Form 13551 PDF Details

What is Form 13551, and what is it used for? Form 13551 is a tax form used by individual taxpayers to report withholding on U.S.-source dividends and gambling winnings. This form is also used to report backup withholding on certain payments, such as interest and dividend payments. The form must be filed annually with the Internal Revenue Service (IRS). The deadline for filing Form 13551 is generally April 15th of the following year. However, if you file an extension, the deadline will be October 15th. Make sure you understand which payments are subject to backup withholding, and how much tax needs to be withheld, in order to properly complete this form. For more information about Form 13551 and other related forms, consult the IRS website.

QuestionAnswer
Form NameForm 13551
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform 13551 training certificate, acceptance form, irs form agent, 13551

Form Preview Example

Form 13551

 

Department of the Treasury - Internal Revenue Service

 

 

For Official Use Only

 

Application to Participate in the

 

 

Control number

 

 

 

 

 

 

 

 

 

 

 

 

(June 2019)

 

IRS Acceptance Agent Program

 

 

 

 

 

 

 

(Read the instructions carefully before completing this Form)

 

 

OMB Number 1545-1896

Check the type of acceptance agent for

Application Type

 

 

If you are amending your application, select the reason below

which you are applying

New

 

 

Authorized Representative

Business Location

 

 

 

 

Acceptance Agent (AA)

Renewal

 

 

Acceptance Agent Type

 

 

 

Certifying Acceptance Agent (CAA)

Amended (attach signed explanation)

 

Other

 

 

 

 

 

 

 

1. Check the box that best describes Organization status

 

 

Professional Status of Authorized Representative (Individual

Financial Institution

Corporation

 

 

Listed on Line 5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Educational Institution

LLC

 

 

Tax Preparer

CPA*

ERO

Attorney*

Casino

Sole Proprietorship

 

 

Enrolled Agent* (Enter number)

 

 

 

Partnership

Other

 

 

 

Other

 

 

 

 

 

 

(specify)

Government Agency or Military Organization

 

 

 

*See instructions for proof requirements

 

 

2. Legal Name of Business (If an entity, also enter location where organized or created)

 

3. Business Electronic Filing Identification Number (EFIN)

 

 

 

 

 

and Name and PTIN of Principal Partner or Owner of the Business (See Instructions)

 

4. Business Employer Identification Number (EIN) (Required)

 

 

 

 

 

 

5. Name and PTIN of Authorized Representative of the Business

6. Date of birth

 

 

 

7. Social Security Number (SSN) or Individual Taxpayer

(first, middle, last, PTIN)

 

 

(month, day, year)

 

 

Identification Number (ITIN)

 

 

 

 

 

 

8. Home address (street, city/county, state/country, and ZIP code/

9. Check the appropriate box

 

10. Have you ever been assessed any preparer penalties,

foreign postal code) of individual listed on Line 5

U.S. Citizen

 

 

 

 

been convicted of a crime, failed to file personal tax

 

 

 

 

 

 

 

 

returns, or pay tax liabilities, or been convicted of any

 

 

 

 

U.S. Resident Alien*

 

 

 

 

 

 

 

 

criminal offense under the U.S. Internal Revenue laws

 

 

 

 

 

 

 

 

 

 

 

 

 

Nonresident Alien**

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Attach copy of green card

 

 

(Attach an explanation and fingerprint cards for a “Yes”

 

 

 

 

**Attach copy of visa if residing

 

 

 

 

 

 

 

 

response.)

 

 

 

 

 

 

 

 

 

in the U.S.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.Doing Business As (DBA) name (complete only if the business is operating under a name which is different than the business name listed on Line 2)

12.

Business location address*

Street

 

 

City/County

 

 

State/Country

ZIP Code/Foreign Postal Code

 

 

 

 

 

 

*If more than one location, attach continuation sheets for each location and authorized representative(s) with required information.

 

 

 

 

 

 

 

 

 

13.

Business telephone number

(

)

Fax number (

)

 

Email

 

 

 

 

 

 

 

 

14.

