Tax Fraud Referral Form

Taxpayer in Violation

Name
Address
Zip Code

Business in Violation

Name
Address
Zip Code

Alleged Violation of Tax Law

Check all that apply
Alleged Violation of Tax Law Checkboxes

Type of Tax Involved

Check all that apply
Type of Tax Involved Checkboxes

Comments

(Briefly describe the facts of the alleged violation - Who/What/Where/When/How - and how you obtained the information)

Questions

Are books/records available?
Do you have any physical evidence?
Do you consider the taxpayer dangerous

Banks, Financial Institutions, Credit Unions Used By The Taxpayer

Name
Address
Zip Code

Referral By

Name
Address
Zip Code
CAPTCHA
Enter the characters shown in the image.