Understanding Your IRS Individual Taxpayer Identification Number ITIN TABLE OF CONTENTS Important Changes to Note 4 Which aliens are eligible to receive Social Security Numbers? 12 General Information 5 What is an ITIN? 5 What student visas qualify for employment? 12 What is the purpose of an ITIN? 5 Which foreign students qualify for ITINs? 13 When did IRS start issuing ITINs and why? 6 General Information for Completion of Form W-7/W-7(SP) 13 Are ITINs valid for identification? 6 How do I know if I need an ITIN? 6 Line by Line Instructions for Completing Form W-7/W-7(SP)? 13 Who must apply? 6 How do I apply for an ITIN? 7 Signature 16 Where can I get a Form W-7/W-7(SP)? 7 Who can sign the Form W-7/W-7(SP)? 16 What information must be included on Form W-7/W-7(SP)? 8 Who can sign the Form W-7/W-7(SP) if the applicant is a minor under 14 years of age? 16 Where do I file my Form W-7/W-7(SP)? 8 17 Where do I attach my Form W-7/W-7(SP)? 8 Who can sign the Form W-7/W-7(SP) if the applicant is 14 years of age or older? What are Acceptance Agents? 8 Mailing the Application: 17 Will I have to pay to get an ITIN? 8 Where should I mail my application? 17 When should I apply for my ITIN? 8 How long does it take to get an ITIN? 9 Additional Information 17 Can I get an ITIN if I am an undocumented alien? 9 Where can I go to get help with my ITIN application? 17 Is the Form W-7 available in any foreign language? 9 Where can I obtain additional information to help me with my ITIN application? 17 18 Documentation 9 Where can I call to get help with my W-7/W-7(SP) application? What are the documentation requirements when applying for an ITIN? 9 Frequently Asked Questions and Answers 18 Exhibits 21 Supporting Documentation Table 21 What documents are acceptable as proof of identity and foreign status? 10 What is a National Identification Card? 11 Exceptions 11 What are the exceptions to the requirement to attach a U.S. tax return? 11 Dependency/Exemption Issues 12 What are the rules for dependents? 12 Employment Issues 12 Are ITINs valid for work purposes? 12 “Exception” Criteria Chart 22 Examples of Completed Form W-7s for “Exceptions” 26 Form W-7/W-7(SP) Check List Preparation Summary 33 Sample Copy of Letter from Withholding Agent/Financial Institution 34 Copy of Form W-7 35 Individual Taxpayer Identification Number Persons outside the U.S. may call 215-516-2000 for assistance (this is not a toll-free call). Keep in mind that the Internal Revenue Service conducts an overseas taxpayer assistance program during the taxfiling season (January through mid-June). To find out if IRS personnel will be in your area, please contact the Consular Section at the nearest United States Embassy or Consulate. IMPORTANT CHANGES TO NOTE: UNDERSTANDING YOUR IRS Individual Taxpayer Identification Number IRS assistance is available to help you prepare your Form W-7/W-7(SP) In the United States, call: 1-800-829-1040 (toll-free) or Visit an IRS Taxpayer Assistance Center (TAC) or Call your local IRS Taxpayer Assistance Center. For listings of your local IRS TACs or IRS authorized Acceptance Agents, go to www.irs.gov. Overseas help can be obtained from the following IRS offices: Location Address London, United States Embassy England 24/31 Grosvenor Square London W1A 1AE England United Kingdom Paris, United States Embassy France 2 Avenue Gabriel 75382 Paris Cedex 08, France Physical Address: United States Consulate 2, Rue St. Florentin 75001 Paris, France Frankfurt, U.S. Consulate Frankfurt Germany Geissener Str. 30 60435 Frankfurt am main, Germany Telephone Number [44] [207] 894-0476 [33] (1) 4312-2555 [49] (69) 7535-3834 Individual Taxpayer Identification Number 1.If an ITIN is being requested for a minor dependent, one of the supporting documents to prove “foreign status” and “identity” must be a “Birth Certificate”, unless a Passport is submitted. 2. If requesting an ITIN under an Exception, you must also include the sub-section alphabetic letter and explanation, to identify the category under which you are applying. (i.e. Exception 2(a) wages, Exception 2(b) scholarship income - tax treaty benefits). 3.Exception 5 has been added for those individuals who are required to comply with Treasury Directive 9363. 4.If you are applying for an ITIN under Exception 1(b) or 1 (c) the only document that will prove that you have met the criteria is a signed letter from your Bank or Financial Institution. This letter must be attached to your Form W-7, Application for IRS Individual Tax identification Number. REMINDER: Each ITIN applicant must: 1.Apply using the most current Form W-7, Application for IRS Individual Taxpayer Identification Number or Form W-7(SP), Solicitud de Número de Identificación Personal del Contribuyente del Servicio de Impuestos Internos. All subsequent notices and correspondence will be sent to you in the language of the original Form W-7/W-7(SP) that you submit to IRS. 2.All ITIN applications (including those submitted by Acceptance Agents) must have an original valid U.S. Federal income tax return attached to Form W-7. ITINs will no longer be assigned prior to the taxpayer filing a valid U.S. income tax return (Form 1040, 1040A, 1040EZ, 1040NR, 1040NR-EZ), to pay or claim withheld taxes unless an “exception” to the tax return filing requirement is met (see “Exceptions” later in this publication). 3.Supply original proof of identity and foreign status documents or notarized/certified copies – there are only 13 acceptable documents (see the “Supporting Documentation Table” later in this Publication). While the IRS will accept “original” documents, it is suggested that you submit certified or notarized copies. If you will need your documentation for any purpose within 60 days of submitting your ITIN application, you may wish to apply in person at an IRS TAC office where your documents will be reviewed and returned to you immediately. 4.First apply for a Social Security Number (SSN) if entering the U.S. with a green card or visa that permits you to obtain employment in the U.S. If the Social Security Administration (SSA) will not issue a SSN, a letter of denial must be obtained and attached to your Form W-7. This requirement remains the same if you are requesting an ITIN under an “Exception”, or attaching in a U.S. Federal Income Tax Return. Refer to “Exceptions” for additional information for students, researchers and professors and individuals receiving honoraria payments. 5.Submit All Powers of Attorney to the IRS in English. Any POA’s received in a foreign language will be considered invalid, unless accompanied by a certified English translation. 6.If you are a guardian or other legally responsible person, requesting an ITIN for your minor dependent, submit documentation along with Form W-7 to prove your relationship to the applicant. These documents can include adoption papers or court appointment papers showing legal guardianship. The dependent must be listed on the U.S. Federal income tax return that is attached to your Form W-7. 7.Mail Form W-7/W-7(SP), proof of identity documents, and a United States individual income tax return to: Internal Revenue Service ITIN Operation P.O. Box 149342 Austin, TX 78714-9342 If you are using a courier service and need to provide a street address, send your Form W-7 package to: Internal Revenue Service Submission Processing Center ITIN Operation Mail Stop 6090-AUSC 3651 S. Interregional, Hwy 35 Austin, TX 78741-0000 CAUTION: If you are attaching your tax return to the Form W-7, do not use the mailing address in the instructions for your tax return. Do not send a “copy” of the return to any other IRS office. You can apply for an ITIN by mail, at any IRS Taxpayer Assistance Center in the United States and at IRS offices abroad. You can also apply through an Acceptance Agent, (see “What are Acceptance Agents?” later in this publication). The IRS will send your ITIN in the form of an authorization letter. An ITIN does not change your immigration status or grant your right to work in the United States. An ITIN is for tax purposes only. GENERAL INFORMATION What is an ITIN? An ITIN is a tax processing number, issued by the Internal Revenue Service, for certain resident and nonresident aliens, their spouses, and their dependents. It is a nine-digit number beginning with the number “9”, has a range of numbers from “70” to “88” for the fourth and fifth digits and is formatted like a SSN (i.e. 9XX-7XXXXX). The ITIN is only available to individuals who are required to have a taxpayer identification number for tax purposes but who do not have, and are not eligible to obtain a SSN from the Social Security Administration (SSA). Only individuals who have a valid filing requirement or are filing a tax return to claim a refund of over-withheld tax are eligible to receive an ITIN. Generally a U.S. Federal income tax return must accompany the ITIN application, unless the individual meets one of the “exceptions.” (See “Exceptions”). Caution: Applications for individuals who are requesting an ITIN as a spouse or a dependent of a primary taxpayer, must attach a valid U.S. Federal income tax return to the Form W-7. ITINs are issued regardless of immigration status because both resident and nonresident aliens may have United States tax return filing and payment responsibilities under the Internal Revenue Code. Individual Taxpayer Identification Number What is the purpose of an ITIN? ITINs are used for tax purposes only, and are not intended to serve any other purpose. IRS issues ITINs to help individuals comply with the U.S. tax laws, and to provide a means to efficiently process and account for tax returns and payments for those not eligible for Social Security Numbers. An ITIN: 1.Does not authorize work in the U.S. or provide eligibility for Social Security Benefits or the Earned Income Tax Credit. 2.Is not valid for identification outside of the tax system. 3.Does not establish immigration status. An applicant must enter his/her ITIN in the space provided for the SSN when completing and filing a Federal income tax return (Form 1040, 1040A, 1040EZ, 1040NR, 1040NR-EZ). Note: When applying for an ITIN for the purpose of filing a valid tax return, the applicant is required to file the tax return with the Form W-7/W-7(SP) application unless specifically meeting an exception to the tax return requirement. (See “Exceptions”). When did IRS start issuing ITINs and why? In 1996, the U.S. Department of the Treasury issued regulations that introduced the ITIN, and required foreign persons to use an ITIN as their unique identification number on Federal tax returns (T.D. 8671, 1996-1 C.B.314). The regulations were intended to address the concern by the IRS and the U.S. Department of the Treasury that, without a unique number, taxpayers could not be identified effectively and tax returns could not be processed efficiently. Are ITINs valid for identification? ITINs are not valid for identification outside of the tax system and should not be offered as identification for non-tax purposes. Since ITINs are strictly for tax processing, the IRS does not apply the same standards as agencies that provide genuine identity certification. ITIN applicants are not required to apply in person. How do I know if I need an ITIN? If you do not have a Social Security Number (SSN) and are not eligible to obtain a SSN, but you are required to furnish a Federal tax identification number to file a Individual Taxpayer Identification Number U.S. tax return, be claimed as a spouse or dependent on a U.S. tax return or are required to furnish a tax identification number for any other Federal tax purpose, you must apply for an ITIN. An alien individual cannot have both an ITIN and a SSN. If you are eligible for a SSN, you must first apply for one. Persons eligible to receive a Social Security Number are not eligible to receive an ITIN. Treasury regulations governing Internal Revenue Code Section 6109 require a valid taxpayer identification number for each person listed on the tax return. If the Social Security Administration denies the applicant’s request for a SSN they will issue a letter of denial. That letter must be attached to the Form W-7 when it is submitted to the IRS. Note: Although most applicants are required to file their tax return by attaching it to Form W-7/W-7(SP), there are exceptions to this requirement. (See “Exceptions”). Who Must Apply? Any individual who is not eligible to obtain a SSN but who must furnish a taxpayer identification number to the IRS must apply for an ITIN on Form W-7/W-7(SP). Do not complete Form W-7/W-7(SP) if you have a SSN or if you are eligible to obtain a SSN (i.e., A United States citizen or person lawfully admitted for employment). Applicants must have a valid filing requirement and file an original valid U.S. Federal income tax return with their ITIN applications, unless they meet one of the exceptions listed later in this publication. Note: “Exceptions” relate to the “tax return filing requirement only”. They do not relate to the “tax purpose”. Therefore, all individuals must have a “tax purpose” for requesting an ITIN, whether or not a U.S. Federal income tax return is submitted to the IRS with Form W-7. To determine if you have a filing requirement, see Publication 17, “Your Federal Income Tax” or Publication 519, “A United States Tax Guide for Aliens”. Examples of who needs an ITIN: A nonresident alien individual eligible to obtain the benefit of a reduced tax withholding rate under an income tax treaty. See Pub. 515, “Withholding of Tax on Nonresident Aliens and Foreign Entities”. A nonresident alien individual not eligible for a SSN who is required to file a U.S. tax return or who is filing a U.S. tax return only to claim a refund. A nonresident alien individual not eligible for a SSN who elects to file a joint U.S. tax return with a spouse who is a U.S. citizen or resident. A U.S. resident alien (based on the substantial presence test) who files a U.S. tax return but who is not eligible for a SSN. For information about the substantial presence test, see Pub. 519, U.S. Tax Guide for Aliens. An alien spouse, claimed as an exemption on a U.S. tax return, who is not eligible to obtain a SSN. A n alien individual eligible to be claimed as a dependent on a U.S. tax return but who is not eligible to obtain a SSN. To determine if an alien individual is eligible to be claimed as a dependent on a United States tax return, see Pub. 501, “Exemptions, Standard Deductions, and Filing Information”, and Pub. 519, .“A United States Tax Guide for Aliens”. A nonresident alien student, professor, or researcher who is required to file a United States tax return but who is not eligible for a SSN. If you have an application for a SSN pending, do not file Form W-7/W-7(SP). Complete Form W-7/W-7(SP) only when the SSA notifies you that a SSN cannot be issued. Proof that the SSA denied your request for a SSN must be included with your submission of Form W-7/ W-7(SP), whether you are attaching your federal tax return or requesting an ITIN under one of the “Exceptions”. To request a SSN, use Form SS-5, “Application for a Social Security Card, (Original, Replacement or Correction)”. This form can be obtained from the SSA or downloaded from the IRS web site at http://www. irs.gov. To find out if you are eligible to obtain a SSN, contact you’re nearest SSA Office. IMPORTANT NOTE: If you are filing for an extension of time to file a United States income tax return (Form 4868 or Form 2688) or making an estimated payment with Forms 4868, 2688, or Form 1040-ES/1040-ES (NR), “Estimated Tax for Individuals/Estimated Tax for Nonresident Aliens” do not file the Form W-7/W-7(SP) with these forms. Write “ITIN TO BE REQUESTED” wherever the ITIN or SSN is requested. An ITIN will be issued only after you have filed a valid income tax return and have met all other requirements. How do I apply for an ITIN? You must complete Form W-7/W-7(SP) and attach a valid U.S. Federal income tax return, unless you qualify for an exception. Include your original, notarized or certified proof of identity documents along with the “letter of denial” from the SSA (if applicable). Because you are filing your tax return as an attachment to your ITIN application, you should not mail your return to the address listed in the Form 1040, 1040A or 1040EZ instructions. Instead, send your return, Form W-7/W7(SP) and proof of identity documents to the address listed in the Form W-7 instructions: Internal Revenue Service ITIN Operation P.O. Box 149342 Austin, TX 78714-9342 You may also apply using the services of an IRSauthorized Acceptance Agent or visit an IRS Taxpayer Assistance Center (TAC) in lieu of your mailing the information to the IRS. TACs in the United States provide help with ITIN applications on a walk-in basis. TACs are available to: Assist taxpayers in the preparation of the Form W-7/ W-7(SP). Answer questions about Form W-7/W-7(SP). Review and/or validate your identity documents. Forward your Form W-7/W-7(SP), and accompanying tax return, if applicable, to the IRS processing service center. For overseas assistance contact one of the overseas IRS offices listed in the front of this publication. Telephone assistance is also available by calling the IRS toll-free number at 1-800-829-1040 (inside the United States) for information and help in completing your Form W-7/W-7(SP) and your tax return. International applicants may call 215-516-2000 (not a toll free number) for assistance. This number is not available for residents of the U.S. Reminder: Only the current edition of Form W-7/ W-7(SP) will be accepted. All other versions of this form will be rejected and returned to you, which will result in processing delays. Where Can I get a Form W-7/W-7(SP)? Forms can be obtained by: Calling 1-800-829-1040 within the continental United States only. Bulk quantities may also be ordered through this number. Individual Taxpayer Identification Number U sing a personal computer to download Form W-7/W-7(SP) from our world wide web site at http://www.irs.gov Visiting the nearest IRS Taxpayer Assistance Center or Overseas IRS office. Writing to: Internal Revenue Service National Distribution Center 1201 N. Mitsubishi Motorway Bloomington, IL 61705-6613 What information must be included on Form W-7/W-7(SP)? Form W-7/W-7(SP) will request the following type of information: Reason for applying Applicant’s full name (and birth name if different) Applicant’s foreign address Applicant’s country of citizenship Applicant‘s mailing address Applicant’s date and place of birth Information about a passport or visa The signature of the applicant, or if the applicant is a minor, it may be the signature of the parent, courtappointed guardian or Power of Attorney. (see “Signature” later in this Publication). NOTE: In addition to completing the form you must also attach appropriate identification documents and a valid US Federal income tax return (unless an exception to the return filing requirement is met). Where do I file my Form W-7/W-7(SP)? By Mail: Mail your completed application, your original tax return and any other substantiating or supporting identification documents listed on the Supporting Documentation Table to: Internal Revenue Service ITIN Operation P.O. Box 149342 Austin, TX 78714-9342 CAUTION: Do not use the mailing address in the instructions for your tax return; use the address above. Do not send a copy of the return to any other IRS office. In Person: You can apply for an ITIN by bringing your completed forms and documentation to any IRS Tax Individual Taxpayer Identification Number payer Assistance Center in the United States and most IRS offices abroad, where IRS personnel will verify your documentation and forward the application to the IRS processing center. Through Acceptance Agents: You can also apply through an Acceptance Agent authorized by the IRS to facilitate the ITIN application process for you. To obtain a list of authorized Acceptance Agents in you area, visit the IRS website at http://www.irs.gov. Reminder: Keep a copy of your application for your records. Where do I attach my Form W-7/W-7(SP)? If you are required to file an U.S. Federal income tax return with this form, attach Form W-7/W-7(SP) to the front of your return. If you are applying for more than one ITIN for the same return (such as for a spouse or dependents) attach all Forms W-7/W-7(SP) in the order that the individuals are listed on the tax return. What are Acceptance Agents? Acceptance Agents (AAs) are persons (individuals or entities (colleges, financial institutions, accounting firms, etc.)) who have entered into formal agreements with the IRS that permit them to assist applicants in obtaining ITINs. Certifying Acceptance Agents (CAAs) are individuals or entities who assume a greater responsibility. They are also authorized to verify the applicant’s claim of “identity” and “foreign status” through a review of appropriate documentation, as well as verifying the authenticity, accuracy and completeness of the supporting documentation. They will submit your Form W-7,attached Federal income tax return, and any supplemental documentation to the IRS on your behalf. In addition, once the ITIN is issued, the CAA receives the applicant’s number directly from IRS. IRS does not charge a fee to obtain an ITIN, however, a person acting as an AA/CAA may charge a fee for his/ her services. A list of authorized Acceptance Agents is available on the IRS website at http://www.irs.gov. Note: Even if you are utilizing the services of an Acceptance Agent, you must follow all procedures outlined in this Publication for obtaining an ITIN, (i.e. attaching Form W-7/W-7(SP) to your Federal income tax return, unless you meet one of the “exceptions” to the tax return filing requirement). Acceptance Agents only facilitate the application process and are not authorized to issue the ITIN directly. Will I have to pay to get an ITIN? The IRS does not require payment of a fee for issuing an ITIN. However, fees may apply if you choose to use the services of an Acceptance Agent. When should I apply for my ITIN? Complete Form W-7/W-7(SP) as soon as you are ready to file your U.S. Federal income tax return, since you must attach the return to your application. However if you meet one of the exceptions to the tax return filing requirement, submit your completed Form W-7/ W-7(SP), along with your proof of “identity” and “foreign status” and the required supplemental documents to substantiate your qualification for the exception, as soon as possible after you determine you are covered by an exception. You can apply for an ITIN any time during the year; however, if the tax return you attach to Form W-7 is filed after the return’s due date, you may owe interest and/or penalties. You should file your current year return by the prescribed due date to avoid this. How long does it take to get an ITIN? If you qualify for an ITIN and your application is complete, you will receive a letter from the IRS assigning your tax identification number usually within six weeks (8 to 10 weeks if requested during peak tax time (January 15 through April 30) or from abroad). Applications mailed from abroad may take considerably longer. If you have not received a response within the referenced time period, you may call 1-800-829-1040 (toll free within the United States) to request the status of your application. Taxpayers overseas can contact one of the IRS offices listed in the front of this publication or call 215-516-2000 (not a toll-free number). Can I get an ITIN if I am an undocumented alien? Yes, If you are required to file a U. S. Federal income tax return or qualify to be listed on another individual’s tax return as a spouse or dependent, you must have either a valid SSN or an ITIN. If you are an undocumented alien and cannot get a SSN, you must get an ITIN for tax purposes. Remember, having an ITIN does not: Give you the right to work in the United States, Change your immigration status, or Entitle you to the Earned Income Tax Credit or Social Security benefits. Is the Form W-7 available in any foreign language? Yes, this form is available in Spanish as Form W-7(SP), Solicitud de Número de Identificación Personal del Contribuyente del Servicio de Impuestos Internos. DOCUMENTATION What are the documentation requirements when applying for an ITIN? The Form W-7 Application must be accompanied by the following documentation when applying for an ITIN: 1.Your completed Form W-7/W-7(SP). 