The FTB 3552 form is designed for individuals in California who have fallen victim to identity theft and need to notify the Franchise Tax Board (FTB) to help protect their tax account from fraudulent activity. It serves as an affidavit for those experiencing or at risk of identity theft, ensuring the FTB can take appropriate measures to safeguard their information. To streamline the process of updating your account status and protecting your personal information, click the button below to fill out the form.
The FTB 3552 form, issued by the State of California's Franchise Tax Board, serves as an essential resource for individuals confronting the challenges of identity theft related to their tax accounts. Primarily designed to assist both actual and potential victims, this form enables them to notify the tax authorities about suspicious activities that could jeopardize their financial health. It provides a systematic approach for detailing the nature of the identity theft incident, including the selection of specific boxes that indicate whether the person is currently affected or at risk of future impact. Furthermore, the form requests essential personal information, such as the last four digits of the Social Security Number or the Individual Taxpayer Identification Number, and details regarding the most recent tax return. With sections dedicated to collecting contact information, the preferred language for communication, and a declaration signed under penalty of perjury, the form underscores the seriousness of these situations. Additionally, it outlines the steps for submitting supporting documents, such as identification and police reports, to verify the identity of the filer. Submission instructions are clearly provided, including the method of delivery—either by mail or fax, depending on the presence of an FTB notice and available contact methods. The form also includes references to additional resources on identity theft and emphasizes the privacy of the information submitted. Overall, the FTB 3552 form is a critical tool for individuals seeking to safeguard their fiscal records and rectify issues arising from identity theft, ensuring that the Franchise Tax Board can take appropriate measures to protect their tax account and personal information.
STATE OF CALIFORNIA
FILING COMPLIANCE BUREAU MS F151
FRANCHISE TAX BOARD
PO BOX 1468
SACRAMENTO CA 95812-1468
Identity Theft Affidavit
Complete and submit this form if you are an actual or potential victim of identity theft and would like the Franchise Tax Board (FTB) to update your account status to identify questionable activity.
Check one of the following boxes:
I am a victim of identity theft, and I believe this incident is affecting my tax account. Provide a short explanation of the tax impact:
I am a victim of identity theft, and I believe I may be at risk for future impact to my tax account.
I am a potential victim of identity theft, and I believe I may be at risk for future impact to my tax account. (Check “potential victim” if you have not experienced identity theft but are at risk due to a lost/stolen purse or wallet, questionable credit card or credit report activity, etc.)
Tax Year(s) Impacted
Date the Incident Occurred
Last Tax Return Filed (Year)
Provide the last 4 digits of your Social Security Number or
(if applicable or known):
(Enter NRF if Not Required to File.):
your complete Individual Taxpayer Identification Number:
Last Name:
First Name:
Middle Initial:
Current Mailing Address:
City:
State:
Address on Last Tax Return Filed (Check Here If You Are Not Required to File a Tax Return.):
ZIP Code:
Telephone Number: Home Work Cell
Best Time (s) to Call:
Primary Language: English Spanish Other
Specify:
Under penalty of perjury, I declare that, to the best of my knowledge and belief, the information entered in this form is true, correct, complete, and made in good faith. I hereby agree and consent that the facsimile/fax signature of this affidavit shall be considered as valid as the original.
Taxpayer Signature
Date Signed (mm/dd/yyyy)
Submit this completed form and a copy of at least one of the following documents to verify your identity.
(Check the box next to the document you are submitting.)
a) Passport
b) Driver license or Department of Motor Vehicles identification card
If available, include a copy of:
c) Social security card
d) Police report
e) Internal Revenue Service letter of determination
Submit the copies required above with this form using one of the options described on PAGE 2 of this form.
FTB 3552 (REV 06-2016) C1 PAGE 1
355200081371
By Mail:
By Fax:
If you received a notice from FTB, return this
If you received a notice in the mail from FTB and a fax
form with a copy of the notice to the address
number is shown, fax this completed form with a copy of
contained in the notice.
the notice to that number. Include a cover sheet marked
“Confidential.” If no fax number is shown, follow the mailing
If you have not received an FTB notice and are
instructions.
self-reporting potential risk for future impact to
your tax account, mail this form to:
FTB does not initiate contact with taxpayers by email or fax.
If you have not received an FTB notice and are self-reporting
potential risk for future impact to your tax account, fax this form
to:
916.843.0561
Go to oag.ca.gov and search for identity theft for additional resources and information regarding identity theft.
For privacy information, go to ftb.ca.gov and search for privacy notice. To request this notice by mail, call 800.338.0505 and enter form code 948 when instructed.
