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8802 Application for United States - Internal …

form 8802(Rev. November 2018)Department of the Treasury Internal revenue ServiceApplication for United States residency Certification See separate No. 1545-1817 Important. For applicable user fee information, see the Instructions for form IRS use only:Additional request (see instructions)Foreign claim form attachedPmt Amt $ . Deposit Date: / / Date Pmt Vrfd: / /Electronic payment confirmation no. Applicant s nameApplicant s taxpayer identification numberIf a joint return was filed, spouse s name (see instructions)If a separate certification is needed for spouse, check here If a joint return was filed, spouse s taxpayer identification number1 Applicant s name and taxpayer identification number as it should appear on the certification if different from above2 Applicant s address during the calendar year

Form 8802 (Rev. April 2012) Department of the Treasury Internal Revenue Service. Application for United States Residency Certification See separate instructions.

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