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File GRAPHICrint DO NOT PROCESS Intended C “NFC “DAN:93493072013548TreJuT “fine For the 2016 ca en d AR year, or t ax year b eggnog 07 01 2016 C Name of organization B Check If applicable mid-America

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iltu rntermlnated stands for Individual Taxpayer Identification Number (ITIN) application.

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Non-U.S. residents who need to file U.S. taxes but do not qualify for a Social Security Number (SSN) are required to file for an ITIN.

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The purpose of ITIN is to provide individuals with a tax processing number for filing taxes and other tax-related purposes, who are not eligible for a SSN.

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You must report personal information such as name, date of birth, and foreign status, along with supporting documentation like a valid passport.

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