Mailing address of the Business if different from the location address on line 12

 

 

 

 

 

 

 

 

 

 

 

 

 

Number and street

 

 

 

City/County

 

 

State/Country

ZIP Code/Foreign Postal Code

 

 

 

 

 

 

 

 

 

 

15.Does the Business provide tax related services year round

Yes

No If “No,” provide a brief explanation why

15a. How many Form W-7 applications does the Business plan to submit within a 12-month calendar period

16.Complete the following information for Primary Contact if different than the authorized representative on Line 5 (see instructions)

Primary Contact name (first, middle initial, last)

Title

 

Email address

 

 

Phone number (

)

Fax number (

)

17.Complete the following information for Alternate Contact if different than the individual listed on Line 5 (see instructions)

Alternate Contact name (first, middle initial, last)

Title

 

Email address

 

 

Phone number (

)

Fax number (

)

 

 

 

 

 

18.Identify the activities performed by you or your organization (tax preparation, University, etc.) as well as the type of customers that you will service (foreign investors, foreign students, etc.) to validate your request for Acceptance Agent status (see instructions)

19. If you would like to be included on the published list of Acceptance Agents located on the IRS website, check here

Under the penalties of Perjury, I declare that I have examined this application and read all accompanying information, and to the best of my knowledge and belief, the information being provided is true, correct, and complete. I or my institution and its employees acting on behalf of the institution will comply with all of the provisions of the Revenue Procedure for Acceptance Agents and related publications each year of our participation. Acceptance for participation is not transferable. I understand that if this institution is sold or its organizational structure changes, a new application must be filed. I further understand that noncompliance will result in the institution and/or the individuals listed on this application, being suspended from participation in the IRS Acceptance Agent Program. I am authorized to make and sign this statement on behalf of the institution.

20. Name and title of Authorized Representative from line 5 (type or print)

21. Signature of Authorized Representative

22. Date

 

 

 

Name and title of Principal, Partner or Owner from line 2 (type or print)

Signature of Principal, Partner or Owner

Date

 

 

 

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Your response is voluntary. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by code section 6103. The estimated average time to complete this form is 30 minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we will be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224. Do NOT send this form to this address. Instead, enclose it with the magnetic tape and send it to the Service Center to which you submit your tapes or send it to the transmission reception site that received your transmitted returns.

Catalog Number 38262Q

www.irs.gov

Form 13551 (Rev. 6-2019)

Page 2

Instructions for Form 13551, Application to Participate in the IRS Acceptance Agent Program

General Instructions

Purpose of this Form. All persons who wish to participate in the TIN (Taxpayer Identification Number) Acceptance Agent Program must apply by completing this application.

What is an Acceptance Agent/Certifying Acceptance Agent. Acceptance agents are individuals or entities (colleges, financial institutions, accounting firms, etc.) that have entered into formal agreements with the IRS that permit them to assist alien individuals and other foreign persons with obtaining TINs. The type of duties that you are permitted to perform is based upon your application to become an Acceptance Agent (AA) or a Certifying Acceptance Agent (CAA). (See Revenue Procedure 2006-10 for additional information.)

Who May Apply. Persons eligible to become acceptance agents include a financial institution defined in section 265(b)(5) of the Internal Revenue Code (Code) or §1.165-12(c)(1)(iv) of the regulations, a college or university that is an educational organization defined in §1.501(c)(3)-1(d)(3)(i), a federal agency defined in section 6402(h) of the Code, state and local governments, including agencies responsible for vital records, community-based organizations defined in section 501(c)(3) or (d) of the Code, persons that provide assistance to taxpayers in the preparation of their tax returns, and any other person or categories of persons that may be authorized by regulations or IRS procedures. An eligible person may be a U.S. person or a foreign person. Each individual listed as a Principal, Partner or Owner of the business, authorized representative or primary/ alternate contact of the business must have attained the age of 18 as of the date of this application.

When to Apply. New and renewal applications may be submitted year-round. However, to prevent interruption of your business operations, a renewal application should be submitted at least six months before the expiration date of your Agreement. It can take up to 120 days (four months) from the time that you submit your application to receive your approved Acceptance Agent Agreement from IRS.

