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Official form guide

Form 14039B: Business Identity Theft Affidavit

IRS Form 14039B is a Business Identity Theft Affidavit used to report identity theft to the IRS. It allows the IRS to efficiently assist in resolving federal tax issues caused by the theft.

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Form Overview

IRS Form 14039B - Business Identity Theft Affidavit

IRS Form 14039B is a Business Identity Theft Affidavit used to report identity theft to the IRS. It allows the IRS to efficiently assist in resolving federal tax issues caused by the theft.

The form collects your business details in Section B (like Legal name of entity and EIN), individual submission data in Section C (your name and TIN), and requires supporting documentation for corporations, partnerships, etc., which may include Articles of incorporation.

Risk Radar

Scan points
  • 1Do not submit photocopies of federally issued identification where prohibited by 18 U.S.C. 701.
  • 2Selecting the wrong box in Section A when reporting identity theft.
  • 3Failing to provide required documentation with a signed Form 14039-B.
  • 4Not listing the tax year(s)/quarter(s) affected in Section B, Line 6.
  • 5Not checking only ONE of the boxes regarding the EIN's active status (Section B, Line 8).

Plain English

This form lets you formally tell the Internal Revenue Service (IRS) that someone has stolen your business's identity. By filing this affidavit, you help the IRS fix tax problems and protect your account in the future. The information provided helps determine if you owe taxes or are due a refund.

Submission Date

  • Filing date: 2021-05-24 22:10:22
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when you are reporting business identity theft related to an EIN.
  • Do not use it when your issue is not specifically tied to a business entity, estate, trust, or exempt organization listed in Section B.
  • Check Form 14039-B instead when receiving IRS notices for an unknown business in your name with an assigned EIN (if you are not a business owner).

Form selector

Use this form or another form?

You suspect the entity is a victim of identity theft

You need to complete Sections B, C, D, E, and F

Check Box 2 in Section A

Section B, C, D, E, F

You are not a business owner but receive notices for an unknown EIN

You must report the nine-digit EIN you received

Check Box 1 in Section A

Section C, D, F

General Identity Theft Reporting (if specific entity type isn't clear)

The form covers general business identity theft affidavits

Confirm your selection box in Section A

Form 14039-B

Deadline or filing window

Filing is triggered either when the filer receives an IRS notice or when they need to proactively report theft without a notice. If you received a notice, attach Form 14039-B to the back of that specific notice. The form does not state a fixed deadline if no notice was received.

Checklist

What you need before filling it out

1

Section A (Selection)

Select one box based on your situation · Front page

Choosing the wrong box dictates required sectionsHigh
2

Section B (My Business Info)

Legal name of entity, Approx. date established, EIN · Page 1

Missing any of these three fieldsMedium
3

Section E (Supporting Docs)

Passport/Driver's license copy or utility bill copy · Page 2

Submitting photocopies that are not legibleHigh
4

Sole Proprietor Documentation

Two documents required: valid ID + proof of operation · Page 2

Submitting only one document typeMedium
5

Corporation Docs

Articles of incorporation/organization OR Trust/estate doc · Page 2

Forgetting to check the box next to submitted itemsLow
6

Filing by Mail (No Notice)

Complete Form 14039-B and mail to IRS, Ogden, UT 84201 · Page 2

Sending it to the Tax Products Coordinating Committee address insteadMedium

Before you submit

  1. 1Select the correct box in Section A based on your situation.
  2. 2Complete all required fields in Section B (Legal name, date established, EIN).
  3. 3Provide a brief explanation and relevant dates in Section D.
  4. 4Gather supporting documentation as required by your entity type in Section E.
  5. 5Ensure you have photocopies of the documents selected in Section E.
  6. 6Sign and date Section F under penalties of perjury.
  7. 7If mailing without a notice, ensure the address is IRS, Ogden, UT 84201.

