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                                                                                               Department of the Treasury
                                                                                               Internal Revenue Service
Instructions for Form 8802

(Rev. October 2024)

(Use with the November 2018 revision of Form 8802.)
Application for United States Residency Certification

Section references are to the Internal Revenue Code unless       Other conditions for claiming treaty benefits.      In order to 
otherwise noted.                                                 claim a benefit under a tax treaty, there are other 
                                                                 requirements in addition to residence. These include the 
Future Developments                                              requirement that the person claiming a treaty-reduced rate of 
For the latest information about developments related to         withholding be the beneficial owner of the item of income and 
Form 8802 and its instructions, such as legislation enacted      meet the limitation on benefits article of the treaty, if 
after they were published, go to IRS.gov/Form8802.               applicable.
What's New                                                       The IRS cannot certify whether you are the beneficial 
                                                                 owner of an item of income or that you meet the limitation on 
Pay.gov upload requirement.      As of September 29, 2024,       benefits article, if any, in the treaty. You may, however, be 
taxpayers, both individual and business entities, applying for   required by a foreign withholding agent to establish directly 
a United States Certification of Residency are required to       with the agent that these requirements have been met.
upload a copy of their Form 8802 application when making a 
payment via Pay.gov. The attached Form 8802 is to validate                    You should examine the specific income tax treaty to 
the payment only. Taxpayers can submit more than one             TIP          determine if any tax credit, tax exemption, reduced 
application at a time. All applications must be combined into                 rate of tax, or other treaty benefit or safeguards apply. 
one PDF file. The PDF file is subject to a limitation of 15MB.   Income tax treaties are available at IRS.gov/businesses/
See Electronic Payment (e-payment), later.                       international-businesses/united-states-income-tax-treaties-a-
                                                                 to-z.
U.S. Residency Certification
                                                                 Value Added Tax (VAT)
Income Tax Treaty                                                Form 6166 can also be used as proof of U.S. tax residency 
Many foreign countries withhold tax on certain types of          status for purposes of obtaining an exemption from a VAT 
income paid from sources within those countries to residents     imposed by a foreign country. In connection with a VAT 
of other countries. The rate of withholding is set by that       request, the United States can certify only to certain matters 
country's internal law. An income tax treaty between the         in relation to your U.S. federal income tax status, and not that 
United States and a foreign country often reduces the            you meet any other requirements for a VAT exemption in a 
withholding rates (sometimes to zero) for certain types of       foreign country.
income paid to residents of the United States. This reduced 
rate is referred to as the treaty-reduced rate.
                                                                 General Instructions
Many U.S. treaty partners require the IRS to certify that the 
person claiming treaty benefits is a resident of the United      Purpose of Form
States for federal tax purposes. The IRS provides this           Form 8802 is used to request Form 6166, a letter of U.S. 
residency certification on Form 6166, a letter of U.S.           residency certification for purposes of claiming benefits 
residency certification. Form 6166 is a computer-generated       under an income tax treaty or VAT exemption. You cannot use 
letter printed on stationery bearing the U.S. Department of      Form 6166 to substantiate that U.S. taxes were paid for 
Treasury letterhead, which includes the facsimile signature of   purposes of claiming a foreign tax credit.
the Field Director, Philadelphia Accounts Management             You cannot claim a foreign tax credit to reduce your U.S. 
Center.                                                          tax liability with respect to foreign taxes that have been 
                                                                 reduced or eliminated by reason of a treaty. If you receive a 
Form 6166 will only certify that, for the certification year     refund of foreign taxes paid with the benefit of Form 6166, 
(the period for which certification is requested), you were a    you may need to file an amended return with the IRS to adjust 
resident of the United States for purposes of U.S. taxation or,  any foreign tax credits previously claimed for those taxes.
in the case of a fiscally transparent entity, that the entity, 
when required, filed an information return and its partners/     When To File
members/owners/beneficiaries filed income tax returns as         You should mail your application, including full payment of the 
residents of the United States.                                  user fee, at least 45 days before the date you need to submit 
Upon receiving Form 6166 from the IRS, unless otherwise          Form 6166. We will contact you after 30 days if there will be a 
directed, you should send Form 6166 to the foreign               delay in processing your application. You can call 
withholding agent or other appropriate person in the foreign     267-941-1000 (not a toll-free number) and select the U.S. 
country to claim treaty benefits. Some foreign countries will    residency option if you have questions regarding your 
withhold at the treaty-reduced rate at the time of payment,      application.
and other foreign countries will initially withhold tax at their Early submission for a current year certification.        The 
statutory rate and will refund the amount that is more than the  IRS cannot accept an early submission for a current year 
treaty-reduced rate on receiving proof of U.S. residency.        Form 6166 that has a postmark date before December 1 of 

Aug 27, 2024                                                   Cat. No. 10827V



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the prior year. Requests received with a postmark date earlier   Multiple Forms 8802.  If you are submitting multiple Forms 
than December 1 will be returned to the sender. For example,     8802, you can submit a single check or money order payment 
a Form 6166 request for 2024:                                    to cover the aggregate amount of the user fee for all Forms 
Received with a postmark date before December 1, 2023,         8802.
cannot be processed;
Received with a postmark date on or after December 1,                 No more than 200 Forms 8802 can be associated 
2023, can be processed with the appropriate documentation.         !    with one check or money order.
                                                                 CAUTION
User Fee
Form 8802 application(s) will not be processed until the         Note.  If you pay by check, it will be converted into an 
nonrefundable user fee is paid. The user fee is for the          electronic funds transfer (EFT). This means we will copy your 
number of applications submitted, not the number of              check and use the account information on it to electronically 
certifications requested.                                        debit your account for the amount of the check. The debit 
                                                                 from your account will usually occur within 24 hours, and will 
Requests by individual applicants.   The user fee for a          be shown on your regular account statement. You will not 
request by an individual applicant is $85 per Form 8802,         receive your original check back. We will destroy your original 
regardless of the number of countries for which certification is check, but we will keep a copy of it. If the IRS cannot process 
requested or the number of tax year(s) to which the              the EFT for technical reasons, you authorize us to process 
certification applies. For this purpose, an individual applicant the copy of the check.
means an individual who is a citizen of the United States or a 
resident thereof, within the meaning of section 7701(b)(1)(A).   Electronic Payment (e-payment)
Requests by applicants other than individuals.      The 
user fee for an application by each nonindividual applicant is   Pay.gov requires taxpayers applying for a United States 
$185 per Form 8802.                                              Certification of Residency to upload a copy of their Form 
  Fiscally transparent entities.  A partnership, S               8802 application when making a payment. Uploading Form 
corporation, grantor trust, or other fiscally transparent entity 8802 is only for payment validation/reconciliation purposes. 
pays a single $185 user fee per Form 8802 application with       Uploads are subject to a 15MB size limit. Taxpayers may 
respect to all Forms 6166 issued under its employer              submit more than one application at a time; however, the file 
identification number (EIN), notwithstanding that the IRS will   size must be under 15MB. Taxpayers still need to submit their 
verify the tax status of each of the partners, owners, or        Form 8802 for processing to the United States Residency 
beneficiaries of the entity who have consented to the request    Certification function via mail or fax. See Where To File, later.
for certification.
                                                                   Go to Pay.gov, and enter "IRS Certs" in the search box. At 
  Custodial accounts.     A custodian requesting certification 
                                                                 the "IRS Certs" topic, click the "Continue" button. Follow the 
on behalf of an account holder pays a user fee for each 
                                                                 on-screen prompts, and enter the required information when 
account holder taxpayer identification number (TIN). The 
                                                                 requested.
custodian will pay a user fee of $85 or $185, depending on 
whether that account holder is an individual or a                  The user fee website requires the entry of the following 
nonindividual applicant.                                         information.
Multiple requests. Because an applicant must pay the user        Applicant's name.
fee of either $85 or $185 for each separate Form 8802            Applicant's TIN or EIN.
submitted, the IRS encourages each applicant to include all      Submitter's name (name of person or entity submitting the 
Form 6166 requests on a single Form 8802 (separate for           payment).
individual and nonindividual) to avoid multiple user fee         Contact email address.
charges.                                                         Contact phone number.
                                                                 Number of Form(s) 8802 submitted.
Additional request. Additional requests for Form 6166              Selection of bank account (Automatic Clearing House 
                                                                 
submitted on a separate Form 8802, following the procedures      (ACH)) or debit or credit card, which will open a window for 
established under Additional Requests, later, will require the   account information.
payment of the applicable user fee.
3-year procedure.  You are required to pay the applicable        Note.  User Fee will automatically populate based on the 
user fee for each Form 8802 application submitted under the      applicant type.
3-year procedure. See Certification Under the 3-Year 
Procedure, later.                                                  Once the IRS processes your e-payment, you will receive 
                                                                 an e-payment confirmation number for the transaction. Enter 
Method of Payment                                                the e-payment confirmation number on page 1 of Form 8802 
                                                                 before you submit the application. You can use either the 
Payment of the user fee can be by check, money order, or         Agency Tracking ID or the Pay.gov ID as the e-payment 
e-payment.                                                       confirmation number. Either one is acceptable. If you make 
                                                                 an e-payment covering multiple Forms 8802, write the same 
Check or Money Order                                             e-payment confirmation number on each form.
Form 8802 must be accompanied by a check or money order                 The IRS will not process Form 8802 if the application 
in U.S. dollars, payable to the United States Treasury, in the     !    does not include the e-payment confirmation number.
                                                                 CAUTION
appropriate amount. Do not submit foreign checks. Do not 
send cash.