How to Apply. All new and renewing persons will be required to complete Form 13551 (Application to Participate in the IRS Acceptance Agent Program). In addition, there must be an attached fingerprint card or proof of professional status for each individual listed on Line 5 as an Authorized Representative (see instructions for fingerprint cards below.) Prior to applying for Acceptance Agent Status, mandatory Acceptance Agent training must be completed and the certificate at the end of the training must be signed and attached to your Form 13551 when submitting it to IRS. To be valid, the mandatory training certificate must be dated within 120 days of the date entered on Line 22. The training is available online at www.IRS.gov/itinagents. Original forensic document training certificates for new and renewal applications submitted by CAAs must also be attached. Note: Your application to become a CAA will not be processed if you do not attach a signed mandatory Acceptance Agent training certificate. If applying as a CAA, you must also attach an original forensic document training certificate for each Authorized Representative.

Fingerprint Cards. Each individual listed as a responsible party or authorized representative of the business must be age 18 or older as of the date of this application. If the authorized representative is an Electronic Return Originator (ERO), fingerprint cards are not required. The authorized representative must be listed as a Responsible Official on the EFIN to be exempt from the fingerprint requirement. If the authorized representative is an attorney, CPA or enrolled agent, but not an ERO, evidence of U.S. professional status may be submitted instead of the fingerprint card. If an ERO, include your EFIN on Line 3. The following organizations are exempt from the fingerprinting requirement: a financial institution within the meaning of I.R.C. 265(b)(5) or Treasury Regulations 1.1 65-1 2(c)(1)(iv), a college or university that qualifies as an educational organization under Treasury Regulations 1.501 (c)(3)-l (d)(3) (i), a casino, Federal agencies as defined in IRC 6402(g) an ERO in good standing with the IRS and foreign nationals without a Social Security Number (SSN) residing outside the United States. (Evidence of your professional status may be obtained by contacting the issuing authority.)

Note: Individuals CANNOT take their own fingerprints. The fingerprint card used for the Acceptance Agent Program is unique, and should be obtained by calling the IRS Austin Campus at 1-866-255-0654. If the authorized representative of the business changes, the business must submit an amended application, including a new fingerprint card, if required, for the authorized representative. Your application will not be processed if you do not provide a completed fingerprint card or evidence of professional status and the original signature of both the authorized representative and the principal, partner or owner or owner of the business. Faxed copies or photocopies of this application will not be accepted.

When to Update Information. Acceptance Agents must notify the IRS within 30 days of all changes to the information they originally submitted on this application, by completing another Form 13551, checking the “amended” box and attaching a signed statement explaining the changes. This is important for several reasons. If information is not up-to-date on our database, you may not receive important IRS information or correspondence. Be sure to fully complete the application and only change the information that is different from what was originally submitted on Form 13551. The revised Form 13551 will not change your address of record for tax purposes, nor will it automatically update information associated with your Employer Identification Number (EIN). It can take up to 90 days to process an amended application.

Where to Apply. Faxed copies or photocopies of this application will not be accepted. Mail Form 13551, along with your completed fingerprint card or evidence of professional status if required, forensic document training certificate (if applying as a CAA), and mandatory Acceptance Agent training certificate to:

Internal Revenue Service 3651 S. IH 35

Stop 6380AUSC Austin, TX 78741

Note: Be sure that your application is complete and contains the signatures of both the authorized representative and principal, partner or owner of the original business. (See instructions for Line 20.) To be valid, the mandatory training certification must be dated within 120 days of the date entered on Line 22.

Who to Contact for Assistance. If you need additional assistance in completing this application you can email the ITIN Policy Section at itinprogramoffice@irs.gov where someone will respond to you. For additional information about Acceptance Agents, refer to Revenue Procedure 2006-10. For additional information about the Form W-7, see Publication 1915 Understanding Your Individual Taxpayer Identification Number - ITIN.

How To Complete The Form Check the applicable box to indicate if you are (1) a New applicant, (i.e., the first time that the business is applying for AA/CAA status or your agreement has already expired),

(2)seeking Renewal of a AA/CAA Agreement that will be expiring or (3) Amending information on a business that is already an AA/CAA (i.e. submitting an application for a new authorized representative; changing primary or alternate contacts, etc.). See Revenue Procedure 2006-10 for additional information on Acceptance Agents. For additional information on submitting an amended application, see “When to Update Information” above.