2.Your original valid U.S. Federal income tax return for which the ITIN is needed along with the letter of denial from the SSA (if applicable). However if one of the exceptions to the tax return filing requirement applies, you must also attach the documentation that is required to support that exception. 3.The original documents, or certified or notarized copies of documents, that substantiate the information provided on the Form W-7/W-7(SP). The supporting documentation must be consistent with the applicant’s information provided on Form W-7/W-7(SP). For example, the name, date of birth and country of citizenship must be the same as lines 1a, 4 and 6a of the Form W-7/W-7(SP). Note: IRS will mail your passport back to you at the mailing address you entered on your Form W-7. If you plan to move, ensure that you use a mailing address where you will be able to receive your mail. By visiting an IRS TAC office to apply for an ITIN, an IRS employee can review your documentation and return it to you immediately. This alleviates any long delays waiting for your original documentation (passports, etc.) to be returned to you by mail. The documentation you present must: 1.Verify your identity by containing your name and photograph and support your claim of foreign status. (see “Supporting Documentation Table” in the Exhibits). Individual Taxpayer Identification Number 2.Be an original document; 3.Be a copy of an original document if you do any of the following: Have the copies certified by the issuing agency or official custodian of the original record. Have the copies notarized by a U.S. notary public legally authorized within his or her local jurisdiction to certify that the document is a true copy of the original. To do this, the notary must see the valid unaltered original document and verify that the copy conforms to the original. Consular Officers at U.S. Embassies and Consulates overseas may not certify true copies of foreign public documents and will refer applicants to the foreign authority that issued the document. Have the copies notarized by a foreign notary. However, foreign notaries are only acceptable from States that are party to the Hague Convention Abolishing the Requirement of Legalization for Foreign Public Documents. The Hague Convention provides for the simplified certification of public (including notarized) documents to be used in countries that have joined the Convention. A certification will be issued in the form of an “apostille” which will be attached to the copy of the document. If the document originates in a country that is not party to the Convention, applicants should have the document certified by the foreign authority that issued it. Note: The apostille must stay attached to the copy of the document when it is sent to the IRS. We recommend that original documents not be sent to IRS. IRS can not be held responsible for documents lost or misrouted in transit. Properly certified or notarized documents can be sent in lieu of originals. 4.Must be current, i.e. not expired. The definition of “current” for applying for an ITIN is as follows: Birth certificates do not contain expiration dates and, therefore, will be considered current. P assports and National Identification cards displaying an “expiration” date will be considered current only if the date displayed on the document has not expired prior to the date the Form W-7/ W-7(SP) is submitted. School records and Medical records (used only for children under the age of 14; under the age of 10 Individual Taxpayer Identification Number 18 if a student) will be considered current only if the date displayed on the records is not more than one (1) year prior to the date the Form W-7/W7(SP) is sumitted. “Original” documents you submit will be returned to you. You do not need to provide a return envelope. “Copies” of documents will not be returned. If your original documents are not returned within 60 days, you may call the IRS (see “Telephone Help”) to inquire as to the status. Do not send original documents that you will need for other purposes within 60 days from the date that you submit your Form W-7. What documents are acceptable as proof of identity and foreign status? IRS has streamlined the number of documents the agency will accept as proof of identity and foreign status to obtain an ITIN. If you submit an original passport or a properly notarized or certified copy of a valid passport you do not need to submit any other documents from the list below. If you do not have a passport, you must provide a combination of current documents (at least two or more) that show your name and photograph and support your claim of identity and foreign status. With the exception of children under 14 years of age (under 18 years of age if a student), at least one document you present must contain a recent photograph. If you are requesting an ITIN as a “dependent”, documentation to prove “foreign status” and “identity” should include a “Birth Certificate”, unless a Passport is submitted. NOTE: If you submit copies of original documents that display information on both sides (front and back), the copy that is submitted must also show the information from both sides of the document. Listed below are the only documents that will be accepted by IRS: 1.Passport (stand alone document) 2.United States Citizenship and Immigration Services (USCIS) photo identification 3.Visa issued by the US Department of State 4.United States driver’s license 5.United States military identification card 6.Foreign driver’s license 7.Foreign military identification card 8.National identification card. The document must be current, and contain the individual’s name, address, photograph, date of birth and expiration date (i.e. Mexican Matricula card). 9.U. S. State identification card 10.Foreign voter’s registration card 11.Civil birth certificate * 12.Medical records (dependent’s only – under 14 years of age; under 18 years of age if a student) * 13.School Records (dependent’s only - under 14 years of age; under 18 years of age is a student) * (*may be used to establish foreign status only if documents are foreign.) Note: You may subsequently be requested to provide a certified translation of foreign language documents. If you have applied for a Social Security Number, but the Social Security Administration has denied your request, your ITIN application must also contain an official letter, form, or other documentation from the SSA providing proof that your application was denied. (This pertains only to persons who have been issued a Visa from the US Department of State that enables them to obtain a SSN.) This proof must be attached to your Form W-7/W-7(SP) or your application for an ITIN will be rejected. Students who enter the U.S. on an “F”, “J”, or “M” visa, but who will not be employed and are here only for the purpose of study, or person’s present in the U.S. who are receiving only honoraria payments, do not have to go to the SSA to try and obtain a Social Security Number first. A letter from the Designated School Official (DSO), Responsible Officer (RO or Authorized School Official can be submitted in lieu of a letter from the SSA when a tax return is attached or when an Exception is being claimed. (See the Exception Chart at the end of this publication.) What is a National Identification Card? Some foreign governments issue identification cards to their citizens. IRS will accept these cards as proof of identity and foreign status in combination with other documents described above if the card is current (i.e. not expired) and contains the applicant’s name, address, photograph, and date of birth. EXCEPTIONS What are the “exceptions” to the requirement to attach a U.S. Federal income tax return? Although most ITIN applicants must attach a valid income tax return to their Form W-7 application, there are limited circumstances under which an ITIN will be issued without an attached return. If any of the four exceptions listed below apply to you, you will not need to attach a U.S. Federal income tax return to your W-7/W-7(SP). T hese exceptions are explained in detail in the Exhibit section at end of this Publication. If you claim an exception to the requirement to submit a valid original U.S. income tax return with Form W-7/W-7(SP) you must submit proof of your claim in lieu of the tax return. NOTE: Applicants with a VISA that is valid for employment, and who will be employed in the U.S., should first apply for a SSN with the Social Security Administration (SSA). If you are unable to obtain a SSN after completing Form SS-5, a denial letter from the SSA must be attached to your Form W-7/W-7(SP) or your application will be rejected. Remember, you are not eligible for an ITIN if you are eligible to obtain a SSN. Exception 1. Third Party Withholding on Passive Income; Third Party Withholding on Passive Income. IRS information reporting and/or tax withholding is required and apply to third parties (frequently banks and other financial institutions), who will request a TIN from you to enable them to comply with U.S. Treasury Regulations. To obtain an ITIN under this exception, you must include supporting documentation with your Form W-7/W-7(SP) showing that you own an asset that generates income subject to IRS information reporting and/or tax withholding requirements that will take place within the current tax year. A letter or signed statement from your bank or financial institution must be attached. Exception 2. Wages, Salary, Compensation and Honoraria Payments with Tax Treaty Benefits Claimed; Scholarships, Fellowships and Grants with Tax Treaty Benefits Claimed; Scholarships, Fellowships and Grants – No Tax Treaty Benefits Claimed; or Gambling Winnings with Tax Treaty Benefits Claimed W ages, Salary or Compensation and Honoraria Payments* - Tax Treaty Benefits claimed. IRS information reporting and tax withholding is required by law and apply to third parties who will request a TIN from you to enable them to comply with U.S.Treasury Regulations. To obtain a TIN under this exception, you must attach a letter from the SSA denying your request for a Social Security Number. * Individuals present in the U.S. who are receiving Individual Taxpayer Identification Number 11 honoraria payments only, do not have to apply for a SSN or submit letter of denial from the SSA. A letter from the Authorized School Official who extended the invitation will suffice. S cholarship, Fellowship or Grant Income. IRS information reporting and/or tax withholding is required by law and apply to third parties who will request a TIN from you to enable them to comply with U.S. Treasury Regulations. Students on a F-1, J-1 or M-1 visa who will not be working while studying in the U.S., will not have to apply for a SSN. They will be permitted to provide a letter from their Designated School Official (DSO), or Responsible Officer (RO) stating that they will not be securing employment in the U.S. or receiving any type of income from personal services. This applies whether a tax return is attached to Form W-7 or Exception 2 is being claimed. Gambling Winnings – Tax Treaty Benefits claimed. If you are a nonresident alien visitor with gambling winnings, your Form W-7/W-7(SP) will be processed under an exception (2) only if submitted through the appropriate gaming official serving as an authorized ITIN Acceptance Agent. Exception 3. Thirty Party Reporting of Mortgage Interest Under the Internal Revenue laws, most recipients (lenders) of home mortgage interest report the amount of interest they receive from the borrower to both the IRS and the borrower. This reporting is usually done on a Form 1098, Mortgage Interest Statement. First time filers who secure a home loan may seek an ITIN to provide to their lender. Exception 4. Third Party Withholding – Disposition by a Foreign Person of United States Real Property Interest A tax withholding obligation is generally imposed on a buyer or other transferee (withholding agent) when a United States real property interest is acquired from a foreign person. This withholding serves to collect the tax that may be owed by the foreign person. In some instances, the foreign person may apply for a withholding certificate to reduce or eliminate withholding on the disposition of the real property. An ITIN would be needed for this transaction. Exception 5. TD-9363. This exception may apply if you have an IRS reporting requirement under Treasury Directive 9363 and are submitting Form W-7, Form 13350, and supplemental 12 Individual Taxpayer Identification Number documentaiton. See the Exceptions Tables for information on the requirements for claiming Exception 5. DEPENDENCY/EXEMPTION ISSUES (See IRS Publication 501 for who qualifies to be claimed as a dependent.) What are the rules for dependents? Residents of Mexico, Canada, or U.S. nationals must use the same rules as U.S. citizens to determine who is a dependent and for which dependents exemptions can be claimed. For residents of the Republic of Korea (South Korea) there are two additional requirements, and for students and business apprentices from India they must also be able to claim the benefits of the United States-India tax treaty. See publication 501 (Exemptions, Standard Deduction and Filing Information), for additional information and to determine who may qualify as a dependent. The dependent for which the Form W-7 is being submitted must be listed on the attached tax return. Note: If your request for an ATIN has been denied your dependent may be eligible for an ITIN. If you live abroad and are requesting an ITIN for a foreign child who has been adopted or legally placed in your home pending adoption, remember to include a copy of the legal documents evidencing your relationship to the child. EMPLOYMENT ISSUES Are ITINs valid for work purposes? ITINs do not authorize individuals to work in the United States and are not valid for employment purposes. However, if you are required to file a U. S. Federal income tax return and are ineligible to receive a SSN, you must obtain an ITIN. Which aliens are eligible to receive Social Security Numbers? Certain aliens by virtue of their nonimmigrant status are authorized to work in the United States. Some of the individuals must apply to the United States Citizenship and Immigration Services (USCIS) for an Employment Authorization Document (EAD). Any nonresident alien holding an EAD, or who is already authorized to work in the United States, is eligible to receive a SSN. If you have an EAD, do not complete a Form W-7/W-7(SP) application unless the SSA has rejected your request for a SSN. Supporting documentation from the SSA substantiating the denial must be attached to your application. For more information on who is eligible to receive a Social Security Number, refer to the Social Security Administration website at http://www. ssa.gov. What student visas qualify for employment? Students who enter the United States under certain U.S. visas may be eligible to work in the United States. For more information on who is eligible to work and who must apply for an EAD, refer to the U.S. Citizenship and Immigration Services (USCIS) web site at http://uscis.gov. Which foreign students qualify for ITINs? The employment rules for foreign students in the United States are set forth in appropriate United States Customs and Immigration Services (USCIS) laws and regulations. Information on these laws and regulations can be obtained from the nearest USCIS office, the USCIS website at http://uscis.gov. or the foreign students’ office of the appropriate university or learning institution. Generally, foreign students eligible to work in the United States, and who will be employed, should apply for a SSN. However, if they are denied a SSN, they may be eligible to apply for an ITIN by attaching the documentation from the SSA, substantiating the denial, to their Form W-7. (See the Exception Chart in the back of this publication for additional information on F-1, J-1 and M-1 students). GENERAL INFORMATION FOR COMPLETION OF FORM W-7/W-7(SP) Line by Line Instructions for Completing Form W-7/W-7(SP). Please ensure that each line on Form W-7 is completed. If any of the fields are left blank or the information is not valid, the Form W-7 application will be suspended or rejected for incomplete or missing information. Enter N/A on the lines that do not pertain to you. NOTE: If you discover that you have made an error on a Form W-7 that has already been submitted to the IRS, please Application for IRS Individual not file another Form W-7 with the correct information. Instead, call the IRS taxpayer assistance number, Form do W-7 Taxpayer Identification Number OMB No. 1545-0074 (Rev. January 2006) (1-800-829-1040) and provide the IRS employee with the correct information. See instructions. Department of the Treasury Internal Revenue Service For use by individuals who are not U.S. citizens or permanent residents. Reason You Are Submitting Form W-7/W-7(SP): An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. FOR IRS USE ONLY You must check only one box to indicate the reason you are completing Form W-7/W-7(SP). If more than one box Before you begin: applies to you, check the box that best explains your reason for submitting the Form. Note: Exception: If you check • Do not submit this form if you have, or are eligible to obtain, a U.S. social security number (SSN). box “a” or “f”, then box “h” may also be checked. Treaty Country and Treaty Article must also be present, if applicable. • Getting an ITIN does not change your immigration status or your right to work in the United States Refer to IRS 901,for“Tax Treaties” if you need additional information. and does not Publication make you eligible 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, 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 obtain ITIN to claim tax treaty benefit b Nonresident alien filing a U.S. tax return c U.S. resident alien (based on days present in the United States) filing a U.S. tax return d Dependent of U.S. citizen/resident alien e Spouse of U.S. citizen/resident alien f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming and exception g h Dependent/spouse of a nonresident alien holding a U.S. visa Other (see instructions) Additional information for a and f: Enter treaty country 1a First name Middle name Name (see instructions) Name at birth if different Applicant’s mailing address Foreign address (if different from above) (see instructions) 1b First name 2 Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) Middle name and treaty article number Last name Last name Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. City or town, state or province, and country. Include ZIP code or postal code where appropriate. 