Fraud Referral Form

More Thorough Scrutiny of Returns

In a continuing effort to ensure individuals and businesses comply with Georgia’s tax statutes, and to level the playing field for all taxpayers, the Department of Revenue has established a new system to more thoroughly review returns. New computer edits have been added that will flag suspicious returns. These returns will be reviewed by Department personnel to determine if they should be referred to investigators. The targets for this activity are persons who prepare and file frivolous and/or fraudulent returns.

Complete the form below to report suspected tax evasion or fraud. We encourage everyone to help us ensure the tax laws of Georgia are enforced in a fair and equitable manner.

Note: If you are unable or unwilling to use this form, you may print the form and mail it in to the address on the form.

Taxpayer's Name:

Street Address:

City:

State:

Zip:

Last 4 digits of SSN (optional)

Marital Status:

Name of Spouse:

Business Name:

Street Address:

Business City:

Business State:

Business Zip:

Comments (briefly describe the facts of the alleged violation - Who/What/When/How):

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

Your Name (optional):

Your Phone Number (optional):

Today's Date: