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ITIN Application Interview Form

Personal Information

Full Name *

Date of birth *

Phone *

Address

Street Address *

City *

State *

Country

Enter your country

Postal Code

Country of Citizenship: *

Email *

Foreign Status Verification (select one):

Passport

National

Other

Spouse Information (If Applicable)

Full Name of Spouse:

Spouse Date of Birth

Spouse Country of Citizenship :

Spouse Foreign Status Verification (select one):

Passport

National ID

Other

Tax and Income Information

Will you attach a federal income tax return?

Yes

No

Have you had any income in past years?

Yes

No

If yes, for which years?

Approx. date of entry into the U.S.:

TII Filing Status:

Single

Married Filing Jointly

Other

ITIN for Dependents

Need ITIN for dependents?

Yes

No

Dependents' Information:

Dependent #1 Name

Dependent #1 Date of Birth

Dependent #2 Name

Dependent #2 Date of Birth

Signature ITIN *

FOLLOW THE PROCESS

ITIN final SIgnature

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