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Form 14039 Rev. December 2011 Department of the Treasury Internal Revenue Service OMB Number Identity Theft Affidavit 1545-2139 Please complete and submit this form if you are an actual or potential
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Who needs an IRS Form 14039?

A person should complete the IRS Form 14039, which is the Identity Theft Affidavit if they are an actual or potential victim of identity theft and would like the IRS to mark their account to identify questionable activity.

What is the IRS Form 14039 for?

This form should be submitted in two specific situations:

  • in response to a mailed notice or letter from the IRS;
  • on behalf of another person, such as a deceased spouse or other deceased relative (Sections A, B, and D should be filled out).

With the 14039 filing, you provide a statement of the identity theft which affected your federal tax records or a statement of an event involving your personal information that may at some future time affect your federal tax records.

In any case, you will need to describe your problem, explaining the reasons of your apprehension. The IRS will review your appeal and take action based on the information provided by you.

Is the IRS Form 14039 accompanied by other forms?

You should submit one clearly legible copy of at least one of the following documents to verify your identity:

  • Passport;
  • Driver’s Licence;
  • Social Security Card;
  • Other valid U.S. Federal or State government issued identification.

When is IRS Form 14039 due?

You can file this affidavit at any time when it becomes necessary.

How do I fill out IRS Form 14039?

This short form consists of only two pages. You will need to enter your personal information, indicate the reasons that prompted you to apply to the IRS, as well as indicate the person you represent if this is the case.

Where do I send the IRS Form 14039?

There are three ways to send a document via mail and two via fax. Each of the methods depends on the specifics of your case.

For the final destination address of an IRS 14039, you should look through the last page of the form.

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