Connect With Us
Web: ftb.ca.gov
Phone:
916.845.7088
7 a.m. to 5 p.m. weekdays, except state holidays
916.845.6500
from outside the United States
TTY/TDD: 800.822.6268
for persons with hearing or speech impairments
FTB 3552 (REV 06-2016) C1 PAGE 2
Filling out and submitting the FTB 3552 form is a crucial step for individuals who have experienced identity theft or believe they are at risk of such an event, particularly in relation to their California state tax account. This affidavit helps the Franchise Tax Board (FTB) pinpoint and address questionable activity, safeguarding the victim's tax information. Following these straightforward steps ensures that the process is completed correctly, allowing for the necessary protections to be put in place.
Once your form is submitted, the Franchise Tax Board will review your affidavit and attached documents to update your account status accordingly. This step is vital in helping protect your tax records and personal information from further unauthorized activity. Always ensure to keep copies of all documents sent for your records and follow up if you do not receive confirmation from FTB within a reasonable timeframe.
What is the FTB 3552 form used for?
The FTB 3552 form, or Identity Theft Affidavit, is used for reporting to the Franchise Tax Board (FTB) when an individual has either become a victim of identity theft or believes they are at potential risk of such a threat, particularly in ways that could impact their tax account. It enables the FTB to update the taxpayer's account status to flag for questionable activity.
Who should complete the FTB 3552 form?
Individuals who have confirmed that they are a victim of identity theft and understand the impact it has on their tax account should complete the form. Additionally, individuals who have not yet been victimized but believe they may be at risk due to situations like a lost or stolen purse, wallet, or unusual activities on their credit account should also fill out this form.
What documents are required to submit along with the FTB 3552 form?
When submitting the FTB 3552 form, individuals need to provide a copy of at least one document to verify their identity. Acceptable documents include a passport, driver's license or DMV identification card, if available. Optionally, one can also submit a social security card, a police report, or an IRS letter of determination to further support their case.
How can I submit the FTB 3552 form?
The form can be submitted either by mail or fax. If you received a notice from the FTB, return this form along with a copy of the notice to the address contained in the notice. If submitting by fax and a fax number was provided in a notice you received, send the completed form and notice copy to that number, including a cover sheet marked “Confidential.” If you have not received a notice and are self-reporting, mail or fax the form to the provided contact details on the form.
What should I do if I haven’t received an FTB notice but want to report identity theft?
If you haven't received an FTB notice but believe you are a victim or at risk of identity theft impacting your tax account, you can still use the FTB 3552 form for self-reporting. You should complete the form with your details and send it to the Filing Compliance Bureau at the address or fax number provided, depending on your preferred submission method.
Is my information secure when submitting the FTB 3552 form?
Yes, the information you provide on the FTB 3552 form is handled with strict confidentiality. The FTB takes the privacy of taxpayers very seriously and has measures in place to ensure that your information is protected and used only for the purposes of addressing the identity theft issue reported.
Where can I find additional resources on identity theft?
For more information and resources on identity theft, you can visit the California Attorney General’s website by going to oag.ca.gov and searching for identity theft. Additionally, the FTB’s website offers privacy information, which can be found by searching for privacy notice at ftb.ca.gov or by calling their customer service line and requesting this information through the form code provided.
When completing the FTB 3552 form, a common mistake is failing to check the correct box indicating whether the individual is an actual victim of identity theft or a potential victim. This crucial step determines the urgency and nature of the response required by the Franchise Tax Board. Without this clear indication, there may be delays in processing the affidavit, thereby delaying the resolution of any tax-related issues that might have arisen from identity theft.
Another frequent error involves the tax year(s) impacted section. Individuals often overlook or inaccurately report the tax years affected by the identity theft incident. A precise account of the tax years impacted is paramount for the Franchise Tax Board to accurately assess and rectify any discrepancies in your tax records resulting from identity theft.
Incorrect or incomplete personal information is also a common pitfall. The form requires the last four digits of your Social Security Number or your complete Individual Taxpayer Identification Number, if applicable. Providing accurate and complete information is critical to ensuring that the Franchise Tax Board can correctly identify your account and address any issues arising from identity theft.
Many individuals neglect to include their current mailing address or fail to indicate if it has changed since their last tax return. This omission can lead to miscommunication and delays in resolving your case, as the Franchise Tax Board uses this information to correspond with you regarding your affidavit.
Forgetting to sign and date the form under penalty of perjury is another common mistake. The signature affirms that the information provided is true and accurate to the best of the taxpayer's knowledge. Without this, the Franchise Tax Board cannot process the affidavit, as the signature also implies consent for the Franchise Tax Board to investigate and adjust your tax records as necessary.