2                                                                               Instructions for Form 8802 (Rev. 10-2024)



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Supplemental User Fee Payment                                     An entity may be considered subject to tax on its worldwide 
                                                                  income even if it is statutorily exempt from tax, such as a 
If the U.S. Residency Certification Unit contacts you to make     pension fund or charity. Similarly, individuals are considered 
a supplemental payment, you can use the electronic payment        subject to tax even if their income is less than the amount that 
page at the Pay.gov website (discussed earlier) to make the       would require that they file an income tax return.
payment. Click the "Supplement Payment" checkbox at the             In general, the IRS will issue Form 6166 only when it can 
input screen.                                                     verify that, for the year for which certification is requested, 
                                                                  one of the following applies.
Where To File                                                       You filed an appropriate income tax return (for example, 
                                                                  
The method by which you can submit Form 8802 to the IRS           Form 1120 for a domestic corporation).
depends upon how you choose to pay the user fee.                  In the case of a certification year for which a return is not 
                                                                  yet due, you filed a return for the most recent year for which a 
Payment by Check or Money Order                                   return was due.
If you are paying the user fee by check or money order, send      You are not required to file an income tax return for the tax 
the payment, Form 8802, and all required attachments to:          period on which certification will be based and other 
                                                                  documentation is provided.
  Internal Revenue Service
  US Residency Certification                                      Who Is Not Eligible for Form 6166
  Philadelphia, PA 19255-0625                                     In general, you are not eligible for Form 6166 if, for the tax 
                                                                  period for which your Form 6166 is based, any of the 
Or, by private delivery service to:                               following applies.
                                                                  You did not file a required U.S. return.
  Internal Revenue Service                                        You filed a return as a nonresident (including Form 
  2970 Market Street                                              1040-NR, Form 1040-NR-EZ, Form 1120-F, Form 1120-FSC, 
  BLN# 3-E08.123                                                  or any of the U.S. territory tax forms).
  Philadelphia, PA 19104-5016                                     You are a dual resident individual who has made (or 
                                                                  intends to make), pursuant to the tie-breaker provision within 
E-Payment                                                         an applicable treaty, a determination that you are not a 
After you have received your e-payment confirmation               resident of the United States and are a resident of the other 
number, and entered it on page 1 of Form 8802, you can            treaty country. For more information and examples, see 
submit Form 8802 and all required attachments by mail,            Regulations section 301.7701(b)-7.
private delivery service, or fax (see below for limitations on    You are a fiscally transparent entity organized in the United 
the use of faxed transmissions).                                  States (that is, a domestic partnership, domestic grantor 
                                                                  trust, or domestic LLC disregarded as an entity separate from 
  If you are paying the user fee by e-payment, send Form          its owner) and you do not have any U.S. partners, 
8802 and all required attachments to:                             beneficiaries, or owners.
                                                                  The entity requesting certification is an exempt 
  Department of the Treasury                                      organization that is not organized in the United States.
  Internal Revenue Service                                        The entity requesting certification is a trust that is part of an 
  Philadelphia, PA 19255-0625                                     employee benefit plan during the employee benefit plan's first 
                                                                  year of existence, and it is not administered by a qualified 
Or, by private delivery service to:                               custodian bank, as defined in 17 CFR 275.206(4)-2(d)(6)(i).

  Internal Revenue Service                                        Special Rules
  2970 Market Street
  BLN# 3-E08.123                                                  Certification Under the 3-Year Procedure
  Philadelphia, PA 19104-5016                                     Estates, employee benefit plans/trusts, and exempt 
                                                                  organizations (lines 4d, 4g, and 4h) can submit a Form 8802 
Fax. You can fax up to 10 Forms 8802 (including all required      that covers up to a 3-year period (the current year and the 
attachments) for a maximum of 100 pages to the fax numbers        following 2 tax years). If you request certification under this 
below. You must use a fax cover sheet stating the number of       procedure, you must submit a Form 8802 for each year, but in 
pages included in the transmission.                               years 2 and 3 you only need to attach a copy of the year 1 
                                                                  Form 8802 (including the penalties of perjury statement), 
       The following fax numbers are available.
                                                                  provided there are no material changes to the information 
                                                                  entered on the Form 8802 in year 1.
877-824-9110 (within the United States only, toll free).                Certification will not be issued to a trust that is part of 
304-707-9792 (inside or outside the United States, not toll       !     an employee benefit plan during the employee 
free).                                                            CAUTION benefit plan’s first year of existence, unless it is 
                                                                  administered by a qualified custodian bank, as defined in 17 
Who Is Eligible for Form 6166                                     CFR 275.206(4)-2(d)(6)(i).
In general, under an income tax treaty, an individual or entity 
is a resident of the United States if the individual or entity is Note. If you choose to use the 3-year procedure, write “Filed 
subject to U.S. tax by reason of residence, citizenship, place    Under the 3-Year Procedure” at the top of page 1 of the 
of incorporation, or other similar criteria. U.S. residents are   Form(s) 8802 filed for each year.
subject to tax in the United States on their worldwide income. 

Instructions for Form 8802 (Rev. 10-2024)                                                                                         3



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  You cannot use this procedure if there is a material change      3. You are a bona fide resident of a U.S. territory.
of fact (including name or permanent address) with respect to 
the estate, employee benefit plan/trust, or exempt                 If you are a dual resident described in category 1, above, 
organization during the period for which the certification is    your request may be denied unless you submit evidence to 
requested.                                                       establish that you are a resident of the United States under 
                                                                 the tie-breaker provision in the residence article of the treaty 
First year. In the first year for which a certification is       with the country for which you are requesting certification.
requested under this procedure, you must submit a 
completed Form 8802, signed and dated by the applicant,            If you are described in category 2 or 3, attach a statement 
with the current year entered on line 7. Attach Form 2848,       and documentation to establish why you believe you should 
Power of Attorney and Declaration of Representative, or Form     be entitled to certification as a resident of the United States 
8821, Tax Information Authorization, as applicable, to Form      for purposes of the relevant treaty. Under many U.S. treaties, 
8802. Form 2848 or Form 8821 must apply to all of the years      U.S. citizens or green card holders who do not have a 
for which certification is requested. For the rules relating to  substantial presence, permanent home, or habitual abode in 
Forms 2848 and 8821, including the 3-year procedure, see         the United States during the tax year are not entitled to treaty 
Line 3b. Third Party Appointee's Information, later.             benefits. U.S. citizens or green card holders who reside 
  In year 1, a penalties of perjury statement is required        outside the United States must examine the specific treaty to 
stating that the applicant is a U.S. resident and will continue  determine if they are eligible for treaty benefits and U.S. 
to be so through the current tax year and the following 2 tax    residency certification. See Exceptions, later.
years. See Table 2 for the penalties of perjury statement for 
                                                                   If you are described in category 2 and are claiming treaty 
the 3-year procedure that you must enter on line 10 of Form 
                                                                 benefits under a provision applicable to payments received in 
8802 or attach to the form.
                                                                 consideration of teaching or research activities, see Table 2 
Second year. In the second year for which certification is       for the penalties of perjury statement you must either enter on 
requested under this procedure, you must submit a                line 10 of Form 8802 or attach to the form.
completed Form 8802 requesting certification for year 2 with 
a copy of the year 1 Form 8802 (including the penalties of       Exceptions
perjury statement) and Form 2848 or Form 8821 attached, as 
applicable.
                                                                 You do not need to attach the additional statement or 
  Enter the current year on line 7. A penalties of perjury       documentation requested if you:
statement and signature are not required on the Form 8802        Are a U.S. citizen or green card holder; and
filed in year 2. However, you must enter “See attached year 1    Are requesting certification only for Bangladesh, Bulgaria, 
Form 8802 filed under the 3-year procedure” on line 10.          Cyprus, Iceland, India, Kazakhstan, Malta, New Zealand, 
Third year. In the third year for which certification is         Russia, South Africa, Sri Lanka, or Ukraine; and
requested under this procedure, you must submit a                The country for which you are requesting certification and 
completed Form 8802 requesting certification for year 3 and      your country of residence are not the same.
attach a copy of the year 1 Form 8802 (including the 
penalties of perjury statement) and Form 2848 or Form 8821       Form 1116, Foreign Tax Credit
attached, as applicable.                                         If you have filed or intend to file a Form 1116 claiming either a 
  Enter the current year on line 7. A penalties of perjury       foreign tax credit amount in excess of USD $5,000 or a 
statement and signature are not required on the Form 8802        foreign tax credit for any amount of foreign earned income for 
filed in year 3. However, you must enter “See attached year 1    the tax period for which certification is requested, you must 
Form 8802 filed under the 3-year procedure” on line 10.          submit evidence that you were (or will be if the request 
                                                                 relates to a current year) a resident of the United States and 
Form 8802 Filed Before Return Posted by the                      that the foreign taxes paid were not imposed because you 
                                                                 were a resident of the foreign country.
IRS
If your return has not been posted by the IRS by the time you      In addition, individuals who have already filed their federal 
file Form 8802, you will receive a request to provide a signed   income tax return must submit a copy of it, including any 
copy of your most recent return. If you recently filed your      information return(s) relating to income, such as Form W-2 or 
return, it may take less time to process your application if you Form 1099, along with the Form 1116. Your request for U.S. 
include a copy of the income tax return with your Form 8802.     residency certification may be denied if you do not submit the 
Write “COPY — do not process” on the tax return.                 additional materials.

