she acts.
matters and also those involving dishonesty or a breach of
trust will be considered grounds for denial or termination
Enrolled retirement plan agent (ERPA). An ERPA is
of a PTIN. Generally, a person who is currently
any individual enrolled as a retirement plan agent who is
incarcerated for any felony conviction will not be permitted
not currently under suspension or disbarment from
to obtain or renew a PTIN.
practice before the IRS.
Use the space in line 5 to provide details of your prior
Skip lines 8, 9, and 10 if you are an attorney,
felony conviction(s), and why you believe it should not
CPA, or EA.
!
affect your fitness to practice before the IRS. Providing
CAUTION
false or misleading information on this form is a criminal
Definition of a supervised preparer. A supervised
offense that may result in prosecution and criminal
preparer is a non-signing preparer who is employed by a
penalties. In addition, providing false or misleading
law firm, CPA firm, or other recognized firm (a firm that is
information is a separate ground to deny your application
at least 80 percent owned by attorneys, CPAs, EAs,
for a PTIN or terminate it after it has been assigned. All the
enrolled actuaries, or enrolled retirement plan agents).
facts and circumstances as related in your explanation will
The returns they prepare are signed by a supervising
be considered. You will be contacted if additional
attorney, CPA, EA, enrolled actuary, or enrolled retirement
information is needed.
plan agent at the firm.
Line 6. All preparers are required to be in full compliance
Line 9. If you are not an attorney, CPA, or EA you
with federal tax laws including filing all returns and paying
must answer the questions on this line. If you check
all taxes, or making payment arrangements acceptable to
“Yes” to all of the questions, you are a supervised
the IRS. The filing of a tax return and the payment of the
preparer and must enter the PTIN of your supervisor. For
tax liability associated with that return are two separate
a detailed explanation of a supervised preparer see
and distinct requirements under the Internal Revenue
Definition of a supervised preparer, above.
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Instructions for Form W-12 (1-2013)

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