W-7 Application for IRS Individual Taxpayer Identification N

Caution: DRAFT FORM
This is an advance proof copy of an IRS tax form.
It is subject to change and OMB approval before it
is officially released. You can check the scheduled
release date on our web site (www.irs.gov).
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I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM W-7, PAGE 1 OF 8
MARGINS; TOP 13mm (1⁄ 2 "), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216mm (81⁄ 2 ") x 279mm (11")
PERFORATE: PERFORATE ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Date

W-7

Action

Date

O.K. to print
Revised proofs
requested

Application for IRS Individual
Taxpayer Identification Number

Form
(Rev. January 2009)

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OMB No. 1545-0074

©

Department of the Treasury
Internal Revenue Service

©

Signature

See instructions.
For use by individuals who are not U.S. citizens or permanent residents.

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

1b First name
2

Other
information

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

and treaty article number
Last name

©

©

Applicant’s
mailing address
Foreign (non
U.S.) address

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

Keep a copy for
your records.

Acceptance
Agent’s
Use ONLY

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)

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 5.

/

/

Name of company

Cat. No. 10229L

Phone number
(

©

)

Parent
Court-appointed guardian
Power of Attorney
Phone (
)
Fax
(
)
EIN
Office Code
Form

W-7

(Rev. 1-2009)