Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal Page 3

Download a blank fillable Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

3
Form W-12 (Rev. 10-2014)
Page
13 Filing Status
Single
Head of Household
and Tax Year
on Last U.S.
Married filing jointly
Qualifying widow(er) with dependent child
Individual
Income Tax
Married filing separately
Tax Year
Return Filed
If your last return was filed more than 4 years ago, see instructions.
14 Fee
If you are applying for a PTIN, your fee is $64.25. If you are renewing your PTIN, your fee is $63.00. The fee is
an application processing fee and is nonrefundable. Full payment must be included with your application or
it will be rejected. If your application is incomplete and you do not supply the required information upon
request, the IRS will be unable to process your application. Make your check or money order payable to IRS
Tax Pro PTIN Fee. Do not paper clip, staple, or otherwise attach the payment to Form W-12. A separate PTIN
fee is required for each calendar year PTIN indicated on this application.
$64.25
$63.00
PTIN application
PTIN renewal
Under penalties of perjury, I declare that I have examined this application and to the best of my knowledge and belief, it
Sign
is true, correct, and complete. I understand any false or misleading information may result in criminal penalties and/or
the denial or termination of a PTIN.
Your signature
Date (MM,DD,YYYY)
Here
/
/
W-12
Form
(Rev. 10-2014)
For Internal Use Only

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 3