Form INV ID1 "Identity Theft Affidavit" - Alabama

What Is Form INV ID1?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Alabama Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form INV ID1 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form INV ID1 "Identity Theft Affidavit" - Alabama

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ALABAMA DEPARTMENT OF REVENUE
Form INV ID1
INVESTIGATIONS DIVISION
Revised July 2017
P.O. BOX 11487 Huntsville, AL 35814
Phone: (256) 837- 2319
SUBMIT FORM
IDENTITY THEFT AFFIDAVIT
Please complete and submit this form if you are an actual or potential victim of identity theft and would like the Alabama Department of Revenue (ADOR) to
mark your account to identify any questionable activity.
Please check one of the following boxes
_____ I am a victim of identity theft and I believe the incident is affecting my tax records. (Provide a short explanation of the tax impact.)
_____ I am a victim of identity theft and believe I may be at risk for future impact to my tax account
_____ I am a potential victim of identity theft and believe I may be at risk for future impact to my tax account. (You should check "potential victim" if you have not experienced
identity theft but are at risk due to a lost/stolen purse or wallet, questionable credit card or credit report activity, etc.
Tax year(s) impacted and/or date the incident occurred (if applicable or known)
Last tax return filed (year) (Enter NRF if not required to file)
Taxpayer's:
Last name
First name
Middle Initial Provide the last 4 digits of your
Social Security Number (SSN)
Taxpayer's current mailing address
City
State
ZIP code
Address on last tax return filed (Type "NR" if you are not required to file a tax return)
City
State
ZIP code
Telephone Number:
Home/Work/Cell
Email Address
Primary language:
English
Spanish
Other - specify below
Under penalty of perjury, I declare that, to the best of my knowledge and belief, the information entered in this form is true, correct, complete, and made in good faith.
______________________________________________________
__________________________________________
(Signature of taxpayer)
(Date signed mm/dd/yyyy)
Please submit this completed form and a photocopy of at least one of the following documents to verify your identity. (Check the box next to the document you are submitting.)
Driver's license
Non Driver ID
Social Security Card
Passport
ALABAMA DEPARTMENT OF REVENUE
Form INV ID1
INVESTIGATIONS DIVISION
Revised July 2017
P.O. BOX 11487 Huntsville, AL 35814
Phone: (256) 837- 2319
SUBMIT FORM
IDENTITY THEFT AFFIDAVIT
Please complete and submit this form if you are an actual or potential victim of identity theft and would like the Alabama Department of Revenue (ADOR) to
mark your account to identify any questionable activity.
Please check one of the following boxes
_____ I am a victim of identity theft and I believe the incident is affecting my tax records. (Provide a short explanation of the tax impact.)
_____ I am a victim of identity theft and believe I may be at risk for future impact to my tax account
_____ I am a potential victim of identity theft and believe I may be at risk for future impact to my tax account. (You should check "potential victim" if you have not experienced
identity theft but are at risk due to a lost/stolen purse or wallet, questionable credit card or credit report activity, etc.
Tax year(s) impacted and/or date the incident occurred (if applicable or known)
Last tax return filed (year) (Enter NRF if not required to file)
Taxpayer's:
Last name
First name
Middle Initial Provide the last 4 digits of your
Social Security Number (SSN)
Taxpayer's current mailing address
City
State
ZIP code
Address on last tax return filed (Type "NR" if you are not required to file a tax return)
City
State
ZIP code
Telephone Number:
Home/Work/Cell
Email Address
Primary language:
English
Spanish
Other - specify below
Under penalty of perjury, I declare that, to the best of my knowledge and belief, the information entered in this form is true, correct, complete, and made in good faith.
______________________________________________________
__________________________________________
(Signature of taxpayer)
(Date signed mm/dd/yyyy)
Please submit this completed form and a photocopy of at least one of the following documents to verify your identity. (Check the box next to the document you are submitting.)
Driver's license
Non Driver ID
Social Security Card
Passport