Form 8945 - Ptin Supplemental Application For U.s. Citizens Without A Social Security Number Due To Conscientious Religious Objection Page 3

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Form 8945 (Rev. 10-2014)
Page
If you submit an original valid passport (or a certified or
Line 3. Enter the information regarding your birth. Complete the
notarized copy of a valid passport), you do not need to
section entitled Name at birth (if different from above) if your
submit any other documents. Otherwise, you must submit at
name at birth is not the same as the name you entered on line 1.
least two of the documents listed below. The documents must
Line 5. Check the box indicating the type of document(s) you
be current, verify your name, and verify that you are a U.S.
are submitting for identification. You must submit documents as
citizen. If you submit copies of documents that display
explained earlier under How To Apply.
information on both sides, copies of both the front and back
Signatures. The completed Form 8945 must be signed and
must be attached to the Form 8945. At least one document
dated by the applicant in Part I and by the authorized
must contain your photograph. At least one document must
representative of the religious group/district/congregation in
verify both your identity and U.S. citizenship. Do not attach
Part II.
expired documents.
Privacy Act and Paperwork Reduction Act Notice. We ask for
Can be used to establish:
the information on this form to carry out the Internal Revenue
Supporting Documentation
Identity
U.S. Citizenship
laws of the United States. This information will be used to issue
a Preparer Tax Identification Number (PTIN). Our authority to
U.S. Passport (the only stand-alone
collect this information is found in section 3710 of the Internal
document)
X
X
Revenue Service Restructuring and Reform Act of 1998 and
Internal Revenue Code section 6109. Under section 6109, return
preparers are required to provide their identification number on
U.S. Passport card
X
X
what they prepare. Applying for a PTIN is mandatory if you
prepare U.S. tax returns for compensation. Providing
U.S. Driver's license
X
incomplete information may delay or prevent processing of this
application; providing false or fraudulent information may
subject you to penalties.
U.S. Military ID card
X
You are not required to provide the information requested on
a form that is subject to the Paperwork Reduction Act unless
X
Foreign Military ID card
the form displays a valid OMB control number. Books or
records relating to a form or its instructions must be retained as
U.S. State ID card
X
long as their contents may become material in the
administration of any Internal Revenue law. Generally, the
information you provide on this form is confidential pursuant to
Voter's registration card
X
X
the Privacy Act of 1974 and tax returns and return information
are confidential pursuant to Code section 6103. However, we
X
X
Civil birth certificate
are authorized to disclose this information to contractors to
perform the contract, to the Department of Justice for civil and
Naturalization papers
X
X
criminal litigation, and to cities, states, the District of Columbia,
and U.S. commonwealths and possessions for use in their
Keep a copy of the application for your records.
return preparer oversight activities and administration of their
tax laws. We may also disclose this information to other
You must submit the proper supporting
!
countries under a tax treaty, to federal and state agencies to
documentation with Form 8945. If you do not provide
the proper supporting documentation, your
enforce federal nontax criminal laws, or to federal law
CAUTION
application will not be processed. The $64.25
enforcement and intelligence agencies to combat terrorism.
application fee is not refundable, and it will not be returned to
The time needed to complete and file this form will vary
you because you failed to submit the proper supporting
depending on individual circumstances. The estimated burden
documentation.
for those who file this form is shown below.
Specific Instructions
Recordkeeping
.
.
.
.
.
.
.
.
.
.
. 4 hr., 32 min.
Learning about the law or the form .
.
.
.
. 0 hr., 40 min.
Line 1. Enter your legal name on line 1 as it appears on your
documents. This entry should reflect your name as it will be
Preparing and sending the form .
.
.
.
.
. 1 hr., 58 min.
entered on tax returns that you are paid to prepare.
If you have comments concerning the accuracy of these time
Line 2. Enter your complete mailing address on line 2. Your
estimates or suggestions for making this form simpler, we would
original documents will be returned to the address you enter on
be happy to hear from you. You can send us comments from
line 2.
Click on More Information and then
click on Give us feedback. Or you can send your comments to
Note. If the U.S. Postal Service will not deliver mail to your
Internal Revenue Service, Tax Forms and Publications Division,
physical location, enter the U.S. Postal Service's post office box
1111 Constitution Ave. NW, IR-6526, Washington, DC 20224.
number for your mailing address. Contact your local U.S. Post
Do not send this form to this address. Instead, see Applying by
Office for more information. Do not use a post office box owned
mail, earlier.
by a private firm or company.

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