Identity Theft Affidavit Forms by State

What Is an Identity Theft Affidavit?

An Identity Theft Affidavit is a document that an individual is supposed to fill in and file in case they have obtained information that their personal data was used to create an illegitimate account or perform any other actions from their name. The purpose of the form is to help victims of identity theft recover from it and report it.

An Affidavit of Identity Theft form is used by different government organizations, such as the Internal Revenue Service (IRS) (Form 14039 and Form 14039-B), Federal Trade Commission (FTC) (FTC Identity Theft Victim's Complaint and Affidavit), the State Department of Taxation in different states, etc. Even though they all use a different form to report identity theft, they all contain similar information.

You can download an Identity Theft Affidavit through the links below.

How to Create an Identity Theft Affidavit?

After a filer suspects that they have become a victim of identity theft they should contact the business or government organization where the theft took place, to find out the actions they need to perform to recover from it and what kind of a document they will accept. Most organizations accept the FTC Identity Theft Affidavit, however, some entities use their own forms, like IRS Identity Theft Affidavit.

The affidavit should consist of several parts, which include the following:

1. Personal information. Here a victim should designate their full name and social security number to identify themselves.
2. Contact information. An applicant should state their full current mailing address (including apartment number, zip code, or PO box) and telephone number.
3. Information about the incident. If an individual has any information about the identity theft that took place, they should report it here. For example, the year when the incident occurred.
4. Signature and date. Filers use this part of the form to put their signature and date.
5. Information about the victim’s representative. In the last part of the document, an applicant should enter the information about the representative (if they have one). Here they should mention their full name, current mailing address, and telephone number. 

Where Do I Mail My Identity Theft Affidavit?

After receiving instructions from the company where the theft took place, a filer should mail them and the FTC an Identity Theft Affidavit. To create an FTC Identity Theft Affidavit an applicant should visit the official website of the FTC, where they can fill it in and submit it online. 

If a filer wants to report tax fraud they should use IRS Form 14039, Identity Theft Affidavit. After completing it, they should mail it to the IRS. The IRS’s mailing address instructions are provided in the form. The address itself will depend on the situation the filer reported in the document.

If a filer wants to report a state’s tax report, they should visit the official website of the state’s Department of Taxation. There, they can find the requirements for the affidavit and the mailing address.

Related Forms and Topics:

• Affidavit of Name Change.
• Affidavit of Death.
• Affidavit of Service.