3 Street address, apartment number, or rural route number. Do not use a P.O. box number. Individual Taxpayer Identification Number 13 City or town, state or province, and country. Include ZIP code or postal code where appropriate. Application for IRS Individual Taxpayer Identification Number Reminder: Form W-7 (Rev. January 2006) IF Department of the Treasury Internal Revenue Service THEN See instructions. For use by individuals who are not U.S. citizens or permanent residents. OMB No. 1545-0074 FOR IRS USEbe ONLY An individual identification is for federal tax and purposes only. BoxIRS “a” or Box taxpayer “f” is checked and anumber tax (ITIN) The “treaty country” “treaty article number” must entered treaty benefit is being claimed in the space provided under box h. Before you begin: or “e” is The full name SSN or ITIN of the U.S. person who is •Box Do “d” not submit thischecked form if you have, or are eligible to obtain, a U.S. social and security number (SSN). • Getting an ITIN does not change your immigration statuscitizen/resident or your right to work in the United States in the space provided. alien must be present the and does not make you eligible for the earned income credit. Box “h” is checked The information describing in detail the reason that the ITIN is Reason you are submitting Form W-7. Read thebeing instructions for must the box check. Caution: you check box b, requested be you present in the space Ifprovided. c, d, e, or g, you must file a tax return with Form W-7 unless you meet one of the exceptions (see instructions). Application for IRS Individual a W-7 Nonresident alien required to obtain ITIN to claim tax treaty benefit Form Note: See “Exhibits” at the end of this publication for examples of Number completed Forms W-7 Taxpayer Identification b Nonresident alien filing a U.S. tax return (Rev. January 2006) See instructions. OMB No. 1545-0074 Department of the resident Treasury alien (based on days present in the United States) filing a U.S. tax return c Application fornotIRS Line –U.S. Name: For use by individuals who are U.S.Individual citizens or permanent residents. Internal 1 Revenue Service Form W-7 d Dependent of U.S. citizen/resident alien Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) Taxpayer No.ONLY 1545-0074on L.1a. Enter your legal nameidentification as it appears on yourIdentification documents. ThisNumber entry should reflect asOMB itUSE will appear FOR IRS (Rev.IRS January 2006) An individual taxpayer number (ITIN) is for federal tax purposes only. your name, e Spouse of U.S. citizen/resident alien John Doe SSN: 123-45-6789 See instructions. of the Treasury aDepartment United States Federal Income Caution: Your ITIN will be established this name. If you do not use f Revenue Nonresident alien student, professor, researcher filing are a U.S. return Fortax use return. byorindividuals who nottax U.S. citizens or permanent using residents. Internal Before youService begin: g name Dependent/spouse of aStates nonresident alien holding aprocessing U.S. visa this on your United tax return, the of the U.S. tax return may be delayed discrepancies FOR until IRS USE ONLY AnDo IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. • notOther submit form if you have, or are eligible to obtain, a U.S. social security number (SSN). (seethis instructions) hresolved. are • GettingAdditional an ITIN does not change your immigration status or your right to work in the information for a and f: Enter treaty country andUnited treaty States article number Before and doesyou not begin: make you for the earned income credit. Middle name 1a eligible First name Last name •Name Do not submit this form if you have, or are eligible to obtain, Jane a U.S. social security number (SSN). Mary Doe Reason you are submitting W-7. Read the or instructions thein box you check. instructions) •(see Getting an ITIN does not changeForm your immigration status your right tofor work the United States Caution: If you check box b, 1b Firstfile name Middle name Last name c, d,does e,at or must a tax returnincome with Form and notg,make eligible for the earned credit. W-7 unless you meet one of the exceptions (see instructions). Name birth if youyou different a Nonresident alien Mary required to obtain ITIN to claim tax treaty Jane benefit Smith apartment number,the or rural route number. youbox have you a P.O. box, see page 4. If you check box b, 2 Street address, Reason you are submitting Form W-7. Read instructions forIfthe check. Caution: b Nonresident alien filing a U.S. tax return c,Applicant’s d, e, or entry g, you must file it amust tax return with Form W-7 unlessasyou meet one of the exceptions (see instructions). L.1b. IfU.S. an isalien present, reflect the applicants’ name itU.S. appears on their birth certificate. 1234 Market Street Apt. 1AAA c resident (based on days present in the United States) filing a tax return mailing address City or town, state or province, and country. Include ZIP code or postal code where appropriate. a Nonresident alien required to obtain ITIN to claim tax treaty benefit If you applying for an ITIN as a spouse or dependent a U.S.ofcitizen or residentalien alien, the full name of that person d are Dependent of U.S. citizen/resident alien Enter name and of SSN/ITIN U.S. citizen/resident (see instructions) b Nonresident alien Philadelphia, filing a U.S. tax return PAentered 19104 e is the Spouse of U.S. citizen/resident alien be John SSN: 123-45-6789 who citizen/resident alien must inDoe the space provided next to reason box (d) or (e). 3 Street address, apartment number, or rural route number. Do not use a P.O. box number. c U.S. resident alien (based on days present in the United States) filing a U.S. tax return Foreign f Nonresident alien student, professor, or researcher filing a U.S. tax return address d Dependent of U.S.120 citizen/resident alien Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) White House Way g different Dependent/spouse of a nonresident alien holding a U.S. visa (if from City or town, state and country. code or postal code where appropriate. e Spouse of U.S. citizen/resident alien or province, John Doe Include SSN:ZIP123-45-6789 above) Other (see instructions) h (see instructions) Sheffield S72 1HF Englandand treaty article number f Nonresident alien Southgate, student, or researcher filing a U.S. tax return Additional information for aprofessor, and f: Enter treaty country 4 Mailing Date birthAddress:: (month / day / year) Country birth City and state or province Birth 5 g 2 -Dependent/spouse of name aof nonresident alien holding a U.S. of visa Line Applicant’s 1a First Middle name Last(optional) name Name information Other (see instructions) h 07 / 07 Mary Male Female 19XX from Italythe address Venice Jane where the Doe resides (Line If(see a mailing address used thatofis different applicant 3), then instructions) 6a isCountry(ies) 6b Foreign tax I.D. number (if any) 6c of normally U.S. visanumber (if any), number, and expiration date the Additional information for a and f:citizenship Enter treaty country andType treaty article 1b First name Middle name Last name Other Name at birth if include address must thename street, city/town, province (ifMiddle any),name state/country and zip/foreign postal code. 1a First Last name United Kingdom XXXXXXXXXX J-1 No. 11111111 06/13/2008 different information Mary Jane Smith Name Jane Doe 6d Mary Identification document(s) submitted (see instructions) 2 Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. (see instructions) 1b First name Middle name Last name Applicant’s Driver’s license/State I.D. USCIS documentation Other Passport Market Street Apt. 1AAA Name at birth if 1234 mailing Exp. date: 10 / 04 /2008Smith Entry date in U.S. 02 / 14 /2005 Issued by: Austria No.: XXXXXXXXX different address Mary Jane City or town, state or province, and country. Include ZIP code or postal code where appropriate. address, apartment number, or ruraltaxpayer route number. If you have(TIN) a P.O. box, see page 4. number (EIN)? 26e Street Have you previously received U.S. temporary identification number or employer identification Philadelphia, PA a 19104 Applicant’s 1234 Market Street 1AAA No/Do not apartment know. Skipnumber, line 6f.Apt. Street address, or rural route number. Do not use a P.O. box number. 3 Foreign mailing address City orBox town, or province, andthan country. Include ZIP code where appropriate. Complete line 6f. If more one, list on a sheet and or attach to code this form (see instructions). Yes. Note: Do not use a P.O. orstate an “in care of” (c/o) address instead ofpostal a street address if you are entering just a address 120 White House Way 9XX-28-XXXX (if differentname” from Philadelphia, 19104 6fLine Enter: or state EIN or PA and City or TIN town, province, and country. Include ZIP code or postal code where appropriate. “country on 3. above) Name address, under which it was issued apartment number, orMary rural route Do not use a P.O. box number. 3 Street J. number. Smith Foreign (see instructions) Southgate, Sheffield S72 1HF England address Name of college/university or company (see instructions) 120 Line 3 – Foreign Address: 46g Date of White birth (monthHouse / day / year)Way Country of birth City and state or province (optional) 5 Birth Male (if different from City town, postal of code City or and statestate or province, and country. Include ZIP code orLength staywhere appropriate. above) / 07 / 19XX information Female 07 Italy Venice province (if any), country Enter your complete foreign address (non-U.S.) including street, city/town, and foreign Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including (see instructions) Southgate, Sheffield S72 1HF England 6aaccompanying Country(ies)documentation of citizenshipand statements, 6b Foreign taxtoI.D. any)knowledge 6c Type of U.S. itvisa (if any), number, expirationI date and thenumber bestreside of(if my and belief, is(optional) true, correct, andand complete. Sign postal code, in the country where you permanently or normally outside of the U.S.* If treaty benefits are being 4 Date of birth (month / day / year) Country of birth City and state or province Other Birth 5 regarding Male the authorize the IRS to disclose to my acceptance agent returns or return information necessary to resolve matters United Kingdom XXXXXXXXXX J-1not No. 11111111 06/13/2008 information Here this address claimed, is usually the address in the treaty country. the you do have a permanent residence, due assignment my IRS taxpayer identification number (ITIN),Ifincluding any previously assigned taxpayer identifying nFemale umber. / of / individual information 07 07 19XX Italy Venice 6d Identification document(s) submitted (see instructions) Country(ies) ofapplicant citizenship 6bof Foreign tax I.D. number (if any) 6c you Type of/ year) U.S. visaPhone (if any), number, and expiration date toOther relocation to the6aU.S., enterofonly the Driver’s “name” theinstructions) foreign country where last resided **. Signature (if delegate, see Date (month / day number license/State I.D. USCIS documentation Other Passport United Kingdom XXXXXXXXXX J-1 /2008 No. 11111111 06/13/2008 Do not enter a post Issued officeby:box or an “in care of” (c/o) address youEntry do be information No.: XXXXXXXXX Exp. on date:this / 04/ If date inapplication U.S. 02 / 14will /2005 Austria 10 ( your ) / line. 6d Identification document(s) submitted (see instructions) rejected. Name of delegate, if applicable (type or print) Delegate’s relationship 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employerParent identification number (EIN)? Court-appointed guardian Keep a copy for Driver’s license/State I.D. USCIS documentation Other Passport to applicant your records. Power of Attorney No/Do not know. Skip line 6f. Exp. date: 10 / 04 /2008 Entry date in U.S. 02 / 14 /2005 Issued by: Austria No.: XXXXXXXXX Yes. Complete line 6f. If more than one, list on a sheet and this/ year) form (see instructions). Signature Date attach (month to / day Phone ( ) Acceptance 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification Fax ( ) number (EIN)? and 9XX-28-XXXX / / 6f Enter: TIN or EIN Agent’s No/Do know. Skip line 6f. Name under which it was issued EIN Name andnot title (type or print) Name of company Mary J. Smith Use ONLY Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). 6g Name of college/university or company (see instructions) 9XX-28-XXXX 6f Enter: TINstate or EIN and City and 14 Individual Identification Number For PaperworkTaxpayer Reduction Act Notice, see No. 10229LLength of stay Form W-7 (Rev. 1-2006) Name under which itpage was 4. issued Mary J. Cat. Smith Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including 6g Name of college/university company (see instructions) accompanying documentation andorstatements, and to the best of my knowledge and belief, it is true, correct, and complete. I Sign / authorize the state IRS to disclose to my acceptance agent returns or return information to resolve matters regarding the City and Length of necessary stay e Other Spouse of citizen/resident alien John (see instructions) Street address, apartment number, or rural route Doe number. If SSN: you have 123-45-6789 a P.O. box, see page 4. 2 U.S. eptions h(see instructions). Applicant’s Additional information a and f: Enter treaty country and treaty article number f Nonresident alienforstudent, professor, or researcher filing a U.S. tax return 1234 Market Street Apt. 1AAA u begin: mailing address 1a First name Middle name code or postal code where Last appropriate. name or town, or province, andholding country. Application for IRSCity Individual g Dependent/spouse of a state nonresident alien aInclude U.S. ZIP visa Name ubmit this form if you have, Mary or are eligible to obtain, a U.S. social security number (SSN). Doe Jane Philadelphia, *(seeh instructions) Other (see instructions) Taxpayer Identification Number PA 19104 OMB 1b First name Middle name Last name n ITIN does not change your immigration status or your or right to work in the United States Street address, number, rural route number. Do notNo. use1545-0074 a P.O. box number. 3 Name at birth if instructions. Foreign Additional information for apartment a and f: Enter treaty country and treaty article number See ot make address you eligible for the earned different Mary income credit. Jane Smith nstructions) 120 White House Way y individuals who are not 2U.S. citizens or apartment permanent residents. 1a First name Middle name P.O. box, see page 4. Last name Street number, rural route number. If you (ifName different from City oraddress, town, state or province, and or country. Include ZIP code or have postala code where appropriate. Applicant’s above) Mary Jane Doe you are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, 1234 Market Street only. Apt. FOR IRS USE ONLY (seeinstructions) instructions) ion number (ITIN) is for federal tax purposes (see Southgate, Sheffield S721AAA 1HF England address r g, youmailing must file a tax return with Form W-7 unless you meet one of the exceptions (see instructions). City or town, state or province, and country. Include ZIP code or postal code where appropriate. 1b First name Middle name Last name City and state or province (optional) 5 Birth Male Name at birth if 4 Date of birth (month / day / year) Country of birth Philadelphia, PA 19104 resident ** alien required to obtain ITIN to claim tax treaty benefit different / / Female information Mary Jane Smith 07 07 19XX Italy Venice 3 Street address, apartment number, or rural route number. Do not use a P.O. box number. Foreign 6a Country(ies) ofaddress, citizenship 6b Foreign tax I.D. or number any) number. 6c Type If of U.S. (if any), number, and expiration date4. apartment number, rural(if route youvisa have a P.O. box, see page 2 Street resident alien a U.S. tax social return are eligible to filing obtain, a U.S. security number (SSN). Other ber address Applicant’s United Kingdom XXXXXXXXXX J-1 No. 11111111 06/13/2008 migration status or your work instate the States resident(if alien (based on right days to present theorUnited United States) filingInclude aApt. U.S.ZIP tax return different from information Market Street 1AAA me or1234 town, in province, and country. code or postal code where appropriate. Identification document(s) submitted (see instructions) mailing address6d City above) ed income credit. City orEnter town,name state and or province, country. Include ZIPalien code(see or postal code where appropriate. endent of U.S. citizen/resident alien SSN/ITINand of U.S. citizen/resident instructions) (see instructions) England Driver’s license/State I.D. USCIS documentation Other dividual Passport Date ofPhiladelphia, (month / day / Doe year) Country of birth City and state or province (optional) 5 use of U.S. citizen/resident4 alien John SSN: 123-45-6789 Birth PA 19104 Male me No.: XXXXXXXXX Exp. date: check /2008 / 14 /2005 Issued by:the Austria 10 / 04box W-7. Read the instructions forbirth box you check. Caution: If you b,Entry date in U.S. 02 Number Line 4student, – Birthprofessor, Information: No.apartment 1545-0074 / Street / OMB information Female address, number, or rural (see route number. Do not use a P.O. box number. 3 or 07 07 19XX Italy Venice resident alien researcher filing aof U.S. tax return Foreign urn with Form W-7 unless you meet one the exceptions instructions). 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? hs. Country(ies) of citizenship format 6b Foreign tax I.D.7, number any) 6centered Type of U.S. (if any), number, andyour expiration date Enter your date of6abirth in month/day/year (i.e. July 19xx(ifwould be asvisa 07/07/19xx) and country address endent/spouse of a nonresident alien a U.S. Other No/Doholding not know. Skip visa line 6f. zens or permanent residents. page TIN to4. claim tax treaty benefit United Kingdom J-1 No. 11111111 06/13/2008 (ifbirth. different from of If available, provide the city line and orXXXXXXXXXX province. mustInclude identify thethis country ininstructions). which were born. To 6f.state If or more than one,and list You on a sheet and attach to form Yes. information er (see instructions) CityComplete or town, state province, country. ZIP code or (see postal codeyou where appropriate. 6d Identification document(s) submitted (see instructions) rn above) FOR IRS USE ONLY al taxinformation purposes only. be(see eligible for an ITIN, your birth country must be recognized as a foreign country by the U.S. Department of State. itional for a and f: Enter treaty country and treaty article number 9XX-28-XXXX 6f Enter: TIN or EIN and instructions) Driver’s license/State I.D. USCIS documentation Other ropriate. Passport esent in 1a the First United States) filing aEngland U.S.which tax return Name under it was issued Mary J. Smith name Middle name Last name 4 Date of birth (month day / year) Country of birth City Entry and state province No.: /XXXXXXXXX Exp. date: 10 / 04 /2008 date inorU.S. Issued by: Austria 02 / (optional) 14 /2005 5 Birth Male en Enter name and SSN/ITIN ofof U.S. citizen/resident alien (see 6g Name college/university or company (see instructions) instructions) Mary Jane Doe / 07 / a19XX Female information 6e Have you previously received U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? ions) 07 Italy Venice City and state Length of stay er. security number (SSN). John Doe 123-45-6789 Middle name 1b First name SSN: Last name No/Do not line 6f. 6apenalties Country(ies) ofSkip 6b Foreignagent) tax I.D. number 6c Type of U.S. visaincluding (if any), number, and expiratio th researcher if in the United Under of know. perjury, Icitizenship (applicant/delegate/acceptance declare that (ifI any) have examined this application, work States or filing a U.S. tax return Other line 6f. than one, listthe on best a sheet andknowledge attach toand this form (see instructions). Yes. Complete accompanying documentation andIf more statements, and to of my belief, it is true, correct, and complete. I Sign Mary Jane Smith Line 5U.S. – Gender: Kingdom J-1 No.regarding 11111111 06/13/2 authorize United the IRS to disclose to my acceptance agentXXXXXXXXXX returns or return information necessary to resolve matters the ropriate. ien holding a Street visa 9XX-28-XXXX 6f Enter: TIN or EIN address, apartment number, or rural route number. If you have a P.O. box, see page 4. 2information Here assignment of myyour IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. and 6d document(s) submitted (see instructions) Check the appropriate boxIdentification for Name under whichgender. it was issued s the box you check. Caution: If you check box Mary J. Smith or b,instructions) 1234 Market Street Apt. 1AAA Signature of applicant (if delegate, see number Date (month / day / USCIS year) Phone number Driver’s license/State I.D. documentation Other Passport er treaty country and treaty article dress Temple University tional) 6g Name of college/university or company (see instructions) 5 Male you meet one oftown, the state exceptions (see City or or province, andinstructions). country. Include ZIP code or postal code where appropriate. City and state by: Length of/ date: stay 4 years Middle name Last name Philadelphia, Pennsylvania No.: Exp. / Entry date in U.S. Issued ( / 04 ) Austria XXXXXXXXX 10 2008 / Female Philadelphia, PA 19104 Jane Doe 111111 06/13/2008 Jane Smith 9XX-28-XXXX the complete country name in which you are a citizen. Two (2) countries may be listed where dual citizenship 23-45-6789 ions) Enter UseApt. ONLY United Kingdom ( ) / / Name under which it was issued Street 1AAA Mary J. Smith date in U.S. / two /2005/ dayare 02Ifof 14 applies. countries listed, separate the countries with a slash (/). Enter the complete country Male name(s); do 4 Date birth (month / year) Country of birth City and state or province (optional) Name of delegate, if applicable (type or print) Delegate’s relationship Parent 5 Court-appointed guardian Keep a copy for Include ZIP code or postal code where appropriate. r province, country. Forand Paperwork Reduction6g ActName Notice,ofsee page 4. Cat. No. instructions) 10229L Form W-7 (Rev. 1-2006) Temple University to applicant college/university or company (see your records. not abbreviate. Power of Attorney entification number (EIN)? / / Female on 07 07 19XX Italy Philadelphia, Pennsylvania Venice City and state of stay 4 years PA 19104 Signature Date (month / day / year) Length Phone ( ) 02 / 14 Under penalties of perjury, I (applicant/delegate/acceptance agent) Delegate’s declare that I have examined this application, including Name of delegate, if applicable (type or print) relationship Parent guardian Keepand a copy for any), number, expiration date 6e Have you previously received a U.S. identification number (TIN) orCourt-appointed employer identification number (EIN)? accompanying statements, and totemporary theDo bestnot oftaxpayer my it is true, correct, and complete. I Sign to knowledge applicant your Street address, apartmentdocumentation number, orand rural route number. use a P.O. and boxbelief, number. 3 records. Attorney Middle name Last name authorize the IRS to disclose to my acceptance agent returns or return information necessary to Power resolve ofmatters regarding the No/Do not know. Skip line 6f. 6 – Other Information: Here assignment of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying n umber. U.S. taxLine return Signature Date (month / day / year) Phone ( ) Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). Acceptance rom L.6a. Country(ies) of Citizenship. Fax ( ) / / / year) U.S. citizen/resident alien state (see instructions) City or town, or province, and (if country. ZIP code or postal code appropriate. Signature of applicant delegate,Include see instructions) Date (month / where day Phone number Agent’s ment number, or rural route number. If you have a P.O. box, see page 4. EIN 6f Enter: TIN or or EIN Name and title (type print) Name of company Other 6a Country(ies) of citizenship Foreign taxbox I.D. number. number (if any) 6c Type of U.S. visa (if any), number, and expiration date Acceptance ment number, or rural route number. not6buse P.O. Under Do penalties of aperjury, I (applicant/delegate/acceptance declareFax that (I have examined this application, includ ) / agent) / nstructions). and treaty article number Agent’s Italy XXXXXXXXXX J-1 No. 06/13/2008 accompanying documentation and statements, and to the best of my 11111111 knowledge it is true, correct, and complet Sign EIN and belief, Name and title (type or print) Name of company on Last name authorize submitted the IRS to(see disclose to my acceptance agent returns or return information necessary to resolve matters regarding Use ONLY and 6d Identification document(s) instructions) r province,Here and country. Doe Includeassignment ZIP code or postal code where appropriate. of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying numbe L.6b. Foreign Tax Identification Number. Driver’s license/State I.D. USCIS documentation OtherForm W-7 (Rev. 1-2006) Passport For Paperwork Reduction Act Notice, see page 4. Cat. No. 10229L Last name Signature of applicant delegate, instructions) Date / day / year) number No.: Exp.see date: Entry(month date in U.S. / Phone Issued your country of residence has issued youora province tax(if identification number, that number on line 6b. For if Austria XXXXXXXXX 10 / enter 04 /2008 02example, 14 /2005 y / year) If Country ofby: birth City and state (optional) 5 Male Smith ars you are a resident of Canada you would enter your Canadian Social Insurance Number. ( ) 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? / / Female 9XX Italy r. Ifthis youapplication, have a P.O. box, see page 4. Venice ed including Name of delegate, or print)and expiration date Delegate’s relationship No/Do not know.