Fillable Form 3949-A Information Referral (Page 2 of 3) in pdf

Page 2

Instructions for Form 3949-A, Information Referral

General Instructions

Purpose of the Form

Use Form 3949-A to report alleged tax law violations by an individual, a business, or both.

CAUTION: DO NOT USE Form 3949-A:

o If you suspect your identity was stolen. Use

Form

14039. Follow “Instructions for Submitting this Form” on Page 2 of

Form 14039.

o To report suspected misconduct by your tax return preparer. Use

Form

14157. Submit to the address on the Form

14157.

o If your paid preparer filed a return or made changes to your return without your authorization. Instead, use

Form 14157

AND

Form

14157-A. Submit both to the address on the Form 14157-A.

o If you received a notice from the IRS about someone claiming your exemption or dependent. Follow the instructions

on the notice. Do not complete Form 3949-A.

o To report an abusive tax avoidance scheme, promotion, or a promoter of such a scheme. Use

Form 14242.

Mail or FAX

to the address or FAX number on the Form 14242.

o To report misconduct or wrongdoing by a tax exempt organization or its officers, directors, or authorized persons. Use

Form 13909.

Submit by mail, FAX, or email, according to the instructions on the Form 13909.

Have information and want to claim a reward? Use Form 211, Application For Award For Original Information. Mail it to the

address in the Instructions for the form.

Specific Instructions

Section A – Provide Information About the Person/Business You Are Reporting, if known.

Provide as much information as you know about the person or business you are reporting.

1. Complete if you are reporting an individual. Include their name, street address, city, state, ZIP code, social security

number or taxpayer identification number, occupation, date of birth, marital status, name of spouse (if married), and email

address. Include as much information as you know.

2. Complete if you are reporting a business. Include the business name, business street address, city, state, ZIP code,

employer identification number (EIN), telephone number(s), email address, and website, if known.

Note: Complete both parts if you are reporting a business and its owner.

Section B – Use to Describe the Alleged Tax Law Violation(s)

3. Check all Tax Violations That Apply to Your Report.

False Exemption- Claimed persons as dependents they are not entitled to claim.

False Deductions- Claimed false or exaggerated deductions to reduce their taxable income.

Multiple Filings- Filed more than one tax return to receive fraudulent refunds.

Organized Crime- Member of a group of persons who engaged in illegal enterprises such as drugs, gambling,

loansharking, extortion, or laundering illegal money through a legitimate business.

Unsubstantiated Income- Reported false income from an unverifiable source in order to get a false refund.

Earned Income Credit- Claimed Earned Income Credit which they were not entitled to receive. They may have reported

income they did not earn or claimed children they were not entitled to claim.

Public/Political Corruption- Public official or politician violated laws against using their position illegally for personal gain.

False/Altered Documents- Changed documents, such as a W-2 or Form 1099, or created fake documents to substantiate a

false refund.

Unreported Income- Received cash or other untraceable payments, such as goods or services, and did not report the

income.

Narcotics Income- Received income from illegal drugs or narcotics.

3949-A

Catalog Number 47872E

Form

(Rev. 4-2016)

Form 3949-A Information Referral Page 2

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