IRS Identity Theft Affidavit (Form 14039)
State of [State]
County of [County]
I, [Full Name], being of legal age, residing at [Address], [City], [State] [ZIP Code], being duly sworn, do hereby declare and state as follows:
[Statements]
Under the penalty of perjury, I hereby declare and affirm that the above-mentioned statement is true and correct to the best of my knowledge.
This Affidavit was made on [Signing Date].
______________________
[Full Name]
(Declarant’s Signature)
Party 1
________________
Signature
Date: ________________
Party 2
________________
Signature
Date: ________________
What Is a IRS Identity Theft Affidavit (Form 14039)?
An IRS Identity Theft Affidavit (Form 14039) in the United States confirms specified facts through a signed declaration sworn before a commissioner for oaths or notary.
The form is authorized under IRC Section 6109 and IRS Procedures outlined in IRM (Internal Revenue Manual) 25.23.2. Filing Form 14039 triggers the IRS Identity Protection Specialized Unit (IPSU) to investigate the fraud, place an identity theft marker on the taxpayer's account, and issue an Identity Protection PIN (IP PIN) for future filings. Under the Taxpayer First Act of 2019 (P.L. 116-25), the IRS expanded the IP PIN program to all taxpayers nationwide.
Form 14039 is not the same as a police report or an FTC Identity Theft Report (filed at IdentityTheft.gov), though both may be necessary. The IRS affidavit specifically addresses tax-related identity theft and initiates the IRS's internal investigation and account protection procedures. The form requires the taxpayer to provide personal identification, describe the type of identity theft experienced, and include supporting documentation such as a copy of a government-issued photo ID and proof of identity.
When Do You Need a IRS Identity Theft Affidavit (Form 14039)?
Form 14039 should be filed when a taxpayer's electronically filed return is rejected because a return using the same SSN has already been filed for that tax year. This is the most common indicator of tax identity theft -- the fraudster files early in the season to claim the victim's refund before the legitimate taxpayer files.
The affidavit is also needed when the IRS sends a notice or letter indicating suspicious activity, such as CP 01A (Identity Theft Post-Assessment), Letter 5071C (Identity Verification), or a notice of additional income reported on the taxpayer's account that they did not earn. These notices indicate that a third party may have used the taxpayer's SSN for employment or tax filing purposes.
Taxpayers who receive a W-2 or 1099 from an employer they never worked for should file Form 14039, as this suggests someone used their SSN for employment. Victims of data breaches involving SSN exposure should also consider filing proactively, even if a fraudulent return has not yet been detected.
Failing to file Form 14039 promptly can delay the taxpayer's legitimate refund for months while the IRS sorts out duplicate filings. The IRS's standard resolution timeline is 120 to 180 days from receipt of the affidavit, and delays in filing extend this timeline further. Without the affidavit, the IRS cannot initiate its identity theft case resolution process.
What to Include in Your IRS Identity Theft Affidavit (Form 14039)
The taxpayer's full legal name, current mailing address, SSN or ITIN, and date of birth must be provided. This information must exactly match the records the IRS has on file; discrepancies can delay processing. If the taxpayer has recently changed their name (through marriage, for example), both the current and previous names should be included.
The form requires the taxpayer to identify the specific type of identity theft: whether someone filed a fraudulent tax return using the taxpayer's SSN, whether the taxpayer's SSN was used for employment by an unauthorized person, or whether the taxpayer received an IRS notice indicating potential identity theft. The tax year(s) affected must be specified.
Supporting documentation is mandatory. The IRS requires a clear, legible copy of a government-issued photo identification (driver's license, state ID, or passport) and a secondary document verifying identity (Social Security card, W-2, or utility bill). The documentation must show the taxpayer's name and SSN or photo.
A detailed description of how the taxpayer discovered the identity theft strengthens the affidavit. This may include the date of discovery, the IRS notice number received, or the rejection code from an e-filed return. If a police report was filed, the report number and jurisdiction should be included.
The taxpayer must sign the affidavit under penalty of perjury under 18 U.S.C. 1621 and 26 U.S.C. 7206. Filing a false Form 14039 is a federal crime. The completed form can be submitted by mail (to the address specified in the accompanying IRS notice) or faxed to the IRS Identity Protection Specialized Unit. Electronic filing of Form 14039 is not currently available.