(if Skip 6f. nship 6band Foreign taxfor I.D. any) line 6c Type ifofapplicable U.S. visa (if (type any), number, Parent Court-appointed g Keep a complete. copy rue, correct, I number applicant Yes. Complete line 6f. If more than one, list on a sheet and attach to this formto(see instructions). your records. resolve matters regarding the Power of Attorney om XXXXXXXXXX J-1 No. 11111111 06/13/2008 code oridentifying postal code where appropriate. taxpayer number. 9XX-28-XXXX Signature Date (month / day / year) Phoneand 6f Enter: or EIN ent(s) submitted (seeTIN instructions) ( ) Acceptance Name under which hone number Mary J. Smith Type U.S. Visa it was issued Fax ( ) license/State I.D.number. USCIS documentation Other / / r. Driver’s Do notL.6c. use a P.O.ofbox Agent’s EIN ABC University 6g Name of college/university orand company (see instructions) Name title (type orInclude print) Nameofofthe company Enter only U.S. nonimmigrant visa information. thedate USCIS classification, visa, and the expiration Exp. date: / 04 /2008 Entry in U.S. /2005 a No.: 10 02 / 14 number ) XXXXXXXXX Use ONLY City and state Philadelphia, Length of stay 4 11111111, PAif you have a J-1 visa that years and has an expiration date in month/day/year format. For example, is numbered code aorU.S. postal code where appropriate. ceived temporary taxpayer identification number (TIN) or employer identification number (EIN)? Parent Court-appointed guardian date of June 13, 2008, you would enter it as “F-1”, “No.11111111”, “06/13/2008”. Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including For Reduction Act seeand page 10229L Power Attorney w. Skipof line 6f. Paperwork accompanying documentation and Notice, statements, to 4. the best of my knowledge Cat. and No. belief, it is true, correct, and complete. I Form W-7 (Rev. Individuals who checked reason box “f” (student, professor or researcher) must submit a passport evidencing a valid ne 6f. thanorone, list on(optional) a sheet attach to this form (see instructions). City and province authorize the IRS to disclose toand my acceptance hone ( If more ) state 5 Male agent returns or return information necessary to resolve matters regarding the assignment of my taxpayer number (ITIN), including any previously assigned taxpayer identifying number. visa issued by theIRS USindividual Department of identification State. and ax 9XX-28-XXXX ( ) Female Venice was issued Mary Smith N if any) 6c Signature Type of U.S. visa (if any), (if number, and expiration date ofJ. applicant delegate, see instructions) Date (month / day / year) Phone number Temple University instructions) Xersity or company F-1 (seeNo. 11111111 06/13/2008 ( ) / / Length of stay 4 of iladelphia, Pennsylvania years Note: If the visa has been issued under “duration stay” label by USCIS, then enter “D/S” as the expiration date. Form W-7 (Rev. 1-2006) Name of delegate, if applicable (typea or print) Delegate’s relationship Parent Court-appointed guardian y for y, I USCIS (applicant/delegate/acceptance agent) applicant including documentation Other declare that I have examined this toapplication, s. Power of Attorney ion and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I p. / Signature date U.S.information /2005 to resolve Date 04 /2008 02 / 14necessary osedate: to my 10 acceptance agentEntry returns or in return matters regarding (month / day / the year) Phone ( ) idual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. ance Individual Taxpayer Identification Number 15 fication number (TIN) or employer identification number (EIN)? Fax ( ) / / nt (if delegate,Name see instructions) Date (month / day / year) Phone number EIN and title (type or print) Name of company LY eet and attach to this form (see instructions). o notaddress submit this form if you have, or are eligible to obtain, a U.S. social security number (SSN). ling City or town, state or province, and country. Include ZIP code or postal code where appropriate. etting an ITIN does not change your immigration status or your right to work in the United States PAincome 19104 does not make you Philadelphia, eligible for the earned credit. 3 Street address, apartment number, or rural route number. Do not use a P.O. box number. eign L.6d. Identification Documents. ason you are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, dress Check thefile appropriate box. Ifwith the “other” box is checked, then write-in the type of documentation in the space provided. d, e, orfrom g, you must a tax return Form W-7 unless one of where the exceptions fferent City or town, state or province, and country. Include ZIPyou codemeet or postal code appropriate. (see instructions). Application for IRS Individual If the applicant presents a valid passport, then no other documents are necessary to prove “identity” and “foreign ve) m W-7 Nonresident alienEngland required to obtain ITIN to claim taxIdentification treaty benefit instructions) Taxpayer status”. A passport is the only stand-alone document. IfNumber you do not have a passport, you must OMB use the No. documents 1545-0074 . January 2006) Nonresident alien filingof abirth U.S. tax return 4 Date (month / day / year) Country ofSee birth instructions. City and state or province (optional) one current th Male document rtment of the Treasurylisted under the Supporting Documentation Table and you will be required to provide more than 5 Fordays use by individuals who are not citizens permanent residents. U.S. resident alien on present in the United States) filing a U.S.ofor tax return under al Revenue Service to verify identity and foreign status. With theU.S. exception children 14 years of age (under 18 years of age /your / 19XX ormation Female 07(based 07 Italy Venice Dependent ofif6a U.S. citizen/resident alien Enter name and SSN/ITIN of(ifU.S. citizen/resident alien (seeA instructions) a student), at least one document you present must contain a recent photograph. birth certificate should one Country(ies) of citizenship 6b Foreign tax I.D. number any) 6c Type of U.S. visa (if any), number, and expiration date FOR IRS USE ONLYbe IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. her of the documents used to prove “foreign status” and “identity” for a minor child. Spouse of U.S. citizen/resident alien John Doe SSN: 123-45-6789 United Kingdom XXXXXXXXXX J-1 No. 11111111 06/13/2008 ormation oreNonresident you begin: alien student, professor, or researcher filing a U.S. tax return 6d Identification document(s) submitted (see instructions) Dependent/spouse ofPassport nonresident holdinglicense/State a U.S. visaaI.D. o not submit this form ifa you have, oralien areDriver’s eligible to obtain, U.S. social security number (SSN). USCIS documentation Other Other etting an (see ITIN instructions) does Issued not change your immigration status or your right to work in the United No.: XXXXXXXXX Exp. date: / /2008 Entry date in U.S. by: Austria 10 04 States does not make you eligible thef: earned income credit. Additional information for aforand Enter treaty country and treaty article number 02 / 14 /2005 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? 1a First name Middle name Last name If Form you areW-7. submitting multiple documents theyou information from one of documents to me ason you areREMINDER: submitting foruse theonly box check. Caution: If those you check box b, No/Do not know. SkipRead line 6f.the instructions Mary Jane Doe complete Line 6d. Enter the information for the second document on a separate sheet of paper and attach to Form instructions) d, e, or g, you must file Complete a tax return Form W-7listunless youand meet one of form the (see exceptions (see instructions). line 6f.with If more than one, on a sheet attach to this instructions). Yes. 1b First name Middle name Last name W-7/W-7(SP). me at birth if Nonresident alien required to claim tax treaty benefit 6f Enter: TIN to or obtain EIN ITIN9XX-28-XXXX and Mary Jane Smith under which it wasorissued Nonresident Enter alienName filing a U.S. tax return Mary J. Smith the name of the State Country or other issuer, the identification number (if any) appearing on the document(s), 2 Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. U.S. residentthe alien (based on days in company thewhich United States) filing U.S. taxStates. returnUniversity expiration date, andpresent the date on you entered thea United Dates must be entered in the month/day/year licant’s Temple 6g Name of college/university or (see instructions) 1234 Market Street Apt. 1AAA (i.e. October 4, 2008 would entered as 10/04/2008) YouLength may subsequently be requested to provide a certiling Dependent address offormat. U.S. citizen/resident alien Enter be name and SSN/ITIN of U.S. citizen/resident alien instructions) City and state of stay Philadelphia, Pennsylvania 4 (see years City or town, state or province, and country. Include ZIP code or postal code where appropriate. fied translation foreign documents. Spouse of U.S. citizen/resident John Doe SSN: 123-45-6789 Under penalties of of alien perjury, language I (applicant/delegate/acceptance agent) declare that I have examined this application, including Philadelphia, PAand 19104 accompanying documentation statements, to tax the return best of my knowledge and belief, it is true, correct, and complete. I gn Nonresident alien student, professor, or researcher filing aand U.S. Street address, apartment or rural route number. notinformation use a P.O. box number. 3authorize L.6e/6f. Previous TIN or EIN. the IRS toTemporary disclose to number, my acceptance agent returns or Do return necessary to resolve matters regarding the eign of a nonresident alien holding U.S. visa number (ITIN), including any previously assigned taxpayer identifying number. re Dependent/spouse assignment of my IRS individual taxpayeraidentification dress If you were ever issued a “Temporary Identification Number” (TIN or ITIN) or an Employer Identification Number (EIN) Other (see instructions) fferent from City or check town, state or province, andenter country. Include ZIP code or postal code where appropriate. from IRS, the “Yes” box, and the number on line 6f, along with the name under which it was issued. If Signature of applicant (if delegate, see instructions) Date (month / day / year) Phone ve) Additional information for a and f: Enter treaty country and treaty article number number more than one temporary number was issuedMiddle or a temporary number and an EIN,Last attach a separate continuation sheet instructions) 1a England First name name name ( ) / / listing allofofbirth the(month previous issuedoftobirth you. If you neverCity hadand a temporary TIN or(optional) an EIN, or you doMale not know your me 4 Date / day numbers / year) Country state or province th Mary Jane Name TIN of delegate, if applicable (type ornot print) Delegate’s relationship Doe Parent 5Court-appointed guardian pinstructions) a copy for temporary or EIN, check the “No/Do know” box. / / Female ormation to applicant 07 07 19XX Italy Venice 1b First name Middle name Last name records. Power of Attorney me at birth if A6atemporary TIN is a nine-digit number issued by the IRS to persons who file a return or make a payment Country(ies) of citizenship 6b Foreign tax I.D. number (if any) 6c Type of U.S. visa (if any), number, and expirationwithout date erent Signature Dateissued (month /this daynumber / year) Mary Jane Smith ( her providing a taxpayer identifying number. You would have been ifPhone you filed a) U.S. tax return and United Kingdom XXXXXXXXXX J-1 No. 11111111 06/13/2008 ceptance Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. Application for IRS Individual 2 ormation Fax ( ) the IRS sent you / /on any correspondence did have a Social Security Number. This temporary TIN will appear Form W-7 plicant’s 6d not Identification document(s) submitted (see instructions) ent’s Taxpayer Identification Number 1234 Market Apt. 1AAA EIN Name 2006) and title (typeStreet or print) Name of company concerning that return. OMB No. 1 (Rev. January address Driver’s license/State USCIS documentation Other elingONLY isPassport City orthetown, state or province, and country.I.D. Include ZIP code orinstructions. postal code where appropriate. See Department of a Treasury An EIN nine-digit number (for example, 12-XXXXXXX) assigned by the IRS to businesses. For use by individualsExp. whodate: are not10 U.S. citizens permanent residents. No.: XXXXXXXXX / 04 /2008orEntry date in U.S. AustriaPA 02 / 14 /2005 InternalIssued Revenueby: Service Philadelphia, Paperwork Reduction Act Notice, see page 4. 19104 Cat. No. 10229L Form W-7 (Rev. 1-2006) Street address, apartment number, or rural route number. Do not use a P.O. box number. 3 6e IRS Haveindividual you previously received a identification U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)?FOR IRS USE O eign An taxpayer number (ITIN) is for federal tax purposes only. No/Do not know. Skip line 6f. dress fferent from Before you begin: Complete lineprovince, 6f. If more one, list on a ZIP sheet andorattach this form instructions). Yes. City or town, state or andthan country. Include code postaltocode where(see appropriate. ve) • Do not submit this form if you have, or are eligible to obtain, a U.S. social security number (SSN). 9XX-28-XXXX 6f Enter: TIN orKingdom EIN and instructions) United Name under which it was issued •4Getting an ITIN does not change your immigration status or your right to work in the United Mary J. Smith Date of birth (month / day / year) Country of birth City and state or province (optional) States th 5 Male rent ormation her ormation gn re and does not make you eligible for the earned income credit. 6g 07 Name/ of 07 college/university / 19XX or company Italy (see instructions) Temple Venice University Female L.6g. Name of college/university/or company (must be(ifcompleted ifof reason box “f” is checked). and state Length offor stay Philadelphia, Pennsylvania 4visa years 6a City Country(ies) of citizenship 6b Foreign tax – I.D. number any) 6conly Type U.S. (if any), andCaution: expiration date Reason you are submitting Form W-7. Read the instructions the box younumber, check. If you chec If you checked reason box “f”, you must provide the name of the educational institution and city and state in which of perjury, (applicant/delegate/acceptance agent) W-7 declare that have examined thisthe including c,Under d,Italy e,penalties or g, you mustI file a taxXXXXXXXXXX return with Form unless meet one ofapplication, the06/13/2008 exceptions (see inst J-1I you No. 11111111 accompanying documentation statements, and to of thestay. best of my knowledge and belief, it is true, correct, and complete. I it6d is located. You must alsoand indicate your length Identification document(s) submitted (see instructions) aauthorize Nonresident alien required to obtain ITIN to claim tax treaty benefit the IRS to disclose to my acceptance agent returns or return information necessary to resolve matters regarding the Ifbassignment you are temporarily infiling the United States for number business purposes, you must provide nameidentifying of the company of my IRSalien individual taxpayer identification (ITIN), including any previously assignedthe taxpayer number. with Driver’s license/State USCIS documentation Other Passport Nonresident a U.S. tax return I.D. whom you are conducting your business and the city and state in which it is located. Also enter your length of stay No.: date: Entry date number in U.S. 02 / 14 /2005 Austria XXXXXXXXX 10 /filing 04 c Issued U.S. by: resident alien (based on days in theExp. United States) a/2008 U.S. tax return of applicant (if delegate, seepresent instructions) Date (month / day / year) Phone in theSignature U.S. d Have Dependent of U.S. citizen/resident alien taxpayer Enter name andnumber SSN/ITIN citizen/resident alien (see(EIN)? instructions) 6e you previously received a U.S. temporary identification (TIN)oforU.S. employer identification number ( ) Reason box f: / / Spouse U.S. citizen/resident John Doe SSN: 123-45-6789 No/Do of not know. Skip line 6f.alien Name of delegate, if applicable (type or print) Delegate’s relationship Court-appointed guardian Yes. Complete 6f. If more than one, list on a sheet attach to this form (seeParent instructions). Nonresident alienline student, professor, or researcher filing aand tax return toU.S. applicant Power of Attorney g Enter: Dependent/spouse of9XX-28-XXXX a nonresident alien holding a U.S. visa 6f TIN or EIN and Signature Date (month / day / year) Phone ( Line 6g ) under it was issued Other (seewhich instructions) Mary J. Smith ceptance h Name Fax treaty ( article ) / / Additional information for a and f: Enter treaty country and number ent’s 6g Name of college/university or company (see instructions) ABC University EIN Name and title 1a (typeFirst or print) Name of company name Middle name Last name City and state Philadelphia, PA Length of stay 4 years e ONLY Name Mary Jane Doe (see instructions) Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including 16 Individual Taxpayer Identification Number 1b First name Middle name name accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I gn Paperwork Reduction Notice, see page 4. Cat. No. 10229L Form Last W-7 (Rev. 1-2006) Name atAct birth if authorize the IRS to disclose to my acceptance agent returns or return information necessary to resolve matters regarding the different Mary Jane Smith re assignment of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. p a copy for records. e f 2 Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. SIGNATURE Who can sign the Form W-7/W-7(SP)? Generally, the applicant is required to sign Form W-7/W-7(SP). The following are exceptions to this requirement. Who can sign the Form W-7/W-7(SP) if the applicant is a minor under 14 years of age? If the applicant is under 14 years of age a parent, court appointed guardian or other legally responsible individual can sign for him or her if the child can not sign. Type or print your name in the space provided and check the appropriate box that indicates your relationship to the applicant. If you are signing as a court appointed guardian or other legally responsible individual, documentation must also be submitted along with Form W-7 to prove your relationship to the applicant. These documents can include adoption papers or court appointment papers showing legal guardianship. The dependent must be listed on the U.S. Federal income tax return that is attached to your Form W-7. Internal Revenue Service Submission Processing Center ITIN Operation Mail Stop 6090-AUSC 3651 S. Interregional, HWY 35 Austin, TX 78741-0000 ADDITIONAL INFORMATION Where can I go to get help with my ITIN application? If the applicant is 14 years of age or older, the applicant may sign the form or appoint an authorized delegate or parent to sign on his or her behalf. The authorized person must print his or her name in the space provided for the name of the delegate, check “Power of Attorney” box and attach Form 2848 (Power of Attorney and Declaration of Representative). The POA must clearly state the purpose for which it is intended under the “tax matters” section. POA’s received in a language other than English will be considered invalid unless accompanied by a certified English translation. Refer to the IRS web site at www. irs.gov for additional information on Power of Attorney (POA). You may call the IRS toll-free number at 1-800-8291040 (inside of the United States) for information about where to go to get help in completing your Form W-7/ W-7(SP) and tax return. International applicants may call 215-516-2000 (not a toll-free number) for assistance. (This number is not available for residents of the U.S.) You may visit or make an appointment to visit your local* IRS Taxpayer Assistance Center (TAC), where IRS personnel are available to: A ssist taxpayers in the preparation of the Form W-7/W-7(SP); Answer questions about Form W-7/W-7(SP); Review and/or validate your identity documents; Help you respond to an IRS notice regarding your application for an ITIN; and Forward your Form W-7/W-7(SP), and accompanying tax return if appropriate (see “Exceptions”) to the Austin Service Center. * To find a list of local IRS TACs, proceed to the IRS website at www.irs.gov. Reminder: If you are planning to use the services of an overseas IRS TAC office, make sure to call or check their web site first to determine their office hours. You may also use the services of an IRS-authorized Acceptance Agent. MAILING THE APPLICATION Where can I obtain additional information to help me with my ITIN application? Who can sign the Form W-7/W-7(SP) if the applicant is 14 years of age or older? Where should I mail my application? Mail your Form W-7/W-7(SP) to the following address: Internal Revenue Service ITIN Operation P.O. Box 149342 Austin, TX 78714-9342 If you are using a courier service and need to provide a street address, send your form W-7 package to: For details on resident and nonresident alien status and the tests for residency (including the substantial presence test), see Publication 519. For details on individuals who can be claimed as dependents and on obtaining a SSN for a dependent, see Publication 501 and Publication 519. These publications are available free from the IRS. To order the publications: Individual Taxpayer Identification Number 17 Call 1-800-829-3676 within the continental United States only. Bulk quantities may also be ordered through this number. Request a copy by mail by writing to: IRS National Distribution Center 1201 N. Mitsubishi Motorway Bloomington, IL 61705-6613 Visit your nearest IRS TAC (Taxpayer Assistance Center) Retrieve a copy from the IRS web site at www.irs. gov. Where can I “call” to get help with my Form W-7/W-7(SP) application? If after reading the Form W-7/W-7(SP) instructions and our free publications, you are still not sure how to complete your application or have additional questions, you may call IRS for assistance at any of the telephone numbers listed below. I nside the United States at 1-800-829-1040. Assistance provided to callers from Alaska and Hawaii will be based on the hours of operation in the Pacific Time zone. Outside the United States only, you may call 215-5162000 (not a toll free number), or any of the overseas offices listed in the beginning of this publication. FREQUENTLY ASKED QUESTIONS AND ANSWERS What are the documentation requirements when applying for an ITIN? The applicant will need to submit documentation that is current (has not expired), and that proves both identity and foreign status (i.e. contains name, address, photograph and supports the foreign status claim.) For the definition of “current” for ITIN purposes, see “Documentation”. A passport is the only document that can stand-alone and provide all of the information required. In all other circumstances the applicant will need to provide at least two identity documents in order to validate identity and foreign status, and, with the exception of children under 14 years of age (under 18 years of age if a student), at least one must include a recent photograph. 