Line 1. Check the box which best describes the organizational status of the business. If the “Other” box is checked, please insert a brief explanation that best describes the organizational status. Also check the box that best describes the professional status of the applicant. CPAs, Attorneys and Enrolled Agents must attach a copy of an unexpired credential. For example, a valid CPA license, a record from the state bar, or Enrolled Agent enrollment card. If the “Other” box is checked, please insert a brief explanation that best describes the professional status. If you are applying for Acceptance Agent status as a nonprofit organization, attach a copy of your IRS exemption letter.

Line 2. Enter the legal name of the business and the name of the principal, partner or owner of the business along with their PTIN (Preparer Tax Identification Number) if one was issued. A PTIN must be obtained by all enrolled agents, as well as all tax return preparers who are compensated for preparing, or assisting in the preparation of, all or substantially all of any U.S. federal tax return. If your firm is a sole proprietorship, enter the name of the sole proprietor. If the applicant is an entity, provide the state, including the District of Columbia (or if outside the United States, the country under whose laws the entity was created or organized). If submitting an amended application and the legal name of the business is not changing, be sure this entry is identical to the one on your original application. The Principal, Partner or Owner of the business is defined below: For entitles with shares of interests traded on a public exchange, or which are registered with the Securities and Exchange Commission, that individual is (a) the “principal” officer if the business is a corporation, (b) a general “partner”, if a partnership, (c) the “owner” of an entity that is disregarded as separate from its owner, or (d) a grantor, owner or trustor, if a trust. For all other entities, it is the person who has a level of control over, or entitlement to, the funds or assets in the entity that, as a practical matter, enables the individual, directly or indirectly, to control, manage or direct the entity and the disposition of its funds and assets

Line 3. If the business is already an authorized IRS e-file provider, enter the EFIN (Electronic Filing Identification Number). An authorized IRS e-file provider is a business (sole proprietorship, partnership, corporation or other entity) that has been accepted into the IRS e-filing program and has been assigned an electronic filing identification number. The EFIN must be the registered number for the location specified and EIN.

Line 4. Enter the IRS issued Employer Identification Number (EIN). Note: All applicants must obtain an EIN before submitting this application.

Line 5. Enter the name, title and PTIN of the authorized representative. This person will be the official point of contact with the IRS and is responsible for ensuring that all requirements of the Acceptance Agent program are followed. They are the only individuals, other than the principal, partner or owner (if also listed as an authorized representative), who have authority to sign the Certificates of Accuracy. Each business location is permitted to select up to ten authorized representatives. If you need extra space to add additional authorized representatives for the business location listed on Page 1, or for additional business locations, use the continuation sheet attached to the Form 13551.

Line 6. Enter the date of birth of the authorized representative of the business listed on Line 5. This information should be entered in mm/dd/yyyy format (i.e. April 15, 1950, should be entered as 04/15/1950).

Line 7. Enter the Social Security Number or TIN of the authorized representative of the business. If you are a foreign national living outside the U.S. and do not have an SSN or ITIN, please enter N/A.

Line 8. Enter the complete home address of the authorized representative of the business (street, city/ county, state/country and zip code/foreign postal code).

Line 9. Check the box which describes the legal status (in the U.S.) of the person entered on line 5. Attach a copy of the green card or visa, if you are not a U.S. citizen but are residing in the U.S.

Line 10. If you answered “Yes” to the suitability question in box 10, please provide an explanation including dates and circumstances and why you believe that it should not affect your fitness to be an AA/CAA. You will also need to attach fingerprint cards with your application.

Line 11. For the purpose of becoming an acceptance agent, if a “doing business as” (DBA) name is used other than the name provided on Line 2, enter that information here and include a brief explanation. Use an additional sheet of paper if you need more space. Note: The business will be authorized to operate as an AA/CAA only under the name provided here or on Line 2.