Failure to submit the required identification documents alongside the form is a significant oversight. Verifying your identity is a critical step in the process, and the Franchise Tax Board requires at least one of the listed documents to proceed with your affidavit. Neglecting to include these documents can significantly delay the investigation and resolution of your case.
Choosing the wrong submission method can also complicate matters. The form provides specific instructions for submission by mail or fax, based on whether you received an FTB notice and the nature of your report. Incorrectly submitting the form can lead to delays in processing your affidavit.
Some individuals inadvertently ignore the detailed instructions and resources provided on the second page of the form. These resources are invaluable for understanding your rights, the steps the Franchise Tax Board will take to assist you, and additional assistance you can seek regarding identity theft.
Lack of clarity when providing a short explanation of the tax impact or the incident's details is another mistake. A clear and concise description assists the Franchise Tax Board in understanding your situation better, enabling a more efficient and effective response to your affidavit.
Last, many fail to check the box indicating whether they are required to file a tax return. This information is essential for the Franchise Tax Board to understand your tax-filing history and how the identity theft may have impacted your tax obligations.
When dealing with identity theft, particularly in relation to tax accounts, individuals may need to submit not only the FTB 3552 form but also several other forms and documents to fully address the issue. Completing and submitting the right combination of forms and supporting documents is crucial for efficiently communicating with tax authorities and safeguarding one's financial identity. The list below encompasses other commonly used forms and documents that support or are necessary alongside the FTB 3552 form.
Successfully navigating through an identity theft situation requires careful documentation and timely communication with the relevant authorities. Providing additional supporting documents, as listed above, along with the FTB 3552 form, can expedite the resolution process and help restore one's security and peace of mind. Each document plays a unique role in painting a full picture of the incident for tax authorities, aiding in the swift resolution of cases related to identity theft.
The IRS Form 14039, Identity Theft Affidavit, shares a similar purpose with the FTB 3552 form in that it is also used to notify tax authorities of suspected or confirmed identity theft impacting an individual’s tax records. Both forms serve as official notifications to their respective tax agencies (the IRS for federal taxes and the FTB for California state taxes) and require the taxpayer to provide detailed information about their identity theft issue. This includes the tax years affected, personal identification details, and a statement of the incident's tax impact.
A Police Report is another document closely related to the FTB 3552 form, especially when it concerns identity theft. Victims are often advised to file a police report as soon as they discover the theft. This document not only serves to officially record the crime but also acts as a crucial piece of evidence when submitting an identity theft affidavit like the FTB 3552. Both documents require specific details about the theft, including the date of occurrence and a description of how the identity theft happened.
The FTC Identity Theft Report plays a similar role to the FTB 3552 form in that it helps victims of identity theft document the situation and notify the appropriate agencies. The report is generated after filling out an affidavit at the FTC’s IdentityTheft.gov website, and it helps streamline the process of recovering from identity theft. Like the FTB 3552, this report is used to communicate with creditors and credit bureaus to ensure that the victim’s financial accounts are secured and inaccuracies stemming from fraud are corrected.
Individual Taxpayer Identification Number (ITIN) application (Form W-7) shares commonality with the FTB 3552 form in the context of taxpayer identification. While FTB 3552 helps victims of identity theft report incidents affecting their tax accounts, the ITIN application is used by individuals who do not have and cannot obtain a Social Security Number (SSN) to comply with U.S. tax laws. Both documents deal with the identification of taxpayers, ensuring accurate tax filing and fraud prevention.
The Change of Address (Form 8822) issued by the IRS is akin to the FTB 3552 form in that it involves updating personal information with a tax authority to prevent future tax issues. While the FTB 3552 form specifically addresses changes related to identity theft incidents, Form 8822 is used more broadly by taxpayers who need to notify the IRS of a change in address. Updating addresses is crucial in both contexts to ensure taxpayers receive all correspondence related to their taxes and identity theft alerts.
A Driver’s License or Department of Motor Vehicles (DMV) Identification Card can be closely related to the information and verification processes involved in the FTB 3552 form. Victims of identity theft are often asked to provide a copy of their driver's license or DMV ID card when submitting the FTB 3552 form. This is because these identification documents serve to verify the victim's identity, much like how the FTB 3552 form seeks to protect the taxpayer's identity by flagging potential fraud.
The Social Security Card is an integral document for identity verification, similar to the role played by the FTB 3552 form in the context of tax-related identity theft. When filling out the FTB 3552, individuals may be required to submit a copy of their social security card, among other documents, to verify their identity. This mirrors the card’s broader role in the U.S. as a primary source of tax identification and an essential element in preventing and addressing identity theft.