How to file this form

  1. 1Complete Sections A through D by selecting your situation and providing necessary details.
  2. 2Gather required supporting documentation (e.g., Passport, Articles of Incorporation) for Section E.
  3. 3Sign and date Section F to affirm the information is true under penalties of perjury.
  4. 4Mail the completed form to Internal Revenue Service, Ogden, UT 84201 if no notice was received from the IRS.

Known limitations

  1. 1The information provided on Form 14039-B is voluntary, though failure to provide it may make resolution more difficult.
  2. 2If a taxpayer intentionally provides false information on Form 14039-B, they may be subject to criminal penalties.
  3. 3A person is not required to respond to, nor shall any person be subject to a penalty for failure to comply with, the collection of information subject to the requirements of the Paperwork Reduction Act unless it displays a currently valid OMB Control Number (1545-2139).

Field map

Compact field-by-field guide

6 fields

General Info

2 items

Taxpayer Name and TIN

Full legal name and taxpayer identification number (SSN or EIN).

Requiredtext
Address

Current mailing address.

Requiredtext

Details

2 items

Required Information

Complete all applicable sections of this form according to the official IRS instructions.

Requiredtext
Amount (if applicable)

Enter the relevant dollar amount if this form involves tax calculation.

amount

Certification

1 items

Certification Statement

Read and acknowledge any certifications required by this form.

Requiredcheckbox

Signatures

1 items

Signature

Sign and date. Unsigned forms cannot be processed.

Requiredsignature
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Current form status
IRS

The current edition is Revision 5 from May 2021. The source references www.irs.gov for guidance and other resources, indicating where to find the most up-to-date information.

What changed or needs a fresh check

  • Edition date — confirm the revision date reads May 2021
  • Catalog Number — confirm the number is 64092C
  • Mailing address (if no notice) — confirm Ogden, UT 84201 for mail submission
  • Signature — confirm you sign in Section F under penalties of perjury
  • OMB Number — confirm the number is 1545-2139

Quick Facts

A filer must be an individual who has the legal authority to act for the entity and receive return information under IRC 6103, such as a sole proprietor, officer/director, partner, or executor of a trust.
The form collects your business details in Section B (like Legal name of entity and EIN), individual submission data in Section C (your name and TIN), and requires supporting documentation for corporations, partnerships, etc., which may include Articles of incorporation.
Timing is dependent on the situation; if you received an IRS notice, you attach Form 14039-B to the back of that notice. If no notice was received, there is no specific deadline stated other than when it needs to be sent.
If mailing by mail and you did not receive a notice from the IRS, send the completed form to Internal Revenue Service, Ogden, UT 84201. When faxing, the source does not specify a routing address for that method.
Failure to provide required documentation with a signed Form 14039-B may delay processing by the IRS. If you intentionally provide false information, you may be subject to criminal penalties.
First, select the appropriate box in Section A based on your situation. Then, complete Sections B (Business Information) and C (Individual Submission). Finally, sign under penalty of perjury in Section F, ensuring you attach required documentation if applicable.

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After you file

  1. 1Submit this completed Form 14039-B and legible photocopies of supporting documents.
  2. 2If you receive an IRS notice with a FAX number, send the form to that specific FAX number.
  3. 3Keep a copy of the completed Form 14039-B for your records.
  4. 4If filing in person at a Taxpayer Assistance Center, present the completed form along with at least one piece of required documentation and your original driver’s license or other valid U.S. photo ID.

Sources

  • SRCInstructions p.1 — Form 14039-B is Catalog Number 64092C and is dated May 2021 (Rev. 5-2021).
  • SRCInstructions p.1 — Section A, Box 1 applies if the filer is not a business owner but receives IRS notices for an unknown business in their name with an assigned EIN.
  • SRCInstructions p.1 — If checking Box 1, the filer must complete Sections C, D, and F of Form 14039-B.
  • SRCInstructions p.2 — For Sole Proprietors filing Form 14039-B, two documents are required: a valid U.S. government-issued ID AND documentation supporting business operation.
  • SRCInstructions p.2 — For Corporations/Partnerships etc., one or more documents must be submitted from the list provided in Section E (e.g., Articles of incorporation).
  • SRCInstructions p.2 — If filing without an IRS notice, Form 14039-B may be faxed toll-free to 855-807-5720.