18 Individual Taxpayer Identification Number Does the “National Identity” card include the “Mexican Matricula” card as acceptable identification for applying for an ITIN? The Matricula card is an acceptable form of identification when applying for an ITIN. Can I send in a photocopy of my documentation? You can send in photocopies of your original documentation, however, all photocopies must be either: Certified by the issuing agency; Certified/Notarized by a State Department employee (United States notaries at Embassies and Consulates worldwide) or a United States Military Judge Advocate General Officer; or Certified/Notarized by Foreign notaries authorized under the Hague Convention who will attach an Apostille. (Note: The Apostille must be kept attached to the documents submitted to the Internal Revenue Service); or Certified/Notarized by a U.S. notary public legally authorized within his/her jurisdiction (raised seal or stamp present). What are the rules of the Earned Income Tax Credit (EITC) as they relate to an ITIN? A taxpayer using an ITIN is not eligible for EITC. To claim the EITC the claimant must file a return as a citizen or legal resident of the United States on Form 1040. In addition, the claimant, spouse and qualifying child(ren) listed on the return must have valid “work related” Social Security Numbers. If the claimant is married, he or she must file a return using the Married Filing Joint status (for the exception to this rule, see Publication 501, Martial Status – “Married Persons Living Apart”). What are the rules for the Child Tax Credit/ Additional Child Tax Credit (CTC) as they relate to an ITIN? Although your child may be able to obtain an ITIN for purposes of being claimed as a dependent on your U.S. Federal tax return, your child must be a U.S. citizen, U.S. national or U.S. resident to be considered a “qualifying child” for purposes of the Child Tax Credit. Refer to IRS Publication 972 (Child Tax Credit) for additional information. Can an ITIN be used to file a delinquent or amended return for prior years? An ITIN can be used for any valid, delinquent or amended tax returns (income, estate, gift or refund claim). Furnishing an ITIN on a return does not eliminate your need to satisfy the eligibility standards for claiming specific exemptions, credits, etc. If the tax return you attach to Form W-7 is filed after the return’s due date, you may owe interest and/or penalties. You should file your current year tax return by the prescribed due date. Are ITINs valid for dependents if I file a delinquent tax return? ITINs will be accepted for dependents on current and delinquent returns. Dependents can be claimed only when the dependency tests are met. What steps do I have to take when I have an ITIN and become eligible for a Social Security Number? Make proper application for a SSN and upon receipt advise the IRS ITIN Unit in writing of your new SSN. The new SSN will become the primary number and must be used for all future filing purposes. The IRS will void the ITIN. All prior tax information under the ITIN will be associated with the new SSN. What do I do if I think I once had a SSN, but I’m not sure? Check with the SSA before applying for an ITIN. The SSA website is located at http://www.ssa.gov. What documentation will I need to advise the IRS that the Social Security Administration will not provide me with a SSN? If you are eligible to obtain a SSN, the IRS will not issue you an ITIN unless you can document that the SSA denied your request for a SSN. Supporting documentation (such as a letter or statement) from the SSA substantiating the denial must be attached to your application. If you are a student on an F-1, J-1 or M-1 visa who will not be working while studying in the U.S., you will no longer have to apply for a SSN first. You will be permitted to provide a letter from your Designated School Official (DSO) or Responsible Officer (RO), stating that you will not be securing employment in the U.S. or receiving any type of income from personal services. Additionally, you will be permitted to provide a letter from your Authorized School Official stating that you have been invited to the United States for a specific presentation and will be receiving an honoraria payment. What do I do if I think I once had an IRS temporary number? If you had a temporary Taxpayer Identification Number (TIN), but are unsure or cannot recall the number, indicate on Form W-7/W-7(SP) that you might have previously had such a number(s) and the name under which you think the number was issued. IRS will perform research to locate your number as part of the processing of your W-7/W-7(SP). What do I do if my name has changed since I received my ITIN? If the change only affects your legal name, you will only need to request a name change by sending a letter directly to the IRS processing center that has jurisdiction for your location. Include an explanation of the circumstances leading to the change (marriage, divorce, etc.) and submit documentation to support your request. Examples include: A copy of a marriage license. A copy of a divorce certificate. An official court related document validating the name change. What do I do if my address has changed since I received my ITIN? If you change your street address or mailing address, you should complete a Form 8822 (Change of Address) and send it directly to the IRS address in that form’s instructions. Will the IRS issue ITINs to individuals that are experiencing delays in securing a SSN? The IRS will not issue ITINs in such situations. If a person is entitled to a Social Security Number, then they are not eligible for an ITIN. Individual Taxpayer Identification Number 19 20 Individual Taxpayer Identification Number EXHIBITS SUPPORTING DOCUMENTATION TABLE An “X” in the “Foreign Status” and/or “Identity” column, indicates that the supporting documentation satisfies that category. A passport is the only stand-alone document that will prove both identity and foreign status (i.e. if a passport is submitted, then the applicant does not need to submit any other supporting documentation). If a passport is not submitted then a combination of at least two other current documents displaying the applicants name and photograph, and supporting their claim of identity and foreign status must be provided. With the exception of children under 14 years of age (under 18 years of age if a student), at least one document submitted must contain a recent photograph. Type of Supporting Documentation Foreign Status Identity X X United States Citizenship and Immigration Services (USCIS) Photo Identification X X Visa issued by the US Department of State. X X United States Driver’s License X United States Military identification Card X Foreign Driver’s License X Foreign Military Identification Card X X National Identification Card (must be current, and contain name, X photograph, address, date of birth and expiration date) X United States State Identification Card X Foreign Voter’s Registration Card X X Civil Birth Certificate X * X Medical Records (valid for dependent’s only - under 14 years of X * age (under 18 years of age if a student.)) X School Records (valid for dependent’s only - under 14 years of age (under 18 years of age if a student.)) X PASSPORT (the only stand-alone document) X * * May be used to establish foreign status only if documents are foreign. Individual Taxpayer Identification Number 21 Exceptions to the Tax Return Filing Requirement Chart EXCEPTION #1 Third Party Withholding on Passive Income Information reporting and withholding requirements apply to third parties (frequently banks and other financial institutions) who will request an ITIN to enable them to file information reports that are required by law. Form 8805, Foreign Partner’s Information Statement of Section 1446 Withholding Tax; Form 1042-S, Foreign Person’s United States Source Income Subject to Withholding from Distributions from Pensions, Dividends, Annuities, Interest, Retirement, Profit- Sharing Plans, IRA, Insurance Contracts, etc.; Form 1099-INT, Interest Income Schedule K-1, Partner’s share of income, Credits, Deductions, etc. NOTE: Federal Tax Withholding and/or Information Reporting must take place within the current tax year. Third Party Withholding Persons who are eligible to Claim Exception 1 include: on Passive Income Documentation to be submitted by individuals who are eligible to claim Exception 1: 1(a) Individuals who are partners of a foreign partnership or a U.S. Partnership with 10 or more partners, that invests in the U.S. and who own assets that generate income subject to IRS information reporting and Federal tax withholding requirements; or 1(a) To support Exception 1(a), submit a copy of the portion of the partnership or LLC Agreement; displaying the partnership’s EIN (Employer Identification Number) and showing that the applicant is a partner in a partnership that is conducting business in the United States. 1(b) Individuals who have opened an interest bearing bank deposit account that generates income which is effectively connected with their U.S. trade or business and is subject to IRS information reporting and/or Federal tax withholding; or 1(b) To support Exception 1(b), submit a signed letter from the Bank on their official letterhead, displaying your name and account number, stating that you have opened a business account which is subject to IRS information reporting and/or federal tax withholding on the interest generated during the current tax year. 1(c) Individuals who are “resident aliens” for tax purposes and have opened up an interest bearing bank deposit account that generates income subject to IRS information reporting and/or withholding of Federal income tax; or 1(c) To support Exception 1(c), submit a signed letter from the Bank on their official letterhead, displaying your name and account number, stating that you have opened an indidvidual deposit account which is subject to IRS information reporting and/or federal tax withholding on the interest generated during the current tax year. 1(d) Individuals who are receiving distributions during the current year of income such as pensions, annuities, royalties, dividends, etc, and are required to provide an ITIN to the withholding agent (i.e. investment company, insurance company, financial institution, etc.) for the purposes of tax withholding and reporting requirements. 1(d) To support Exception 1(d) submit documentation in the form of a signed letter or document from the withholding agent, on official letterhead, showing the individual’s name and account number, and evidencing that an ITIN is required to make distributions to the individual during the current tax year, which are subject to Federal tax withholding and/or reporting requirements. 22 Individual Taxpayer Identification Number Exception #2 Wages, Salary, Compensation and Honoraria payments with Tax Treaty Benefits Claimed; or Scholarships, Fellowships and Grants with Tax Treaty Benefits Claimed; or Scholarships, Fellowships and Grants No Tax Treaty Benefits Claimed; or Gambling Winnings with Tax Treaty Benefits Claimed. Information Reports for which the ITIN is being requested. Information reports include but are not limited to: Form1042-S, Foreign Person’s United States Source Income Subject to Withholding NOTE: Federal Tax Withholding and/or Information Reporting must take place within the current tax year. 2a. Wages, Salary, Compensation and Honoraria* payments Persons who are eligible to Claim Exception 2(a) include: Claiming the Benefits of a Tax Treaty Individuals claiming the benefits A letter of employment from the payer of of a tax treaty who are either exempt or subject to a reduced rate of withholding of tax on their wages, salary, compensation and honoraria payments, and Who will be submitting Form 8233 to the payer of the income. Persons who are eligible to Claim 2b. Scholarships, Fellowships and Grants. Exception 2(b) include: Claiming the Benefits of a Tax Treaty Documentation to be submitted by individuals who are eligible to claim Exception 2(a). Individuals claiming the benefits of a tax treaty who are either exempt from or subject to a reduced rate of tax on their income from scholarships, fellowships, or grants. ((i.e. foreign students, scholars, professors, researchers, or any other individual), and Who will be submitting Form W-8BEN to the withholding agent. the income, or A copy of the employment contract, or A letter requesting your presence for a speaking engagement, etc. along with: Information on the Form W-7/W-7(SP) application that the person is entitled to claim the benefits of a tax treaty, and A copy of the completed withholding agent’s portion of Form 8233 attached to the Form W-7/W-7(SP), and a letter from the Social Security Administration (SSA)*, stating that the individual is ineligible to receive a Social Security Number. * Individuals present in the U.S. who are receiving honoraria payments, do not have to obtain a letter of denial from the SSA. A letter from the Authorized School Official will suffice. Documentation to be submitted by individuals who are eligible to claim Exception 2(b). A letter or official notification from the Educational Institution (i.e. College or University) awarding the noncompensatory scholarship, fellowship, or grant, or A copy of a contract with a College, University or Educational Institution, along with: A copy of your passport showing a valid Visa issued by the US Department of State. Evidence (information) displayed on the Form W-7/W-7(SP) application that the person is entitled to claim the benefits of a tax treaty, and A copy of the W-8BEN that was submitted to the withholding agent, attached to the Form W-7/W-7(SP); and Individual Taxpayer Identification Number 23 Exception #2 Wages, Salary, Compensation and Honoraria payments with Tax Treaty Benefits Claimed; or Scholarships, Fellowships and Grants with Tax Treaty Benefits Claimed; or Scholarships, Fellowships and Grants No Tax Treaty Benefits Claimed; or Gambling Winnings with Tax Treaty Benefits Claimed. (continued) Persons who are eligible to 2b. Scholarships, Fellowships and Grants. Claim Exception 2(b) include: (continued) Claiming the Benefits of a Tax Treaty Documentation to be submitted by individuals who are eligible to claim Exception 2b. A letter from the Social Security Administration (SSA)*, stating that the individual is ineligible to receive a Social Security Number. Note: *Students on a F-1, J-1 or M-1 visa who will not be working while studying the U.S., will not have to apply for a SSN. They will be permitted to provide a letter from their Designated School Official (DSO) or Responsible Officer (RO), stating that they will not be securing employment in the U.S. or receiving any type of income from personal services. This applies whether a tax return is attached to Form W-7 or Exception 2 is being claimed. Persons who are eligible to 2c. Scholarships, Fellowships and Grants. Claim Exception 2(c) include: Individuals receiving noncompensatory income No Tax Treaty Benefits from scholarships, fellowships, or grants. (i.e. foreign students, scholars, professors, researchers, or any other individual), that is subject to IRS information reporting and/or tax withholding requirements during the current year. 24 Individual Taxpayer Identification Number Documentation must be submitted by individuals who are eligible to claim Exception 2(c) A letter or official notification from the Educational Institution (i.e. College or University) awarding the non-compensatory scholarship, fellowship, grant or A copy of a contract with a College, University or Educational institution, along with: A copy of your passport showing a valid visa issued by the US Department of State. A letter from their Designated School Official (DSO) or Responsible Officer (RO)stating that the individual is receiving non-compensatory income from scholarships, fellowships, or grants, that is subject to IRS information reporting and/or tax withholding requirements:* * This letter must be attached to Form W-7, or your application for an ITIN will be denied. and A letter from the Social Security Administration (SSA) stating that the individual is ineligible to receive a Social Security Number. Note: Students on a F-1, J-1 or M-1 visa who will not be working while studying the U.S., will not have to apply for a SSN. They will be permitted to provide a letter from their Designated School official (DSO), or Responsible Officer (RO), stating that they will not be securing employment in the U.S. or receiving any type of income from personal services. This applies whether a tax return is attached to Form W-7 or Exception 2 is being claimed. Exception #2 Wages, Salary, Compensation and Honoraria payments with Tax Treaty Benefits Claimed; or Scholarships, Fellowships and Grants with Tax Treaty Benefits Claimed; or Scholarships, Fellowships and Grants No Tax Treaty Benefits Claimed; or Gambling Winnings with Tax Treaty Benefits Claimed. (continued) 2d. Gambling Income Persons who are eligible to Claim Exception 2(d) include: Claiming the Benefits of a Tax Treaty N onresident Aliens visiting the U.S. who have gambling winnings; and W ho are claiming the benefits of U.S. Tax Treaty for an exempt or reduced rate of Federal tax withholding on that income; and W ho will be utilizing the services of a gaming official acting as an IRS ITIN Acceptance Agent Documentation must be submitted through the services of an appropriate gaming official serving as an IRS ITIN Acceptance Agent to apply for an ITIN under Exception 2(d). Note: If you do not secure the services of a gaming official, you may still file a Form 1040NR at the end of the tax year with a Form W-7/W-7(SP), attaching a copy of the Form 1042-S displaying the amount of tax withheld. Your 1040NR return should also display the tax treaty article number and country under which you are claiming the treaty benefits. Exception #3 Third Party Reporting of Mortgage Interest Information reporting and withholding requirements apply to third parties frequently banks and other financial institutions) who will request an ITIN to enable them to file information reports that are required by law. Form 1098, Mortgage Interest Statement. NOTE: Federal Tax Withholding and/or Information Reporting must take place within the current tax year. Exception 3 Documentation to be submitted by individuals who are eligible to claim Exception 3 includes: Third Party Reporting of Individuals who show evidence of a home mortgage loan. This would include a copy of Mortgage Interest the contract of sale or similar documentation, showing evidence of a home mortgage loan on real property located in the United States. Individual Taxpayer Identification Number 25 Exception #4 Third Party Withholding – Disposition By a Foreign Person of United States Real Property Interest Information reporting and withholding requirements apply to third parties frequently banks and other financial institutions) who will request an ITIN to enable them to file information reports that are required by law. Form 8288, U.S. Withholding Tax Return for Dispositions by Foreign Persons of U.S. Real Property Interests, Form 8288A, Statement of Withholding on Dispositions by Foreign Persons of U.S. Real Property Interests. Form 8288B, Application for Withholding Certificate for Dispositions by Foreign Persons of U.S. Real Property Interests. NOTE: Federal Tax Withholding and/or Information Reporting must take place within the current tax year. Exception 4 Third Party Withholding – Disposition By a Foreign Person of United States Real Property Interest. A withholding obligation is generally imposed on a buyer or other transferee (withholding agent) when a United States real property interest is acquired from a foreign person. In some instances the foreign person may apply for a withholding certificate to reduce or eliminate withholding on the disposition of real property Documentation to be submitted by individuals who are eligible to claim Exception 4 includes: A completed Form 8288-B and a copy of the contract of the sale. For the seller of the property, Forms 8288 and 8288-A submitted by the buyer should be attached to the Form W-7/W-7(SP). Exception #5 Filing Under TD-9363 with Registration Form 13350 NOTE: Federal Tax Withholding and/or Information Reporting must take place within the current tax year. Reporting Obligations under Treasury Directive 9363 Persons who are eligible to Claim Exception 2(d) include: Individuals who are required by law to comply with Treasury Directive 9363 (TD-9363) and who must obtain an ITIN to meet this requirement. 