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An Official Pennsylvania Government Website

Department of Revenue

Report Suspected Tax Fraud Activity

Part I – Instructions

Part II – Suspect Information

Suspect First Name

*

Suspect Last Name

*

Suspect Business / Company Name

*

Suspect Address Line 1

*

Suspect Address Line 2

*

Suspect City

*

Suspect State

Suspect Postal Code

*

Suspect Phone Number

*

Suspect Identification Number

Suspect EIN

*

Suspect SSN (Last 4)

*

Suspect Business Type

*

Part III – Violation Information

Not Filing a Tax Return

Not Paying Taxes

Under Reporting

Other

Please Describe Violation

*

Cigarette / Tobacco Tax

Corporation Taxes

Employer Tax

Personal Income Tax

Sales Tax

Other

If “Other” was selected, please describe the tax type

*

When did the suspected violation occur?

*

What specific proof can be provided to support the violation?

*

Can you provide documentation (invoices, contracts, W-2s, 1099s, etc.)?

Additional Information

*

Part IV – Submitter Information

Submitter First Name

*

Submitter Last Name

*

Submitter Address Line 1

*

Submitter Address Line 2

*

Submitter City

*

Submitter State

Submitter Postal Code

*

Submitter Phone Number

*

Submitter Email Address

**

Confirm Email Address

**

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