Form W-7 - Application For Irs Individual Taxpayer Identification Number
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1W-7
Application for IRS Individual
Form
Taxpayer Identification Number
OMB No. 1545-0074
(Rev. September 2016)
For use by individuals who are not U.S. citizens or permanent residents.
▶
Department of the Treasury
See separate instructions.
▶
Internal Revenue Service
An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only.
Application Type (Check one box):
Before you begin:
Apply for a New ITIN
• Don’t submit this form if you have, or are eligible to get, a U.S. social security number (SSN).
Renew an Existing ITIN
• Getting an ITIN doesn’t change your immigration status or your right to work in the United States
and doesn’t make you eligible for the earned income credit.
Reason you’re submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, c, d, e, f, or g, you
must file a U.S. federal tax return with Form W-7 unless you meet one of the exceptions (see instructions).
a
Nonresident alien required to get an ITIN to claim tax treaty benefit
b
Nonresident alien filing a U.S. federal tax return
c
U.S. resident alien (based on days present in the United States) filing a U.S. federal tax return
}
d
Dependent of U.S. citizen/resident alien
Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions)
▶
e
Spouse of U.S. citizen/resident alien
f
Nonresident alien student, professor, or researcher filing a U.S. federal tax return or claiming an exception
g
Dependent/spouse of a nonresident alien holding a U.S. visa
h
Other (see instructions)
▶
Additional information for a and f: Enter treaty country
and treaty article number
▶
▶
1a First name
Middle name
Last name
Name
(see instructions)
1b First name
Middle name
Last name
Name at birth if
different .
.
▶
2
Street address, apartment number, or rural route number. If you have a P.O. box, see separate instructions.
Applicant’s
mailing address
City or town, state or province, and country. Include ZIP code or postal code where appropriate.
Foreign (non-
3
Street address, apartment number, or rural route number. Don’t use a P.O. box number.
U.S.) address
(if different from
City or town, state or province, and country. Include ZIP code or postal code where appropriate.
above)
(see instructions)
Birth
4
Date of birth (month / day / year)
Country of birth
City and state or province (optional)
5
Male
information
Female
6a Country(ies) of citizenship
6b Foreign tax I.D. number (if any)
6c Type of U.S. visa (if any), number, and expiration date
Other
information
6d Identification document(s) submitted (see instructions)
Passport
Driver’s license/State I.D.
USCIS documentation
Other
Date of entry into the
United States
(MM/DD/YYYY):
Issued by:
No.:
Exp. date:
/
/
/
/
6e Have you previously received an ITIN or an Internal Revenue Service Number (IRSN)?
No/Don’t know. Skip line 6f.
Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions).
6f Enter ITIN and/or IRSN
ITIN
IRSN
and
—
—
—
—
▶
name under which it was issued
▶
First name
Middle name
Last name
6g Name of college/university or company (see instructions)
City and state
Length of stay
Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including accompanying
Sign
documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I authorize the IRS to share
Here
information with my acceptance agent in order to perfect this Form W-7, Application for IRS Individual Taxpayer Identification Number.
Signature of applicant (if delegate, see instructions)
Date (month / day / year)
Phone number
/
/
Delegate’s relationship
Name of delegate, if applicable (type or print)
Keep a copy for
Parent
Court-appointed guardian
to applicant
your records.
Power of Attorney
Signature
Date (month / day / year)
Phone
Acceptance
/
/
Fax
Agent’s
Name and title (type or print)
Name of company
EIN
PTIN
Use ONLY
Office Code
W-7
For Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 9-2016)
Cat. No. 10229L
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