Individuals With Residency Outside the United                    United Kingdom
States                                                           If you are applying for relief at source from United Kingdom 
If you are in any of the following categories for the current or (U.K.) income tax or filing a claim for repayment of U.K. 
prior tax year for which you request certification, you must     income tax, you may need to complete a U.K. certification 
submit a statement and documentation, as described below,        form (US-Individual 2002 or US-Company) in addition to 
with Form 8802.                                                  Form 8802. For copies of these forms, contact HM Revenue 
  1. You are a resident under the internal law of both the       and Customs.
United States and the treaty country for which you are             On the Internet at HMRC.gov.uk, enter "US Double 
requesting certification (you are a dual resident).                Taxation" in the search box, and scroll down to the 
  2. You are a lawful permanent resident (green card               link for the Form US-Individual 2002 or Form 
holder) of the United States or U.S. citizen who filed Form      US-Company.
2555.

4                                                                            Instructions for Form 8802 (Rev. 10-2024)



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        Call 011-44-135-535-9022 if calling from outside the 
                                                                  Applicant's Name and U.S. Taxpayer 
        U.K., or 0300-200-3300 if calling from the U.K.
                                                                  Identification Number
Send the completed U.K. form to the IRS with your                 As part of certifying U.S. residency, the IRS must be able to 
completed Form 8802.                                              match the name(s) and taxpayer identification number(s) 
                                                                  (TIN(s)) on this application to those previously verified on 
                                                                  either the U.S. return filed for the tax period for which 
Specific Instructions                                             certification is to be based or on other documentation you 
                                                                  provide.
Checkboxes at Top of Page 1                                       Enter the applicant's name and TIN exactly as they 
                                                                  appear on the U.S. return filed for the tax period(s) for which 
Additional Requests                                               certification will be based. If the applicant was not required to 
Check this box if you are submitting Form 8802 to request         file a U.S. return, enter the applicant's name and TIN as they 
additional Form(s) 6166 for a tax period for which the IRS has    appear on documentation previously provided to the IRS (for 
previously issued a Form 6166 to you. Additional requests on      example, Form 8832), or on documentation provided by the 
a separate Form 8802 will require the payment of the              IRS (for example, a determination letter).
applicable nonrefundable user fee. See User Fee, earlier.
                                                                  Joint return. If a joint income tax return was filed for a tax 
An applicant can only use this additional request                 period for which certification will be based, enter the 
procedure if there are no changes to the applicant's tax          spouse's name and TIN exactly as they appear on the return 
information provided on the original Form 8802. An applicant      filed.
can use this procedure to obtain a Form 6166 for any country      Change in taxpayer's name. If the taxpayer's name has 
or countries, whether or not the country was identified on a      changed since the most recent Form 8802 was filed with the 
previously filed Form 8802. An additional request for Form        IRS, the Form 8802 and tax disclosure authorization for each 
6166 using this procedure must be made within 12 months of        individual or entity must be submitted under the taxpayer's 
the most recently issued Form 6166 relating to the same tax       new name. In addition, the taxpayer must submit 
period.                                                           documentation of the name change with Form 8802 (for 
Additional documentation. If you are requesting                   example, trust agreement, corporate charter).
certification for a previously identified country and if          Certification will not be issued if the name change has not 
additional documentation was necessary for the original           been updated in the IRS database. Businesses and trusts or 
application, it does not need to be resubmitted with the          estates can notify the IRS of a name change by checking the 
request for an additional Form 6166. In the signature line of     appropriate box on Forms 1120, 1120S, 1065, or 1041, when 
the additional request form, write “See attached copy of the      filed. Individuals can indicate a name change on Form 1040 
original Form 8802.” Attach a copy of the original Form 8802.     when filed. If you change your name and address, you can 
If you are requesting Form 6166 for a country not identified      notify the IRS of the changes on Form 8822. Individuals 
on a previously filed Form 8802 that requires documentation       should also notify the Social Security Administration (SSA) of 
not previously submitted, you must include that                   a name change by filing Form SS-5 with the SSA. See https://
documentation with the additional request. Sign and date the      faq.ssa.gov/en-US/Topic/article/KA-01981 for more 
additional request form. Attach a copy of the original Form       information.
8802.                                                                     For additional information on how to notify the IRS of 
Additional request made by third party appointees.                        your new name, you can also contact customer 
Third party appointees cannot use this special procedure to               service. For businesses, the number is 
request additional Form(s) 6166 for countries that were not       800-829-4933. For individuals, the number is 800-829-1040. 
originally authorized by the taxpayer in their previously signed  If you are deaf, hard of hearing, or have a speech disability 
and dated Form 8802. If you anticipate using the additional       and have access to TTY/TDD equipment, you can call 
request procedure to authorize a third party appointee to         800-829-4059.
request additional Forms 6166 for a country not identified in 
your current Form 8802, you must include on line 10 a written     Line 2. Applicant's Address
statement authorizing the third party appointee to request        Enter your address for the calendar year for which you are 
Form 6166 covering the same tax period for any country.           requesting certification. If you are an individual who lived 
                                                                  outside the United States during the year for which 
Foreign Claim Form
                                                                  certification is requested, the special rules under Individuals 
Check the box if you have included with Form 8802 a foreign       With Residency Outside the United States, earlier, may apply 
claim form sent to you by a foreign country. The submission       to you.
or omission of a foreign claim form will not affect your 
residency certification. If the IRS does not have an                      Do not enter a P.O. box number or C/O address. 
agreement with the foreign country to date stamp or               !       Certification may be denied if the applicant enters a 
otherwise process the form, we will not process it and we will    CAUTION P.O. box or C/O address.
mail the foreign claim form back to you.
        For more information about foreign countries with         Line 3a. Mailing Address
        which the IRS has an agreement to process a foreign       Form 6166 and any related correspondence can be mailed to 
        claim form, call the U.S. residency certification unit at you or to a third party appointee. If you provide an address on 
267-941-1000 (not a toll-free number).                            line 3a, it will be used for all mail correspondence relating to 
                                                                  your Form 6166 request. If you do not indicate a mailing 
                                                                  address on line 3a, the IRS will mail Form 6166 to the 

Instructions for Form 8802 (Rev. 10-2024)                                                                                          5



