Fillable Office of Criminal Investigation (NJ Department of Treasury)

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Office of Criminal Investigation (NJ Department of Treasury)

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The Office of Criminal Investigation (NJ Department of Treasury) form is 1 page long and contains:

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  • 28 other fields

Country of origin: US
File type: PDF

U.S.A. forms for NJ Department of Treasury

BROWSE NJ DEPARTMENT OF TREASURY (NJ) FORMS

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New Jersey Department of the Treasury
Office of Criminal Investigation
Citizen Complaint Form Provide as much detail as possible. Mail to address below.
Information About the Person You are Reporting
Name of Individual:
Date of Birth:
Social Security Number:
Phone:
Address:
City:
State:
ZIP Code:
Occupation:
E-mail Address:
Marital Status:
Name of Spouse:
Information About the Business You are Reporting
Name of Business:
Phone:
Employer Tax ID Number (FEIN):
Website:
Address:
City:
State:
ZIP Code:
Describe the Alleged Violation
Tax Type Involved (check all that apply):
Sales & Use
Alcoholic Beverage
Motor Fuels
Cigarette / Tobacco Products
Corporation or Business Entity
Alleged Violation of Tax Law (check all that apply):
Failure to remit tax
Failure to withhold tax
False exemptions
False deductions
Failure to file return
False documents
Earned Income Tax Credit
Unsubstantiated income
Unregistered
Unreported sales
Smuggling
Other
Comments (
Briefly describe the facts of the alleged violation, i.e., who, what, when, where, and how
you learned about and obtained the information in this report. Attach another sheet if necessary
):
Information About Yourself
Your Name:
Address:
Phone:
City:
State:
ZIP Code:
Where to Send this Form
New Jersey Department of the Treasury, Office of Criminal Investigation
PO Box 284 Trenton, NJ 08695-0284
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Office of Criminal Investigation (NJ Department of Treasury)

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Completed 13 August 2020

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