Non-Resident Application

Please fill in all the spaces in the following form.

PUERTO RICO INDIVIDUAL INCOME TAX RETURN
NON RESIDENT OF PUERTO RICO 2023

Date

Taxpayer's Name

Social Security

Date of Birth

Occupation

Spouse's Name

Social Security

Date of Birth

Occupation

Home Address

Postal Address

Telephone Number

Since when did you stop being resident of Puerto Rico?

Use given to the property from the date of the purchase to the date of the sale (Main residence, Second home, Vacation home, Rental Income, etc.)

Dependent's that lived under the household of the taxpayer during the year 2023

Name of Dependent #1

Name of Dependent #2

Name of Dependent #3

Relationship- Dependent #1

Relationship- Dependent #2

Relationship- Dependent #3

Date of Birth- Dependent #1

Date of Birth- Dependent #2

Date of Birth- Dependent #3

Social Security- Dependent #1

Social Security- Dependent #2

Social Security- Dependent #3

Upload documents

Taxpayer Signature

Spouse's Signature, if applicable.

Taxpayer's email address

Spouse's email address