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address on line 2. If the mailing address entered on line 3a is   before the IRS and/or receive and inspect confidential tax 
for a third party appointee, you must provide written             information. If your appointee has a CAF number, enter it on 
authorization on line 3b for the IRS to release the certification line 3b.
to the third party.
                                                                  Form 8821 and Form 2848.    Form 8821 is used to authorize 
        All correspondence will be addressed to either the        disclosure of tax information to a third party designee of the 
  !     applicant or the third party appointee, if applicable. If taxpayer. Form 8821 cannot be used to authorize a third 
CAUTION you do not indicate a mailing address on line 3a, the     party to sign Form 8802 on your behalf, and it does not 
IRS will mail Form 6166 to the taxpayer at the address on         authorize a third party to represent you before the IRS. 
line 2. However, if you have a third party appointee on line 3b,  According to section 6103(c) and the regulations thereunder, 
complete line 3a and if applicable, attach Form 8821 or Form      authorization on Form 8821 will not be accepted if it covers 
2848. The IRS will send Form 6166 to any designated third         matters other than federal tax matters.
party appointee(s) at the address on line 3a.                       Form 2848 authorizes a third party to represent you before 
                                                                  the IRS. Only individuals who are recognized to practice 
Mailing Form 6166 to a Foreign Address                            before the IRS can be authorized to represent you. The only 
Form 6166, U.S. Residency Certification, can be mailed to a       individuals who can be recognized representatives are the 
foreign address if the address is listed on the Form 8802. If     following.
you want a certificate to be mailed to a foreign country by       Attorneys.
express courier, you must provide a DHL prepaid label and         Certified Public Accountants.
envelope/box.                                                     Enrolled Agents.
                                                                  Enrolled Actuaries (the authority to practice before the IRS 
Note. If you want domestic express delivery, you must             is limited).
provide a UPS or FEDEX prepaid label and envelope/box.            Student attorney or CPA (must receive permission to 
.                                                                 practice before the IRS).
                                                                  Enrolled Retirement Plan Agents (the authority to practice 
  Carriers require you to provide a pick-up address and a         before the IRS is limited).
phone number on the pre-paid shipping label. The pick-up          Certain individuals who have a special relationship or 
address and phone number is                                       status with the taxpayer.
  Internal Revenue Service                                          For more information, see Pub., 947, Practice Before the 
  2970 Market St.                                                 IRS and Power of Attorney.
  Philadelphia, PA 19104                                            In general, you do not need to fill out line 3b if you have 
  267-466-1679                                                    attached Form 2848 or Form 8821. On line 3b, write “See 
                                                                  attached authorization.” Attach a Form 2848 or Form 8821 for 
                                                                  each third party that you authorize to receive your tax 
Line 3b. Third Party Appointee's                                  information. If you have multiple third party appointees, see 
Information                                                       the Instructions for Form 2848 or Form 8821.
Enter the name of your third party appointee(s) on line 3b of     3-year procedure.  Under the 3-year procedure, the third 
Form 8802. Providing this information constitutes written         party appointee completes a Form 8802 in the first year that 
authorization for the IRS to communicate with the third party     must be signed and dated by the applicant. In the following 2 
appointee(s) identified on line 3b when you submit the signed     tax years, the third party appointee must complete a new 
and dated Form 8802.                                              Form 8802 that is not required to be signed and dated by the 
  The third party appointee identified on line 3b should be       applicant. Form 2848 or Form 8821 must be attached to 
someone the IRS can communicate with in order to resolve          Form 8802 in year 1 and must indicate all years in the 3-year 
questions related to the processing of your Form 8802. This       period for which certification is requested.
individual should be knowledgeable about Form 8802 and              For more information, see Certification Under the 3-Year 
able to respond to any IRS questions regarding your Form          Procedure, earlier.
8802. If you enter an entity such as a corporation or trust on 
line 3b, identify a specific individual at the entity who can     Line 4a. Individual
answer questions about your Form 8802. If you do not              Green card holder. If you are a resident alien with lawful 
identify a specific individual, the IRS is authorized to          permanent resident status who recently arrived in the United 
communicate with any person employed by the entity.               States and you have not yet filed a U.S. income tax return, 
  If you have multiple appointees, attach a list of the           you should provide a copy of your current Form I-551. Instead 
additional appointees not identified on line 3b whom the IRS      of a copy of your green card, you can attach a statement from 
can communicate with regarding your Form 8802. If only one        U.S. Citizenship and Immigration Services (USCIS) that gives 
individual is shown on line 3b, the IRS is authorized to          your alien registration number, the date and port of entry, 
communicate only with that person.                                date of birth, and classification. For more information on 
                                                                  determining your U.S. resident status for tax purposes, see 
  You are not required to enter the telephone or fax number       Nonresident Alien or Resident Alien in Pub. 519.
of your third party appointee. However, providing a telephone 
or fax number will expedite the processing of your Form 8802      Other U.S. resident alien. An individual who is not a lawful 
if the IRS has any questions. By providing a telephone or fax     permanent resident of the United States but who meets the 
number, you are authorizing the IRS to communicate with           “substantial presence test” under section 7701(b) is a 
your third party appointee(s).                                    resident alien for purposes of U.S. taxation. If you are a 
                                                                  resident alien under the substantial presence test and you 
  The Centralized Authorization File (CAF) contains               have not yet filed a U.S. income tax return for the year for 
information on third parties authorized to represent taxpayers 

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which certification is requested, you must attach a copy of       Sole proprietor. Include on line 6 the type of tax return, 
your current Form I-94. Enter the date (YYYYMMDD) your            name, TIN, and any other information that would be required 
status changed on the line provided. For information on           if certification were being requested for the individual owner 
determining your period of residency, see Substantial             that filed the Schedule C (Form 1040).
Presence Test in Pub. 519.
  Students, teachers, and trainees. If you filed Form 1040        Line 4b. Partnership
and you are in the United States under an “F-1,” “J-1,” “M-1,”    Partnerships are not considered U.S. residents within the 
or “Q-1” visa, include the following with Form 8802.              meaning of the residence article of U.S. income tax treaties. 
  1. A statement explaining why Form 1040 was filed.              A domestic partnership is not considered a U.S. resident, 
  2. A statement and documentation showing that you               even if all partners are U.S. residents. Treaty benefits are only 
reported your worldwide income.                                   available to a partner who is a U.S. resident whose 
                                                                  distributive share of partnership income includes the item of 
Note. Nonresident aliens present in the United States on          income paid to the partnership.
these visas may be exempt individuals for 2 or more years, 
and are not resident aliens under the substantial presence        Note. The Form 6166 issued to partnerships will include an 
test while they are exempt individuals. See section 7701(b)       attached list of partners that are U.S. residents. The IRS does 
(5).                                                              not certify the percentage of ownership interest of the listed 
                                                                  partners. It is the responsibility of the partnership to provide 
First-year election. If you are an individual who made or         such information to the withholding agent.
intends to make the first-year election under section 7701(b)
(4) applicable to the year for which certification is requested,  Include the following with Form 8802.
enter the date (YYYYMMDD) your status as a U.S. resident          1. The name and TIN of each partner for which 
for tax purposes will begin. For more information regarding       certification is requested and any additional information that 
the first-year election and determining your period of            would be required if certification were being requested for 
residency, see First-Year Choice in Pub. 519.                     each of those partners.
If you have made a first-year residence election under          2. Authorization (for example, Form 8821) from each 
section 7701(b)(4) applicable to the year for which you are       partner, including all partners listed within tiered 
requesting certification, attach to Form 8802 the election        partnerships. Each authorization must explicitly allow the 
statement you filed with your income tax return for the taxable   third party requester to receive the partner's tax information 
year of election.                                                 and must not address matters other than federal tax matters.
If, for the calendar year for which certification is requested, 
                                                                  3. Unless the requester is a partner in the partnership 
you have not yet filed a first-year residence election 
                                                                  during the tax year for which certification is requested, 
statement, attach to Form 8802 a statement that you intend 
                                                                  authorization from the partnership must explicitly allow the 
to file such statement and that you are eligible to make the 
                                                                  third party requester to receive the partnership's tax 
election.
                                                                  information. The authorization must not address matters 
Dual-status alien. An individual is a dual-status alien for       other than federal tax matters.
U.S. tax purposes if the individual is a part-year resident alien 
and a part-year nonresident alien during the calendar year(s)     An LLC that is classified as a partnership follows the 
for which certification is requested. Dual-status generally       above procedures. Members of the LLC are treated as 
occurs in the year an individual acquires status as a U.S.        partners.
resident or terminates such status. For example, you are a        Nominee partnership.   Do not check the partnership box on 
dual-status alien if you are a U.S. citizen or green card holder  line 4b. Instead, check line 4j and attach the information 
and you lost citizenship or green card holder status during       required by the instructions.
the same calendar year. You may also be a dual-status alien 
if you are a nonresident alien but due to meeting the             Line 4c. Trust
substantial presence test become a resident alien during the      Domestic and foreign grantor trusts and simple trusts can be 
same calendar year.                                               certified for U.S. residency, to the extent the owner of the 
  The dual-status alien classification does not occur merely      grantor trust or beneficiaries of simple trusts are U.S. 
due to a temporary absence from the United States, nor will       residents. Domestic complex trusts can be certified without 
multiple periods of temporary absence and re-entry into the       regard to the residence of the settler or beneficiaries.
United States create multiple periods of U.S. resident and 
                                                                  A trust is domestic if a court within the United States is 
nonresident status. For information and examples of a 
                                                                  able to exercise primary supervision over the administration 
dual-status alien, and to determine your period of residency, 
                                                                  of the trust and one or more U.S. persons has authority to 
see Pub. 519.
                                                                  control all substantial decisions of the trust.
  If you checked the dual-status box, enter the dates 
(YYYYMMDD) that correspond to the period that you were a          Grantor trust. Include the following with Form 8802.
resident of the United States during the year(s) for which        1. The name and TIN of each owner and any information 
certification is requested.                                       that would be required if certification were being requested 
                                                                  for each owner.
Partial-year Form 2555 filer. Check this box if you filed a 
Form 2555 that covered only part of a year for which              2. Authorization (for example, Form 8821) from each 
certification is requested. For each year that this applies,      owner. Each authorization must explicitly allow the third party 
enter the 8-digit dates (YYYYMMDD) that correspond to the         requester to receive the owner's tax information and must not 
beginning and ending of the period you were a resident of the     address matters other than federal tax matters.
United States.                                                    3. Unless the requester is a trustee of the trust, 
                                                                  authorization from the trust must explicitly allow the third 

