Irs Gov Ptin Renewal PDF Details

The IRS Gov ptin renewal form is a document that allows for business owners to renew their Protecting Taxpayer Identification Number (PTIN) for the upcoming year. This form must be completed and submitted online, no later than January 31st in order to be considered for renewal. There are several requirements that need to be met in order to be eligible for renewal, so it is important to review the information carefully before submitting your application.

You will find information about the type of form you intend to prepare in the table. It can show you how long it will need to fill out irs gov ptin renewal, exactly what parts you will have to fill in, and so on.

Form NameIrs Gov Ptin Renewal
Form Length3 pages
Fillable fields1
Avg. time to fill out57 sec
Other names Form W-12 (Rev. May 2021). IRS Paid Preparer Tax Identification Number (PTIN) Application and Renewal

Form Preview Example

Form W-12

(Rev. May 2021)

Department of the Treasury

Internal Revenue Service

IRS Paid Preparer Tax Identification Number (PTIN)

Application and Renewal

Go to for instructions and the latest information.

OMB No. 1545-2190

1 Name and PTIN First name



Middle name


Last name




(Print in ink or




































Initial application


Renewal application


(Enter PTIN: P




Year of

If you checked the “Initial application” box and are submitting this form between October 1 and December 31,




indicate below whether you want your PTIN to be valid for the current calendar year or the next calendar year.




Current calendar year


Next calendar year










Prior year(s) (YYYY): Check box(es) below for the prior year(s) you are renewing your PTIN. See line 2



instructions for additional guidance. If you are applying for a prior year(s), write each year(s) below. Use the



following format. (YYYY)






















Other prior year(s)










SSN and Date

Provide your Social Security Number (SSN). If you




Date of birth (MM/DD/YYYY)


of Birth

have an SSN, you are required to provide it. If you








You must

do not have an SSN, then check the N/A box.






















provide your












SSN or check

Failure to provide your SSN or check the N/A








the N/A box

box will result in your PTIN application being



























Street address. Use a P.O. box number only if the

post office does not deliver mail to your street address.














Address and












Phone Number




City or town, state or province, country, and ZIP or foreign postal code. Do not abbreviate name of country.


















Phone Number (










Business address

Check here if your business address is the same as your personal mailing address. If



different, enter it below.









Address and












Phone Number











City or town, state or province, country, and ZIP or foreign postal code. Do not abbreviate name of country.


Domestic business phone number



International business phone number




















b Business

Are you self-employed or an owner, partner, or officer of a tax return preparation business?




If “Yes,” then complete this line. If “No,” go to line 6.




Enter the business name.

















Your CAF Number



















Website address (optional)







6Email Address Enter the email address that should be used to contact you.

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

Cat. No. 55469F

Form W-12 (Rev. 5-2021)



For Internal Use Only
















Form W-12 (Rev. 5-2021)

Page 2

7Past Felony Convictions You must check a box. If “Yes,” you must provide an explanation.

Have you been convicted of a felony in the past 10 years?

If “Yes,” list the date and the type of felony conviction(s).

Yes No

If this is your initial application for a PTIN, continue to line 8. If you are renewing your PTIN, go to line 10.


Address of

Enter the address used on your last U.S. individual income tax return you filed.








Last U.S.












Income Tax






Check here if you have never filed a U.S. income tax return or do not have a U.S. income tax filing


Return Filed


requirement. See line 8 instructions for documents that must be submitted with this form and continue to





line 10.











Filing Status


Head of Household


and Tax Year






on Last U.S.

Married filing jointly

Qualifying widow(er) with dependent child








Income Tax

Married filing separately

Tax Year (YYYY)




Return Filed


Note: If your last return was filed more than 4 years ago, see instructions.







Federal Tax

Are you current on both your individual and business federal taxes, including any corporate and employment



tax obligations? Note: If you have never filed a U.S. individual income tax return because you are not required



to do so, check the “Yes” box.












If “No,” provide an explanation.




11Data Security I am aware that paid tax return preparers must have a data security plan to provide data and system security Responsibilities protections for all taxpayer information.

Form W-12 (Rev. 5-2021)

Form W-12 (Rev. 5-2021)







Page 3

12 Professional

Check all that apply. Note: DO NOT check any professional credentials that are currently expired or


retired. Enter state abbreviation and appropriate number(s). If the expiration date is left blank or incomplete,


then NO professional credential will be added when the application is processed.


AttorneyLicensed in which









Expiration Date(s):










Certified Public Accountant (CPA)







Licensed in which jurisdiction(s):


Expiration Date(s):










Enrolled Agent (EA)



Expiration Date(s):



Enrolled Actuary



Expiration Date(s):



Enrolled Retirement Plan Agent (ERPA)


Expiration Date(s):


State Regulated Tax Return Preparer







Licensed in which jurisdiction(s):


Expiration Date(s):









Certifying Acceptance Agent (CAA)











13 Fees

If you are applying for a PTIN or renewing your PTIN, your fee is $35.95. The fee is an application processing


fee and is nonrefundable. Full payment must be included with your application or it will be rejected. If your

application is incomplete and you do not supply the required information upon request, the IRS will be unable

to process your application. Make your check or money order payable to IRS Tax Pro PTIN Fee. Do not

paper clip, staple, or otherwise attach the payment to Form W-12. Separate payments are required for each

year you are applying for. No payment is due for 2020 and prior years.


Under penalties of perjury, I declare that I have examined this application and to the best of my knowledge and belief, it


is true, correct, and complete. I understand any false or misleading information may result in criminal penalties and/or

the denial or termination of a PTIN.




Your signature (Please use blue or black ink)









How To File

Online. Go to the webpage for information. Follow the instructions to submit Form W-12. If you submit your application online, your PTIN generally will be provided to you immediately after you complete the application.

By mail. Complete Form W-12. Send the form to:

IRS Tax Professional PTIN Processing Center PO Box 380638

San Antonio, TX 78268

Note: Allow 4 to 6 weeks for processing of PTIN applications. For additional information, refer to the separate Instructions for Form W-12.

For Internal Use Only

Form W-12 (Rev. 5-2021)

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Irs Gov Ptin Renewal spaces to complete

The program will require you to complete the a, Business Mailing, Address, and, Phone, Number Phone, Number Domestic, business, phone, number International, business, phone, number EXT, b, Business Identification, Yes, Your, CAF, Number Website, address, optional E, IN EF, IN Cat, N, oF and For, mW, Rev, For, Internal, Use, Only field.

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Type in any particulars you need in the segment FE, A

FEA in Irs Gov Ptin Renewal

You'll need to describe the rights and obligations of each party in section For, mW, Rev Page, Yes, No Address, of and Head, of, Household

Irs Gov Ptin Renewal FormWRev, Page, YesNo, Addressof, and HeadofHousehold blanks to fill

End by looking at the following fields and completing them as required: Federal, Tax, Compliance Married, filing, jointly Qualifying, widower, with, dependent, child Married, filing, separately Tax, Year, YYYY Yes, No If, No, provide, an, explanation Data, Security, Responsibilities and For, mW, Rev

Irs Gov Ptin Renewal FederalTaxCompliance, Marriedfilingjointly, Qualifyingwidowerwithdependentchild, Marriedfilingseparately, TaxYearYYYY, YesNo, IfNoprovideanexplanation, DataSecurityResponsibilities, and FormWRev fields to fill

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