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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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Go to the pdffiller website and search for the identity theft form.
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Fill in your personal information such as name, address, date of birth, and social security number.
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