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party requester to receive the trust's tax information. The       3. A statement that the bank or financial institution is a 
authorization must not address matters other than federal tax     trustee of the IRA.
matters.
  4. If the grantor trust is a foreign trust, also include a copy Common trust fund as defined in section 584.           Include 
of Form 3520-A with the foreign grantor trust owner               the following with Form 8802.
statement completed.                                              1. The name and TIN of each participant and any 
                                                                  information that would be required if certification were being 
Domestic complex trust. Unless the requester is a trustee         requested for each participant.
of the trust during the tax year for which certification is       2. Authorization (for example, Form 8821) from each 
requested, authorization from the trust must explicitly allow     participant. Each authorization must explicitly allow the third 
the third party requester to receive the trust's tax information. party requester to receive the participant's tax information 
The authorization must not address matters other than             and must not address any matters other than federal tax 
federal tax matters.                                              matters. If a pass-through entity is a participant, you must list 
Simple trust. A simple trust is not a resident, because all of    the partners/shareholders/owners/participants/members/
its income is required to be distributed currently to its         beneficiaries in the pass-through entity and obtain 
beneficiaries. A simple trust must, therefore, be certified at    authorization from each such participant.
the beneficiary level. Include the following with Form 8802.      3. Unless the requester is a trustee of the trust, 
  1. The name and TIN of each beneficiary and any                 authorization from the trust must explicitly allow the third 
information that is required to certify each beneficiary.         party requester to receive the trust's tax information. The 
                                                                  authorization must not address matters other than federal tax 
  2. Authorization (for example, Form 8821) from each 
                                                                  matters.
beneficiary. Each authorization must explicitly allow the third 
party requester to receive the beneficiary's tax information      A common trust fund that is seeking benefits from 
and must not address matters other than federal tax matters.      Switzerland with respect to dividends paid by a Swiss 
  3. Unless the requester is a trustee of the trust,              corporation must also attach to Form 8802 the name of each 
authorization from the trust must explicitly allow the third      participant and a statement that each participant listed is a 
party requester to receive the trust's tax information. The       trust forming part of a plan that is described in section 401(a), 
authorization must not address matters other than federal tax     403(b), or 457(b), or is a trust forming part of a plan 
matters.                                                          described in section 401(a), 403(b), or 457(b) that is within a 
                                                                  group trust described in Revenue Ruling 1981-100, 1981-13 
Group trusts described in Revenue Ruling 1981-100; in-            I.R.B. 33, as clarified and modified by Revenue Ruling 
cluding modifications from Revenue Rulings 2011-1,                2004-67, available at IRS.gov/irb/2004-28_IRB#RR-2004-67, 
2004-67, and 2014-24, and Announcement 2021-11.              A    and modified by Revenue Ruling 2011-1, available at 
group trust that has received a determination letter              IRS.gov/irb/2011-02_IRB#RR-2011-1, and Revenue Ruling 
recognizing its exempt status under section 501(a) must           2014-24, available at IRS.gov/irb/2014-37_IRB#RR-2014-24. 
attach a copy of that letter to Form 8802.                        Also, see Notice 2012-6, available at IRS.gov/irb/
  A group trust that is seeking benefits from Switzerland with    2012-03_IRB#NOT-2012-6.
respect to dividends paid by a Swiss corporation must also 
provide a statement that the trust is operated exclusively or     Line 4d. Estate
almost exclusively to earn income for the benefit of pension      If you are filing a Form 8802 on behalf of the estate of a 
funds that are themselves entitled to benefits under the          decedent, you must include proof that you are the executor or 
Switzerland Income Tax Treaty as a resident of the United         administrator of the decedent's estate. Form 8802 can be 
States.                                                           submitted on behalf of an estate for the year of the taxpayer's 
                                                                  death or any prior year. Proof can include a court certificate 
IRA. Domestic individual retirement arrangements                  naming you executor or administrator of the estate. U.S. 
(individual retirement accounts within the meaning of section     residency certification will be based on the tax information 
408(a) and Roth IRAs within the meaning of section 408A)          and residency of the decedent.
(collectively referred to as IRAs) can be certified as residents 
(without regard to the residence of the IRA holder). Either the   3-year procedure.  If you check box 4d, you may be able to 
IRA holder or the trustee of the IRA can request certification    use the 3-year procedure. See Certification Under the 3-Year 
on behalf of the IRA.                                             Procedure, earlier.

  An IRA holder requesting certification on behalf of an IRA      Line 4e. Corporation
must provide the IRA account name (that is, the IRA holder's 
                                                                  Generally, a corporation is a resident entitled to U.S. 
name) and number, the IRA holder's TIN, and a copy of Form 
                                                                  residency certification only if it is incorporated in the United 
8606 or Form 5498. Complete the remainder of Form 8802 
                                                                  States. An unincorporated domestic entity, such as an LLC, 
as if the IRA was requesting the certification.
                                                                  can be a resident if it is an association taxable as a 
  A bank or financial institution acting as the trustee for IRAs  corporation.
can request certification for multiple IRAs grouped by year 
and by country for which certification is requested. The bank     Certain foreign corporations can be treated as domestic 
or financial institution must include the following with Form     corporations if they qualify as U.S. corporations under 
8802.                                                             sections 269B, 953(d), and 1504(d). Only Canadian and 
                                                                  Mexican corporations are eligible to be treated as domestic 
  1. A list of IRA account names and account numbers for 
                                                                  corporations under section 1504(d). Foreign corporations 
which certification is requested.
                                                                  can obtain residency certification if they can establish that 
  2. A statement that each IRA account name and number            they are covered by these Code sections.
listed is an IRA within the meaning of section 408(a) or 408A.

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Corporations requesting U.S. residency certification on             1. Have met its Form 990 series information return filing 
behalf of their subsidiaries must attach a list of the              requirements; and
subsidiaries and the Form 851, filed with the corporation's         2. Attach to Form 8802 a copy of either the organization's 
consolidated return.                                                determination letter from the IRS or, if the organization is a 
Dual-resident corporation.   If you are requesting                  subordinate in a group exemption, the determination letter for 
certification for treaty benefits in the other country of           the central organization.
residence named on line 4e, certification depends on the            An exempt organization that has not received an IRS 
terms of the residence article of the relevant treaty. If the       determination letter recognizing its exempt status but has met 
treaty provides that benefits are available only if the             its Form 990-series filing requirements for its claimed exempt 
competent authorities reach a mutual agreement to that              status can submit a letter under penalties of perjury from an 
effect, request competent authority assistance in accordance        authorized official stating that the organization is exempt from 
with Revenue Procedure 2015-40, available at IRS.gov/irb/           federal income tax and specifying the exemption provision 
2015-35_IRB#RP-2015-40, before seeking certification.               under the Internal Revenue Code. The statement must 
                                                                    include an acknowledgment that a residency certification 
Line 4f. S Corporation
                                                                    letter issued by the IRS is not a ruling or determination letter 
S corporations are not considered U.S. residents within the         regarding the organization’s tax-exempt status for federal tax 
meaning of the residence article of U.S. income tax treaties.       purposes generally or regarding deductibility of contributions 
Treaty benefits are only available to a shareholder who is a        to or for the use of the organization under section 170, and 
U.S. resident for purposes of the applicable treaty. Include        may not be relied on as such.
the following with Form 8802.
1. The name and TIN of each shareholder for which                   The IRS will not issue a Form 6166 to an exempt 
certification is requested and any additional information that      organization that is not required to file a U.S. income tax 
would be required if certification were being requested for         return and that has not received a determination letter, unless 
each of those shareholders.                                         such organization has other means of proving U.S. residency 
2. Authorization (for example, Form 8821) from each                 for tax treaty purposes. For such an entity, include with Form 
shareholder. Each authorization must explicitly allow the third     8802 the entity's bylaws, corporate charter, trust agreement, 
party requester to receive the shareholder's tax information        etc.
and must not address any matters other than federal tax             Governmental entity. A federal, state, or local government 
matters.                                                            agency must attach to Form 8802 a copy of the agency’s 
3. Unless the requester is a shareholder in the S                   determination letter, private letter ruling, or revenue ruling 
corporation during the tax year for which certification is          regarding its tax-exempt or governmental entity status if it has 
requested, authorization from an officer with legal authority to    one. A federal, state, or local government that has not 
bind the corporation must explicitly allow the third party          obtained a determination letter, private letter ruling, or 
requester to receive the corporation's tax information. The         revenue ruling can submit in writing, on official government 
authorization must not address matters other than federal tax       letterhead, a letter under penalties of perjury from a legally 
matters.                                                            authorized government official stating that the organization is 
                                                                    a government agency. The statement must include an 
Line 4g. Employee Benefit Plan/Trust                                acknowledgment that a Form 6166 residency certification 
Trusts that are part of an employee benefit plan that is            letter issued by the IRS is not a ruling or determination letter 
required to file Form 5500 must include a copy of the signed        regarding the organization’s tax-exempt status for federal tax 
Form 5500 with Form 8802.                                           purposes generally or regarding deductibility of contributions 
                                                                    to or for the use of the organization under section 170, and 
An employee plan that is not subject to the Employee                may not be relied on as such.
Retirement Income Security Act (ERISA) or is not otherwise 
required to file Form 5500 must include with Form 8802 a            3-year procedure.  If you check box 4h, you may be able to 
copy of the employee benefit plan determination letter.             use the 3-year procedure. See Certification Under the 3-Year 
                                                                    Procedure, earlier.
An employee plan that is not required to file Form 5500 
and does not have a determination letter must provide               Line 4i. Disregarded Entity
evidence that it is entitled to certification. It must also provide Disregarded entities (DRE) are not considered U.S. residents 
a statement under penalties of perjury explaining why it is not     within the meaning of the residence article of U.S. income tax 
required to file Form 5500 and why it does not have a               treaties. Treaty benefits will only be available to a DRE owner 
determination letter.                                               who is a U.S. resident. The DRE type must be specified on 
        Certification will not be issued to a trust that is part of line 4i.
!       an employee benefit plan during the employee                Note.   See line 5 for more information regarding the DRE's 
CAUTION benefit plan’s first year of existence, unless it is 
administered by a qualified custodian bank, as defined in 17        owner information that may be required to be included with 
CFR 275.206(4)-2(d)(6)(i).                                          Form 8802.

