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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. 6103. Providing the information on this form is voluntary. However if you do not provide the information it may be more difficult to assist you in resolving your identity theft issue. 6001. The primary purpose of the form is to provide a method of reporting identity theft issues to the IRS so that the IRS may document situations...
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Review the instructions provided on the form to understand what information is required.
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Fill in your personal information such as name, address, date of birth, and social security number.
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Provide details about the identity theft incident, including the dates, description of fraudulent activities, and any relevant supporting documents.
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Individuals who have been victims of identity theft and need to report the incident to relevant authorities.
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Credit bureaus or financial institutions that need to verify and investigate identity theft claims made by their customers.
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