Identity Theft Affidavit and Business Identity Theft Affidavit

OMB 1545-2139

The primary purpose of these forms is to provide a method of reporting identity theft issues to the IRS so that the IRS may document situations where individuals or businesses are or may be victims of identity theft. Additional purposes include the use in the determination of proper tax liability and to relieve taxpayer burden. The information may be disclosed only as provided by 26 U.S.C 6103.

The latest form for Identity Theft Affidavit and Business Identity Theft Affidavit expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Form 14039-B Form 14039-B - Business Identity Theft Affidavit Form and Instruction
Form Form 14039 Form 14039 - Identity Theft Affidavit Form and Instruction
SUP STAT (1545-2139)(Updated).docx Supporting Statement A
Form 14039-B - Business Identity Theft Affidavit Form and Instruction
Form 14039 - Identity Theft Affidavit Form and Instruction

All Historical Document Collections

202207-1545-010 Approved without change	Revision of a currently approved collection	2022-08-31
201810-1545-004 Approved without change	Revision of a currently approved collection	2019-02-22
201510-1545-021 Approved without change	Extension without change of a currently approved collection	2015-11-30
201209-1545-016 Approved without change	Extension without change of a currently approved collection	2012-09-28
200907-1545-012 Approved without change	Extension without change of a currently approved collection	2009-08-11
200903-1545-023 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-03-25
200902-1545-007 Approved without change	New collection (Request for a new OMB Control Number)	2009-02-18

OMB Details

Form 14039 - Identity Theft Affidavit

Federal Enterprise Architecture: General Government - Taxation Management

Form Form 14039	Identity Theft Affidavit	Fillable Printable	Form and instruction
Form Form 14039 (SP)	Declaracion Jurada sobre el Robo de Identidad	Fillable Printable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.