Transcription of Form 8946 PTIN Supplemental Application For Foreign ...
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Form 8946(Rev. June 2021)Department of the Treasury Internal Revenue Service PTIN Supplemental Application For Foreign Persons Without a Social Security Number Go to for the latest No. 1545-2189Do not submit this form if you have, or are eligible to get, a Social Security Number (SSN).Name (see instructions)1 First nameMiddle nameLast nameApplicant s Physical Address (see instructions)2a Street address, apartment number, or rural route number. Do not use a box City or town, state or province, country, and ZIP or Foreign postal codeBirth Information3a Date of birth (mm/dd/yyyy)b Country of birth4 MaleFemalec Name at birth (if different from line 1 above)First nameMiddle nameLast nameForeign Status and Identification Information5 Foreign status and identif
Registration Card U.S. Visa. Civil Birth Certificate. Foreign Military ID CardSign Here. Under penalties of perjury, I 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. Signature of applicant. Date. Phone number
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Instructions: Applying for a Certificate, Registration, Supplemental Certificate, Certificate, Application, Supplemental, Virginia, Registration Application, Instructions for Completing Application Form, APPORTIONED REGISTRATION APPLICATION, General Contractor Registration, SUPPLEMENTAL SECURE AND VERIFIABLE IDENTIFICATION, New York State Education Department