Identity theft affidavit 2025

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  1. Click ‘Get Form’ to open the identity theft affidavit in the editor.
  2. Begin by filling in your full legal name in the designated fields, including first, middle, last names, and any suffixes like Jr. or Sr.
  3. If you were known by a different name during the events described, provide that information in the next section.
  4. Enter your date of birth and Social Security number accurately to ensure proper identification.
  5. Fill in your current address and indicate how long you have lived there. If applicable, provide your previous address during the incident.
  6. In the 'How the Fraud Occurred' section, check all relevant boxes that apply to your situation regarding unauthorized use of your personal information.
  7. Provide details about any stolen identification documents and any known individuals who may have used your information fraudulently.
  8. Complete the law enforcement actions section by indicating whether you are willing to assist in prosecution and if you reported the incident to police.
  9. Finally, review all entries for accuracy before signing and dating the affidavit. Ensure that supporting documentation is attached as needed.

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Form 14039 can also be completed online at .
Keep copies of all correspondence and reports made to local authorities like the State Police. Promptly filing the affidavit helps protect your tax records and initiates investigations into fraudulent use of your Social Security number.
Use the ID Theft Affidavit The Federal Trade Commissions ID Theft Affidavit is accepted by the credit bureaus and by most major creditors. Send copies of the completed form to creditors where the thief opened accounts in your name.
How to Get an Affidavit of Identity (3 steps) Fill Out the Affidavit Form. Download and complete the affidavit of identity form. Find a Notary Public. Notary services can commonly be found in local directories or at banks, UPS stores, or accounting offices. Sign the Affidavit.
Call or email the fraud department of the companies, banks or credit unions where accounts have been compromised. Explain that someone stole your identity and ask them to close or freeze the compromised account.
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If you experience unauthorized access to your other personal accounts, such as a bank account, submit Form 14039 to the IRS and include a copy of a government-issued ID and, if possible, a police report.

theft affidavit