Form INV37283 "Information Referral" - Alabama

What Is Form INV37283?

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 October 1, 2013;
  • 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 printable version of Form INV37283 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form INV37283 "Information Referral" - Alabama

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A
D
R
INV 37283
LABAMA
EPARTMENT OF
EVENUE
10/2013
I
D
NVESTIGATIONS
IVISION
P.O. Box 327641 • Montgomery, AL 36132-7641 • (334) 242-3012
Information Referral
INFORMATION RECEIVED IS STRICTLY CONFIDENTIAL
Date: _____________________________
1a. Taxpayer Name
2a. Business Name
b. Street Address
b. Street Address
c. City / State / ZIP
c. City / State / ZIP
d. Social Security Number (SSN)
d. Employer Identification Number (EIN)
e. Occupation
e. Principal Business Activity
f. Date of Birth
f. Approximate Year of Business
3a. Marital Status
3b. Name of Spouse (if applicable)
Married
Single
Head of Household
Divorced
Separated
4. Alleged Violation of
Income and/or
Sales Tax Law
Other (check all that apply)
False Exemption
Unsubstantiated Income
Unreported Income
Failure to Withhold Tax
False Deductions
Kickback
Narcotics Income
Wagering/Gambling
Multiple Filing
False/Altered Documents
Public/Political Corruption
Motor Vehicle
Organized Crime
Failure to Pay Tax
Failure to File Return
Other (describe in 5b below)
5a. Unreported Income and Tax Years (fill in tax year(s) and dollar amount(s), if known; e.g., TY2005 $10,000)
TY________ $_________________
TY________ $_________________
TY________ $_________________
TY________ $_________________
TY________ $_________________
TY________ $_________________
b. Comments (Briefly describe the facts of the alleged violation – Who/What/Where/When/How. Attach additional sheet if needed.)
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
c. Are books/records available?
d. Do you consider the taxpayer dangerous?
Yes
No
Yes
No
(If yes, explain in section 5b above.)
e. Banks, Financial Institutions used by the taxpayer:
Name:
Name:
Address:
Address:
City / State / ZIP:
City / State / ZIP:
f. Please describe how you learned and/or obtained the information in this report (attached additional sheet if needed).
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
6a. Your Name (optional):
b. Address:
c. City / State / ZIP:
d. Phone Number (include area code):
e. Best time to contact you if necessary:
MAIL COMPLETED FORM TO ADDRESS ABOVE
A
D
R
INV 37283
LABAMA
EPARTMENT OF
EVENUE
10/2013
I
D
NVESTIGATIONS
IVISION
P.O. Box 327641 • Montgomery, AL 36132-7641 • (334) 242-3012
Information Referral
INFORMATION RECEIVED IS STRICTLY CONFIDENTIAL
Date: _____________________________
1a. Taxpayer Name
2a. Business Name
b. Street Address
b. Street Address
c. City / State / ZIP
c. City / State / ZIP
d. Social Security Number (SSN)
d. Employer Identification Number (EIN)
e. Occupation
e. Principal Business Activity
f. Date of Birth
f. Approximate Year of Business
3a. Marital Status
3b. Name of Spouse (if applicable)
Married
Single
Head of Household
Divorced
Separated
4. Alleged Violation of
Income and/or
Sales Tax Law
Other (check all that apply)
False Exemption
Unsubstantiated Income
Unreported Income
Failure to Withhold Tax
False Deductions
Kickback
Narcotics Income
Wagering/Gambling
Multiple Filing
False/Altered Documents
Public/Political Corruption
Motor Vehicle
Organized Crime
Failure to Pay Tax
Failure to File Return
Other (describe in 5b below)
5a. Unreported Income and Tax Years (fill in tax year(s) and dollar amount(s), if known; e.g., TY2005 $10,000)
TY________ $_________________
TY________ $_________________
TY________ $_________________
TY________ $_________________
TY________ $_________________
TY________ $_________________
b. Comments (Briefly describe the facts of the alleged violation – Who/What/Where/When/How. Attach additional sheet if needed.)
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
c. Are books/records available?
d. Do you consider the taxpayer dangerous?
Yes
No
Yes
No
(If yes, explain in section 5b above.)
e. Banks, Financial Institutions used by the taxpayer:
Name:
Name:
Address:
Address:
City / State / ZIP:
City / State / ZIP:
f. Please describe how you learned and/or obtained the information in this report (attached additional sheet if needed).
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
6a. Your Name (optional):
b. Address:
c. City / State / ZIP:
d. Phone Number (include area code):
e. Best time to contact you if necessary:
MAIL COMPLETED FORM TO ADDRESS ABOVE