FTB 3552 PC (NEW 06-2012) Identity Theft Affidavit. Identity Theft Affidavit-2025

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The document is an Identity Theft Affidavit from the California Franchise Tax Board, intended for individuals who are actual or potential victims of identity theft affecting their tax accounts. It provides a form to report identity theft incidents, request updates to account status, and submit supporting documents for verification. The affidavit requires personal information, details about the incident, and consent for the information provided to be true. Instructions for submission via mail or fax are included.

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Click ‘Get Form’ to open the FTB 3552 PC (NEW 06-2012) Identity Theft Affidavit in the editor.
Begin by selecting one of the three options regarding your identity theft status. Provide a brief explanation if you are a victim and believe it affects your tax account.
Fill in the 'Tax Year(s) Impacted' and 'Date the Incident Occurred' fields if applicable. Enter the year of your last filed tax return.
Complete your personal information, including your last name, first name, middle initial, and the last four digits of your Social Security Number or ITIN.
Provide your current mailing address and check if it differs from the address on your last tax return. Include a contact number and preferred language.
Sign and date the affidavit under penalty of perjury, ensuring all information is accurate.
Select and attach a copy of an identity verification document as specified in the form before submitting it via mail or fax.

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Versions	Form popularity	Fillable & printable
2016	4.9 Satisfied (252 Votes)
2015	4 Satisfied (52 Votes)
2013	4.3 Satisfied (47 Votes)
2012	4.3 Satisfied (69 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Why am I getting a letter from the California franchise tax board?

The Franchise Tax Board will send a notice or letter to personal taxpayers and business entities for issues that may include but not limited to: You have a balance due. You are due a larger or smaller refund. We need to notify you of delays in processing your return.

How do I get an FTC identity theft affidavit?

☐ Complete the FTCs online complaint form at ftc.gov/complaint. Give as many details as you can. The complaint form is not available on mobile devices, but you can call 1-877-438-4338 to make your report. ☐ Print and save your FTC Identity Theft Affidavit immediately.

Should I fill out an identity theft affidavit?

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.

How to file an identity theft affidavit?

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.