Identity Theft Affidavit

Video Tutorial How to Fill Out Identity Theft Affidavit

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Questions & answers

A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theft-related problems. Visit ftc.gov/idtheft to use a secure online version that you can print for your records.
Once identity thieves have your personal information they may: Go on spending sprees using your credit and debit account numbers to buy “big ticket” items like computers or televisions that they can easily re-sell.
Select the statement that best describes your situation from the list provided. “I want to report identity theft.” “Someone else filed a tax return using my information.” “Someone has my information or tried to use it, and I'm worried about identity theft.” “My information was exposed in a data breach.”
Within 30 days after the IRS gets your Form 14039, you'll get a letter telling you that the IRS received your affidavit.
How to Complete and Submit Form 14039. Explain your issue and how you discovered that your identity had been stolen in Section B. Attach any supporting documentation, such as a notice you received from the IRS, and submit it along with the form. You can't electronically file the IRS Identity Theft Affidavit.
Where do I send my 14039 form? Mail Form 14039 to this address: Internal Revenue Service, Stop C2003, Fresno, CA 93888. You may also need to file a police report and a complaint with the Federal Trade Commission on their website if you're a victim of tax return fraud.