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Federal Nonresident Alien Intake and Interview Sheet
Extracted from PDF file 2025-federal-form-13614-nr.pdf, last modified June 2025Nonresident Alien Intake and Interview Sheet
Form Department of the Treasury - Internal Revenue Service 13614-NR OMB Number 1545-1964 Nonresident Alien Intake and Interview Sheet (October 2025) Last or family name First Visa # Middle initial Passport # Date of birth: / (mm/dd/yyyy) Telephone # / E-mail address Were you a U.S. citizen or resident alien the entire year? Yes No Were you ever a U.S. citizen? Yes No Resident of India Yes No U.S. local street address City State Zip code Foreign residence address Address line 2 Foreign country Province/County Country of citizenship Postal code Country that issued passport Are you married? Yes No If “YES”, is your spouse in the U.S.? If "YES", is it recognized by the state where you will be filing? Are you a U.S. National Yes Resident of Canada Yes No No Resident of Mexico Yes No Yes No Yes No Resident of South Korea Yes No Dependent Information (Only if "Yes" is checked in one of the categories above) Last or family name First name Date of birth (mm/dd/yyyy) Relationship to you (son, daughter, none, etc.) U.S. citizen, Did person Did the Number of U.S. resident alien, provide Did you person months lived U.S. national, more than provide have Gross with you in or a resident of Did 50% of their more than Income of the Canada, Mexico, or person file own 50% of their $5,200 or U.S. in 2025 South Korea joint return? support? support? more? What is the date you FIRST entered the United States on a non-visitor Visa? / / Entry Immigration Status - Check one U.S. Immigrant/Permanent resident F-1 Student F-2 Spouse or child of student H-1 Temporary employee *J-1 Exchange visitor J-2 Spouse or child of exchange visitor U.S. Immigrant/Permanent resident F-1 Student F-2 Spouse or child of student H-1 Temporary employee *J-1 Exchange visitor J-2 Spouse or child of exchange visitor Other (list) Current Immigration Status - Check one Other (list) Have you ever changed your visa type or U.S. immigration status? If “Yes”, indicate the date and nature of the change. / Yes No / Enter the type of U.S. visa you held during these years 2019 2020 2021 2022 2023 2024 * If Immigration status is J-1, what is the subtype? Check one 01 Student 05 Professor 02 Short term scholar Other (list) 12 Research scholar What is the actual primary activity of the visit? Check one 01 Studying in a degree program 04 Lecturing 07 Conducting research 10 Clinical activities 02 Studying in a non-degree program 05 Observing 08 Training 11 Temporary employment 03 Teaching 06 Consulting 09 Demonstrating special skills 12 Here with spouse Catalog Number 39748B www.irs.gov Form 13614-NR (Rev. 10-2025) Check the years you were present in the United States as a teacher, trainee, student or as an accompanying spouse or dependent of a person in such status for any part of the year. 2019 2020 2021 2022 2023 2024 Have you ever been present in the U.S. PRIOR to 2019 on a teacher, trainee, student visa, or as their accompanying spouse or dependent? Yes No If so, what years and visa type How many days (including vacations, nonworkdays and partial days) were you present in the U.S. during 2023 2024 2025 List the dates you entered and left the United States during 2025 Date entered United States mm/dd/yyyy Date departed United States mm/dd/yyyy Date entered United States mm/dd/yyyy Did you file a U.S. income tax return for any year before 2025? / If “Yes”, give latest year / Yes Date departed United States mm/dd/yyyy No Form number filed During 2025, did you apply to be a green card holder (lawful permanent resident) of the United States? Do you have an application pending to change your status to lawful permanent resident? 