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 (March 2019) ▶ 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) 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. 3-2019) For Privacy Act and Paperwork Reduction Act Notice, see page 2 |
Enlarge image | Page 2 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 Step 3 – Provide Tax Year(s) Requested form to request a tax return transcript of a fraudulent return filed Line 7: Enter the tax year(s) requested. using their name and SSN as the primary or secondary taxpayer. Note: You can request copies of fraudulent returns for the Note: We may disclose information from a fraudulent return to a current tax year and previous six tax years. victim whose name and SSN are listed as the primary taxpayer or the spouse when the disclosure does not seriously impair tax administration. Some information on the transcript will be Step 4 – Sign Below masked or partially masked, but there will be enough data to Signature and Date: This form must be signed and dated by the determine how the taxpayer's personal information was used. taxpayer(s) listed on Line 2 or the requestor listed on Line 6. Where to file your request: you will need to send a completed Note: Ensure that all applicable lines are completed prior to signed Form 4506-F to the following address: signing. If the request is missing any of the above, it will be Department of the Treasury rejected as incomplete and returned to secure the missing Internal Revenue Service information. Fresno, CA 93888-0025 Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to establish your right to gain access Note: For requests sent using a Private Delivery Service ship to: to the requested return(s) under the Internal Revenue Code. We Internal Revenue Service need this information to properly identify the return(s) and 5045 East Butler Avenue respond to your request. If you request a copy of a tax return, Fresno, CA 93727 sections 6103 and 6109 require you to provide this information, "Identity Theft - Request for Fraudulent Return" including your SSN or EIN, to process your request. If you do not provide this information, we may not be able to process your Specific Instructions: request. Providing false or fraudulent information may subject you to penalties. Step 1 – Provide Taxpayer Information Routine uses of this information include giving it to the Line 1: Enter the SSN used on the fraudulent return. Department of Justice for civil and criminal litigation, and cities, Line 2: Enter name of the taxpayer used on the fraudulent states, the District of Columbia, and U.S. commonwealths and return. possessions for use in administering their tax laws. We may also Line 3: Enter SSN owner’s current mailing address. If you use a disclose this information to other countries under a tax treaty, to P.O. Box, please include it on this line. federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to Line 3a: Enter SSN owner’s current mailing city, state and zip combat terrorism. code You are not required to provide the information requested on a Line 4: Enter the SSN owner’s complete address shown on the form that is subject to the Paperwork Reduction Act unless the last return filed if different from the current mailing form displays a valid OMB control number. Books or records address entered on line 3 and 3a. relating to a form or its instructions must be retained as long as Note: If the SSN owner’s current mailing addresses on lines their contents may become material in the administration of any 3, 3a and 4 are different and the address has not been Internal Revenue law. Generally, tax returns and return changed with the IRS, a Form 8822, Change of Address, information are confidential, as required by section 6103. must be filed. The time needed to complete and file Form 4506 will vary depending on individual circumstances. The estimated average Step 2 – Provide Requestor Information time is: Learning about the law or the form, 10 min.; Line 5: Check the box that describes the relationship to the Preparing the form, 16 min.; and Copying, assembling, and taxpayer named in Step 1. sending the form to the IRS, 20 min. Line 6: Enter the SSN or appropriate TIN, name and mailing If you have comments concerning the accuracy of these time address of the requestor if different from Step 1. estimates or suggestions for making Form 4506 simpler, we (Examples of appropriate TINs: Centralized would be happy to hear from you. You can write to: Authorization File (CAF), Employer Identification Internal Revenue Service Number (EIN)) Tax Forms and Publications Division If you are authorized to obtain the identity theft victim’s tax 1111 Constitution Ave. NW; Washington, DC 20224 information, 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: • You are requesting return information of your minor child as a parent or legal guardian, or • Your authority to obtain return information for the requested tax year(s) is on file with the IRS and you are providing your CAF number. Catalog Number 68948H www.irs.gov Form 4506-F (Rev. 3-2019) |