Illinois Department of Revenue
 
 
Fraud
 
 
 
 
 

Report Tax Fraud

 
 

Please provide as much information as possible in the blanks below. You may remain anonymous if you wish.

Your information:
Name: 
Street Address: 
City: 
State: 
Zip: 
Phone: 
email: 
   
Violator information:
Name: 
Street Address: 
City: 
State: 
Zip: 
Other identifiers: 
(SSN, DOB) 
   
Is the violator: 
Self-employed?
 
A Business Owner?
 
An Employer of other workers?
   
Type of Violation: 
   See Descriptions
 
Income Tax or Withholding Tax Fraud
 
Sales & Use Tax Fraud
 
Other Tax Crimes
 
Cigarette Tax Violations
 
Motor Fuel - IFTA Violations
 
Motor Fuel - Dyed Diesel Violations
 
Criminal Violations
 
Describe your complaint:
 
 
Provide information regarding violator's business or employees (names, how they earn income, do they hide income, etc.):
 
 
Please provide any other information you feel is important:
 
 
If you wish to keep a copy of this on-line referral form, send it to your printer before you click on the "Submit Your Referral" button.
  

 
 
 
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