Form 4506-F, Identity Theft Victim’s Request Instructions
This form contains 19 fields organized into 4 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Authorization | ||
| Step 4: Sign. Requestor's signature | Text |
Provide your signature to authorize the request for copies of the fraudulent tax returns.
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| Date | Text |
Enter the date when you are signing this form.
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| Requestor Information | ||
| 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) | CheckBox |
Check this box if you are the taxpayer named in Step 1.
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| 5. Parent or guardian of a minor child | CheckBox |
Check this box if you are the parent or guardian of a minor child who is the taxpayer named in Step 1.
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| 5. Representative named on Form 2848, Power of Attorney | CheckBox |
Check this box if you are the representative named on Form 2848, Power of Attorney, for the taxpayer named in Step 1.
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| 5. Guardian, executor, or representative named on court documents | CheckBox |
Check this box if you are the guardian, executor, or representative named on court documents for the taxpayer named in Step 1.
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| 6. Requestor's S S N or Taxpayer Identification Number (if different than Step 1). See instructions | Text |
Enter your Social Security Number (SSN) or Taxpayer Identification Number (TIN) if it is different from the SSN provided in Step 1.
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| 6. Requestor's name (if different than Step 1) | Text |
Enter your name if it is different from the name provided in Step 1.
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| 6. Mailing address where the documents should be sent (if different than Step 1) | Text |
Enter the mailing address where the documents should be sent if it is different from the address provided in Step 1.
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| 6. City, state, and Z I P where the documents should be sent (if different than Step 1) | Text |
Enter the city, state, and ZIP code where the documents should be sent if it is different from the address provided in Step 1.
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| 6a Representative C A F number (if applicable) | Text |
Enter the Representative Centralized Authorization File (CAF) number if applicable.
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| Requestor's name (print/type) | Text |
Print or type your full name as the requestor of the fraudulent tax return copies.
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| Requestor's daytime telephone number | Text |
Provide your daytime telephone number for any necessary contact regarding this request.
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| Tax Document Information | ||
| Step 3. Provide Tax Document Information. 7. Enter the tax year(s) of the individual income tax form(s) you are requesting | Text |
Enter the specific tax year(s) for which you are requesting copies of the fraudulent individual income tax forms.
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| Taxpayer Information | ||
| Page 1. Step 1. Provide Taxpayer Information. 1. Social Security Number (S S N) used on fraudulent return | Text |
Enter the Social Security Number (SSN) that was used on the fraudulent tax return.
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| 2. Name used on fraudulent return | Text |
Enter the name that was used on the fraudulent tax return.
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| 3. S S N owner’s current mailing street address | Text |
Enter the current mailing street address of the SSN owner.
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| 3a. S S N owner’s current mailing city, state, and Z I P | Text |
Enter the current mailing city, state, and ZIP code of the SSN owner.
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| 4. S S N owner’s complete address shown on last return if different from above | Text |
Enter the complete address shown on the last tax return if it is different from the current address provided above.
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