3-year procedure.   If you check box 4g, you may be able to         Line 4j. Nominee Applicant
use the 3-year procedure. See Certification Under the 3-Year        If you act as a nominee for another person or entity, you must 
Procedure, earlier.                                                 provide all certification information required for each 
                                                                    individual or entity for which you are acting as a nominee. For 
Line 4h. Exempt Organization                                        example, if you are acting as a nominee for a resident alien, 
Generally, an organization that is exempt from U.S. income          you must attach the information required of applicants that 
tax must:                                                           are resident aliens. Similarly, if one of the entities for which 

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you are acting as a nominee is a partnership, then you must        On line 6, check the box corresponding to the entity type of 
submit the certification information for each of the partners      the owner, and enter the owner's name, address, and TIN.
requesting certification. In addition, you must include the        On line 10, enter a statement signed under penalties of 
following with Form 8802.                                          perjury if the single owner has not filed a Form 8832 with the 
1. Authorization (for example, Form 8821) from each                IRS (see Table 2).
individual or entity. Each authorization must explicitly allow 
the nominee applicant to receive the individual's or entity's      Line 7. Calendar Year of Request
tax information and must not address any matters other than        The certification period is generally 1 year. You can request 
federal tax matters.                                               certification for both the current year and any number of prior 
                                                                   years.
2. A statement under penalties of perjury signed by an 
individual with legal authority to bind the nominee applicant,       If you entered the most recent prior year on this line, see 
explicitly stating the nominee applicant is acting as an agent     Form 8802 Filed Before Return Posted by the IRS, earlier.
on behalf of the above-named individual(s) or entity(ies) for 
whom the Form 6166 is being requested.                               Enter the 4-digit (YYYY) calendar year(s) for which you are 
                                                                   requesting certification. However, see the Exception below.
Note. If you are a nominee partnership, do not provide 
information concerning your partners. The residence of your        Exception. If you were a dual-status alien during any year 
partners will not be verified.                                     for which you are requesting certification, enter instead the 
                                                                   8-digit dates (YYYYMMDD) that correspond to the beginning 
Line 5. Statement Required If                                      and ending of the period you were a resident of the United 
                                                                   States. You must show the specific period of residence for 
Applicant Did Not File a U.S. Income                               each year for which you are requesting certification. For 
Tax Return                                                         information on determining your period of residency, see Pub. 
If the applicant was not required to file a U.S. income tax        519.
return for the tax period(s) for which certification will be       Fiscal year taxpayers. Fiscal year filers also enter a 4-digit 
based, check the applicable box next to “No.” If the applicant     (YYYY) calendar year on line 7. You must request a separate 
does not fit in any of the categories listed, check “Other” and    calendar year certification for any part of a fiscal tax year that 
on the dotted line that follows enter the section that exempts     falls outside the calendar year.
the applicant from the requirement to file a U.S. income tax 
                                                                   Current year certification.  If the applicant requests 
return. See Table 1 for the statement required if the applicant 
                                                                   certification for purposes of claiming benefits under an 
did not file a U.S. income tax return.
                                                                   income tax treaty or VAT exemption for any period during the 
Line 6. Parent, Parent Organization, or                            current calendar year or a year for which a tax return is not 
                                                                   yet required to be filed with the IRS, the applicant must 
Owner                                                              include penalties of perjury statement(s) stating that such 
If you answered “Yes” to line 5, do not complete line 6.           applicant is a U.S. resident and will continue to be so 
If you answered “No” to line 5, you must complete line 6.          throughout the current tax year. See Table 2 for the current 
                                                                   year penalties of perjury statement you must enter on line 10 
If you answered “Yes” to line 6, check the appropriate box         of Form 8802 or attach to the form.
and enter the parent's, parent organization's, or owner's 
information. If the applicant is a minor child, enter the name,    Note. For VAT certification, the penalties of perjury 
address, and TIN of the parent who reported the child's            statement must include a statement that the business activity 
income.                                                            has not changed since the last return was filed. For more 
If you answered “No” to line 6, attach proof of the parent's,      information, see the instructions for line 10, later.
parent organization's, or owner's income and an explanation        3-year procedure. If you are using the 3-year procedure 
of why the parent is not required to file a tax return for the tax (discussed earlier), enter all years in the 3-year period, as 
period(s) for which certification is based.                        applicable, on the Form 8802 filed for the first year. For years 
Disregarded entity (DRE).      The single owner of a DRE           2 and 3, enter only the current calendar year for which you 
must include the following information on Form 8802.               are requesting certification.

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Table 1. Statement Required If Applicant Did Not File a U.S. Income Tax Return

IF the applicant was not 
required to file a U.S. income 
                                   THEN ...
tax return and the applicant 
is...
an individual                      attach proof of income (for example, an income statement, Form W-2, Form 1099, etc.) and a 
                                   written statement that explains why the individual is not required to file an income tax return for 
                                   the tax period(s) for which certification is based. If the individual is a U.S. citizen, the written 
                                   statement must be made under penalties of perjury.
a child under age 19, or under     attach a signed copy of the Form 8814.
age 24 if a full-time student, 
whose parent(s) elected to 
report the child's income on their 
return
a qualified subchapter S           attach proof of the election made on Form 8869, and all other requirements listed in the 
subsidiary (QSub) (include the     instructions for line 4f that apply to the parent S corporation. 
parent S corporation information 
on line 6 of Form 8802)
a trust or estate                  attach an explanation of why the trust or estate is not required to file Form 1041. 
a common trust fund                attach a copy of the determination letter or proof that a participant is not required to file.
a group trust                      attach a copy of the determination letter or private letter ruling. 
a partnership described in         attach a copy of the section 761(a) election submitted with Form 1065 or a statement from a 
section 761(a)                     general partner that is signed and dated under penalties of perjury. See Table 2, Current Year 
                                   Penalties of Perjury Statements.
a government entity                submit in writing, on official government letterhead, an explanation of why the government entity 
                                   is exempt from a filing requirement. The letter must include an acknowledgment that a Form 6166 
                                   governmental residency certification letter issued by the IRS is not a ruling or determination letter 
                                   regarding the organization’s governmental or tax-exempt status for federal tax purposes generally 
                                   or regarding deductibility of contributions to or for the use of the organization under section 170, 
                                   and may not be relied on as such. A government official with the authority to bind the organization 
                                   or agency must sign and date the letter under penalties of perjury.
a foreign partnership              include all information indicated in the instructions for line 4b for each partner requesting 
                                   certification.
a domestic disregarded entity      include the entity's single owner information on line 6 of Form 8802. Include with Form 8802: the 
(domestic DRE)                     owner's name and entity type (for example, corporation, partnership), TIN, and all other 
                                   certification information required for the owner's type of entity. If the DRE has not filed a Form 
                                   8832 with the IRS, also include a statement from the owner, signed under penalties of perjury 
                                   (see Table 2).
a foreign disregarded entity       attach a copy of the Form 8858 filed with the U.S. owner's income tax return for the calendar 
(foreign DRE)                      year(s) for which certification is requested. If the owner has not identified the foreign DRE on the 
                                   Form 8858, the IRS cannot certify the foreign DRE. Include the foreign DRE's owner information 
                                   on line 6 (Form 8802). Include with Form 8802 the owner's name and entity type, TIN, and all 
                                   other certification information required for the owner's type of entity. 

                                                                   Example 1. A Form 1040 filer who is completing Form 
Line 8. Tax Period(s)
                                                                   8802 for certification year 2024 on January 1, 2024, would 
If you are requesting certification for a tax period for which a   enter 202212 on line 8. This is because on January 1, 2024, 
tax return is not yet due, enter the four-digit year and two-digit the 2022 Form 1040 is the latest return required to have been 
month (YYYYMM) that correspond to the latest return                filed by an individual requesting certification for 2024.
required to have been filed (including extensions). If you are a 
fiscal year taxpayer, enter the year and month that                Example 2. On August 1, 2024, the same Form 1040 filer 
correspond to the end of that fiscal tax year. For a prior year    would enter 202312 on line 8 as the tax period for 
certification, the four-digit year and two-digit month should      certification year 2024 (the 2023 Form 1040 was required to 
correspond to the end of the prior year tax period for which       have been filed before August 1, 2024).
certification is requested.                                        If the Form 1040 filer had filed an extension for 2023, the 
                                                                   filer would enter 202212 on line 8. This is because on August 
Note. These examples assume no extension is filed, unless          1, 2024, the 2022 Form 1040 is the latest return required to 
stated otherwise.                                                  be filed.