26 Individual Taxpayer Identification Number Documentation to be submitted by individuals who are eligible to claim Exception 5 includes: Form W-7 and Form 13350 along with A letter from the employer on corporate letterhead stating that the individual has been designated to comply with IRS reporting. See instructions. For use by individuals who are not U.S. citizens or permanent residents. Department of the Treasury Internal Revenue Service An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. FOR IRS USE ONLY Examples of Completed Form W-7s for “Exceptions” Before you begin: • Do not submit this form if you have, or are eligible to obtain, a U.S. social security number (SSN). Exception 1 – Third Party Withholding on Passive Income • Getting an ITIN does not change your immigration status or your right to work in the United States andInterest does notin make you eligible for the earned income credit. An a U.S. Partnership – No Tax Treaty Benefits Reason you are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, c, d, e, or g, you must file a tax return with Form W-7 unless you meet one of the exceptions (see instructions). a b Nonresident alien required to obtain ITIN to claim tax treaty benefit Nonresident alien filing a U.S. tax returnApplication for IRS Individual Taxpayer Identification Number W-7 Form c U.S. resident alien (based on days present in the United States) filing a U.S. tax return OMB No. 1545-0074 (Rev. 2006) of U.S. citizen/resident alien d January Dependent Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) See instructions. citizen/resident For alien use by individuals who are not U.S. citizens or permanent residents. Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming an exception Department of the Treasury e Revenue Spouse of U.S. Internal Service f An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. FOR IRS USE ONLY g Dependent/spouse of a nonresident alien holding a U.S. visa instructions) h Other Exception 1(a) – A Partnership Interest Before you (see begin: Additional information for a and f: Enter treaty country and treaty article number • Do not submit this form if you have, or are eligible to obtain, a U.S. social security number (SSN). 1a First name Middle name Last name • Getting an ITIN does not change your immigration status or your right to work in the United States Name and not make – you eligible for the earned income credit. Pension Income NoMary Tax Treaty Benefits (see does instructions) Name at birth Reason youif different 1b First name Jane Doe Middle name Last name are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, Mary Jane Smith c, d, e, or g, you2must file a taxapartment return with Form W-7 unless you meet one of box, the see exceptions Street address, number, or rural route number. If you have a P.O. page 4. (see instructions). Applicant’s a Nonresident alien required to obtain ITIN to claim tax treaty benefit 1234 Market Street Apt. 1AAA mailing address alienCity b Nonresident filingoratown, U.S. tax return Application forInclude IRS Individual state or province, and country. ZIP code or postal code where appropriate. W-7 Form c U.S. resident alien (based on days present in the United States) filing a U.S. tax return OMB No. 1545-0074 (Rev. 2006) of U.S. citizen/resident alien d January Dependent Enter name and SSN/ITIN of U.S. (see instructions) or rural number. Do citizen/resident not use a P.O. alien box number. 3 Street address, apartment number, Seeroute instructions. Identification Number Philadelphia, Taxpayer PA 19104 Foreign Department of the Treasury e Spouse of U.S. citizen/resident For alien use by individuals who are not U.S. citizens or permanent residents. Internal Revenue Service address (iff different from Nonresident alienCity student, professor, researcher filing a U.S.Include tax return claiming an exception or town, state ororprovince, and country. ZIP or code postal codeonly. where appropriate. FOR IRS USE ONLY An IRS individual taxpayer identification number (ITIN) is for federal taxorpurposes above) g instructions) Dependent/spouse of a nonresident alien holding a U.S. visa (see England instructions) h Other Exception – Pension Income Before you (see begin: 4 Date of birth (month / day / year) 1(d) Country of birth City and state or province (optional) 5 Birth Male Additional information for a and f: Enter treaty country treaty article number • Do not submit this form if you have, or are eligible to obtain, a U.S. social security and number (SSN). / 07 / 19XX information Female Italy Venice 1a 07 First name Middle name Last name • Getting an ITIN does not change your immigration status or your right to work in the United States 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 Name Mary Doe and instructions) does Income not make –you eligible the earned income credit. Jane Other Pension With TaxforTreaty Benefits (see United XXXXXXXXXX J-1 No. 06/13/2008 1b First name Kingdom Middle name Last11111111 name information Name at birth if 6d IdentificationForm document(s) submitted (see instructions) for the box you check. Caution: If you check box b, Reason you are submitting W-7. Read the instructions different Mary Jane Smith c, d, e, or g, you2 must file a taxapartment return with Form W-7 unless you meet one of box, the see exceptions (see instructions). Driver’s license/State I.D. USCIS documentation Other Passport Street address, number, or rural route number. If you have a P.O. page 4. by:to Applicant’s Austria XXXXXXXXX a Nonresident alienIssued required obtain ITINNo.: to claim tax treaty benefit Exp. date: 10 / 04 /2008 Entry date in U.S. 02 / 14 /2005 1234 Market Street Apt. 1AAA Application for IRS Individual Philadelphia, Taxpayer PA 19104 Identification Number address, apartment number, or rural number. Do not use a P.O. box number. 3 Street Seeroute instructions. Foreign Department of the Treasury e Spouse of U.S. citizen/resident alien For use by individuals who are not U.S. citizens or permanent residents. 9XX-28-XXXX and Internal Revenue Service 6f Enter: TIN or EIN address Name under which itor was issued filing Nonresident alienCity student, professor, researcher a U.S. taxSmith return or claiming an exception (iffdifferent from Mary J. or town, state or province, and (ITIN) country. ZIP code postal codeonly. where appropriate. FOR IRS USE ONLY An IRS individual taxpayer identification number isInclude for federal taxorpurposes above) g Dependent/spouse of aof nonresident alien holding a U.S. (see visa instructions) Temple University 6g Name college/university or company (see instructions) England (see instructions) h Other Exception 1(d) – Pension Income City of and state Length Philadelphia, Pennsylvania 4 years Before you begin: 4 Date birth (month / day / year) Country of birth City and stateoforstay province (optional) 5 Birth Additional information for a and f: Enter treaty country United and treaty article number Kingdom 18 Male Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I (SSN). have examined this application, including • Do not submit this form if you have, or are eligible to obtain, a U.S. social security number / 07 / 19XX information Female 07 Italy Venice 1a First name Middle name Last name accompanying documentation and statements, and to right the best of my inknowledge andStates belief, it is true, correct, and complete. I Sign • Getting an ITIN does not change your immigration status or your to work the United Name 6a Country(ies) oftocitizenship 6b Foreign tax I.D. returns number or (if any) 6c Type necessary of U.S. visato(if resolve any), number, and expirationthedate authorize the IRS disclose to my acceptance agent return information matters regarding Mary Jane Doe taxpayer identifying number. and not make–you eligible the income Other Royalty Income With Tax Treaty Benefits Here (see does instructions) assignment offor my IRS earned individual taxpayer credit. identification number (ITIN), including any J-1 previously assigned United Kingdom XXXXXXXXXX No. 11111111 06/13/2008 mailing address alien b Nonresident filing atown, U.S. tax return 6e City Have you previously received a U.S.and temporary taxpayer number or employer identification number (EIN)? or state or province, country. Includeidentification ZIP code or postal(TIN) code where appropriate. W-7 Form c U.S. resident alien (based days present in the No/Doon not know. Skip line 6f. United States) filing a U.S. tax return OMB No. 1545-0074 (Rev. 2006) of U.S. citizen/resident Yes. Completealien line 6f. IfEnter morename than one, list on a sheet andcitizen/resident attach to this form d January Dependent and SSN/ITIN of U.S. alien (see instructions). instructions) 1b First name Middle name Last name information Name at birth if 6d Identification document(s) submitted (see instructions) for the Reason W-7. Read the instructions you check. If you check box b, Signature ofForm applicant (if delegate, see instructions) Datebox (month / day / year) Caution: Phone number different you are submitting Mary Jane Smith Driver’s license/State I.D. USCIS documentation Other c, d, e, or g, you2must file a taxapartment return with Form W-7 unless you meet one of box, the see exceptions (see instructions). Passport Street address, number, or rural route number. If you have a P.O. page 4. ( ) / / Applicant’s by:to Austria XXXXXXXXX a Nonresident alienIssued required obtain ITINNo.: to claim tax treaty benefit Exp. date: 10 / 04 /2008 Entry date in U.S. 02 / 14 /2005 1234 Apt. 1AAA Name ofMarket delegate, ifStreet applicable (type or print) Delegate’s relationship Parent Court-appointed guardian Keep a copy for mailing address b Nonresident alien filingor atown, U.S. tax return to applicant 6e Have you previously received a U.S.and temporary taxpayer identification number (TIN) or employer identification number (EIN)? City state or province, country. Include ZIP code or postal code where appropriate. your records. Power of Attorney c U.S. resident alien (based days present in the tax return No/Doon not know. Skip line 6f. United States) filing a U.S. Signature Date (month / day / year) Phone ( Philadelphia, PA 19104 ) Yes. Complete line 6f. If morename than one, list on a sheet andcitizen/resident attach toP.O. this form (see instructions). d Dependent of3U.S. citizen/resident alien Enter androute SSN/ITIN of U.S. alien instructions) Acceptance Street address, apartment number, or rural number. Do not use a box number. Foreign Fax ( ) / / e Spouse of U.S. citizen/resident alien Agent’s 6f Enter: EIN(type or9XX-28-XXXX and address EIN NameTIN andortitle print) Name of company which itor was issuedand (iff different from Nonresident alienName student, professor, researcher filing a U.S.Include taxSmith return claiming an exception Use ONLY Mary J. City orunder town, state or province, country. ZIP or code or postal code where appropriate. above) g instructions) Dependent/spouse of aof nonresident alien holding a U.S. (see visa instructions) Temple University 6g Name college/university or company (see England For Paperwork Reduction Act Notice, see page 4. 1(d) – Pennsylvania Cat. No. 10229L Form W-7 (Rev. 1-2006) Other (see instructions) h Exception Royalty Income City and state Length Philadelphia, 4 years 4 Date of birth (month / day / year) Country of birth City and stateoforstay province (optional) 5 Birth Additional information for a and f: Enter treaty country Male andthat treaty article numberthis12 Italy Under penalties of perjury, I (applicant/delegate/acceptance agent) declare I have examined application, including / 07 / 19XX information Female 07 Italy andMiddle 1a First name Last name accompanying documentation and statements, to the name best of myVenice knowledge and belief, it is true, correct, and complete. I Sign 6a Country(ies) oftocitizenship 6b Foreign tax I.D. returns number or (if any) 6c Type necessary of U.S. visato(if resolve any), number, and expiration Name authorize the IRS disclose to my acceptance agent return information matters regarding Maryof my IRS individual taxpayer identificationJane Doe taxpayer identifying number.thedate Other Here assignment number (ITIN), including any J-1 previously assigned (see instructions) United Kingdom XXXXXXXXXX No. 11111111 06/13/2008 Individual Taxpayer 1b First name Middle name Last name Identification Number 27 information Name at birth if 6d Identification submittedsee (see instructions) Signature of document(s) applicant (if delegate, instructions) Date (month / day / year) Phone number different Mary Jane Smith Driver’s license/State I.D. USCIS documentation Other Passport address, apartment number, or rural route number. If you have 2 Street ) 4. / a P.O. / box, see( page Reason you are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, c, d, e, 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 obtain ITIN to claim tax treaty benefit Exception 2 alien filing a U.S. tax returnApplication for IRS Individual b Nonresident W-7 cWages, U.S. Salaries, resident alien (based on days and present in the United States) filing a U.S.Tax tax return a.Form Compensation Honoraria Payments – With Treaty Benefits Taxpayer Identification Number OMB No. 1545-0074 (Rev. 2006) of U.S. citizen/resident alien d January Dependent Enter name See and SSN/ITIN of U.S. citizen/resident alien (see instructions) instructions. of the Treasury Grants, Fellowships – With Tax Treaty Benefits b.Department eScholarships, Spouse of U.S. citizen/resident alienby individuals who are not U.S. citizens or permanent residents. For use Internal Revenue Service c. fScholarships, Fellowships No Tax Treaty Benefits Nonresident Grants, alien student, professor, or–researcher filing a U.S. tax return FOR IRS USE ONLY An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. Dependent/spouse nonresident alien holding a U.S. visa d. gGambling Winningsof–aWith Tax Treaty Benefits Exception 2(a) Wages instructions) h Other Before you (see begin: Wages –submit With information Tax Treaty Benefits - Also attach Letter from the Social Additional and f: or Enter country and Security treaty articleAdministration number 15 denying your • Do not this form if for youa have, are treaty eligible to obtain, aSlovenia U.S. social security number (SSN). 1a First name Number. (Remember Middle name Last name request for a Social Security to complete information for Company and Length of Stay •Name Getting an ITIN does not change your immigration status or your right to work in the United States Jane Doe and does not make you Mary eligible for the earned income credit. on Line 6g.) (see instructions) 1b First name Middle name Last name Name at birth Reason youif are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, different Mary Jane Smith c, d, e, or g, you2must file a tax return with Form W-7 unless you meet one of the exceptions (see instructions). Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. Applicant’s a Nonresident alien required to obtain ITIN to claim tax treaty benefit 1234 Market Street Apt. 1AAA mailing address alienCity b Nonresident filingora town, U.S. tax return state or province, and country. Include ZIP code or postal code where appropriate. c U.S. resident alien (based on days present in the United States) filing a U.S. tax return d Dependent of U.S. citizen/resident alien Philadelphia, PA 19104 Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) 3 Street address, apartment number, or rural route number. Do not use a P.O. box number. Foreign e Spouse of U.S. citizen/resident alien address Nonresident alienCity student, professor, researcher filing a U.S.Include tax return claiming an exception (iff different from or town, state ororprovince, and country. ZIP or code or postal code where appropriate. above) g Dependent/spouse of a nonresident alien holding a U.S. visa (see instructions) England Exception 2(a) Wages h Other (see instructions) 4 Date of birth (month / day / year) Country of birth City and state or province (optional) 5 Birth Additional information for a and f: Enter treaty country and treaty article number Slovenia 15 Male / 07 / 19XX information Female 07 Italy Venice 1a First name Middle name Last name Name 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 Mary Jane Doe Other (see instructions) Slovenia B-1 11223344 06/13/2007 1b First name Middle name Last name information Name at birth if 6d Identification document(s) submitted (see instructions) different Mary Jane Smith Driver’s license/State I.D. number. If you USCIS documentation Other Passport address, apartment number, or rural route have a P.O. box, see page 4. 2 Street Applicant’s No.: Exp. date: / / Entry date in U.S. / / Issued by: mailing address Foreign address 1234 Market Street Apt. 1AAA 6e City Haveor you previously a U.S.and temporary taxpayer number or where employer identification number (EIN)? town, state received or province, country. Includeidentification ZIP code or postal(TIN) code appropriate. Skip line 6f. No/Do not know.PA Philadelphia, 19104 Yes. Complete line 6f. number, If more than one,route list on a sheetDo and attach this box formnumber. (see instructions). address, apartment or rural number. not use atoP.O. 3 Street 6f Enter: TIN or EIN and Application for IRS Individual Name it was issuedand country. City or under town, which state or province, Include ZIP code or postal code where appropriate. Taxpayer Identification World Pharmaceuticals OMB No. 1545-0074 6g Name of college/university or company (see instructions)Number England See instructions. Department of the Treasury 4 City and state Length San Diego, CA 3 months Date of birthFor (month / year) Country and stateof orstay province (optional) 5 Birth Male use/ day by individuals who of arebirth not U.S. citizensCity or permanent residents. Internal Revenue Service Under penalties I (applicant/delegate/acceptance agent) Venice declare that I have examined this application, including / 07 of / perjury, Female information 07 19XX Italy FOR IRS USE ONLY I accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Sign An IRS – individual taxpayer identification number (ITIN) is I.D. forfrom federal tax purposes only. 6a Country(ies) 6b Foreign tax number (if any) 6c Security Type of U.S. Administration visato(if resolve any), number, and expirationthe date Wages With Tax Treaty – Also Letter Social denying your authorize the Benefits IRSoftocitizenship disclose to myattach acceptance agent returns the or return information necessary matters regarding Other Here for a Social assignment of my IRS individual taxpayer identification (ITIN), including anyB-1 previously assigned taxpayerand identifying number. Slovenia 11223344 06/13/2007 request Security Number. (Remember to number complete information for University Length of Stay (if different from Form W-7 above) (Rev. January 2006) (see instructions) Before you begin: information 6d form Identification submitted (seeinstructions) instructions) Signature of document(s) applicant delegate, see Date (month / day / year) Phone number • Do not6g.) submit this if you have, or are (if eligible to obtain, a U.S. social security number (SSN). on Line Driver’s license/State I.D.right to work USCIS documentation Other Passport • Getting an ITIN does not change your immigration status or your in the United States ( ) / / and does not make youIssued eligibleby: for the earnedNo.: income credit. Exp. date: / / Entry date in U.S. Professor with Wages Name of delegate, if applicable (type or print) Delegate’s relationship / / Parent Court-appointed guardian Keep a copy for to applicant 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? your records. Reason you are submitting Form W-7. Read the instructions for the box you check. Caution: you check box b, Power ofIf Attorney No/Do Skip line 6f. c, d, e, or g, you must file a not taxknow. return with Form W-7 unless you Date meet one/ day of /the (see instructions). Signature (month year)exceptions Phone ( ) Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). Acceptance a Nonresident alien required to obtain ITIN to claim tax treaty benefit Fax ( ) / / Agent’s 6f Enter: TIN or tax EINreturn and EIN b Nonresident alien filing U.S. Namea and title (type or print) Name of company Name under which it was issued Use ONLY c U.S. resident alien (based on days present in the United States) filing a U.S. tax return World Pharmaceuticals Name of college/university or company (see instructions) d Paperwork Dependent of6g U.S. citizen/resident alien and SSN/ITIN U.S. citizen/resident alien (see instructions) For Reduction page 4.Enter name Cat.ofNo. 10229L CityAct andNotice, state see Length of stay 3 monthsForm W-7 (Rev. 1-2006) San Diego, CA e Spouse of U.S. citizen/resident alien Under penalties of perjury, I (applicant/delegate/acceptance agent) declare an that I have examined this application, including f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming exception accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I Sign authorize IRS to disclose to my acceptance g Dependent/spouse of athe nonresident alien holding a U.S. visaagent returns or return information necessary to resolve matters regarding the Here assignment of myException IRS individual taxpayer (ITIN), including any previously assigned taxpayer identifying number. 2(a)identification Wagesnumber – Teaching h Other (see instructions) Additional information for a and f: Enter treaty country and treaty France 20 Signature of applicant (if delegate, see instructions) Date (month / dayarticle / year) number Phone number 1a First name Middle name Last name Name (see instructions) Keep a copy for Namerecords. at birth if your different Mary Jane Name of delegate, if applicable (type or print) 1b First name Middle name / / Doe( ) Delegate’s relationship Last name Parent Court-appointed guardian to applicant Power of Attorney Mary Jane Smith Signature Date have (montha /P.O. day /box, year)seePhone ( ) address, apartment number, or rural route number. If you page 4. 2 Street Acceptance Applicant’s Fax ( ) / / 1234 Market Street Apt. 1AAA Agent’s mailing address EIN Name and title (type print) and country. Include ZIP code Name of company or town, state or or province, or postal code where appropriate. 28 Individual TaxpayerCity Identification Number Use ONLY Philadelphia, PA 19104 apartment not use a P.O. box number. 3 Street For Paperwork Reduction Act address, Notice, see page 4.number, or rural route number. Cat. No.Do 10229L Foreign Form W-7 (Rev. 1-2006) (see instructions) England FOR IRS USE ONLY An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. 4 Date of birth (month / day / year) Country of birth City and state or province (optional) 5 Birth Male Before you begin: 07 / 07 / 19XX information Female Italy Venice 6a form Country(ies) of citizenship number any) 6c Type (SSN). of U.S. visa (if any), number, and expiration date • Do not submit this if you have, or are eligible6btoForeign obtain,taxa I.D. U.S. social(ifsecurity number Other • Getting an ITIN does France not change your immigration status or your right to work in the United States H-1B 345678891 information and does not make you eligible for the earned income credit. 