SendTheTaxman.com--Report Illegal Alien Employers to the IRS; brought to you by the FIRE Coalition

Please complete the following form to submit a violator of our Tax Laws. The more information you can provide the better.

TAXPAYER Name		BUSINESS Name
Street Address		Street Address
City		City
State		State
Zip Code		Zip Code
Social Security #		Employer Identification #
Occupation		Principal Business Activity
Date of Birth
Marital Status	Married Single Head of Household Divorced Separated	Name of Spouse

"Alleged" Violation of Income Tax Law (check all that apply)
False Exemption False Deductions Multiple Filing Organized Crime	Unsubstantiated Income Kickback False/Altered Documents Failure to Pay Tax	Unreported Income Narcotics Income Public/Political Corruption Failure to File Return	Failure to Withhold Tax Wagering/Gambling Earned Income Credit Other (Describe below)

Unreported Income and Tax Years (Fill-in Tax Years and dollar amount(s), if known, e.g., FY 2005 $10,000)
FY $ FY $ FY $ FY $ FY $ FY $

Comments (Briefly describe the facts of the alleged violation - Who/What/Where/When/How.)


Are books/records available? Yes No		Do you consider the taxpayer dangerous? Yes No

Banks, Financial Institutions used by the taxpayer:
Name		Name
Address		Address
City		City
State		State
Zip Code		Zip Code

Please describe how you learned and/or obtained the information in this report.


Your First Name
Your Last Name
Your Email
Your Address
Your City
Your State
Your Zip Code
Your Phone Number	()-

Would you like to make a tax-deductible donation to the FIRE Coalition to help operate this site and assist with our other ongoing projects? No Yes

Please add me to the FIRE Coalition email list
Please include me as a volunteer and have a local FIRE Coalition leader contact me
I consent to submitting this information to the authorities and represent that it is true and accurate to the best of my knowledge.
You may also mail in an IRS form 211 to apply for a reward should your information result in a penalty being applied to the employer.

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