W7 form - example for Windows Phone 7, German

W-7
Application for IRS Individual
Form
Taxpayer Identification Number


(Rev. January 2010)
OMB No. 1545-0074

See instructions.

Department of the Treasury

Internal Revenue Service
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 get, 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 get 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

Enter name and SSN/ITIN of U.S. citizen/resident alien (see instructions)
N/A


e
Spouse of U.S. citizen/resident alien
N/A


f

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


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

h

Other (see instructions)
Exception 1(d) – Royality Income

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

12

1a First name
Middle name
Last name

Name





Max
N/A
Mustermann
(see instructions)

1b First name
Middle name
Last name
Name at birth if




different
N/A
N/A
N/A

2
Street address, apartment number, or rural route number. If you have a P.O. box, see page 4.
Applicant’s


Musterstrasse 123
mailing address
City or town, state or province, and country. Include ZIP code or postal code where appropriate.


12345 Musterstadt, Baden-Wuerttenberg, Germany
Foreign (non-
3
Street address, apartment number, or rural route number. Do not use a P.O. box number.


U.S.) address
N/A

(if different from
City or town, state or province, and country. Include ZIP code or postal code where appropriate.
above)

(see instructions)
N/A

Birth
4
Date of birth (month / day / year)
Country of birth
City and state or province (optional)
5
Male




information
12
/
01
/


1900
Germany
Musterdorf
Female



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
Other






information
Germany
[Steuernr.]
N/A
6d

Identification document(s) submitted (see instructions)
Passport
Driver’s license/State I.D.




USCIS documentation
Other
Entry date in

Issued by: Germany No.:

[Passnr.]
Exp. date: 12 / 30 / 2020 United States
/
/ N/A



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

N/A
and

Name under which it was issued
N/A

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

City and state N/A

Length of stay
N/A

Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including
Sign
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
Here
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)
Phone number



/
/
(
)
+49
Tel.Nr.


Name of delegate, if applicable (type or print)
Delegate’s relationship
Keep a copy for
Parent
Court-appointed guardian

to applicant

your records.


N/A

Power of Attorney


Signature

Date (month / day / year)
Phone (
)
Acceptance



/
/
Fax
(
)
Agent’s


Name and title (type or print)
Name of company
EIN

Use ONLY



Office Code



For Paperwork Reduction Act Notice, see page 5.
Cat. No. 10229L
Form W-7 (Rev. 1-2010)

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