Line 12. Enter the complete street address, city/county, state/country and zip code/foreign postal code where the business is located. Note: A post office box (P.O. Box) will not be accepted as part of the address.

Line 13. Enter the telephone number, fax number, and email address of the business. If, in addition to the business telephone, there is another number where you would like to be contacted by IRS, you may enter that information on this line also, notating that it is the alternative telephone number.

Line 14. This line should be completed only if you are using a business mailing address that is different from the address entered on Line 12. Note:The same mailing address can not be used for multiple business locations.

Line 15. Check the “yes” or “no” box to indicate if the business provides tax related services year round (January through December). If the answer is “no”, provide a brief explanation why the business does not provide tax related services year round.

Line 15a. Enter the volume of Forms W-7 that you anticipate filing during a 12 month calendar period.

Lines 16 and 17. Enter the name of the primary and alternate contact(s) only if different than the authorized representative(s) of the business (individual listed on Line 5 or on the continuation sheet(s) to the application). This is the person that has been authorized by the business to contact the ITIN Operations to inquire about the status of W-7 applications, but they are not permitted to sign the Form W-7(COA). Also provide the person’s business title, telephone and fax numbers and their email address. Each business location may have one primary and one alternate contact.

Line 18. You may attach a separate statement to provide a detailed description of the activities performed by the business which would validate this request for Acceptance Agent status. For example, a tax preparation firm preparing U.S. federal income tax returns for nonresident alien real estate investors who do not qualify for an SSN, would validate this request for Acceptance Agent status.

Line 19. The principal, partner or owner of the business may request to be included on a public list of acceptance agents published by the IRS on its website by checking this box.

Lines 20 and 21. Both the authorized representative and the principal, partner or owner must print and sign their name on this application. By signing the application you are authorizing the Internal Revenue Service to conduct suitability checks as referenced in the Revenue Procedure.

Line 22. Enter the date that this application is signed.

Pages 3 and 4 – (Continuation sheets)

Note: Must be attached to a Form 13551 when submitted to IRS. Use pages 3 and 4 to add additional authorized representatives or a primary and alternate contact for a business location. If the business operates at more than one location, use a separate continuation sheet for each additional office. The continuation pages must also be signed and dated by the Principal, Partner or Owner of the Business (signature space provided on page 4) and each additional authorized representative, pursuant to the signature requirements for Form 13551, Lines 20 and 21.

Catalog Number 38262Q

www.irs.gov

Form 13551 (Rev. 6-2019)

Page 3

Form 13551

(June 2019)

Department of the Treasury - Internal Revenue Service

Continuation Sheet for Additional Authorized Representatives

(see Form 13551 instructions)

OMB Number

1545-1896

Legal Name of the Business (Page 1, Line 2 (and 11, if applicable))

Business EFIN

Business EIN

Business location address

Street

City/County

State/Country

ZIP Code/Foreign Postal Code

Information and Signature of Additional Authorized Representative

Professional Status of

 

5. Name and PTIN of Authorized Representative of

6. Date of birth

7. Social Security Number (SSN) or Taxpayer

Authorized

 

the Business (first, middle, last, PTIN)

(month, day, year)

Identification Number (ITIN)

Representative (Line 5)

 

 

 

 

 

Tax Preparer

 

 

 

 

 

 

8. Home address (street, city/county, state/country,

9. Check the appropriate box

10. Have you ever been assessed any preparer

 

 

 

 

CPA*

 

and ZIP code/foreign postal code) of individual

U.S. Citizen

penalties, been convicted of a crime, failed to

Attorney*

 

listed on Line 5

file personal tax returns, or pay tax liabilities,

 

 

 

 

U.S. Resident Alien*

or been convicted of any criminal offense

 

 

 

 

 

Enrolled Agent*

 

 

under the U.S. Internal Revenue laws

 

 

Nonresident Alien**

number

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

*Attach copy of green card

(Attach an explanation and fingerprint cards

Other

 

 

 

 

**Attach copy of visa if residing

 

 

for a “Yes” response.)

 

 

 

 

 

 

in the U.S.

