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Form W-7 (Rev. August 2019) Department of the Treasury Internal Revenue Service

Application for IRS Individual

Taxpayer Identification Number

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

See separate instructions.

OMB No. 1545-0074

An IRS individual taxpayer identification number (ITIN) is for U.S. federal tax purposes only.

Before you begin.

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

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

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

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

Nonresident alien filing a U.S. federal tax return

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

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

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

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

Other (see instructions) ▶

Additional information for a and f: Enter treaty country ▶ and treaty article number ▶

Name (see instructions) Name at birth if different . . ▶	1a First name	Middle name	Last name
	1a First name	Middle name	Last name
Applicant's Mailing Address	2 Street address, apartment number, or rural route number. If you have a P.O. box, see separate instructions.
	City or town, state or province, and country. Include ZIP code or postal code where appropriate.
Foreign (nonU.S.) Address(see instructions)	3 Street address, apartment number, or rural route number. Don't use a P.O. box number.
	City or town, state or province, and country. Include postal code where appropriate.

Birth Information

4 Date of birth (month / day / year)

Country of birth

City and state or province (optional)

5	Male Female

Other Information

6a Country(ies) of citizenship

6b Foreign tax I.D. number (if any)

6c Type of U.S. visa (if any), number, and expiration date

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

Passport

Driver's license/State I.D.

USCIS documentation

Other

Issued by:

No.:

Exp. date:

Date of entry into the United States(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).

6f Enter ITIN and/or IRSN ▶

ITIN

IRSN

and

name under which it was issued ▶


First name	Middle name	Last name

	Name of college/university or company (see instructions) ▶
	City and state ▶	Length of stay ▶

Sign Here Keep a copy for your records.

Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I authorize the IRS to share information with my acceptance agent in order to perfect this Form W-7, Application for IRS Individual Taxpayer Identification Number

Signature of applicant (if delegate, see instructions)

Date (month / day / year)

Phone number

Name of delegate, if applicable (type or print)

Delegate's relationship to applicant

	Parent
	Court-appointed guardian
	Power of attorney

Acceptance Agent's Use ONLY

Signature

Date (month / day / year)

Phone
Fax

Name and title (type or print)

Name of company

EIN	PTIN
Office code