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 (9-2010)
If you submit an original valid passport (or a notarized or
Line 3. Enter the information regarding your birth. Complete the
certified 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.
Can be used to establish:
Privacy Act and Paperwork Reduction Act Notice. We ask for
Supporting Documentation
the information on this form to carry out the Internal Revenue
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
Revenue Service Restructuring and Reform Act of 1998 and
Internal Revenue Code section 6109. Under section 6109, return
U.S. Passport card
preparers are required to provide their identification number on
what they prepare. Applying for a PTIN is mandatory if you
prepare U.S. tax returns for compensation. Providing
U.S. driver's license
incomplete information may delay or prevent processing of this
application; providing false or fraudulent information may
U.S. Military ID card
subject you to penalties.
You are not required to provide the information requested on
Foreign Military ID card
a form that is subject to the Paperwork Reduction Act unless
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
long as their contents may become material in the
administration of any Internal Revenue law. Generally, the
Voter's registration card
information you provide on this form is confidential pursuant to
the Privacy Act of 1974 and tax returns and return information
Civil birth certificate
are confidential pursuant to Code section 6103. However, we
are authorized to disclose this information to contractors to
perform the contract, to the Department of Justice for civil and
Naturalization papers
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
You must submit the proper supporting
tax laws. We may also disclose this information to other
documentation with Form 8945. If you do not
countries under a tax treaty, to federal and state agencies to
provide the proper supporting documentation, your
enforce federal nontax criminal laws, or to federal law
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
for those who file this form is shown below.
Specific Instructions
. 6 hr., 13 min.
Learning about the law or the form
. 1 hr., 2 min.
Line 1. Enter your legal name on line 1 as it appears on your
documents. This entry should reflect your name as you will be
Preparing and sending the form
. 3 hr., 34 min.
entering it as required on returns 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 write to the Internal
line 2.
Revenue Service, Tax Products Coordinating Committee,
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6526,
Note. If the U.S. Postal Service will not deliver mail to your
Washington, DC 20224. Do not send this form to this address.
physical location, enter the U.S. Postal Service's post office box
Instead, see Applying by mail, earlier.
number for your mailing address. Contact your local U.S. Post
Office for more information. Do not use a post office box owned
by a private firm or company.


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