 

*See instructions for

 

 

 

 

 

 

 

 

 

proof requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Business telephone number

Fax number

(

)

 

 

(

)

 

 

 

 

 

 

 

 

Email

14.Mailing address of the Business if different from the location address on line 12

Number and street

City/County

State/Country

ZIP Code/Foreign Postal Code

 

 

 

 

Under the penalties of Perjury, I declare that I have examined this application and read all accompanying information, and to the best of my knowledge and belief, the information being provided is true, correct, and complete. I or my institution and its employees acting on behalf of the institution will comply with all of the provisions of the Revenue Procedure for Acceptance Agents and related publications each year of our participation.

Acceptance for participation is not transferable. I understand that if this institution is sold or its organizational structure changes, a new application must be filed. I further understand that noncompliance will result in the institution and/or the individuals listed on this application, being suspended from participation in the IRS Acceptance Agent Program. I am authorized to make and sign this statement on behalf of the institution.

Name and title of Authorized Representative from line 5 (type or print)

Signature of Authorized Representative

Date

 

 

 

Information and Signature of Additional Authorized Representative

Professional Status of

 

5. Name and PTIN of Authorized Representative of

6. Date of birth

 

7. Social Security Number (SSN) or Taxpayer

Authorized

 

 

the Business (first, middle, last, PTIN)

(month, day, year)

 

Identification Number (ITIN)

Representative (Line 5)

 

 

 

 

 

 

 

 

 

 

 

 

Tax Preparer

 

 

 

 

 

 

 

 

 

 

 

 

 

8. Home address (street, city/county, state/country,

9. Check the appropriate box

10. Have you ever been assessed any preparer

 

 

 

 

 

 

CPA*

 

 

 

 

and ZIP code/foreign postal code) of individual

U.S. Citizen

 

penalties, been convicted of a crime, failed to

Attorney*

 

 

listed on Line 5

 

 

file personal tax returns, or pay tax liabilities,

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Resident Alien*

 

or been convicted of any criminal offense

 

 

 

 

 

 

 

 

 

 

 

 

 

Enrolled Agent*

 

 

 

 

 

 

 

 

under the U.S. Internal Revenue laws

 

 

 

 

 

 

 

Nonresident Alien**

 

number

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

*Attach copy of green card

 

(Attach an explanation and fingerprint cards

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

**Attach copy of visa if residing

 

 

 

 

 

 

 

 

 

 

 

for a “Yes” response.)

 

 

 

 

 

 

 

 

 

 

 

 

in the U.S.

 

*See instructions for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

proof requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Business telephone number Fax number

14. Mailing address of the Business if different from the location address on line 12

(

 

 

)

 

(

)

 

 

 

 

 

 

 

 

 

 

 

Number and street

 

City/County

State/Country

ZIP Code/Foreign Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Under the penalties of Perjury, I declare that I have examined this application and read all accompanying information, and to the best of my knowledge and belief, the information being provided is true, correct, and complete. I or my institution and its employees acting on behalf of the institution will comply with all of the provisions of the Revenue Procedure for Acceptance Agents and related publications each year of our participation.

Acceptance for participation is not transferable. I understand that if this institution is sold or its organizational structure changes, a new application must be filed. I further understand that noncompliance will result in the institution and/or the individuals listed on this application, being suspended from participation in the IRS Acceptance Agent Program. I am authorized to make and sign this statement on behalf of the institution.

Name and title of Authorized Representative from line 5 (type or print)

Signature of Authorized Representative

 

 

Date

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Your response is voluntary. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by code section 6103. The estimated average time to complete this form is 30 minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we will be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating Committee, SE: W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224. Do NOT send this form to this address. Instead, enclose it with the magnetic tape and send it to the Service Center to which you submit your tapes or send it to the transmission reception site that received your transmitted returns.