Common confusion points

Which Section A box should I check?

The selection depends on whether you are a business owner who hasn't applied for an EIN, but is getting notices in someone else's name (Box 1), or if the entity/estate listed in Section B is suspected of identity theft (Box 2).

Check your situation against the descriptions provided under Section A.

What documents are required for a Sole Proprietor?

Two specific documents are required: a valid U.S. government-issued ID (like a driver's license) AND documentation supporting business operation (like a utility bill or invoice).

Confirm you have both an ID and proof of business activity ready.

What documents are required for a Corporation, Partnership, etc.?

You must send one or more documents from the list: Articles of incorporation, Articles of organization, Trust/estate document, or Federal/State government issued photo identification with your signature.

Review Section E to ensure you select and submit at least one item from the appropriate list.

When should I fax Form 14039-B?

If you received an IRS notice related to this issue that shows a FAX number, use that specific number; otherwise, you may fax it toll-free to 855-807-5720.

Check your most recent IRS correspondence first.

Do I have to file this form?

Providing the information on Form 14039-B is voluntary, but not providing the information may make resolution more difficult.

If you are unsure, filing it allows for efficient assistance from the IRS.

Can I send this form to the general address listed (IR-6526)?

No; if you have a notice or letter, see that document for specific mailing instructions instead of sending it to 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224.

Workflow map

Related forms and next steps

4 signals

Before

Not stated in the official source — verify on the agency site

Current

14039B

After

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Often used with

IRS Form 14039-B (Business Identity Theft Affidavit) is used to report identity theft.

⚠ If something goes wrong

  • The form allows the IRS to take actions to protect your account identity in the future.

Questions about IRS Form 14039B

What is IRS Form 14039B used for?

This form lets you formally tell the Internal Revenue Service (IRS) that someone has stolen your business's identity. By filing this affidavit, you help the IRS fix tax problems and protect your account in the future. The information provided helps determine if you owe taxes or are due a refund.

Who must file IRS Form 14039B?

A filer must be an individual who has the legal authority to act for the entity and receive return information under IRC 6103, such as a sole proprietor, officer/director, partner, or executor of a trust.

What information does IRS Form 14039B require?

The form collects your business details in Section B (like Legal name of entity and EIN), individual submission data in Section C (your name and TIN), and requires supporting documentation for corporations, partnerships, etc., which may include Articles of incorporation.

When is IRS Form 14039B due?

Timing is dependent on the situation; if you received an IRS notice, you attach Form 14039-B to the back of that notice. If no notice was received, there is no specific deadline stated other than when it needs to be sent.

Where do I file IRS Form 14039B?

If mailing by mail and you did not receive a notice from the IRS, send the completed form to Internal Revenue Service, Ogden, UT 84201. When faxing, the source does not specify a routing address for that method.

How do I complete IRS Form 14039B?

First, select the appropriate box in Section A based on your situation. Then, complete Sections B (Business Information) and C (Individual Submission). Finally, sign under penalty of perjury in Section F, ensuring you attach required documentation if applicable.

What happens if IRS Form 14039B is filed incorrectly?

Failure to provide required documentation with a signed Form 14039-B may delay processing by the IRS. If you intentionally provide false information, you may be subject to criminal penalties.

Which Section A box should I check?

The selection depends on whether you are a business owner who hasn't applied for an EIN, but is getting notices in someone else's name (Box 1), or if the entity/estate listed in Section B is suspected of identity theft (Box 2). Check your situation against the descriptions provided under Section A.

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Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
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