Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal
Download a blank fillable Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form W-12 - Irs Paid Preparer Tax Identification Number (Ptin) Application And Renewal with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3W-12
IRS Paid Preparer Tax Identification Number (PTIN)
Form
Application and Renewal
OMB No. 1545-2190
(Rev. September 2012)
Department of the Treasury
Information about Form W-12 and its separate instructions is available at
▶
Internal Revenue Service
1 Name and PTIN
First name
Middle name
Last name
(Print in ink or
Type)
Initial application
Renewal application
(Enter PTIN: P
)
Street address. Use a P.O. box number only if the post office does not deliver mail to your street address.
2 Personal
Mailing
Address and
Phone Number
City or town, state/province, and, if outside U.S., country. Include ZIP or postal code where appropriate. Do
not abbreviate name of country.
Phone Number (
)
-
3 SSN and Date
SSN
Date of birth (month, day, year)
of Birth
-
-
/
/
4 Email Address Enter the email address that should be used to contact you.
5 Past Felony
Yes
No
Have you been convicted of a felony in the past 10 years?
Convictions
If “Yes,” list the date and the type of felony conviction(s) and explain why the Internal Revenue
Service should consider you suitable to practice.
6 Federal Tax
Are you current on both your individual and business federal taxes, including any corporate
Compliance
and employment tax obligations?
Yes
No
If you have never filed a U.S. individual income tax return because you are not required to do
so, check the “Yes” box.
If “No,” provide an explanation.
W-12
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 9-2012)
Cat. No. 55469F
ADVERTISEMENT
0 votes
Related Articles
Related forms
Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (ptin) Application And Renewal - 2014
Legal
Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (ptin) Application And Renewal - 2013
Financial
Instructions For Form W-12 - Irs Paid Preparer Tax Identification Number (ptin) Application And Renewal
Financial
Related Categories
Parent category: Financial