Catalog Number 38262Q

www.irs.gov

Form 13551 (Rev. 6-2019)

 

 

 

 

 

 

 

Page 4

 

 

 

 

 

 

 

Information and Signature of Additional Authorized Representative

 

 

 

 

 

 

 

 

 

Professional Status of

 

5. Name and PTIN of Authorized Representative of

6. Date of birth

7. Social Security Number (SSN) or Taxpayer

Authorized

 

the Business (first, middle, last, PTIN)

(month, day, year)

Identification Number (ITIN)

Representative (Line 5)

 

 

 

 

 

Tax Preparer

 

 

 

 

 

 

8. Home address (street, city/county, state/country,

9. Check the appropriate box

10. Have you ever been assessed any preparer

 

 

 

 

CPA*

 

and ZIP code/foreign postal code) of individual

U.S. Citizen

penalties, been convicted of a crime, failed to

Attorney*

 

listed on Line 5

file personal tax returns, or pay tax liabilities,

 

 

 

 

U.S. Resident Alien*

or been convicted of any criminal offense

 

 

 

 

 

Enrolled Agent*

 

 

under the U.S. Internal Revenue laws

 

 

Nonresident Alien**

number

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

*Attach copy of green card

(Attach an explanation and fingerprint cards

Other

 

 

 

 

**Attach copy of visa if residing

 

 

for a “Yes” response.)

 

 

 

 

 

 

in the U.S.

 

*See instructions for

 

 

 

 

 

 

 

 

 

proof requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Business telephone number

Fax number

(

)

 

 

(

)

 

 

 

 

 

 

 

 

Email

14.Mailing address of the Business if different from the location address on line 12

Number and street

City/County

State/Country

ZIP Code/Foreign Postal Code

 

 

 

 

Under the penalties of Perjury, I declare that I have examined this application and read all accompanying information, and to the best of my knowledge and belief, the information being provided is true, correct, and complete. I or my institution and its employees acting on behalf of the institution will comply with all of the provisions of the Revenue Procedure for Acceptance Agents and related publications each year of our participation.

Acceptance for participation is not transferable. I understand that if this institution is sold or its organizational structure changes, a new application must be filed. I further understand that noncompliance will result in the institution and/or the individuals listed on this application, being suspended from participation in the IRS Acceptance Agent Program. I am authorized to make and sign this statement on behalf of the institution.

Name and title of Authorized Representative from line 5 (type or print)

Signature of Authorized Representative

Date

 

 

 

Information and Signature of Additional Authorized Representative

Professional Status of

 

5. Name and PTIN of Authorized Representative of

6. Date of birth

 

7. Social Security Number (SSN) or Taxpayer

Authorized

 

 

the Business (first, middle, last, PTIN)

(month, day, year)

 

Identification Number (ITIN)

Representative (Line 5)

 

 

 

 

 

 

 

 

 

 

 

 

Tax Preparer

 

 

 

 

 

 

 

 

 

 

 

 

 

8. Home address (street, city/county, state/country,

9. Check the appropriate box

10. Have you ever been assessed any preparer

 

 

 

 

 

 

CPA*

 

 

 

 

and ZIP code/foreign postal code) of individual

U.S. Citizen

 

penalties, been convicted of a crime, failed to

Attorney*

 

 

listed on Line 5

 

 

file personal tax returns, or pay tax liabilities,

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Resident Alien*

 

or been convicted of any criminal offense

 

 

 

 

 

 

 

 

 

 

 

 

 

Enrolled Agent*

 

 

 

 

 

 

 

 

under the U.S. Internal Revenue laws

 

 

 

 

 

 

 

Nonresident Alien**

 

number

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

*Attach copy of green card

 

(Attach an explanation and fingerprint cards

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

**Attach copy of visa if residing

 

 

 

 

 

 

 

 

 

 

 

for a “Yes” response.)

 

 

 

 

 

 

 

 

 

 

 

 

in the U.S.

 

*See instructions for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

proof requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Business telephone number Fax number

14. Mailing address of the Business if different from the location address on line 12

(

 

 

)

 

(

)

 

 

 

 

 

 

 

 

 

 

 

Number and street

 

City/County

State/Country

ZIP Code/Foreign Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Under the penalties of Perjury, I declare that I have examined this application and read all accompanying information, and to the best of my knowledge and belief, the information being provided is true, correct, and complete. I or my institution and its employees acting on behalf of the institution will comply with all of the provisions of the Revenue Procedure for Acceptance Agents and related publications each year of our participation.