01/01/2007 6d Identification document(s) submitted (see instructions) Driver’s license/State I.D. USCIS OtherIf you check box b, PassportForm W-7. Reason you are submitting Read the instructions for the boxdocumentation you check. Caution: No.:with Form W-7 unless Exp. date: / / the Entry date in U.S. / / Issued by:a tax return c, d, e, or g, you must file you meet one of exceptions (see instructions). 6e Have you previously U.S. temporary Nonresident alien required to obtainreceived ITIN to aclaim tax treaty taxpayer benefit identification number (TIN) or employer identification number (EIN)? No/Do not Skip line 6f. Nonresident alien filing a U.S. taxknow. returnApplication for IRS Individual Yes. Complete line 6f. Ifinmore than one, list onfiling a sheet andtax attach Form W-7 c U.S. resident alien (based on days present the United States) a U.S. returnto this form (see instructions). Taxpayer Identification Number OMB No. 1545-0074 (Rev. 2006) of6fU.S. Enter: TIN or EIN alien and d January Dependent citizen/resident Enter name See and instructions. SSN/ITIN of U.S. citizen/resident alien (see instructions) Department of the Treasury Name under it was issued who are not U.S. citizens or permanent residents. e Spouse of U.S. citizen/resident alienby Forwhich use individuals a b Internal Revenue Service The XYZ Institute for International Learning individual taxpayer identification number (ITIN) is for federal tax purposes only. FOR IRS USE ONLY An IRS City state New Length of stay 60 days g Dependent/spouse ofand a nonresident alienYork, holding NY a U.S. visa 2(a) Wages _ Teaching Under penalties Exception of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including (see instructions) h Other Before you begin: accompanying documentation andBenefits statements, to the is bestno of my knowledge and to belief, itnumber is true, correct, and complete. I Sign Honoraria Payment – With Taxf: orEnter Treaty –andThere requirement attach Letter the Social Additional and country and treaty article 20from • Do not submit information thisauthorize form if for youaIRS have, are treaty eligible to obtain, agent aFrance U.S.returns socialorsecurity number (SSN). the to disclose to my acceptance return information necessary to resolve matters regarding the 1a First name Middle name Lastfrom name Security Administration denying your request for a Social Security Number. A letter the Authorized School assignment of my your IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. •Here Getting an ITIN does not change immigration status or your right to work in the United States Name f 6g Name of college/university or company instructions) Nonresident alien student, professor, or researcher filing (see a U.S. tax return Mary Janefor University and Length Doe Stay on Line 6g.) and not make you eligible for the earned income credit. Official will suffice. (Remember to complete (see does instructions) Signature of applicant (if delegate,information see instructions) Date (month / day / year) of Phone number 1b First name Middle name Last name Name at birth Reason youif are submitting Form W-7. Read the instructions for the box/ you check. Caution: If you check box b, ( ) / different Mary Jane Smith c, d, e, or g, you 2must file tax apartment return with Form W-7 unless you you meet one of the exceptions (see instructions). Name ofadelegate, if applicable (type print) Street address, number, or or rural route number. If Delegate’s have relationship a P.O. box, see Parent page 4. Court-appointed guardian Keep a copy for to applicant Applicant’s a Nonresident alien required to obtain ITIN to claim tax treaty benefit your records. Power of Attorney 1234 Market Street Apt. 1AAA mailing address alien City b Nonresident filing U.S. tax return Signature Date day /where year) appropriate. ora town, state or province, and country. Include ZIP code or (month postal /code Phone ( ) Acceptance c U.S. resident alien (based on days present in the United States) filing a U.S. tax return Fax ( ) / / Philadelphia, PA 19104 Agent’s d Dependent of3U.S.Street citizen/resident alienor print) Enter name and route SSN/ITIN of U.S. citizen/resident (seeEIN instructions) address, apartment number, or rural number. DoName not use a P.O. alien box number. Name and title (type of company Foreign Use ONLY e Spouse of U.S. citizen/resident alien address Nonresident alien City student, professor, orprovince, researcher filing a U.S.Include tax return or claiming an exception (iff different from or Notice, town, state and country. ZIP code or postal code where appropriate. For Paperwork Reduction Act see or page 4. Cat. No. 10229L Form W-7 (Rev. 1-2006) above) g Dependent/spouse of a nonresident alien holding a U.S. visa (see instructions) England Exception 2(a) Honoraria Payment h Other (see instructions) 4 Date of birth (month / day / year) Country of birth City and state or province (optional) 5 Birth Additional information Male for a and f: Enter treaty country and treaty article number France 14 / 07 / 19XX information Female 07 name Italy Middle name Venice 1a First Last name Name 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 Mary Jane Doe Other (see instructions) France B-1 56565656 04/28/2007 1b First name Middle name Last name information Name at birth if 6d Identification document(s) submitted (see instructions) different Mary Jane Smith Driver’s license/State I.D. number. If you USCIS documentation Other Passport address, apartment number, or rural route have a P.O. box, see page 4. 2 Street Applicant’s No.: Exp. date: / / Entry date in U.S. / / Issued by: mailing address 1234 Market Street Apt. 1AAA 6e City Haveoryou previously received a U.S. temporary identification or where employer identification number (EIN)? town, state or province, and country.taxpayer ZIP code ornumber postal(TIN) code appropriate. Application forInclude IRS Individual Skip line 6f. No/Do not know.PA Form W-7 Philadelphia, 19104 Taxpayer Identification Number Yes. Complete line 6f. number, If more than one,route list on a sheet and this box formnumber. (see instructions). OMB No. 1545-0074 (Rev. January 2006) address, apartment or rural number. Do notattach use atoP.O. 3 Street Foreign See instructions. Department of the Treasury 6f Enter: TIN or EIN and address For use by individuals who are not U.S. citizens or permanent residents. Internal Revenue Service Name it province, was issued (if different from City or under town, which state or and country. Include ZIP code or postal code where appropriate. above) FOR IRS USE ONLY An IRS individual 6g taxpayer number (ITIN) isinstructions) for federalAny tax purposes only. Place University Name ofidentification college/university or company (see (see instructions) England City ofand state Length of stay Any Place, NY 3 years 4 Date birth (month / day / year) Country of birth City and state or province (optional) Birth 5 Male Before you begin: Under of / perjury, I (applicant/delegate/acceptance agent) Venice declare that I have examined this application, including information Female 07 penalties 07documentation 19XX Italy •Sign Do not submit thisaccompanying form if/ you have, or are eligible to obtain, U.S. numberand (SSN). and statements, anda to the social best ofsecurity my knowledge belief, it is true, correct, and complete. I 6a Country(ies) of citizenship 6b Foreign tax I.D. number (if any) 6c Type of U.S. visa (if any), number, and expiration Scholarship Income – With Tax Treaty Benefits (Also complete information for University and Length ofthedate Stay authorize the IRS to disclose to my acceptance agent returns or return information necessary to resolve matters regarding • Getting an ITIN does not change your immigration status or your right to work in the United States Other Here assignment mythe IRS earned individualincome taxpayercredit. identification number (ITIN), including anyH-1B previously assigned taxpayer identifying number. and does6g.) not make you eligibleoffor France 34567891 06/01/07 on Line information 6d Identification (seeinstructions) instructions) Signature ofdocument(s) applicant (if submitted see Date (month / day / year) Phone number Reason you are submitting Form W-7. delegate, Read the instructions for the box you check. Caution: If you check box b, Driver’s license/State I.D. USCIS documentation Other Passport c, d, e, or g, you must file a tax return with Form W-7 unless you meet/ one of (see instructions). ( ) / the exceptions No.: Exp. date: / / Entry date in U.S. / / Issued by: Name of to delegate, if applicable or print) Delegate’s relationship a a Nonresident alien required obtain ITIN to claim (type tax treaty benefit Parent Court-appointed guardian Keep copy for to number applicant(TIN) or employer identification number (EIN)? 6e Have previously received a U.S. temporary taxpayer identification your b records. Nonresident alien filingyou a U.S. tax return Power of Attorney No/Doon not know. Skip line 6f. United States) filing a U.S.Date Signature c U.S. resident alien (based days present in the tax (month return / day / year) Phone ( ) Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). Acceptance d Dependent of U.S. citizen/resident alien Enter name and SSN/ITIN of U.S. citizen/resident instructions) ( ) / / alien (seeFax Agent’s 6f citizen/resident Enter: TIN or EIN and EIN e Spouse of U.S. Name and titlealien (type or print) Name of company Name under which it was issued Use ONLY f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming an exception International Technology Corporation 6g Name college/university or company g Paperwork Dependent/spouse of aof nonresident alien holding a U.S. (see visa instructions) For Reduction see page 4. 10229L CityAct andNotice, state Length of stay 60 days Form W-7 (Rev. 1-2006) New York, New York Cat. No. Exception 2(b) Scholarship Income h Other (see instructions) Under penalties of perjury, I (applicant/delegate/acceptance agent) declare I have examined including Additional information for a and f: Enter treaty country andthat treaty article numberthis application, Norway 16 accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I Sign 1a First name Middlereturns nameor return information necessary Last to name authorize the IRS to disclose to my acceptance agent resolve matters regarding the Name Here assignment number (ITIN), including any previously assigned Maryof my IRS individual taxpayer identificationJane Doe taxpayer identifying number. (see instructions) 1b First name of applicant (if delegate, see instructions) Middle name Last name Signature Date (month / day / year) Phone number Name at birth if Individual Taxpayer different Mary Jane Smith Identification Number 29 ) / a P.O. / box, see( page 4. 2 Street address, apartment number, or rural route number. If you have Applicant’s Name of delegate, if applicable (type or print) Delegate’s relationship Parent Court-appointed guardian Keep a copy for 1234 Market Street Apt. 1AAA to applicant your records. mailing address Power of Attorney Before you begin: (see instructions) England •Birth Do not submit this are/ year) eligibleCountry to obtain, a U.S. social security number (SSN). 4 form Date ifofyou birthhave, (monthor / day of birth City and state or province (optional) •information Getting an ITIN does not change your immigration status or your right to work in the United States / / 19XX and does not make you07 eligible 07 for the earned incomeItaly credit. 6a Country(ies) of citizenship Venice 6b Foreign tax I.D. number (if any) 5 Male Female 6c Type of U.S. visa (if any), number, and expiration date Other Reason you are submitting Caution: If 01/01/08 you check box b, NorwayForm W-7. Read the instructions for the box you F-1check. 12345678 information c, d, e, or g, you6d must file a tax return with Form W-7 unless you meet one of the exceptions (see instructions). Identification document(s) submitted (see instructions) a I.D. Passport Nonresident alien required to obtain ITINDriver’s to claimlicense/State tax treaty benefit USCIS documentation Other Nonresident alienIssued filing aby: U.S. tax returnApplication No.: Exp. date: / / Entry date in U.S. / / for IRS Individual Form W-7 c U.S. resident 6e alienHave (based on days present thetemporary United States) a U.S. tax return(TIN) or employer identification number (EIN)? you previously received ainU.S. taxpayerfiling identification number Taxpayer Identification Number OMB No. 1545-0074 (Rev. January 2006) d Dependent of U.S. citizen/resident alien Skip Enter of U.S. citizen/resident alien (see instructions) No/Do not know. line 6f.name and See SSN/ITIN instructions. Department of the Treasury For alien use by or attach permanent e Spouse of U.S. citizen/resident Yes. Complete lineindividuals 6f. If morewho than are one,not listU.S. on acitizens sheet and to thisresidents. form (see instructions). Internal Revenue Service f Nonresident alienEnter: student, professor, filing a U.S. tax return or EIN or researcher FOR IRS USE ONLYand An IRS individual 6f taxpayerTIN identification number (ITIN) is for federal tax purposes only. Name which alien it washolding issueda U.S. visa g Dependent/spouse of a under nonresident Exception 2(a) Wages _ Teaching instructions) h Other Before you (see begin: 6g Name of college/university or company (see instructions) Any Town University Additional for a and f: or Enter country and treaty article number 20 • Do not submit information this form you have, aretreaty eligible toN.J. obtain, aFrance U.S. social security Length number City ifand state of(SSN). stay 4 years Any Town, 1a First name your immigration status or your Middle name Last name • Getting an ITIN does not penalties change right to agent) work in the United Under of perjury, I (applicant/delegate/acceptance declare that I States have examined this application, including Name Mary Doe and does not make you eligible fordocumentation the earned income credit. andJane accompanying and statements, to the best of myfor knowledge and belief, itLength is true, of correct, I Sign Grant Income – With Tax Treaty Benefits (Also complete information University and Stayand oncomplete. Line 6g.) (see instructions) authorize the IRS to disclose to my acceptance Middle agent returns to resolve matters regarding the 1b First name name or return information necessary Last name Name if are submitting Hereat birth assignment of myForm IRS individual taxpayer identification number (ITIN), including anyyou previously assigned taxpayerIfidentifying number.box b, Reason you W-7. Read the instructions for the box check. Caution: you check different Mary Jane Smith c, d, e, or g, you2 must file aoftax return(if with Form W-7 unless you Date meet one of box, exceptions (see instructions). Signature applicant delegate, see instructions) (month day /the year)see Phone number Street address, apartment number, or rural route number. If you have a /P.O. page 4. Applicant’s a Nonresident alien required to obtain ITIN to claim tax treaty benefit b 1234 Market Street Apt. 1AAA ( ) / / mailing address alienCity b Nonresident filingoratown, U.S. tax return state or province, and country. Include ZIP code or postal code where appropriate. Name of delegate, if applicable (type or print) Delegate’s relationship Parent Court-appointed guardian Keep copy resident for c a U.S. alien (based on days present in the United States) filing a U.S.totax return applicant your records. Philadelphia, PA 19104 Power of Attorney d Dependent of3U.S. citizen/resident alien Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) Street address, apartment number, or rural route number. DoDate not (month use a /P.O. number. Foreign Signature day box / year) Phone ( ) e Spouse of U.S. citizen/resident alien Acceptance address Fax ( ) /an exception / f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming (if different from Agent’s City or town, state or province, or postal code where appropriate. EIN Name and title (type or print) and country. Include ZIP code Name of company above) g Dependent/spouse of a nonresident alien holding a U.S. visa Use ONLY (see instructions) England Exception 2(b) Grant Income City and state or province (optional) h Other (see instructions) 4 Date of birth (month / day / year) Country of birth Birth 5 Male Additional information forNotice, a and f:see Enter treaty Spain 22 For Paperwork Reduction Act page 4. country Cat. No. 10229Land treaty article number Form W-7 (Rev. 1-2006) / information Female 07 / 19XX Italy Venice 1a 07 First name Middle name Last name Name 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 Mary Jane Doe Other (see instructions) J-1 34343434 09/03/2008 1b Spain First name Middle name Last name information Name at birth if 6d Identification document(s) submitted (see instructions) different Mary Jane Smith Driver’s license/State I.D. number. If you USCIS documentation Other Passport address, apartment number, or rural route have a P.O. box, see page 4. 2 Street Applicant’s No.: Exp. date: / / Entry date in U.S. / / Issued by: 1234 Market Street mailing address Apt. 1AAA 6e Have youtown, previously a U.S.and temporary taxpayer identification number or employer identification number (EIN)? City or state received or province, country. ZIP code or postal(TIN) code where appropriate. Application for Include IRS Individual Skip line 6f. No/Do not know.PA Form W-7 Philadelphia, 19104 Taxpayer Identification Number Yes. Complete line 6f. number, If more than one,route list on a sheet and attach this box formnumber. (see instructions). OMB No. 1545-0074 address, apartment or rural number. Do not use atoP.O. (Rev. January 2006) 3 Street Foreign See instructions. Department of the Treasury 6f Enter: TIN or EIN and address For use by individuals who are not U.S. citizens or permanent residents. Internal Revenue Service Name it was issuedand country. Include ZIP code or postal code where appropriate. (if different from City orunder town, which state or province, above) FOR IRS USE ONLY An IRS individual6g taxpayer number (ITIN) for federalThe tax purposes only. Learning University Name ofidentification college/university or company (seeisinstructions) (see instructions) England City and state Length of stay Philadelphia, PA 3 years City and state or province (optional) 5 Birth Male Before you begin:4 Date of birth (month / day / year) Country of birth Under of perjury, I (applicant/delegate/acceptance agent) Venice declare that I have examined this application, including information Female 07 penalties 07documentation 19XX Italy • Do not submit thisaccompanying form if/ you have,/ or are eligible to obtain, number (SSN). and statements, anda toU.S. the social best ofsecurity my knowledge and belief, it is true, correct, and complete. I Sign 6a Country(ies) citizenship Foreign tax I.D. number (if any) 6c Type of U.S. visato(if resolve any), number, and expiration Scholarship Income – No Treaty Benefits (Also complete information fornecessary University and Length of Stay authorize theTax IRSof to disclose to my 6b acceptance agent returns or return information matters regarding thedateon • Getting an ITIN does not change your immigration status or your right to work in the United States Other Here assignment my the IRS earned individualincome taxpayercredit. identification number (ITIN), including any J-1 previously assigned taxpayer 09/03/08 identifying number. and does eligibleoffor Spain 34343434 Line 6g.)not make you information 6d Identification submittedsee (seeinstructions) instructions) Signature of document(s) applicant (if delegate, Date (month / day / year) Phone number Reason you are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, Driver’s license/State I.D. USCIS documentation Other Passport c, d, e, or g, you must file a tax return with Form W-7 unless you meet/ one of (see instructions). ( ) / the exceptions No.: Exp. date: / / Entry date in U.S. / / Issued by: of to delegate, if applicable or print) Delegate’s relationship a a copy Nonresident alien Name required obtain ITIN to claim (type tax treaty benefit Parent Court-appointed guardian Keep for to applicant 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? your b records. Nonresident alien filing a U.S. tax return Power of Attorney No/Do not know. Skip line 6f. c U.S. resident alienSignature (based on days present in the United States) filing a U.S.Date tax (month return / day / year) Phone ( ) Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). Acceptance d Dependent of U.S. citizen/resident alien Enter name and SSN/ITIN of U.S. citizen/resident instructions) ( ) / / alien (seeFax Agent’s 6f Enter: TIN or EIN and EIN e Spouse of U.S. citizen/resident Name and titlealien (type or print) Name of company Name under which it was issued Use ONLY f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming an exception 6g Name college/university or company (see instructions) Temple University g Paperwork Dependent/spouse of a of nonresident alien a U.S. visa For Reduction Notice, pageholding 4. Cat. No. 10229L CityAct and state see Length of stay 3 years Form W-7 (Rev. 1-2006) Philadelphia, PA Exception 2(c) Scholarship Income h Other (see instructions) Under penalties of f:perjury, I (applicant/delegate/acceptance agent) declare I have examined Additional information for a and Enter treaty country andthat treaty article number this application, including accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I Sign 1a First name Middlereturns name or return information necessary Last to name authorize the IRS to disclose to my acceptance agent resolve matters regarding the Name Here assignment of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. Mary Jane Doe (see instructions) 1b First name of applicant (if delegate, see instructions) Middle name Last name Signature Date (month / day / year) Phone number Name at birth if different Mary Jane Smith ) / a P.O. / box, see( page 4. 