An IRS individual taxpayer identification number ( ITIN ) is for federal tax purposes only . |
FOR IRS USE ONLY |
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Before you begin : | |||||||
• Do not submit this form if you have , or are eligible to get , a U . S . social security number ( SSN ). | |||||||
• Getting an ITIN does not change your immigration status or your right to work in the United States | |||||||
and does not make you eligible for the earned income credit . | |||||||
Reason you are submitting Form W-7 . Read the instructions for the box you check . Caution : If you check box b , c , d , | |||||||
e , f , or g , you must file a tax return with Form W-7 unless you meet one of the exceptions ( see instructions ). | |||||||
a |
Nonresident alien required to get ITIN to claim tax treaty benefit |
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b |
Nonresident alien filing a U . S . tax return |
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c d e |
U . S . resident alien ( based on days present in the United States ) filing a U . S . tax return
Dependent of U . S . citizen / resident alien
Enter name and SSN / ITIN of U . S . citizen / resident alien ( see instructions )
} ▶ Spouse of U . S . citizen / resident alien
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f |
Nonresident alien student , professor , or researcher filing a U . S . tax return or claiming an exception |
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g |
Dependent / spouse of a nonresident alien holding a U . S . visa |
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h |
Other ( see instructions ) ▶ |
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Additional information for a and f : Enter treaty country ▶ |
and treaty article number ▶ |
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Name |
1a First name |
Middle name |
Last name |
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( see instructions ) |
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Name at birth if |
1b First name |
Middle name |
Last name |
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different . |
. |
▶ |
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2 |
Street address , apartment number , or rural route number . If you have a P . O . box , see separate instructions . |
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Applicant ’ s | |||||||
mailing address |
City or town , state or province , and country . Include ZIP code or postal code where appropriate . |
4 |
Date of birth ( month / day / year ) |
Country of birth |
City and state or province ( optional ) |
5 |
Male Female |
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6a Country ( ies ) of citizenship |
6b Foreign tax I . D . number ( if any ) |
6c Type of U . S . visa ( if any ), number , and expiration date |
/ |
/ |
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Keep a copy for your records . |
Name of delegate , if applicable ( type or print ) |
Delegate ’ s relationship to applicant |
Parent
Court-appointed guardian
Power of Attorney
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Acceptance
Agent ’ s
Use ONLY
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Signature
Name and title ( type or print )
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Date ( month / day / year )
/
/
Name of company
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Phone
Fax
EIN
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Office Code |
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For Paperwork Reduction Act Notice , see separate instructions . |
Cat . No . 10229L |
Form W-7 ( Rev . 1-2012 ) |