Lastly, an Internal Revenue Service Letter of Determination often corresponds with the FTB 3552 form in scenarios where the identity theft affects tax exemption statuses or charitable contributions. While the FTB 3552 form allows taxpayers to report and rectify identity theft issues, an IRS Letter of Determination can be impacted by such identity theft, necessitating updates or corrections to reflect accurate tax account statuses. Both documents are integral to maintaining correct and up-to-date tax records following identity theft incidents.
When you find yourself filling out the FTB 3552 form, which serves as an affidavit for victims or potential victims of identity theft seeking to notify the Franchise Tax Board (FTB) in California, it's crucial to approach the process with care. Below are essential dos and don'ts that will guide you through completing this important document correctly and efficiently.
What You Should Do
Check the appropriate box at the beginning of the form to accurately state whether you are an actual victim or a potential victim of identity theft, ensuring the FTB understands the nature of your situation right from the start.
Provide a clear and concise explanation of how the identity theft incident is affecting or may affect your tax account. This includes detailing any unauthorized transactions or alterations in your tax filings.
Include all the necessary identification information such as the last four digits of your Social Security Number or your full Individual Taxpayer Identification Number, along with your current mailing address and that of your last tax return if they differ.
Submit copies of at least one of the required documents for verifying your identity (e.g., passport, driver's license, if applicable a social security card, police report, or IRS letter of determination). This step is vital for the processing and validation of your claim.
What You Shouldn't Do
Do not leave any section incomplete, especially those that require details about the tax year(s) impacted, the date the incident occurred, and the last tax return you filed. Incomplete forms may lead to delays in the FTB's response to your situation.
Avoid submitting the form without your signature and the date signed, as this is mandatory for the affidavit to be considered valid. An unsigned form is equivalent to not filing it at all.
Refrain from sending original documents to verify your identity. Instead, send copies since these documents will not be returned to you.
Don't disregard the specific submission instructions on PAGE 2 of the form. Whether mailing or faxing your completed form and documents, make sure to follow the directions based on whether you received an FTB notice or are self-reporting. This ensures your affidavit reaches the right office without unnecessary delays.
By following these guidelines, you help protect your identity and financial wellbeing while facilitating the review process by the Franchise Tax Board.
When it comes to the Franchise Tax Board (FTB) Form 3552, also known as the Identity Theft Affidavit, there are several misconceptions that can lead to confusion for individuals looking to protect their identity or rectify issues related to identity theft. Understanding these misconceptions is vital for ensuring your tax account is safeguarded properly.
Misconception 1: The form is only for those who have already experienced tax-related identity theft. In reality, FTB 3552 is designed not only for victims of identity theft but also for individuals who suspect they may be at risk. This includes circumstances where personal information has been compromised, such as through a lost or stolen wallet, or questionable activity on a credit report.
Misconception 2: You must have all your information to complete the form. While providing detailed information is helpful, the form only requires certain basic details to process your case, such as your name, contact information, and the last four digits of your Social Security Number or Individual Taxpayer Identification Number (ITIN). Even if not all details or documents are immediately available, reporting the issue is a crucial first step.
Misconception 3: Submitting Form 3552 is only possible via mail. The document outlines multiple submission methods, including fax, to accommodate different situations. If you received a notice from the FTB and it includes a fax number, you can fax the completed form and documents. Always ensure to follow the specified instructions for submission, which may vary depending on your specific circumstances.
Misconception 4: Only a police report is sufficient for identity verification. The form acknowledges various documents for verifying your identity, including a passport, driver's license, or Social Security card, among others. This flexibility ensures that individuals have multiple avenues to confirm their identity, even if a police report is not immediately available.
Misconception 5: The Franchise Tax Board initiates contact through email or fax for acquiring sensitive information. The FTB explicitly states that it does not contact taxpayers via email or fax to request personal information. Any such communication attempts are likely fraudulent. It's critical to be aware of phishing attempts and to protect your personal information diligently.
Understanding these key points about FTB 3552 can significantly assist individuals in navigating the process of reporting potential identity theft. Diligence, caution, and prompt action are essential in protecting your tax account and personal information from misuse.
When dealing with identity theft related to your tax affairs, the State of California provides a specific form for aid, the FTB 3552 form. Below are key takeaways to ensure proper filling out and use:
Understanding these takeaways can simplify the process of reporting identity theft to the California Franchise Tax Board, ensuring your tax account is updated to reflect the incident and to identify any questionable activities promptly.
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