Form 14157 (2012) Complaint: Tax Return Preparer
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4Control Number:
Department of the Treasury - Internal Revenue Service
14157
OMB Number
Form
Complaint: Tax Return Preparer
1545-2168
(Rev. May 2012)
Return Preparer Information
(complete all known information)
1. Preparer's professional status (check all that apply)
Attorney
Enrolled Agent
Registered Tax Return Preparer
Other / Unknown
Certified Public Accountant
2. Preparer's name and address
3. Preparer's business name and address (if different)
4. Preparer's telephone number(s) (include area code)
5. Preparer's email address
6. Preparer's website
7. Preparer Electronic Filing Identification Number (EFIN)
8. Preparer Tax Identification Number (PTIN)
9. Preparer Employer Identification Number (EIN)
10. Tax year(s) impacted
Nature of Complaint
11a. Review the statements below and check all that apply
Note: If you are a victim of preparer fraud or misconduct that has affected your tax account, you may request the IRS correct your tax
account by completing Form 14157-A, Tax Return Preparer Fraud or Misconduct Affidavit. Form 14157-A provides the IRS with
information and additional documents needed to show the preparer's fraud or misconduct. Form 14157-A must be submitted along with
Form 14157 and the documents listed in the Form 14157-A instructions.
Diverted Refund to Unknown Account
False or Altered Documents
e-filing Using Pay Stub
False or Overstated Form W-2 or 1099
e-filed Returns using Non-Commercial Software or FreeFile
Incorrect Filing Status
Failure to Explain Refund Anticipation Loan
Misrepresentation of Credentials
Failure to Provide Copy of Return
No PTIN
Failure to Remit Employment Tax Payment
PTIN Misuse
Failure to Return Records
Return Filed Does Not Match Client’s Copy
Failure to Sign Returns
Return Filed Without Authorization or Consent
False Exemptions or Dependents
Theft of Refund
False Expenses, Deductions, or Credits
Unreported Income
Other (explain below)
14157
Form
(Rev. 5-2012)
Catalog Number 55242M
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