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:


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