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Form14039Department of the Treasury Internal Revenue ServiceOMB Number 15452139Identity Theft Affidavit(May 2024)This affidavit is for victims of identity theft. To avoid delays do not use this form
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How to fill out identity theft affidavit form

How to fill out identity theft affidavit form
01
Obtain the identity theft affidavit form from the Federal Trade Commission (FTC) website.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide details about the identity theft incident, including dates, types of identity theft, and how the theft occurred.
04
List all fraudulent accounts and transactions associated with your identity theft.
05
Attach any supporting documents, such as police reports or bank statements, if available.
06
Review the completed affidavit for accuracy and completeness.
07
Sign and date the affidavit to attest that the information is true to the best of your knowledge.
08
Submit the affidavit to the businesses or organizations affected by the identity theft.
Who needs identity theft affidavit form?
01
Individuals who have been victims of identity theft.
02
People whose personal information has been used without permission to open accounts or commit fraud.
03
Persons seeking to dispute fraudulent accounts or transactions.
04
Anyone needing to provide legal documentation of identity theft for recovery efforts.
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What is identity theft affidavit form?
An identity theft affidavit form is a document used to report cases of identity theft, providing a structured way for victims to declare fraudulent activity and assist law enforcement and creditors in resolving the issue.
Who is required to file identity theft affidavit form?
Any individual who has been a victim of identity theft and wants to dispute fraudulent charges or accounts opened in their name is required to file an identity theft affidavit form.
How to fill out identity theft affidavit form?
To fill out the identity theft affidavit form, provide personal information such as your name, address, and contact details; describe the theft incidents including dates and types of fraud; attach supporting documents, and sign the affidavit to certify the information is accurate.
What is the purpose of identity theft affidavit form?
The purpose of the identity theft affidavit form is to provide victims with a means to formally notify authorities and creditors about identity theft, aiding in the investigation and recovery process.
What information must be reported on identity theft affidavit form?
The information that must be reported on the identity theft affidavit form includes the victim's personal information, a detailed account of the identity theft incidents, any fraudulent accounts, and supporting documentation.
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