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Click ‘Get Form’ to open the IRS 14039 B in the editor.
In Section A, enter your business information. Fill in the legal name of your entity, establishment date, and Employer Identification Number (EIN). Ensure that you provide a complete current business address including city, state, and ZIP code.
Proceed to Section B to explain the reason for filing. Select the appropriate box indicating how your business information was misused and provide a detailed explanation of the identity theft incident.
Complete Section C with your personal information if you are authorized to act for the entity. Include your name, Social Security Number, mailing address, and contact number.
In Section D, sign and date the form. Choose between submitting it notarized or alongside a police report. Attach any required supporting documentation as specified.
Finally, follow the submission instructions in Section E to send your completed form either by mail or in person at a Taxpayer Assistance Center.
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