Instructions For Form 8802 (Rev. November 2015) Page 5

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additional request procedure to
addition, documentation of the name
written authorization for the IRS to
authorize a third party appointee to
change must be submitted with Form
communicate with the third party
request additional Forms 6166 for a
8802 (for example, trust agreement,
appointee(s) identified on line 3b when
country not identified in your current
corporate charter).
you submit the signed and dated Form
Form 8802, you must include in line 10,
8802.
Certification will not be issued if the
a written statement authorizing the third
name change has not been updated in
The third party appointee identified
party appointee to request Form 6166
the IRS database. Businesses and
on line 3b should be someone the IRS
covering the same tax period for any
trusts of estates can notify the IRS of a
can communicate with in order to
country.
name change by checking the
resolve questions related to the
appropriate box on Forms 1120, 1120S,
Foreign Claim Form
processing of your Form 8802. This
1065, or 1041, when filed. Individuals
individual should be knowledgeable
Check the box if you have included with
can indicate a name change on Form
about Form 8802, and be able to
Form 8802 a foreign claim form sent to
1040 when filed. If you change your
respond to any IRS questions regarding
you by a foreign country. The
name and address, you can notify the
your Form 8802. If you enter an entity
submission or omission of a foreign
IRS of the changes on Form 8822.
such as a corporation or trust on line 3b,
claim form will not affect your residency
Individuals should also notify the Social
identify a specific individual at the entity
certification. If the IRS does not have an
Security Administration (SSA) of a name
who can answer questions about your
agreement with the foreign country to
change by filing Form SS-5, Application
Form 8802. If a specific individual is not
date stamp, or otherwise process the
for a Social Security Card with the SSA.
identified, the IRS is authorized to
form, we will not process it and such
See IRS.gov for more information.
communicate with any person
foreign claim form will be mailed back to
employed by the entity.
For additional information on how to
you.
notify the IRS of your new name, you
If you have multiple appointees,
can also contact customer service. For
Note. For more information about
attach a list of the additional appointees
businesses, the number is
foreign countries with which the IRS has
not identified on line 3b whom the IRS
1-800-829-4933. For individuals, the
an agreement to process a foreign claim
can communicate with regarding your
number is 1-800-829-1040.
form, call the U.S. residency certification
Form 8802. If only one individual is
unit at (267) 941-1000 (not a toll-free
shown on line 3b, the IRS is authorized
Line 2. Applicant's
number).
to communicate only with that person.
Address
Applicant's Name and U.S.
You are not required to enter the
telephone or fax number of your third
Do not enter a P.O. box
Taxpayer Identification
party appointee. However, providing a
number or C/O address.
!
Number
telephone or fax number will expedite
Certification may be denied if
CAUTION
the processing of your Form 8802 if the
As part of certifying U.S. residency, the
the applicant enters a P.O. box or C/O
IRS has any questions. By providing a
IRS must be able to match the name(s)
address.
telephone or fax number, you are
and taxpayer identification number(s)
Enter your address for the calendar
authorizing the IRS to communicate with
(TIN(s)) on this application to those
year for which you are requesting
your third party appointee(s).
previously verified on either the U.S.
certification. If you are an individual who
return filed for the tax period for which
The Centralized Authorization File
lived outside the United States during
certification is to be based or on other
(CAF) contains information on third
the year for which certification is
documentation you provide.
parties authorized to represent
requested, the special rules under
Enter the applicant's name and TIN
taxpayers before the IRS and/or receive
Individuals With Residency Outside the
exactly as they appear on the U.S.
and inspect confidential tax information.
United States, earlier, may apply to you.
return filed for the tax period(s) for
If your appointee has a CAF number,
Line 3a. Mailing Address
which certification will be based. If the
enter it on line 3b.
applicant was not required to file a U.S.
In general, you do not need to fill out
Form 6166 and any related
return, enter the applicant's name and
line 3b if you have attached Form 2848
correspondence can be mailed to you or
TIN as they appear on documentation
to a third party appointee. If you provide
or Form 8821. In line 3b, write “See
previously provided to the IRS (for
an address on line 3a, it will be used for
attached authorization.” Attach a Form
example, Form 8832, Entity
all mail correspondence relating to your
2848 or Form 8821 for each third party
Classification Election) or on
Form 6166 request. If you do not
that you authorize to receive your tax
documentation provided by the IRS (for
indicate a mailing address on line 3a,
information. If you have multiple third
example, a determination letter).
Form 6166 will be mailed to the address
party appointees, see the instructions
Joint return. If a joint income tax return
on line 2. If the mailing address entered
for Form 2848 or Form 8821.
was filed for a tax period for which
on line 3a is for a third party appointee,
Form 8821, Taxpayer Information
certification will be based, enter the
you must provide written authorization
Authorization, and Form 2848, Pow-
spouse's name and TIN exactly as they
on line 3b for the IRS to release the
er of Attorney and Declaration of
appear on the return filed.
certification to the third party.
Representative. Form 8821 is used to
Change in taxpayer's name. If the
authorize disclosure of tax information
Line 3b. Third Party
taxpayer's name has changed since the
to a third party designee of the taxpayer.
Appointee's Information
most recent Form 8802 was filed with
Form 8821 cannot be used to authorize
the IRS, the Form 8802 and tax
a third party to sign Form 8802 on your
Enter the name of your third party
disclosure authorization for each
behalf, and it does not authorize a third
appointee(s) on line 3b of Form 8802.
individual or entity must be submitted
party to represent you before the IRS.
Providing this information constitutes
under the taxpayer's new name. In
Pursuant to section 6103(c) and the
-5-

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