EN - ITIN Application Form

    ITIN Application Form

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    Name:
    Email:
    Phone:
    Marital Status:
    Address from your country of birth:

    Have you ever applied to be a green card holder?

    Have you ever changed your visa type or U.S immigration status?

    If you answered yes, indicate the date? (mm/dd/aaaa)
    If you answered yes, indicate the nature of the change:

    Enter your visa type? (Example: B1/B2 = Tourist/Investor)

    Please complete the following details of your passport:

    Number (Ex.: AB123456):
    Birth date (mm/dd/aaaa):
    Date of Expiry (mm/dd/aaaa):
    Date of entry into US (mm/dd/aaaa):
    Country, City and Birth State:
    Issued by (Ex.: Brasil):

    Give number of days you were present in the United States in the past 3 years:

    1:
    2:
    3:

    Did you file a US Income Tax return for any prior year?

    Did you receive any income during the fiscal year in the US?

    If you answered yes, please describe the date:

    Have you previously received an ITIN before?

    If yes, please inform your ITIN number:

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    ITIN Consent Form

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    To whom it may concern,

    I, hereby, consent that I have been clarified and informed by AES Accounting & Consulting LLC professional that I am applying for an Individual Tax-payer Identification Number, also known by the acronym ITIN, for the unique purpose of
    filling a personal TAX Return within the IRS.

    I am aware that the ITIN is not valid for work purposes under DHS regulations.

    Signature:

    Capa-2