Instructions for Form 8802 (Rev. 10-2024)                                                                                               11



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Example 3.      On January 1, 2024, a Form 1040 filer            Note.    VAT certification requires a penalties of perjury 
completing Form 8802 for certification year 2021 would enter     statement, and a statement that the NAICS codes have not 
202112.                                                          changed since the last return was filed. For more information, 
Example 4.      A Form 1120 filer has a fiscal year ending on    see the instructions for line 10 next.
September 30. The Form 1120 filer completing Form 8802 for 
                                                                 Line 10. Penalties of Perjury 
certification year 2024 on February 15, 2024, would enter 
202209 on line 8. This is because on February 15, 2024, the      Statements and Attachments
2022 Form 1120 with fiscal year ending September 30, 2023,       Enter penalties of perjury statements from Table 2 in the 
is the latest return required to have been filed.                space provided under line 10 or as an attachment to Form 
                                                                 8802. Penalties of perjury statements submitted separately 
If you were not required to file a U.S. tax return for the tax   from Form 8802 must have a valid signature and date. See 
period for which certification is requested, enter the tax       Table 3.
period that would have been applicable, if you were required 
to file a U.S. tax return. After the tax period, add "(not       VAT.   For VAT certifications, the penalties of perjury statement 
required to file)."                                              must also include a statement that the business activity 
                                                                 (NAICS code) has not changed since your last filed return.
Line 9. Purpose of Certification
                                                                 3-year procedure.   If you are using the 3-year procedure 
You must indicate the purpose of the certification.              (discussed earlier), you are required to enter a penalties of 
        The IRS will return your application to you for          perjury statement in the first year stating that the applicant is 
                                                                 a U.S. resident and will continue to be so through the current 
CAUTION application.
!       completion if you do not include a purpose on the        tax year and the following 2 tax years. See Table 2 for the 
                                                                 3-year procedure penalties of perjury statement you must 
Income tax treaty.  If you are requesting certification to       enter on line 10 of Form 8802 or attach to Form 8802.
obtain benefits under an income tax treaty but you have 
requested certification for a nontreaty country, the IRS will    Note.    For a Form 8802 submitted after the first year of the 
return your application to you for correction.                   3-year procedure, enter “See attached year 1 Form 8802 filed 
                                                                 under the 3-year procedure” in place of the penalties of 
VAT.  You can find the North American Industry Classification    perjury statement on line 10.
System (NAICS) codes in the instructions for your tax return 
(for example, Form 1120 or Schedule C (Form 1040)). If you       Attachments.        If someone other than the person signing 
do not provide an NAICS code on Form 8802 and one was            Form 8802 prepares an attachment that is submitted 
not provided on the return you filed, one will not be entered    separately from Form 8802, an individual who has authority 
automatically. Form 6166 will only certify that you filed a      to sign Form 8802 must sign and date the attachment under 
return with a particular NAICS code if it matches the NAICS      penalties of perjury. See Table 3.
code on your application. If you provide a code that does not    Additional information.      If you must submit additional 
match, Form 6166 will state that you represent that your         information with Form 8802, use the space provided under 
NAICS code is as stated on Form 8802.                            line 10 or attach the information to the form.

Table 2. Current Year Penalties of Perjury Statements

                    THEN the Form 
IF the applicant  8802 penalties of  STATING: “This certification is given under penalties of perjury and to the best of 
is...               perjury statement  my knowledge and belief, the statements are true, correct, and complete.”
                    must include...
an individual       a statement from   [Insert name of individual and TIN] is a U.S. resident and will continue to be throughout the 
                    the individual     current tax year.
an individual       a statement from   Countries other than Japan: [Insert name of individual and TIN] was a U.S. resident 
claiming treaty     the individual     within the meaning of Article [#] of the U.S.-[country] treaty (including, in some cases, 
benefits for                           physical presence in the United States) immediately before entering [country]. The 
teaching or                            assignment began on [date] and ends on [date]. Article [#] of the U.S.-[country] treaty 
research                               provides a [2 or 3] year exemption from income tax. 
activities                             Japan: [Insert name of individual and TIN] is (and will continue to be) a U.S. resident within 
                                       the meaning of Article 4(1) of the U.S.-Japan treaty. The assignment began on [date] and 
                                       ends on [date]. Article 20 of the U.S.-Japan treaty provides a 2-year exemption from income 
                                       tax. 
a partnership       a statement from   [Insert name of partner and TIN] is a U.S. resident and will continue to be throughout the 
                    each individual    current tax year, and
                    partner for which 
                    certification is 
                    requested
                    a statement from a [Insert name of partnership and EIN] has filed its required return and the entity classification 
                    general partner    has not changed since the return was filed.

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                  THEN the Form 
IF the applicant  8802 penalties of  STATING: “This certification is given under penalties of perjury and to the best of 
is...             perjury statement  my knowledge and belief, the statements are true, correct, and complete.”
                  must include...
an S corporation  a statement from       [Insert name of shareholder and TIN] is a U.S. resident and will continue to be throughout 
                  each individual        the current tax year, and
                  shareholder for 
                  which certification 
                  is requested
                  a statement from       [Insert name of S corporation and EIN] has filed its required return and the entity 
                  an officer of the      classification has not changed since the return was filed. 
                  corporation with 
                  the authority to 
                  legally bind the 
                  corporation
a common trust    a statement from       [Insert name and TIN] is a U.S. resident and will continue to be throughout the current tax 
fund, grantor     each individual        year, and 
trust, or simple  participant/owner/ 
trust             beneficiary for 
                  which certification 
                  is requested
                  a statement from       [Insert name of trust and EIN] has filed its required return and the entity classification has 
                  the trustee with       not changed since the return was filed.
                  authority to legally   Note: When the participant, beneficiary, or owner is other than an individual, use the 
                  bind the trust         statement that corresponds to the type of entity.
any trust other   a  statement  from     [Insert name of trust and EIN] is a U.S. resident and will continue to be throughout the 
than a common     the  trustee  with     current tax year.
trust fund,       authority  to  legally 
grantor trust, or bind the trust
simple trust
a corporation     a statement from       [Insert name of corporation and EIN] is a U.S. resident and will continue to be throughout 
                  an officer of the      the current tax year.
                  corporation with 
                  the authority to 
                  legally bind the 
                  corporation
an exempt         a statement from       [Insert name of organization and EIN] is a U.S. resident and will continue to be throughout 
organization      an officer of the      the current tax year.
                  organization with 
                  authority to legally 
                  bind the 
                  organization
an exempt         a statement from       [Insert name of organization and EIN] is a U.S. resident and will continue to be throughout 
organization      an officer of the      the current tax year and the following 2 tax years.
submitting a      organization with 
Form 8802 under  authority to legally 
the 3-year        bind the 
procedure (in     organization
year 1)
an estate of a    a statement from       [Insert name of estate and EIN] is a U.S. resident and will continue to be throughout the 
decedent          the personal           current tax year.
                  representative 
an estate of a    a statement from       [Insert name of estate and EIN] is a U.S. resident and will continue to be throughout the 
decedent          the personal           current tax year and the following 2 tax years. 
submitting a      representative 
Form 8802 under 
the 3-year 
procedure (in 
year 1)

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                   THEN the Form 
IF the applicant  8802 penalties of  STATING: “This certification is given under penalties of perjury and to the best of 
is...              perjury statement  my knowledge and belief, the statements are true, correct, and complete.”
                   must include...
an employee        a statement from     [Insert name of plan/trust and EIN] is a U.S. resident and will continue to be throughout the 
benefit plan/trust an officer of the    current tax year.
                   plan/trust with 
                   authority to legally 
                   bind the plan/trust
an employee        a statement from     [Insert name of plan/trust and EIN] is a U.S. resident and will continue to be throughout the 
benefit plan/trust  an officer of the   current tax year and the following 2 tax years.
submitting a       plan/trust with 
Form 8802 under  authority to legally 
the 3-year         bind the plan/trust
procedure (in 
year 1)
a partnership      a statement from     [Insert name of partner and TIN] is a U.S. resident and will continue to be throughout the 
under a section    each partner for     current tax year, and 
761(a) election    which certification 
                   is requested
                   a statement from a  a. [Insert name of partnership and EIN] has made an election pursuant to section 761(a). 
                   general partner      As a result, it is not required to file Form 1065 on an annual basis and all of its partners 
                                        report their respective shares of income, gain, loss, deductions, and credits on their tax 
                                        returns as required.
                                        b. The [insert name of partnership] 's entity classification has not changed since the filing of 
                                        the partners' returns.
a foreign          an additional        [Insert name of partnership and EIN] is not required to file Form 1065 under Regulations 
partnership        statement from a     section 1.6031(a)-1(b) and the entity classification has not changed since the filing of the 
under              general partner      partners' returns.
Regulations 
section 
1.6031(a)-1(b)
a disregarded      a statement from     Under penalties of perjury, I declare that (i) [insert name and TIN of the owner of the 
entity (DRE)       the owner of the     disregarded entity], is the single owner of [insert trading name of the disregarded entity], a 
                   DRE                  [insert Limited Liability Company, Limited Partnership, Limited Liability Partnership, or other, 
                                        as appropriate] that is classified as a disregarded entity for United States income tax 
                                        purposes; (ii) the single owner is a [insert federal tax classification of the owner, that is, 
                                        corporation, partnership, individual, etc.]; and (iii) as such  [insert name of the single owner 
                                        of the disregarded entity] is required to take into account all the income, gain, losses, 
                                        deductions, and credits against tax of the disregarded entity on their U.S. federal income 
                                        tax or information return; and (iv) the single owner of the disregarded entity is a U.S. 
                                        resident and will continue to be throughout the current tax year. I further declare under 
                                        penalties of perjury that I am an officer, manager, or member of the disregarded entity with 
                                        the authority to legally bind the entity and, to the best of my knowledge and belief, the 
                                        statements herein made are true, correct, and complete.
a nominee          a statement from     [Insert name and TIN of individual(s)/entity(ies) on whose behalf the nominee is acting] is a 
                   each individual or   U.S. resident and will continue to be throughout the current tax year. A single owner of the 
                   entity for whom the  disregarded entity is a U.S. resident and will continue to be throughout the current tax year. 
                   nominee is acting    This certification is given under penalties of perjury and, to the best of my knowledge and 
                                        belief, the statements herein made are true, correct, and complete.

