Application for IRS Individual Taxpayer Identification Number

Form W-7 (Rev. August 2019)

Department of the Treasury Internal Revenue Service

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

An IRS individual taxpayer identificatio6+98*n number (ITIN) is for U.S. federal tax purposes only.

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

Don’t submit this form if you have, or are eligible to get, a U.S. social security number (SSN

Reason you’re submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, c, d, e, f, or g, you must file a U.S. federal tax return with Form W-7 unless you meet one of the exceptions (see instructions

Nonresident alien required to get an ITIN to claim tax treaty benefitNonresident alien filing a U.S. federal tax returnU.S. resident alien (based on days present in the United States) filing a U.S. federal tax returnDependent of U.S. citizen/resident alienSpouse of U.S. citizen/resident alienNonresident alien student, professor, or researcher filing a U.S. federal tax return or claiming an exceptionDependent/spouse of a nonresident alien holding a U.S. visaType option 7Other

e

Spouse of U.S. citizen/resident alien

U.S. resident alien based on days present in the United States filing a U.S. federal tax return If d, enter relationship to U.S. citizen/resident alien see instructions Dependent of U.S. citizen/resident alien If d or enter name and SSN/ITIN of U.S. citizen/resident alien see instructions

f

Nonresident alien student, professor, or researcher filing a U.S. federal tax return or claiming an exceptiongOther (see instructions)

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

Additional information for a and f: Enter treaty country

and treaty article number

Name

1b First nameMiddle nameLast name

Name

1b First nameMiddle nameLast name

Middle name

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

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

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

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

4Country of birth Date of birth (month / day / year)

Date

4Country of birth Date of birth (month / day / year)

Date

City and state or province (optional)5

MaleFemale

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

Date

6d Identification document(s) submitted (see instructions)

PassportDriver’s license/State I.D.

6d Identification document(s) submitted (see instructions)

USCIS documentationOther

Date of entry into the United States

Issued by

No.

Exp. date

Date

(MM/DD/YYYY)

6e Have you previously received an ITIN or an Internal Revenue Service Number (IRSN)?

No/Don’t know. Skip line 6f.Yes. Complete line 6f. If more than one, list on a sheet and attach to this form see instructions

Yes. Complete line 6f. If more than one, list on a sheet and attach to this form see instructions

ITIN

IRSN

and

Name

name under which it was issuedMiddle nameLast name

Last name

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

City and state

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 share information with my acceptance agent in order to perfect this Form W-7, Application for IRS Individual Taxpayer Identification Number.

Signature of applicant (if delegate, see instructions)

Name of delegate, if applicable (type or print)

Delegate’s relationship to applicant

ParentCourt-appointed guardianPower of attorney

Phone

Name and title (type or print)

EIN

PTIN

Office code

For Paperwork Reduction Act Notice, see separate instructions.

Application for IRS Individual Taxpayer Identification Number

Applicant’s

Mailing

Address

Birth Information

Information

Sign Here

Acceptance

Agent’s

Use ONLY