Enlarge image | Department of the Treasury - Internal Revenue Service Identity Theft Victim’s Request for OMB Number Form 4506-F Copy of Fraudulent Tax Return 1545-0429 (August 2021) Do not sign this form unless all applicable lines have been completed. Request may be rejected if the form is incomplete or illegible. For more information about Form 4506-F, visit www.irs.gov/form4506f. Read this information first When should I complete this form? You should use this form if you are a victim of tax related identity theft whose name and Social Security Number (SSN) was used to file a fraudulent tax return. Due to federal privacy laws, the victim’s name and SSN must be listed as either primary or secondary taxpayer on the fraudulent return; otherwise, the IRS cannot disclose the return information. For this reason, the IRS cannot disclose return information to any person listed only as a dependent. Step 1 – Provide Taxpayer Information 1 Social Security Number (SSN) used on fraudulent return 2 Name used on fraudulent return 3 SSN owner’s current mailing street address 3a SSN owner’s current mailing city, state, and ZIP 4 SSN owner’s complete address shown on last return if different from above Step 2 – Provide Requestor Information 5 What is your relationship to the taxpayer named in Step 1 Check the box that best applies Self (you are the taxpayer) Parent or guardian of a minor child Representative named on Form 2848, Power of Attorney Guardian, executor, or representative named on court documents 6 Requestor's SSN or Taxpayer Identification Number (if different than Step 1). See instructions Requestor's name (if different than Step 1) Mailing address where the documents should be sent (if different than Step 1) City, state, and ZIP where the documents should be sent (if different than Step 1) 6a Representative CAF number (if applicable) Step 3 – Provide Tax Year(s) Requested 7 Enter the tax year(s) of the individual income tax form(s) you are requesting Step 4 – Sign Below I declare that I am either the taxpayer(s) identified on Line 2, or a person authorized to obtain the information requested on Line 7. Requestor's signature Requestor's name (print/type) Date Requestor's daytime telephone number NOTE: If you are not the taxpayer named in Step 1, you must enclose documents demonstrating your authority to receive the requested tax information. Catalog Number 68948H www.irs.gov Form 4506-F (Rev. 8-2021) For Privacy Act and Paperwork Reduction Act Notice, see page 2 |
Enlarge image | Instructions for Form 4506-F, Identity Theft Victim’s Request for Copy of Fraudulent Tax Return Purpose of the form: Victims of identity theft should use this • You are requesting return information of your minor form to request a tax return transcript of a fraudulent return filed child as a parent or legal guardian using their name and SSN as the primary or secondary taxpayer. Step 3 – Provide Tax Year(s) Requested Note: We may disclose information from a fraudulent return to a victim whose name and SSN are listed as the primary taxpayer Line 7: Enter the tax year(s) requested. or the spouse when the disclosure does not seriously impair tax Note: You can request copies of fraudulent returns for the administration. Some information on the transcript will be current tax year and previous six tax years. masked or partially masked, but there will be enough data to determine how the taxpayer's personal information was used. Step 4 – Sign Below Help us Avoid Delays: Choose one method (below) of Signature and Date: This form must be signed and dated by the submitting this form, either by Mail or by FAX, not both. taxpayer(s) listed on Line 2 or the requestor listed on Line 6. Submitting by Mail Note: Ensure that all applicable lines are completed prior to Department of the Treasury signing. If the request is missing any of the above, it will be Internal Revenue Service rejected as incomplete and returned to secure the missing Fresno CA, 93725 information. Note: For requests sent using a Private Delivery Service ship to: Privacy Act and Paperwork Reduction Act Notice. We ask for Internal Revenue Service the information on this form to establish your right to gain access 3211 S Northpointe Dr to the requested return(s) under the Internal Revenue Code. We Fresno CA, 93725 need this information to properly identify the return(s) and "Identity Theft - Request for Fraudulent Return" respond to your request. If you request a copy of a tax return, Submitting by FAX sections 6103 and 6109 require you to provide this information, Include a cover sheet marked ‘Confidential’ including your SSN or EIN, to process your request. If you do not FAX this form toll-free to: 855-807-5720 provide this information, we may not be able to process your request. Providing false or fraudulent information may subject Specific Instructions: you to penalties. Routine uses of this information include giving it to the Step 1 – Provide Taxpayer Information Department of Justice for civil and criminal litigation, and cities, Line 1: Enter the SSN used on the fraudulent return. states, the District of Columbia, and U.S. commonwealths and Line 2: Enter name of the taxpayer used on the fraudulent possessions for use in administering their tax laws. We may also return. disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal Line 3: Enter SSN owner’s current mailing address. If you use a laws, or to federal law enforcement and intelligence agencies to P.O. Box, please include it on this line. combat terrorism. Line 3a: Enter SSN owner’s current mailing city, state and zip You are not required to provide the information requested on a code form that is subject to the Paperwork Reduction Act unless the Line 4: Enter the SSN owner’s complete address shown on the form displays a valid OMB control number. Books or records last return filed if different from the current mailing relating to a form or its instructions must be retained as long as address entered on line 3 and 3a. their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return Note: If the SSN owner’s current mailing addresses on lines information are confidential, as required by section 6103. 3, 3a and 4 are different and the address has not been changed with the IRS, a Form 8822, Change of Address, The time needed to complete and file Form 4506 will vary must be filed. depending on individual circumstances. The estimated average time is: Learning about the law or the form, 10 min.; Step 2 – Provide Requestor Information Preparing the form, 16 min.; and Copying, assembling, and sending the form to the IRS, 20 min. Line 5: Check the box that describes the relationship to the taxpayer named in Step 1. If you have comments concerning the accuracy of these time estimates or suggestions for making Form 4506 simpler, we Line 6: Enter the SSN or appropriate TIN, name and mailing would be happy to hear from you. You can write to: address of the requestor if different from Step 1. (Examples of appropriate TINs: Centralized Internal Revenue Service Authorization File (CAF), Employer Identification Tax Forms and Publications Division Number (EIN)) 1111 Constitution Ave. NW; Washington, DC 20224 Line 6a: Enter the assigned CAF number if your authority to obtain return information for the requested tax year(s) is on file with the IRS. If your information is not on file with the IRS, the Form 4506-F must also be accompanied by documents demonstrating your authority to receive the requested tax return information (for example, Form 2848, Form 8821, or a court order) unless: Catalog Number 68948H www.irs.gov Form 4506-F (Rev. 8-2021) |