1. Are you claiming the benefits of a U.S. income tax treaty with a foreign country? Yes Yes Yes No No No If “Yes”, enter the appropriate information in the columns below (a) Country (b) Tax treaty article (c) Number of months (d) Amount of exempt claimed in prior tax years income in current tax year 2. Were you subject to tax in a foreign country on any of the income shown in 1(d) above? Yes No Information about academic institution you attended in 2025 Name Telephone number Address Name of your academic/specialized program director Telephone number Address If you are due a refund, would you like Direct Deposit Yes No If you have a balance due, would you like to make a payment directly from your bank account Yes No During 2025 did you receive Did you have Scholarships or fellowship grants Yes No Wages, salaries or tips Yes No Casualty losses in a declared disaster area Yes No Interest Yes No Student loan interest paid Yes No Distributions from IRA, pension or annuity Yes No State or local income taxes Yes No State or local tax refunds Yes No U.S. Charitable contributions Yes No Unemployment compensation Yes No Child/Dependent care expenses Yes No Dividend income or capital gains or losses Yes No IRA contributions Yes No Any other income (gambling, lottery, prizes, awards, self-employment, rents, royalties, virtual currency, etc.) Yes No Did you or any dependent have health insurance coverage through HealthCare.gov (The Marketplace)? Yes No If yes, was any Advanced Premium Tax Credit received? (Provide Form 1095-A) Yes No Privacy Act and Paperwork Reduction Act Notice We are asking for this information so you may participate in the IRS Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly (TCE) program which provides IRS-certified volunteer income tax preparers to assist with basic income tax return preparation for qualified individuals. The IRS authority to collect this information is 5 U.S.C. section 301 and 26 U.S.C. section 7801. The information you provide may be disclosed to others who coordinate VITA/TCE staffing, outreach, and other VITA/TCE related activities. The IRS may only disclose your return and return information as provided by 26 U.S.C. section 6103. All other records may be disclosed only for purposes the IRS deems are compatible with the purpose for which IRS collected the records, and consistent with any routine use disclosures described in the System of Record Notice (SORN) Treasury/IRS 24.030, Customer Account Data Engine (CADE) Individual Master File (IMF). You may view Treasury/IRS SORNs on the Treasury SORN website at Treasury.gov/System of Records Notices (SORNs). Providing this information is voluntary however, if you do not provide the requested information the IRS volunteers may not be able to assist you with preparing and filing your tax return. The Paperwork Reduction Act requires that the IRS display an OMB control number on all public information requests. The OMB Control Number for this study is 1545-1964. Also, if you have any comments regarding the time estimates associated with this study or suggestion on making this process simpler, please write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224. Catalog Number 39748B www.irs.gov Form 13614-NR (Rev. 10-2025)
Form 13614-NR (Rev. 10-2025)
More about the Federal Form 13614-NR Other Nonresident TY 2025
We last updated the Nonresident Alien Intake and Interview Sheet in January 2026, so this is the latest version of Form 13614-NR, fully updated for tax year 2025. You can download or print current or past-year PDFs of Form 13614-NR directly from TaxFormFinder. You can print other Federal tax forms here.
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Form Sources:
The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 13614-NR from the Internal Revenue Service in January 2026.
Form 13614-NR is a Federal Other form. Many states have separate versions of their tax returns for nonresidents or part-year residents - that is, people who earn taxable income in that state live in a different state, or who live in the state for only a portion of the year. These nonresident returns allow taxpayers to specify which which income is subject to the state's taxes, and which is not.
Historical Past-Year Versions of Federal Form 13614-NR
We have a total of thirteen past-year versions of Form 13614-NR in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2025 Form 13614-NR
Form 13614-NR (Rev. 10-2025)
2024 Form 13614-NR
Form 13614-NR (Rev. 5-2023)
2023 Form 13614-NR
Form 13614-NR (Rev. 5-2023)
2022 Form 13614-NR
Form 13614-NR (Rev. 10-2022)
2021 Form 13614-NR
Form 13614-NR (Rev. 10-2021)
2020 Form 13614-NR
Form 13614-NR (Rev. 10-2020)
2019 Form 13614-NR
Form 13614-NR (Rev. 10-2019)
2018 Form 13614-NR
Form 13614-NR (Rev. 10-2018)
2017 Form 13614-NR
Form 13614-NR (Rev. 10-2017)
2016 Form 13614-NR
Form 13614-NR (Rev. 10-2016)
2015 Form 13614-NR
Form 13614-NR (Rev. 10-2015)
2012 Form 13614-NR
Form 13614NR (Rev. 10-2012)
2011 Form 13614-NR
Form 13614NR (Rev. 9-2011)
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