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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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