Acceptance for participation is not transferable. I understand that if this institution is sold or its organizational structure changes, a new application must be filed. I further understand that noncompliance will result in the institution and/or the individuals listed on this application, being suspended from participation in the IRS Acceptance Agent Program. I am authorized to make and sign this statement on behalf of the institution.

Name and title of Authorized Representative from line 5 (type or print)

Signature of Authorized Representative

 

 

Date

Names and Contact Information for Primary and Alternate Contacts at the business location listed above. (Complete only if primary and alternate contacts for this business location are not already listed as the primary and alternate contacts on page 1, line 16 of the attached Form 13551.

16. Complete information for primary contact if not listed on attached Form 13551

Complete information for alternate contact if not listed on attached Form 13551

Name (first, middle initial, last) and Title

Name (first, middle initial, last) and Title

Phone number (

)

Fax number (

)

Email

Phone number (

)

Fax number (

)

Email

Signature of Principal, Partner or Owner of Business

Under the penalties of Perjury, I declare that I have examined this application and read all accompanying information, and to the best of my knowledge and belief, the information being provided is true, correct, and complete. I or my institution and its employees acting on behalf of the institution will comply with all of the provisions of the Revenue Procedure for Acceptance Agents and related publications each year of our participation.

Acceptance for participation is not transferable. I understand that if this institution is sold or its organizational structure changes, a new application must be filed. I further understand that noncompliance will result in the institution and/or the individuals listed on this application, being suspended from participation in the IRS Acceptance Agent Program. I am authorized to make and sign this statement on behalf of the institution.

Name and title of Principal, Partner or Owner from line 2 (type or print)

Signature of Principal, Partner or Owner

Date

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Your response is voluntary. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by code section 6103. The estimated average time to complete this form is 30 minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we will be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224. Do NOT send this form to this address. Instead, enclose it with the magnetic tape and send it to the Service Center to which you submit your tapes or send it to the transmission reception site that received your transmitted returns.

Catalog Number 38262Q

www.irs.gov

Form 13551 (Rev. 6-2019)

How to Edit Form 13551 Online for Free

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When it comes to blanks of this particular PDF, this is what you need to know:

1. Complete the irs acceptance agent with a number of necessary fields. Consider all the required information and be sure nothing is overlooked!

Find out how to fill in irs form agent part 1

2. After completing the previous section, go on to the next step and complete the essential details in these blanks - US Citizen US Resident Alien, Attach copy of green card Attach, been convicted of a crime failed, Yes, Attach an explanation and, Doing Business As DBA name, Business location address Street, CityCounty, StateCountry, ZIP CodeForeign Postal Code, If more than one location attach, Business telephone number, Fax number, Email, and Mailing address of the Business.

The best way to fill out irs form agent part 2

Concerning CityCounty and US Citizen US Resident Alien, make sure you review things in this section. Both these are the key fields in this document.

3. Completing If you would like to be included, Under the penalties of Perjury I, Name and title of Authorized, Signature of Authorized, Date, Name and title of Principal, Signature of Principal Partner or, Date, Privacy Act and Paperwork, Catalog Number Q, wwwirsgov, and Form Rev is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Writing section 3 of irs form agent

4. This fourth subsection comes with all of the following form blanks to complete: Legal Name of the Business Page, Business EFIN, Business EIN, Business location address Street, CityCounty, StateCountry, ZIP CodeForeign Postal Code, Information and Signature of, Professional Status of Authorized, Tax Preparer, CPA, Attorney, Enrolled Agent, number, and Other.

Step no. 4 for filling in irs form agent

5. The last step to submit this PDF form is critical. Make certain to fill out the necessary form fields, consisting of Professional Status of Authorized, Tax Preparer, CPA, Attorney, Enrolled Agent, number, Other, See instructions for proof, Name and PTIN of Authorized, Date of birth, Social Security Number SSN or, the Business first middle last PTIN, month day year, Identification Number ITIN, and Home address street citycounty, before using the document. Neglecting to do this might result in an incomplete and possibly nonvalid document!

Filling out part 5 of irs form agent

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