Sección A: select one box
Box 1 for a person receiving notices for an unknown business with an EIN in their name, with a space for that nine-digit EIN. Box 2 for a business, estate, trust or exempt organization that may be a victim.
14039-B
Business Identity Theft Affidavit (Spanish Version)
Form 14039-B (SP) is the Spanish version of Form 14039-B, Business Identity Theft Affidavit. Every label and instruction on the two-page PDF is in Spanish, under the title "Declaración Jurada sobre el Robo de Identidad de un Negocio". It is dated May 2021 ("mayo de 2021", Rev. 5-2021), the same revision as the English form. The IRS offers it for people who read Spanish and need to report identity theft involving a business.
Section A covers two cases. In box 1, a person who does not own a business and has not applied for an Employer Identification Number (EIN) receives IRS notices for an unknown business registered in their name with an EIN. In box 2, the person suspects that a business entity, estate, trust or exempt organization is a victim of identity theft. Page 2 prints the form's own filing directions: by mail, by fax or in person at an IRS Taxpayer Assistance Center.
For more help, this edition points to the IRS Spanish pages and to the FTC's Spanish site, robodeidentidad.gov. The English edition, Form 14039-B, has its own page. You can fill out this Spanish PDF free in your browser on this page and download it without an account.

Box 1 for a person receiving notices for an unknown business with an EIN in their name, with a space for that nine-digit EIN. Box 2 for a business, estate, trust or exempt organization that may be a victim.
Legal name, approximate date founded, EIN, current address, tax forms and years or quarters affected, previous names, whether the EIN is active, and a box if no return was required for the period.
The filer's position with the entity, name, SSN or ITIN, mailing address if different, phone number with home, work or cell boxes, and the best time to call.
A required short explanation with the relevant dates. Extra pages can be attached.
Any known details about the person misusing the EIN or name, such as a police report, and check boxes for the documents sent, which depend on the type of entity.
The person in Section C signs under penalties of perjury and enters the date signed as mm/dd/aaaa, the Spanish form of mm/dd/yyyy.
Check one box. The form says box 1 goes on to Sections C, D and F, and box 2 goes on to Sections B, C, D, E and F.
Enter the entity's legal name, EIN and address, the tax forms and periods affected, and any previous names. Check one box for whether the EIN is active, and give the final return period if operations ceased.
Check the position that applies, or the Not applicable box if box 1 was checked in Section A. Enter the name, nine-digit SSN or ITIN, phone number and best time to call.
Write a brief explanation of what happened, with dates. The form marks this section as required.
Add what is known about who is misusing the EIN or name. The form says a sole proprietor sends two documents: a valid government ID with signature and a document such as a utility bill confirming business operation. Other entities send one or more listed entity documents.
The person named in Section C signs and dates the form.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says to attach Form 14039-B (SP) to the back of the notice and mail it to the address given on the notice.
The form gives this address: Internal Revenue Service, Ogden, UT 84201.
Use the fax number on the IRS notice or letter, if it shows one. Without a notice or letter, the form gives the toll-free fax number 855-807-5720 and suggests a cover sheet marked "Confidencial".
Appointments at an IRS Taxpayer Assistance Center are made by calling toll-free 844-545-5640, Monday to Friday, 7 a.m. to 7 p.m. local time. The form says to bring it with at least one required document and an original government photo ID with signature.
The form says that missing documentation, an incomplete form or photocopies that are not legible may delay processing.
The form says the IRS does not start contact with taxpayers by email, and to send IRS-related scam emails to [email protected].
The Section C choices include sole proprietor, partner, managing partner of a multi-member LLC and sole member of an LLC.
An officer or director of the corporation or exempt organization can file it, with an entity document such as the articles of incorporation.
An executor, administrator, personal representative, fiduciary or trustee of an estate or trust can file it, with the trust or estate document.
A person who is not a business owner checks box 1 in Section A, enters the nine-digit EIN and completes Sections C, D and F. Section C then has a Not applicable box.
All section names, check boxes and filing directions are in Spanish. The same affidavit in English is Form 14039-B.
Section C asks for the position of the person filing. It says that person needs the legal authority to act for the entity and to receive tax return information under IRC 6103. The completed form goes to the IRS.
The agency’s own page for Form 14039-B.
The IRS instructions for filling out and filing Form 14039-B.
The official blank form, to print or fill by hand.
No tool matches that search.
No. It is the Spanish version of the same affidavit, with the same sections A to F and the same Rev. 5-2021 date. Only the language differs.
No. This page is in English. The PDF you fill out on it is in Spanish.
The person named in Section C. The form says that person needs the legal authority to act for the entity and to receive tax return information under IRC 6103.
The form says to check box 1 in Section A, enter the nine-digit EIN, follow the guidance at www.irs.gov/notmyein and complete Sections C, D and F.
To the address or fax number on the IRS notice, if there is one. Otherwise the form lists Internal Revenue Service, Ogden, UT 84201, or the toll-free fax 855-807-5720.
No. The form says the IRS does not share taxpayer information with the Federal Trade Commission. It points to the FTC's Spanish site, https://www.robodeidentidad.gov/, for more resources.