An IRS individual taxpayer identification number (ITIN) is for U.S. federal tax purposes only.Before you begin:
• Don’t submit this form if you have, or are eligible to get, a U.S. social security number (SSN).

Application type (check one box) Apply for a new ITIN     Renew an existing ITIN

Reason you’re 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 U.S. federal tax return with Form W-7 unless you meet one of the exceptions (see instructions).

a     Nonresident alien required to get an ITIN to claim tax treaty benefit

b     Nonresident alien filing a U.S. federal tax return

c     U.S. resident alien (based on days present in the United States) filing a U.S. federal tax return

d     Dependent of U.S. citizen/resident alien

If d, enter relationship to U.S. citizen/resident alien (see instructions)

e    Spouse of U.S. citizen/resident alien

If d or e, enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions)

f     Nonresident alien student, professor, or researcher filing a U.S. federal tax return or claiming an exception

g     Dependent/spouse of a nonresident alien holding a U.S. visa

h     Other (see instructions)    

Additional information for a and f: Enter treaty country    

and treaty article number    

Name (see instructions)Name at birth if different

1a First name

Middle name

Last name

1b First name

Middle name

Last name

Applicant’s Mailing Address

2 Street address, apartment number, or rural route number. If you have a P.O. box, see separate instructions.

City or town, state or province, and country. Include ZIP code or postal code where appropriate.

Foreign (non- U.S.) Address (see instructions)

3 Street address, apartment number, or rural route number. Don’t use a P.O. box number

City or town, state or province, and country. Include postal code where appropriate.

Birth Information

4Date of birth ( day / month / year)

Country of birth

City and state or province (optional)

Gender

Male     Female

Other Information

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

6d Identification document(s) submitted (see instructions)     [checkbox Identification-d">    Passport     [checkbox Identification-d-a "Driver’s license/State I.D."]        

USCIS documentation         Other     Issued by:

No.:     Exp. date:     Date of entry into the United States [date Identification-d-h>

6f Enter ITIN and/or IRSN >

ITIN - -    IRSN - -

and name under which it was issued

6g Name of college/university or company (see instructions)    City and state

Length of stay

Sign Here
Keep a copy for your records.

Under penalties of perjury, I (applicant/delegate/acceptance agent) 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. I authorize the IRS to share information with my acceptance agent in order to perfect this Form W-7, Application for IRS Individual Taxpayer Identification Number.

Signature of applicant (if delegate, see instructions)     Date ( day / month / year)    Phone number

Name of delegate, if applicable (type or print)   

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