Form W-7a - Application For Taxpayer Identification Number For Pending U.s. Adoptions

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Application for Taxpayer Identification Number
for Pending U.S. Adoptions
OMB No. 1545-0074
(Rev. October 2011)
Department of the Treasury
See instructions.
Internal Revenue Service
Note. Do not file this form if you are eligible to obtain a U.S. social security number (SSN) for your adoptive child.
1a Parent’s last name
First name
Social security number
1b Parent’s last name
First name
Social security number
(see instructions)
Street address, apartment number, or rural route number. If you have a P.O. box, see the instructions.
City or town, state, and ZIP code
(see instructions)
Child’s name:
3a Last name
First name
Middle name
As it will appear
on your tax return
3b Last name
First name
Middle name
Birth name if different
and known .
Child’s birth
Date of birth (month, day, year)
Place of birth (city or town, and state) (If foreign address, see instructions)
Date child
was placed
with adoptive
Note. Be sure to attach the required documentation to Form W-7A. See instructions.
Under penalties of perjury, I declare that I have examined this application, including accompanying documentation and statements, and to
the best of my knowledge and belief, it is true, correct, and complete.
Signature of parent
Date (month, day, year)
Daytime phone number
Keep a copy of this
form for your
Signature of parent
Date (month, day, year)
Daytime phone number
General Instructions
However, you cannot use an ATIN to claim the earned income
credit (EIC). When the adoption is final and the child has an SSN,
Future developments. The IRS has created a page on for
you can file an amended return for an earlier year if you could have
information about Form W-7A, at Information
claimed the EIC in the earlier year except for the fact that the child
about any future developments affecting Form W-7A (such as
did not have an SSN. Use Form 1040X, Amended U.S. Individual
legislation enacted after we release it) will be posted on that page.
Income Tax Return, and Schedule EIC, Earned Income Credit.
Purpose of Form
How Long Can You Use an ATIN
Use Form W-7A to apply for an Internal Revenue Service (IRS)
An ATIN issued to you for your adoptive child will expire 2 years
adoption taxpayer identification number (ATIN) for a child who is
from the date it is issued. You will receive a notice from the IRS 3
placed in your home for purposes of legal adoption. However, do
months before the expiration date to remind you that the ATIN will
not use Form W-7A if you will be able to obtain a social security
expire. The notice will explain how you can apply for an extension if
number (SSN) for the child in time to file your tax return. Also, do
the adoption will not be final by the expiration date.
not use Form W-7A if the child is not a U.S. citizen or resident alien.
After the adoption is final, do not continue using the ATIN.
Use Form W-7 instead.
Instead, you must use an SSN. To apply for an SSN for the child, fill
What Is an ATIN
in Form SS-5, Application for a Social Security Card, and return it,
with the appropriate evidence documents, to the Social Security
An ATIN is a temporary nine-digit number issued by the IRS to
Administration (SSA). You can get Form SS-5 online at
individuals who are in the process of legally adopting a U.S. citizen
, from your local SSA office, or by calling the
or resident alien child but who cannot get an SSN for that child in
SSA at 1-800-772-1213. It usually takes about 2 weeks to get an
time to file their tax return.
SSN once the SSA has all the evidence and information it needs.
You may be able to use an ATIN on your tax return to take the
Application for SSN denied. If the SSA denies your application for
following tax benefits based on the child.
an SSN, contact the IRS to request an extension or reactivation of
• Dependency exemption. See Pub. 501, Exemptions, Standard
the ATIN. When you request the extension or reactivation of the
Deduction, and Filing Information.
ATIN, include the SSA’s denial letter or an explanation with your
• Credit for child and dependent care expenses. See Pub. 503,
Child and Dependent Care Expenses.
• Adoption credit. See the Instructions for Form 8839, Qualified
Adoption Expenses.
• Child tax credit. See Pub. 972, Child Tax Credit.
For Privacy Act and Paperwork Reduction Act Notice, see back of form.
(Rev. 10-2011)
Cat. No. 24309E


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