Sources & Citations
Statutory citations link to official government sources.
- 18 U.S.C. 1621US – Cornell LII
- 26 U.S.C. 7206US – Cornell LII
Cite this page
Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). IRS Identity Theft Affidavit (Form 14039) (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/government/declarations/affidavit-form-14039
"IRS Identity Theft Affidavit (Form 14039) (United States)." Forms Legal, 2026, https://forms-legal.com/usa/government/declarations/affidavit-form-14039.
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title = {IRS Identity Theft Affidavit (Form 14039) (United States)},
year = {2026},
howpublished = {\url{https://forms-legal.com/usa/government/declarations/affidavit-form-14039}},
note = {Free legal document template. Based on 28 U.S.C. §1746}
}Frequently Asked Questions
IRS Form 14039, the Identity Theft Affidavit, is a sworn statement that notifies the Internal Revenue Service that a taxpayer is a victim of identity theft affecting their federal tax records. A taxpayer files it when someone has used their Social Security number to file a fraudulent return, when the IRS rejects an electronically filed return because one was already filed under that number, or when the IRS sends a notice indicating suspicious activity on the account. The form lets the IRS flag the account, investigate the fraud, and protect future filings. The taxpayer signs under penalty of perjury, certifying that the information is true and that they are a victim. The affidavit can be submitted in response to an IRS notice using the address on the notice, attached to a paper return when an e-filed return is rejected, or filed proactively if the taxpayer knows their information was compromised.
IRS Form 14039 can be submitted in several ways depending on the situation, including responding to an IRS notice, attaching it to a paper tax return, or filing it online through the Federal Trade Commission's identity theft reporting system, which forwards it to the IRS. If the IRS has already contacted the taxpayer about suspected identity theft, the form should be mailed or faxed to the address or number on that specific notice. If the taxpayer cannot e-file because a fraudulent return was already submitted under their Social Security number, they attach the completed Form 14039 to a paper return and mail it to the IRS. The taxpayer signs under penalty of perjury. Because processing identity theft cases takes time, the taxpayer should keep copies, continue to file and pay taxes as required, and respond promptly to any follow-up IRS correspondence to resolve the case.
After a taxpayer files IRS Form 14039, the Internal Revenue Service marks the account to track and resolve the identity theft, investigates any fraudulent return, and works to process the taxpayer's legitimate return, though resolution can take several months. The IRS may issue the victim an Identity Protection PIN, a six-digit number that must be entered on future returns to confirm the taxpayer's identity and block fraudulent filings. The taxpayer should continue filing returns and paying any tax due on time during the investigation, since the affidavit does not pause those obligations. The IRS communicates by mail about the status and any additional information needed, so the taxpayer should respond promptly and keep copies of everything submitted. Because the form is signed under penalty of perjury, all statements must be accurate. Filing the affidavit also helps prevent recurring fraud by alerting the IRS to monitor the account.
Reporting identity theft to the IRS with Form 14039 addresses the tax side, but a victim should also take broader steps because the same stolen information often enables other fraud. The Federal Trade Commission's identity theft reporting system creates a recovery plan and an official report, and it can transmit the IRS affidavit electronically. Victims should place a fraud alert or security freeze with the major credit bureaus under the Fair Credit Reporting Act, review credit reports for unauthorized accounts, and file a report with local police if required by creditors. The Social Security Administration should be contacted if benefits or earnings records appear affected. Keeping a detailed record of every report, including dates and confirmation numbers, helps resolve disputes. Because identity theft can spread across financial and government accounts, a coordinated response, with the IRS affidavit as one part, protects the victim more fully than a tax filing alone.
IRS Form 14039 can be filed on behalf of another person in defined circumstances, such as a parent or guardian filing for a dependent minor, an authorized representative filing for an incapacitated adult, or an executor or surviving spouse filing for a deceased taxpayer whose identity was misused. The form includes a section identifying whether the affidavit concerns the filer, a dependent, or another individual, and the person submitting it must have the legal authority to act for the victim. When filing for a deceased taxpayer, supporting documentation such as a death certificate and proof of authority may be required. The signer attests under penalty of perjury that the information is accurate. Because identity thieves sometimes misuse the Social Security numbers of children and deceased persons, the IRS provides this mechanism so a responsible adult can report the fraud and protect the affected account from continued misuse.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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