Identity Theft Affidavit and Business Identity Theft Affidavit

OMB 1545-2139

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.

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Form 14039 - Identity Theft Affidavit

Federal Enterprise Architecture: General Government - Taxation Management

Form Form 14039Identity Theft AffidavitFillable PrintableForm and instruction
Form Form 14039 (SP)Declaracion Jurada sobre el Robo de IdentidadFillable PrintableForm and instruction

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