                                                                  Note.      Form 8802 may be signed digitally; however, digital 
Signature and Date
                                                                  signatures are not accepted on Form 2848 and Form 8821.
An individual who has the authority to sign Form 8802 must 
sign and date the application or the IRS will not consider        To avoid processing delays and possible rejection of Form 
Form 8802 to be complete and valid. A third party                 8802, if an individual who is not identified in the instructions 
representative with authorization to sign Form 8802 must          signs Form 8802, enter a statement on line 10 and attach any 
attach documentation (for example, Form 2848) of the              appropriate documentation to indicate such individual's 
authorization. See Table 3 to determine who has authority to      authority to sign Form 8802. If you are granting authority to a 
sign Form 8802.                                                   third party, you must sign and date the documentation.

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Table 3. Who Has Authority To Sign Form 8802

IF the applicant is...         THEN the individual with authority to sign Form 8802 is...
an individual                  the individual.
a married couple               both spouses.
a minor child who cannot sign  either parent by signing the child's name and adding “By (your signature), parent for minor child.”
a child under age 19, or under  the parent who filed Form 8814 with their income tax return.
age 24 if a full-time student, 
whose parent(s) reported the 
child's income on Form 8814
a partnership                  any partner or partners duly authorized to act for the partnership (general partner or partnership 
                               representative). Each partner must certify that they have such authority.
an S corporation               any corporate officer, for example, president, vice president, treasurer, chief accounting officer, 
                               etc., duly authorized by the corporation to bind the corporation in accordance with applicable state 
                               law.
a trust, common trust fund,    the fiduciary (trustee, executor, administrator, receiver, or guardian).
grantor trust, or simple trust
an estate of a decedent        the personal representative (executor or administrator).
a corporation                  any corporate officer, for example, president, vice president, treasurer, chief accounting officer, 
                               etc., duly authorized by the corporation to bind the corporation in accordance with applicable state 
                               law.
an employee benefit plan or    any organization officer, for example, president, vice president, treasurer, chief accounting officer, 
trust                          etc., duly authorized by the plan or trust to bind the plan or trust in accordance with applicable state 
                               law.
an exempt organization         any organization officer, for example, president, vice president, treasurer, chief accounting officer, 
                               etc., duly authorized by the organization to bind the organization in accordance with applicable 
                               state law.
a partnership under a section  any partner or partners duly authorized to act for the partnership. Each partner must certify that 
761(a) election                they have such authority.
a governmental organization    an officer of the governmental organization with authority in the course of their official duties to bind 
                               the organization.

                                                                    Note. If you are requesting certifications for multiple years, 
Daytime Phone Number
                                                                    attach a statement to Form 8802 identifying the country, year, 
Providing your daytime phone number speeds the processing           and number of certifications per year. The total must agree 
of Form 8802, if we have questions about items on your              with the number entered to the right of the related country 
application, such as the NAICS code, type of applicant, etc.        code on line 11.
By answering our questions over the phone, we may be able 
to continue processing your Form 8802 without mailing you a         Line 12. Total Number of 
letter. If you are filing a joint application, you can enter either 
your or your spouse's daytime phone number.                         Certifications (Forms 6166) 
                                                                    Requested
Line 11. Number of Certifications 
                                                                    Add the total number of certifications requested in columns 
(Forms 6166) Requested for Each                                     A, B, C, and D of line 11, and enter the total on line 12.

Country                                                             When To Seek U.S. Competent 
Enter the number of certifications (Forms 6166) requested for 
each country listed in columns A, B, C, and D. For any              Authority Assistance
country not listed, enter the country in the blank spaces at        If your request for Form 6166 is denied, or if you are denied 
the bottom of column D. If you are requesting certifications for    treaty benefits by a U.S. treaty partner, and you believe you 
more than 1 calendar year for a country, enter the number of        are entitled to treaty benefits under a specific treaty article, 
certifications requested for all years to get the total number of   you can request U.S. competent authority assistance 
certifications requested for that country.                          following the procedures established in Revenue Procedure 
Example.      You are requesting certifications for Germany.        2015-40, available at IRS.gov/irb/2015-35_IRB#RP-2015-40          .
You need three certifications for 2021, two certifications for      A request for U.S. competent authority assistance 
2022, and four certifications for 2023. Enter nine as the total     regarding a residency issue will be accepted for 
number of certifications requested for Germany.                     consideration only if it is established that the issue requires 
                                                                    consultation with the foreign competent authority to ensure 
                                                                    consistent treatment by the United States and the applicable 

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treaty partner. The U.S. competent authority does not make       6103 authorizes or requires us to disclose this information in 
unilateral determinations with respect to residency.             certain circumstances. We may disclose the information to 
Residency determinations are made by mutual agreement            the tax authorities of other countries pursuant to a tax treaty. 
between the two competent authorities.                           We may disclose this information to the Department of 
                                                                 Justice for civil and criminal litigation. We may also disclose 
        The U.S. competent authority cannot consider 
                                                                 this information to cities, states, the District of Columbia, and 
!       requests involving countries with which the United       U.S. commonwealths and territories for use in administering 
CAUTION States does not have an income tax treaty.
                                                                 their tax laws, to federal and state agencies to enforce federal 
Your request for U.S. competent authority assistance             nontax criminal laws, or to federal law enforcement and 
should be mailed to:                                             intelligence agencies to combat terrorism.
   Commissioner, Large Business and International                You are not required to provide the information requested 
   Division                                                      on a form that is subject to the Paperwork Reduction Act 
   Internal Revenue Service                                      unless the form displays a valid OMB control number. Books 
   1111 Constitution Avenue, NW                                  or records relating to a form or its instructions must be 
   SE:LB:TTPO:APMA:TAIT:K                                        retained as long as their contents may become material in the 
   Washington, DC 20224                                          administration of any Internal Revenue law.
   (Attention: TAIT)
                                                                 The time needed to complete and file this form will vary 
                                                                 depending on individual circumstances. The estimated 
Note.  Do not send Form 8802 to the address above. This 
                                                                 average time is:
address should only be used to request U.S. competent 
authority assistance. Mail Forms 8802 to the appropriate 
address in Philadelphia, PA, under Where To File, earlier.       Recordkeeping   . . . . . . . . . . . . . . . . . .      33 min.
                                                                 Learning about the law
Privacy Act and Paperwork Reduction Act Notice.       We         or the form . . . . . . . . . . . . . . . . . . . . . 1hr., 13 min.
ask for the information on this form under sections 6103 and     Preparing the form. . . . . . . . . . . . . . . .     1 hr., 3 min.
6109 of the Internal Revenue Code. You are required to           Copying, assembling, and sending the 
provide the information requested on this form only if you       form
wish to have your U.S. residency for tax purposes certified in   to the IRS. . . . . . . . . . . . . . . . . . . . . .   48 min.
order to claim VAT exemption or to claim certain benefits 
under a tax treaty between the United States and the foreign 
country (countries) indicated on Form 8802. We need this         If you have comments concerning the accuracy of these 
information to determine if the applicant can be certified as a  time estimates or suggestions for making this form simpler, 
U.S. resident for tax purposes for the period specified. Failure we would be happy to hear from you. You can send us 
to provide the requested information may prevent                 comments from IRS.gov/FormComments. You can write to 
certification. Providing false or fraudulent information may     the Internal Revenue Service, Tax Forms and Publications 
subject you to penalties. If you designate an appointee to       Division, 1111 Constitution Ave. NW, IR-6526, Washington, 
receive Form 6166, but do not provide all of the information     DC 20024. Do not send the form to this address. Instead, 
requested, we may be unable to honor the designation.            see Where To File, earlier.
Generally, tax returns and tax return information are 
confidential, as required by section 6103. However, section 

16                                                                                   Instructions for Form 8802 (Rev. 10-2024)






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