2 Street address, apartment number, or rural route number. If you have Applicant’s Name of delegate, if applicable (type or print) Delegate’s relationship Parent Court-appointed guardian Keep a copy for 1234 Market Street Apt. 1AAA 30 Individual Taxpayer Identification Number to applicant your records. mailing address Power of Attorney City or town, state or province, and country. Include ZIP code or postal code where appropriate. Signature Date (month / day / year) Phone ( ) Acceptance 3 Philadelphia, PA 19104 Fax / a P.O. / box number. Street address, apartment number, or rural route number. Do not use ( ) (see instructions) Birth information Other information 4 England Date of birth (month / day / year) Country of birth City and state or province (optional) 07 Italy Venice / 07 Department of the Treasury Internal Revenue Service 6b Foreign tax I.D. number (if any) 5 Male Female 6c Type of U.S. visa (if any), number, and expiration date Argentina J-1 01010101 12/01/2008 6d Identification document(s) submitted (see instructions) Passport W-7 19XX 6a Country(ies) of citizenship Issued by: Form (Rev. January 2006) / Driver’s license/State I.D. No.: USCIS documentation Exp. date: / / Other Entry date in U.S. / / 6e Have you previously received a U.S. temporary number (TIN) or employer identification number (EIN)? Application fortaxpayer IRS identification Individual Skip line 6f. Identification Number No/Do not know.Taxpayer OMB No. 1545-0074 Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). See instructions. use by individuals who are not U.S. citizens or permanent residents. 6f Enter: TIN For or EIN and Name under which it was issued FOR IRS USE ONLY An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. 6g Name of college/university or company (see instructions) Before you begin: City and state Atlanta, GA University of Classic Study Length of stay 3 years of perjury, (applicant/delegate/acceptance agent) declare that I (SSN). have examined this application, including • Do not submit thisUnder form penalties if you have, or are Ieligible to obtain, a U.S. social security number accompanying documentation and statements, the best of mymust andStates belief, it isthrough true, correct, and complete. I Gambling – Tax Treaty Benefits Claimed – to(Form be submitted a gaming official •Sign Getting anWinnings ITIN does not change your immigration status orand your right toW-7 work inknowledge the United authorize the IRS to disclose to my acceptance agent returns or return information necessary to resolve matters regarding the and does make you eligibleof for income Here who is annotIRS authorized Acceptance assignment mythe IRS earned individualAgent taxpayercredit. identification number (ITIN), including any previously assigned taxpayer identifying number. Reason you are submitting Form W-7. Read the box you/ day check. If you check box b, Signature of applicant (if delegate, seeinstructions instructions) for the Date (month / year) Caution: Phone number c, d, e, 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 obtain ITIN to claim tax treaty benefit Name of delegate, if applicable (type or print) Delegate’s relationship Parent Court-appointed guardian Keep a copy for b records. Nonresident alien filing a U.S. tax returnApplication for IRS Individual to applicant your Power of Attorney Form W-7 c U.S. resident alien (based on days present in the United States) filing a U.S. tax return Signature Date (month / day / year) Phone ( Taxpayer Identification Number )OMB No. 1545-0074 (Rev. 2006) of U.S. citizen/resident alien d January Dependent Enter name and of U.S. citizen/resident alien (see instructions) Acceptance See SSN/ITIN instructions. Fax ( ) / / Department of the Treasury e Revenue Spouse of U.S. citizen/resident Agent’s For alien use by individuals who are not U.S. citizens or permanent residents. Internal Service EIN Name and title (type or print) Name of company f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming an exception Use ONLY FOR IRS USE ONLY An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. g Dependent/spouse of a nonresident alien holding a U.S. visa For Paperwork Reduction Act Notice, see page 4. 2(d) GamblingCat. No. 10229L Exception Winnings Other instructions) h Before you (see begin: Additional information for a and f: Enter treaty country United Kingdom and treaty article number • Do not submit this form if you have, or are eligible to obtain, a U.S. social security number (SSN). 1a First name Middle name Last name Form 22 W-7 (Rev. 1-2006) • Getting an ITIN does not change your immigration status or your right to work in the United States Name and not 3 make you Mary eligible forinterest the earned income credit. Exception – Mortgage (see does instructions) 1b First name Jane Doe Middle name Last name Name at birth if Reason Caution: If you check box b, different you are submitting Mary Form W-7. Read the instructions Jane for the box you check. Smith c, d, e, or g, you2must file a taxapartment return with Form W-7 unless you meet one of box, the see exceptions Street address, number, or rural route number. If you have a P.O. page 4. (see instructions). Applicant’s a Nonresident alien required to obtain ITIN to claim tax treaty benefit 1234 Market Street Apt. 1AAA mailing address alienCity b Nonresident filingoratown, U.S. tax return state or province, and country. Include ZIP code or postal code where appropriate. c U.S. resident alien (based on days present in the United States) filing a U.S. tax return Philadelphia, PA 19104 for IRS Individual Application d Dependent of3U.S. citizen/resident alien Enter name androute SSN/ITIN of U.S. (see instructions) Street address, apartment number, or rural number. Do citizen/resident not use a P.O. alien box number. Foreign Form W-7 e January Spouse of U.S. citizen/resident alien Taxpayer Identification Number OMB No. 1545-0074 address (Rev. 2006) instructions. (iff different from Nonresident student, professor, researcher filing aSee U.S. tax return claiming an exception Department of the Treasury alienCity or town, ororprovince, and country. Include ZIP or code postal coderesidents. where appropriate. Forstate use by individuals who are not U.S. citizens ororpermanent above)Revenue Service Internal g instructions) Dependent/spouse of a nonresident alien holding a U.S. visa (see England FOR IRS USE ONLY Exception 3 Country – Mortgage Interest (see instructions) h An IRSOther individual identification number (ITIN) is for federal tax 4taxpayer Date of birth (month / day / year) of birth Citypurposes and state or only. province (optional) 5 Birth Male Additional information for a and f: Enter treaty country and treaty article number / / information Female 07 07 19XX Italy Venice Before you begin:1a First name Middle name Last name 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 Name • Do not submit this form if you have, or are eligible to obtain, Jane a U.S. social security number (SSN). Mary Doe Other EXCEPTION 4 – DISPOSITION OF A REAL PROPERTY INTEREST (see instructions) Argentina J-1 States 01010101 12/01/2008 • Getting an ITIN does not change your immigration status or your right to work in the United 1b First name Middle name Last name information Name at birth document(s) submitted (see Act) instructions) and does not ifmake 6d you Identification eligible for the income credit. (FIRPTA in earned Real Property Tax different – Foreign Investment Mary Jane Smith Driver’s license/State I.D. USCIS documentation Other Passport Street address, apartment number,the or rural route number. youbox haveyou a P.O. box, see page 4. If you check box b, Reason you are 2submitting Form W-7. Read instructions for Ifthe check. Caution: No.: Exp. date: / / Entry date in U.S. / / Issued by: Applicant’s 1234 Street Apt.W-7 1AAA c, d, e, or g, you must fileMarket a tax return with Form unless you meet one of the exceptions (see instructions). mailing address 6e Have youtown, previously a U.S.and temporary taxpayer number or employer identification number (EIN)? City or state received or province, country. Includeidentification ZIP code or postal(TIN) code where appropriate. a Nonresident alien required to obtain ITIN to claim tax treaty benefit No/Do not know.PA Skip line 6f. 19104 Nonresident alienPhiladelphia, filing a U.S. tax return Yes. Complete line 6f. number, If more than one,route list on a sheetDo and attach this box formnumber. (see instructions). Street address, apartment or rural use atoP.O. 3 Foreign c U.S. resident alien (based on days present in the United States) number. filing a U.S. not tax return 6f Enter: TIN or EIN and address d Dependent of U.S. citizen/resident alien Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) Name under which it was issued (if different from City or town, state or province, and country. Include ZIP code or postal code where appropriate. e Spouse of U.S. citizen/resident alien above) 6g Name of college/university or company (see instructions) University of Classic Study (see f instructions) Nonresident alienEngland student, professor, or researcher filing a U.S. tax return or claiming an exception and state Length GA 3 years 4 City Date (monthAtlanta, / day / year) Country birth City and stateoforstay province (optional) 5 Birth Male g Dependent/spouse of ofa birth nonresident alien holding a U.S. of visa Under penalties of /perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including / 07Exception information Female 4 – Disposition of Real Property Other (see instructions) 07 19XX Italy Venice h accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I Sign 6a Country(ies) oftocitizenship 6b Foreign tax I.D. returns number or (if any) 6c treaty Type necessary ofarticle U.S. visa any), number, expirationthedate Additional information for and f: disclose Enter treaty and number authorize the aIRS to mycountry acceptance agent return information to(if resolve mattersand regarding Other Here assignment of my IRS individual taxpayer identification number (ITIN), including any J-1 previously assigned taxpayer 09/03/08 identifying number. 1a First name Middle name Last name Spain 34343434 b information Name (see instructions) Name at birth if different Keep a copy for your records. Applicant’s mailing address Mary Jane 6d Identification submittedsee (seeinstructions) instructions) Signature of document(s) applicant (if delegate, 1b First name Middle Driver’s license/State I.D. name Passport DoePhone number Date (month / day / year) Last nameOther USCIS documentation / / ( ) Individual Taxpayer Identification Number 31 No.: / / Entry date in U.S. / / Issued by: Mary Jane Exp. date: Smith Name of delegate, if applicable (type or print) Delegate’s relationship have a P.O. box, see Parent page 4. Court-appointed guardian 2 Street address, apartment number, or rural route number. If you to applicant 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? Power of Attorney 1234 Market Street No/Do not know. Skip line 6f.Apt. 1AAA Signature Date (month / day / year) Phone ( ) Exception 5 - T.D. 9363. instructions) h Other Before you (see begin: Additional a and f: or Enter country treaty article number • Do not submit information this form iffor you have, aretreaty eligible to obtain, a U.S. social security and number (SSN). 1a First name your immigration status or your Middle name Last name • Getting an ITIN does not change right to work in the United States Name and does not 5 make you Mary eligible for the earned income Exception – TREASURY DIRECTIVE 9363 credit. Jane (see instructions) Name at birth Reason youif different 1b First name Doe Middle name Last name are submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, Mary Jane Smith c, d, e, or g, you2 must file a tax return with Form W-7 unless you meet one of the exceptions (see instructions). Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. Applicant’s a Nonresident alien required to obtain ITIN to claim tax treaty benefit 1234 Market Street Apt. 1AAA mailing address alienCity b Nonresident filingoratown, U.S. tax return state or province, and country. Include ZIP code or postal code where appropriate. c U.S. resident alien (based on days present in the United States) filing a U.S. tax return d Dependent of U.S. citizen/resident alien Philadelphia, PA 19104 Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) 3 Street address, apartment number, or rural route number. Do not use a P.O. box number. Foreign e Spouse of U.S. citizen/resident alien address Nonresident alienCity student, professor, researcher a U.S.Include tax return claiming an exception (iff different from or town, state ororprovince, andfiling country. ZIP or code or postal code where appropriate. above) g Dependent/spouse of a nonresident alien holding a U.S. visa (see instructions) England Exception 5 - T.D. 9363. h Other (see instructions) 4 Date of birth (month / day / year) Country of birth City and state or province (optional) 5 Birth Male Additional information for a and f: Enter treaty country and treaty article number information Female 07 / 19XX Italy Venice 1a 07 First /name Middle name Last name Name 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 Mary Jane Doe Other (see instructions) 1b First name Middle name Last name information Name at birth if 6d Identification document(s) submitted (see instructions) different Mary Jane Smith Driver’s license/State I.D. number. If you USCIS documentation Other Passport address, apartment number, or rural route have a P.O. box, see page 4. 2 Street Applicant’s No.: Exp. date: / / Entry date in U.S. / / Issued by: mailing address Foreign address (if different from above) (see instructions) Birth information Sign Other Here information Keep a copy for your records. Acceptance Agent’s Use ONLY 1234 Market Street Apt. 1AAA 6e Have youtown, previously a U.S.and temporary taxpayer number or employer identification number (EIN)? City or state received or province, country. Includeidentification ZIP code or postal(TIN) code where appropriate. No/Do not know.PA Skip line 6f. Philadelphia, 19104 Yes. Complete line 6f. number, If more than one,route list on a sheetDo and attach this box formnumber. (see instructions). address, apartment or rural number. not use atoP.O. 3 Street EIN of Corporation 6f Enter: TIN or EIN Name it was issuedand country. NameInclude under EINcode was established City orunder town, which state or province, ZIP which code or postal where appropriate. 6g Name of college/university or company (see instructions) England and state Length 4 City Date of birth (month / day / year) Country of birth City and stateoforstay province (optional) 5 Male Under penalties I (applicant/delegate/acceptance agent) Venice declare that I have examined this application, including / 07 of /perjury, Female 07 19XX Italy accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I 6a Country(ies) Foreign tax I.D. returns number or (if any) 6c Type necessary of U.S. visato(if resolve any), number, expirationthedate authorize the IRSoftocitizenship disclose to my 6b acceptance agent return information mattersand regarding assignment of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. 6d Identification submittedsee (seeinstructions) instructions) Signature of document(s) applicant (if delegate, Driver’s license/State I.D. Passport Date (month / day / year) USCIS documentation / / Phone number Other ( ) No.: Exp. date: / / Entry date in U.S. / / Issued by: Name of delegate, if applicable (type or print) Delegate’s relationship Parent Court-appointed guardian to applicant 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? Power of Attorney No/Do not know. Skip line 6f. Signature Date (month / day / year) Phone ( ) Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). Fax ( ) / / EIN of Corporation 6f Enter: TIN or EIN and EIN Name and title (type or print) Name of company Name under which it was issued Name under which EIN was established 6g Name of college/university or company (see instructions) For Paperwork Reduction Notice, Cat. No. 10229L CityAct and state see page 4. Length of stay Sign Here and Form W-7 (Rev. 1-2006) 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 disclose to my acceptance agent returns or return information necessary to resolve matters regarding the assignment of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. Signature of applicant (if delegate, see instructions) Date (month / day / year) / / Keep a copy for your records. Name of delegate, if applicable (type or print) Delegate’s relationship to applicant Acceptance Agent’s Use ONLY Signature Date (month / day / year) / Name and title (type or print) For Paperwork Reduction Act Notice, see page 4. 32 Individual Taxpayer Identification Number / Name of company Cat. No. 10229L Phone number ( ) Parent Court-appointed guardian Power of Attorney Phone ( Fax ( EIN ) ) Form W-7 (Rev. 1-2006) FORM W-7/W-7(SP) CHECK LIST Prior to submitting your Form W-7 and attached documentation (if applicable) did you remember to: 1.Verify that you are completing the most current version of the Form W-7/W-7(SP). 2.Verify that the entries on the Form W-7/W-7(SP) do not conflict with the supporting documentation presented. 3.Ensure that the entries are typewritten or printed clearly and legibly in ink. 4.Ensure that you checked the appropriate box indicating the “Reason you are Submitting Form W-7/W-7(SP).” 5.Verify that the name on Line 1 matches the name on the supporting documentation. 6.Enter your complete mailing address on line 2. 7.Enter your permanent foreign address on Line 3, or if you have relocated to the United States, just enter the name of the foreign country where you last resided. 8.Verify that the country of birth is present on Line 4, and that the date of birth is entered in MM/DD/ YYYY format. 9.Place an “X” in the appropriate “gender” box on line 5. 10.Ensure that you entered your complete visa information (if applicable) on line 6c. 11.Check that all Form W-7/W-7(SP) applications have a signature that matches the signature on the supporting documentation, or in the case of a delegate, reflects the delegate’s relationship to the applicant. 12.Enter the date of the application in a MM/DD/YYYY format. 13.Submit: - Your completed valid U.S. Federal Income Tax Return or documents substantiating that you meet an exception to the tax return filing requirement. - A letter, form or other documentation from the Social Security Administration (if applicable) stating that you are not eligible to receive a SSN - A letter from the Designated School Official or Responsible Officer (if applicable) stating that you are here for the purposes of study and will not be receiving income for personal services, or Authorized School Official in the case of an honoraria payment. - Supporting documentation proving your identity and foreign status. 14.Attach Power of Attorney (POA) (if applicable) – Form 8821 or Form 2848. 15. Mail your package to: Internal Revenue Service ITIN Operation P.O. Box 149342 Austin, TX 78714-9342 or if using an overnight courier service: Internal Revenue Service Submission Processing Center ITIN Operation Mail Stop 6090-AUSC 3651 S. Interregional, Hwy 35 Austin, TX 78741-0000 Individual Taxpayer Identification Number 33 SAMPLE LETTER FROM WITHHOLDING AGENT (To Be Used as a Guide for Providing Required Information) (Written on Official Letterhead of Withholding Agent) To: IRS ITIN PROGRAM OFFICE To Whom it May Concern: This is to certify that Name of Account Holder has an account with this organization Account Number which will be generating income during the current tax year that is subject to IRS information reporting requirements and/or withholding of Federal income tax. The applicant, therefore, is requesting an ITIN to provide to us for our reporting, withholding and distribution procedures. Sincerely, Printed Name of Official Date of Signature Signature of Official 34 Individual Taxpayer Identification Number COPY OF FORM W-7 Application for IRS Individual Taxpayer Identification Number W-7 Application for IRS Individual Taxpayer Identification Number Form (Rev. February 2008) OMB No. 1545-0074 See instructions. For use by individuals who are not U.S. citizens or permanent residents. Department of the Treasury Internal Revenue Service FOR IRS USE ONLY An IRS individual taxpayer identification number (ITIN) is for federal tax purposes only. Before you begin: Do not submit this form if you have, or are eligible to obtain, 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 obtain ITIN to claim tax treaty benefit b Nonresident alien filing a U.S. tax return c U.S. resident alien (based on days present in the United States) filing a U.S. tax return d Dependent of U.S. citizen/resident alien e Spouse of U.S. citizen/resident alien f Nonresident alien student, professor, or researcher filing a U.S. tax return or claiming an exception g h Dependent/spouse of a nonresident alien holding a U.S. visa Other (see instructions) Additional information for a and f: Enter treaty country 1a First name Middle name Name (see instructions) Name at birth if different Applicant’s mailing address Foreign address 1b First name 2 Other information and treaty article number Last name Middle name Last name Street address, apartment number, or rural route number. If you have a P.O. box, see page 4. City or town, state or province, and country. Include ZIP code or postal code where appropriate. 3 (if different from above) (see instructions) Birth information Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions) Street address, apartment number, or rural route number. Do not use a P.O. box number. 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) / 6a Country(ies) of citizenship 6b Foreign tax I.D. number (if any) 5 Male Female 6c Type of U.S. visa (if any), number, and expiration date 6d Identification document(s) submitted (see instructions) Passport Issued by: Driver’s license/State I.D. USCIS documentation No.: Exp. date: / / Other Entry date in U.S. / / 6e Have you previously received a U.S. temporary taxpayer identification number (TIN) or employer identification number (EIN)? No/Do not know. Skip line 6f. Yes. Complete line 6f. If more than one, list on a sheet and attach to this form (see instructions). 6f Enter: TIN or EIN Name under which it was issued and 6g Name of college/university or company (see instructions) City and state Sign Here Length of stay 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 disclose to my acceptance agent returns or return information necessary to resolve matters regarding the assignment of my IRS individual taxpayer identification number (ITIN), including any previously assigned taxpayer identifying number. Signature of applicant (if delegate, see instructions) Date (month / day / year) / Keep a copy for your records. Acceptance Agent’s Use ONLY / Name of delegate, if applicable (type or print) Delegate’s relationship to applicant Signature Date (month / day / year) / Name and title (type or print) For Paperwork Reduction Act Notice, see page 4. / Name of company Cat. No. 10229L Phone number ( ) Parent Court-appointed guardian Power of Attorney Phone ( ) Fax ( ) EIN Office Code Form W-7 (Rev. 2-2008) Individual Taxpayer Identification Number 35 Publication 1915 (Rev. 1-2009) Catalog Number 22533M